Three Customer Satisfaction Surveys: TTW Website Satisfaction Survey; 800# Caller Survey FY 15; FO Caller Survey FY 15

Generic Clearance of Customer Satisfaction Surveys

TTW Website Satisfaction Survey

Three Customer Satisfaction Surveys: TTW Website Satisfaction Survey; 800# Caller Survey FY 15; FO Caller Survey FY 15

OMB: 0960-0526

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OMB Control No. 0960-0526

Expiration Date: November 2015

Ticket to Work Website Satisfaction Survey


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


  1. How did you find our website (choose the top three that apply)?

    1. Search Engine

    2. Social Media (Facebook, Twitter, YouTube)

    3. Referred from Ticket to Work Help Line

    4. Received a phone call from Social Security

    5. Received a postcard or ticket in the mail from Social Security

    6. Received an email about the Ticket to Work program

    7. Referred by a Social Security employee

    8. Referred by an Employment Network or Work Incentives Planning and Assistance counselor or case worker

    9. Referred by a friend or family member

    10. Saw website address in a Social Security brochure or on a card

    11. Saw or clicked on website address on another website

    12. From a Work Incentives Seminar Event (WISE) Webinar

    13. Saw a video on YouTube

    14. Heard a podcast on iTunes

    15. TV, Radio, Newspaper

    16. Mobile phone text message

    17. Other (please comment)

  2. How satisfied were you with these aspects of our website?

    1. Its visual appeal (Scale: Completely Dissatisfied to Completely Satisfied)

    2. Its ease of use (Scale: Completely Dissatisfied to Completely Satisfied)

    3. The value of its content (Scale: Completely Dissatisfied to Completely Satisfied)

    4. How well it met your accessibility needs (Scale: Completely Dissatisfied to Completely Satisfied. Include a “not applicable choice on scale)

  1. Why did you visit our website today (select all that apply)?

  1. To learn how to choose a service provider by assigning my Ticket

  2. To learn how to leave your current service provider by unassigning my Ticket

  3. To register for a WISE webinar or other event

  4. To learn about the Ticket to Work program

  5. To find a job

  6. To learn how to earn more money

  7. To find a Ticket to Work program service provider (Employment Network (EN), Vocational Rehabilitation (VR) Agency)

  8. Other (please comment)


  1. How likely are you to return to our website?

  1. Unlikely

  2. Likely

  3. Don’t Know

  1. Which areas of our website did you visit (select all that apply)?

  1. Find Help Tool

  2. Employment Network Report Card

  3. Choose Work Blog

  4. Find Help Tutorial

  5. WISE Webinar Registration

  6. Contact Us

  7. FAQs

  8. Success Stories

  9. Ticket Talk Podcasts

  10. Document/Media Library

  11. The Path to Work

  12. Ticket Tutorials

  13. Help Me Choose Wizard

  14. Find a Job

  15. What’s New Widget

  16. Other (please comment)


  1. Please rate the following website features on a scale of 1 to 5 (5 being best).

  1. Find Help Tool

  2. Employment Network Report Card

  3. Choose Work Blog

  4. Find Help Tutorial

  5. WISE Webinar Registration

  6. Contact Us

  7. FAQs

  8. Success Stories

  9. Ticket Talk Podcasts

  10. Document/Media Library

  11. The Path to Work

  12. Ticket Tutorials

  13. Help Me Choose Wizard

  14. Find a Job

  15. What’s New Widget


  1. After visiting our website, what action are you planning to take?

  1. Find a service provider

  2. Assign my ticket

  3. Register for a WISE webinar

  4. Call the Help Line

  5. Find a Job

  6. Other (please comment)


  1. Which of the following best describes you (select all that apply)?

  1. SSDI Beneficiary

  2. SSI Beneficiary

  3. Family member of a Social Security beneficiary

  4. Community Partner

  5. Employment Network (EN)

  6. American Job Center EN

  7. Vocational Rehabilitation (VR) Agency

  8. Work Incentives Planning and Assistance (WIPA) Project

  9. Protection and Advocacy for Beneficiaries of Social Security (PABSS)

  10. Veteran (with a disability)

  11. Student (with a disability)

  12. Other (please comment)

  1. What is your gender?

  1. Male

  2. Female

  3. Prefer not to answer


  1. What is your age?

  1. Under the age of 18

  2. 18-24

  1. 25-34

  2. 35-44

  3. 45-54

  4. 55-64

  5. 65 or older

  6. Prefer not to answer


Please share any suggestions for ways we can improve our website? (Comment field)




Alternate Questions


  1. 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).

  2. 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).

  3. Which of the following resources did you use to help you on our website today (select all that apply)?

    1. Find Help Tool

    2. Find Help Tutorial

    3. Webinar Registration

    4. Contact Us/Help Line

    5. FAQs

    6. Employment Network Profile

    7. Choose Work Blog

    8. Success Stories

    9. Ticket Talk Podcasts

    10. Document/Media Library

    11. The Path to Work

    12. Ticket Tutorials

    13. Help Me Choose Wizard

    14. Find a Job

    15. What's New Widget

    16. None of the above

    17. Other (please comment)

  4. 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).

  5. How often do you visit our website?

  1. This is my first time visiting

  2. Daily

  3. Weekly

  4. Monthly

  1. Did you use the search feature during your visit?

    1. Yes

    2. No

    3. Not applicable

  2. If you used our search feature during your visit, please tell us about your experience.


  1. Search results were helpful

  2. Results were not relevant/not what I wanted

  3. Too many results/I needed to refine my search

  4. Not enough results

  5. Returned NO results

  6. Received error message(s)

  7. Search speed was too slow

  8. I experienced a different search issue (please explain):

  9. Not applicable


  1. Do you subscribe to any of the following on GovDelivery (select all that apply)?

  1. You Can Work Success Stories Series

  2. Ticket Talk Podcasts

  3. Choose Work Blog

  4. Ticket to Work News and Events

  5. WISE Webinars

  6. Ticket to Work Email updates

  7. None of the above


  1. Are you following Ticket to Work on a social network (select all that apply)?

    1. Facebook

    2. Twitter

    3. YouTube


  1. Approximately how long was your visit to our website today?

    1. Less than 10 minutes

    2. 10-15 minutes

    3. 16-30 minutes

    4. 31 minutes - 1 hour

    5. Longer than 1 hour

  2. What is the highest level/grade of education that you have completed?

  1. Did not complete high school

  2. High School graduate

  3. Some college/vocational school

  4. College graduate

  5. Some postgraduate school

  6. Graduate/professional degree


  1. From which kind of device did you access choosework.net?

    1. Desktop or laptop computer

    2. Tablet

    3. 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.


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