Form 1081 2014 836 SSA Mobile Wage

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Overview

Guidelines
Welcome and Thank You Text
W&TY (8-22-12)
Current Model Qsts
Current CQs
CQs (7-30-13)
CQs (4-25-13)
Element Rotations

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Sheet 1: Guidelines

Questionnaire Management Guidelines

Goals:

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One consolidated document to track all model and CQ changes throughout the life of the project

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Questionnaire always matches the live survey

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Easy and error-free way to submit CQ changes

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All changes tracked and reflected in one document (DOT will help)

Questionnaire Resources:

1

Questionnaire Design and Approval Process

2

Question Grouping Rules

3

OPS vs. Skip Logic Decision for "Other, Please Specify"

4

Foreign Language Survey Instructions

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Sheet 2: Welcome and Thank You Text

Model Instance Name:
SSA Mobile Wage Reporting
MID:	oYYdlt48ctdtx8cgFh0Q4Q==
Date:	8/2/2012
Welcome and Thank You Text
	Directions:
	This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom. This is a good place to mention the site/company/agency name so the visitor knows whom they are taking the survey for. Feel free to modify the standard Welcome text shown in the box below.
					Examples
					Welcome Text Example
	Welcome Text
	Thank you for using the SSI Mobile Wage Reporting app. You've been randomly chosen to take part in a brief survey to let us know what we're doing well and where we can improve. Please take a few minutes to share your opinions, which are essential in helping us provide the best online experience possible.
					Thank You Text Example
	Thank You Text
	Thank you for taking our survey - and for helping us serve you better. Please note you will not receive a response from us based on your survey comments. If you would like to get in touch with Social Security, please visit our Contact Us page to find out how.

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Sheet 3: W&TY (8-22-12)

Model Instance Name:
SSA Mobile Wage Reporting
MID:	oYYdlt48ctdtx8cgFh0Q4Q==
Date:	8/2/2012
Welcome and Thank You Text
	Directions:
	This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom. This is a good place to mention the site/company/agency name so the visitor knows whom they are taking the survey for. Feel free to modify the standard Welcome text shown in the box below.
					Examples
					Welcome Text Example
	Welcome Text
	Thank you for using the SSI Mobile Wage Reporting app. You've been randomly chosen to take part in a brief survey to let us know what we're doing well and where we can improve. Please take a few minutes to share your opinions, which are essential in helping us provide the best online experience possible.
					Thank You Text Example
	Thank You Text
	Thank you for taking our survey - and for helping us serve you better. Please note you will not receive a response from us based on your survey comments. If you would like us to contact you about your feedback, please visit the Contact Us section of our website. Thank you for taking our survey - and for helping us serve you better. Please note you will not receive a response from us based on your survey comments. If you would like to get in touch with Social Security, please visit our Contact Us page to find out how.

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Sheet 4: Current Model Qsts

Model Instance Name:
SSA Mobile Wage Reporting
MID:		oYYdlt48ctdtx8cgFh0Q4Q==
Partitioned (Y/N)? N					Element rotation scheme has been added
NOTE: All non-partitioned surveys will NOT be imputed and the elements will be rotated as a default unless otherwise specified and approved by Research.
Date:		5/30/2012
SSA Mobile Wage Reporting
Model questions utilize the ACSI methodology to determine scores and impacts
		ELEMENTS (drivers of satisfaction)			CUSTOMER SATISFACTION			FUTURE BEHAVIORS
	MQ Label			MQ Label			MQ Label
		Look and Feel (1=Poor, 10=Excellent, Don't Know)			Satisfaction			Use Again (1=Very Unlikely, 10=Very Likely)
	Look and Feel - Appeal	Please rate the visual appeal of this mobile app.		Satisfaction - Overall	What is your overall satisfaction with this mobile app? (1=Very Dissatisfied, 10=Very Satisfied)		Use Mobile App Again	How likely are you to use this mobile app again?
	Look and Feel - Readability	Please rate the readability of the views in this mobile app.		Satisfaction - Expectations	How well does this mobile app meet your expectations? 1=Falls Short, 10=Exceeds)		Mobile App Channel Preference	Use over other channels (1=Very Unlikely, 10=Very Likely)
		Navigation (1=Poor, 10=Excellent, Don't Know)		Satisfaction - Ideal	How does this app compare to your idea of an ideal mobile app? (1=Not Very Close, 10=Very Close)			How likely are you to use a mobile app to conduct business with SSA instead of using other channels such as the telephone, or going in person?
	Navigation - Organized	Please rate how well this mobile app is organized.
	Navigation - Options	Please rate the options available for navigating this mobile app.
		App Performance (1=Poor, 10=Excellent, Don't Know)
	App Performance - Loading	Please rate how quickly views load in this mobile app.
	App Performance - Errors	Please rate the ability to load views without getting error messages in this mobile app.

