Expiration Date: November 2015
Thank you for visiting the Ticket to Work program website. Please take our brief survey and tell us about your experience on our site. Your feedback will provide us with valuable information to help us ensure that you can find information, that the site is easy to use, and that the website is designed to meet your needs. We appreciate you taking our survey and we may use your feedback to continue to improve the site. You may also send comments to [email protected].
Initial Survey Questions
How did you find our website (choose the top three that apply)?
Search Engine
Social Media (Facebook, Twitter, YouTube)
Referred from Ticket to Work Help Line
Received a phone call from Social Security
Received a postcard or ticket in the mail from Social Security
Received an email about the Ticket to Work program
Referred by a Social Security employee
Referred by an Employment Network or Work Incentives Planning and Assistance counselor or case worker
Referred by a friend or family member
Saw website address in a Social Security brochure or on a card
Saw or clicked on website address on another website
From a Work Incentives Seminar Event (WISE) Webinar
Saw a video on YouTube
Heard a podcast on iTunes
TV, Radio, Newspaper
Mobile phone text message
Other
(please comment)
How satisfied were you with these aspects of our website?
Its visual appeal (Scale: Completely Dissatisfied to Completely Satisfied)
Its ease of use (Scale: Completely Dissatisfied to Completely Satisfied)
The value of its content (Scale: Completely Dissatisfied to Completely Satisfied)
How well it met your accessibility needs (Scale: Completely Dissatisfied to Completely Satisfied. Include a “not applicable choice on scale)
Why did you visit our website today (select all that apply)?
To learn how to choose a service provider by assigning my Ticket
To learn how to leave your current service provider by unassigning my Ticket
To register for a WISE webinar or other event
To learn about the Ticket to Work program
To find a job
To learn how to earn more money
To find a Ticket to Work program service provider (Employment Network (EN), Vocational Rehabilitation (VR) Agency)
Other (please comment)
How likely are you to return to our website?
Unlikely
Likely
Don’t Know
Which areas of our website did you visit (select all that apply)?
Find Help Tool
Employment Network Report Card
Choose Work Blog
Find Help Tutorial
WISE Webinar Registration
Contact Us
FAQs
Success Stories
Ticket Talk Podcasts
Document/Media Library
The Path to Work
Ticket Tutorials
Help Me Choose Wizard
Find a Job
What’s New Widget
Other (please comment)
Please rate the following website features on a scale of 1 to 5 (5 being best).
Find Help Tool
Employment Network Report Card
Choose Work Blog
Find Help Tutorial
WISE Webinar Registration
Contact Us
FAQs
Success Stories
Ticket Talk Podcasts
Document/Media Library
The Path to Work
Ticket Tutorials
Help Me Choose Wizard
Find a Job
What’s New Widget
After visiting our website, what action are you planning to take?
Find a service provider
Assign my ticket
Register for a WISE webinar
Call the Help Line
Find a Job
Other (please comment)
Which of the following best describes you (select all that apply)?
SSDI Beneficiary
SSI Beneficiary
Family member of a Social Security beneficiary
Community Partner
Employment Network (EN)
American Job Center EN
Vocational Rehabilitation (VR) Agency
Work Incentives Planning and Assistance (WIPA) Project
Protection and Advocacy for Beneficiaries of Social Security (PABSS)
Veteran (with a disability)
Student (with a disability)
Other
(please comment)
What is your gender?
Male
Female
Prefer not to answer
What is your age?
Under the age of 18
18-24
25-34
35-44
45-54
55-64
65 or older
Prefer not to answer
Please
share any suggestions for ways we can improve our website? (Comment
field)
Alternate Questions
You
answered that you were either somewhat dissatisfied or completely
dissatisfied with this website. Please tell us why you were not
satisfied or what we can do to improve the site (Comment field).
You
answered that you were either somewhat satisfied or completely
satisfied with this website. Please tell what you liked best about
the site (Comment field).
Which of the following resources did you use to help you on our website today (select all that apply)?
Find Help Tool
Find Help Tutorial
Webinar Registration
Contact Us/Help Line
FAQs
Employment Network Profile
Choose Work Blog
Success Stories
Ticket Talk Podcasts
Document/Media Library
The Path to Work
Ticket Tutorials
Help Me Choose Wizard
Find a Job
What's New Widget
None of the above
Other
(please comment)
Other
(please comment) – If you were unable to find the information
you needed, please tell us what you were looking for that you could
not find (comment field).
How often do you visit our website?
This is my first time visiting
Daily
Weekly
Monthly
Did you use the search feature during your visit?
Yes
No
Not
applicable
If you used our search feature during your visit, please tell us about your experience.
Search results were helpful
Results were not relevant/not what I wanted
Too many results/I needed to refine my search
Not enough results
Returned NO results
Received error message(s)
Search speed was too slow
I experienced a different search issue (please explain):
Not applicable
Do you subscribe to any of the following on GovDelivery (select all that apply)?
You Can Work Success Stories Series
Ticket Talk Podcasts
Choose Work Blog
Ticket to Work News and Events
WISE Webinars
Ticket to Work Email updates
None of the above
Are you following Ticket to Work on a social network (select all that apply)?
YouTube
Approximately how long was your visit to our website today?
Less than 10 minutes
10-15 minutes
16-30 minutes
31 minutes - 1 hour
Longer
than 1 hour
What is the highest level/grade of education that you have completed?
Did not complete high school
High School graduate
Some college/vocational school
College graduate
Some postgraduate school
Graduate/professional degree
From which kind of device did you access choosework.net?
Desktop or laptop computer
Tablet
Mobile device
Paperwork Reduction Act Statement
Paperwork Reduction Act Statement – This information collection meets the requirements of 44 U.S.C. §3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 10 minutes to complete this survey. You may send comments on our time estimate above: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401. Send only comments relating to our time estimate to this address.
File Type | application/msword |
Author | Laura |
Last Modified By | 889123 |
File Modified | 2015-02-03 |
File Created | 2015-02-03 |