Form 1025 2014 780 IRS ACA 3-31-14

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Overview

Current Model Qsts
Current CQs

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Sheet 1: Current Model Qsts

Model Instance Name:
IRS ACA
MID:
Partitioned (Y/N)? N
Date:
IRS ACA
Model questions utilize the ForeSee CXA methodology to determine scores and impacts
			CUSTOMER SATISFACTION			FUTURE BEHAVIORS
		MQ Label			MQ Label
			Satisfaction			Return (1=Very Unlikely, 10=Very Likely)
	1	Satisfaction - Overall	What is your overall satisfaction with the ACA section of the IRS.gov website? (1=Very Dissatisfied, 10=Very Satisfied)	4	Return	How likely are you to return to the ACA section of the IRS.gov website?
	2	Satisfaction - Expectations	How well does the ACA section of the IRS.gov website meet your expectations? (1=Falls Short, 10=Exceeds)			Recommend (1=Very Unlikely, 10=Very Likely)
	3	Satisfaction - Ideal	How does this website compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)	5	Recommend	How likely are you to recommend the ACA section of the IRS.gov website to someone else?
						Primary Resource (1=Very Unlikely, 10=Very Likely)
				6	Primary Resource	How likely are you to use the IRS.gov website as your primary resource for all Affordable Care Act (ACA) Tax Provisions information?

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Sheet 2: Current CQs

Model Instance Name:

red & strike-through: DELETE

IRS ACA

underlined & italicized: RE-ORDER

MID:

pink: ADDITION

Date: 3/31/14

blue + -->: REWORDING

IRS ACA CUSTOM QUESTION LIST

QID

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Question Text

Answer Choices (limited to 50 characters)

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Type (select from list)

Single or Multi

Required Y/N

Special Instructions

CQ Label

How frequently do you visit the ACA section of the IRS.gov website?

This is my first time

Drop down, select one

Single

Y

Frequency

Daily

Weekly

Monthly

Every couple of months or less often

Which category best describes you? Are you …?

Individual/family

Drop down, select one

Single

Y

Role

Small employer/self-employed

Large employer/corporation

Partnership

Insurer

Pharmaceutical manufacturer

Importer/international business

Hospital

Tax return preparer

Tax exempt or government organization

Non-profit health insurance issuer

Other business type

What are your main reasons for visiting the ACA section of the IRS.gov website today?

Information about general tax filing requirements associated with ACA

Checkbox, one-up vertical

Multi

Y

Reason

Information regarding the Premium Tax Credit or Advanced Premium Tax Credit

Information regarding the Individual Shared Responsibility provision

Information regarding the Additional Medicare Tax

Information regarding the Net Investment Income Tax

Information regarding the Small Business Health Care Tax Credit

Information regarding the Small business health options program (SHOP)

Changes to itemized deductions for medical expenses

ACA Tax provisions for insurers

ACA Tax provisions for miscellaneous business types

ACA Tax provisions for tax exempt and government organizations

Information on how to e-file ACA information reports

List of other ACA tax provisions

Legal guidance and other resources

News releases

Health care tax tips

Questions and answers

Information in Spanish

Other

Did you find the information you were looking for?

Yes

Radio button, one-up vertical

Single

Y

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Find info

No

A

Partially

A

Please tell us in as much detail as possible what specifically were you looking for today?

Text area, no char limit

N

Skip Logic Group*

No info

Did you find the ACA information useful?

Yes

Radio button, one-up vertical

Single

Y

Skip Logic Group*

Useful

No

Not sure

What could IRS do to improve the ACA section to better meet your needs?

Text area, no char limit

N

Improve