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Sheet 5: Current CQs

#REF!			red & strike-through: DELETE
SSA Mobile Wage Reporting			underlined & italicized: RE-ORDER
MID: oYYdlt48ctdtx8cgFh0Q4Q==			pink: ADDITION
Date:	3/1/2008		blue + -->: REWORDING
SSA Mobile Wage Reporting CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
LNH0233		What best describes your role?	I receive my own benefits		Radio button, one-up vertical	Single	Y		Role
			I am the representative payee for my spouse or child
			I am the representative payee for someone else
			Other
HAR0034853		Is this your first time using this app?	Yes	A	Radio button, one-up vertical	Single		Skip logic	Use app
			No
HAR0034922	A	Are you planning on using this app to report your wages again?	Yes		Radio button, one-up vertical	Single			Use again
			No	AA				skip logic
HAR0034923	AA	Please explain why you are not planning to use this app to report your wages again.			Text area, no char limit		N	skip logic	OE_Why Not Again
HAR0034924		How would you rate your experience reporting your wages using this app as compared to other methods of reporting your wages?	Excellent		Radio button, one-up vertical	Single	Y		Experience Reporting
			Good
			Fair
			Poor
			Don't know, have not used other methods to report wages
HAR0034925		How satisfied were you with the length of time it took to report your wages?	Satisfied		Radio button, one-up vertical	Single	Y	Skip logic	Opinion of Length of time
			Unsatisfied	A
HAR0034926	A	How long did it take you to use this app?	under 5 minutes		Radio button, one-up vertical	Single	Y	Skip Logic	Unsatisfied length of time
			About 5 minutes
			Other
HAR0034927		How helpful was the instruction package you received?	Very helpful		Radio button, one-up vertical	single	y		Instructions Packet
			Helpful
			Not helpful
			I did not receive an instruction package.
LNH0239		Please provide any suggestions you may have to improve this mobile site.			Text area, no char limit	Single	N		OE_Improvement

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Sheet 6: CQs (7-30-13)

#REF!			red & strike-through: DELETE
SSA Mobile Wage Reporting			underlined & italicized: RE-ORDER
MID: oYYdlt48ctdtx8cgFh0Q4Q==			pink: ADDITION
Date:	3/1/2008		blue + -->: REWORDING
SSA Mobile Wage Reporting CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
LNH0233		What best describes your role in visiting this mobile wage reporting application?	I receive my own benefits		Radio button, one-up vertical	Single	Y		Role
			I act on behalf of the SSI beneficiary
			I report on behalf of someone else and am not a representative payee
			I am a parent or spouse of an SSI beneficiary
			I am the representative payee for my spouse or child
			I am the representative payee for someone else
			Other
LNH0234		Are you planning on using this app to report your wages again?	Yes		Radio button, two-up vertical	single	Y	OPS Group	Use Again
			No	A
LNH0235	A	Please explain why you are not planning to use this app to report your wages again:			Text area, no char limit		N		OE_Not Again
		Is this your first time using this app?	Yes	A	Radio button, one-up vertical	Single		Skip logic	Use app
			No
	A	Are you planning on using this app to report your wages again?	Yes		Radio button, one-up vertical	Single			Use again
			No	AA				skip logic
	AA	Please explain why you are not planning to use this app to report your wages again.			Text area, no char limit		N	skip logic	OE_Why Not Again
LNH0236		How would you rate your experience reporting your wages using this app as compared to other avenues of reporting your wages?	1 = Poor		Radio button, scale, has don't know	Single	Y		Experience Reporting
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don't know, have not used other methods to report wages
		How would you rate your experience reporting your wages using this app as compared to other methods of reporting your wages?	Excellent		Radio button, one-up vertical	Single	Y		Experience Reporting
			Good
			Fair
			Poor
			Don't know, have not used other methods to report wages
		How satisfied were you with the length of time it took to report your wages?	Satisfied		Radio button, one-up vertical	Single	Y	Skip logic	Opinion of Length of time
			Unsatisfied	A
	A	How long did it take you to use this app?	under 5 minutes		Radio button, one-up vertical	Single	Y	Skip Logic	Unsatisfied length of time
			About 5 minutes
			Other
		How helpful was the instruction package you received?	Very helpful		Radio button, one-up vertical	single	y		Instructions Packet
			Helpful
			Not helpful
			I did not receive an instruction package.
LNH0237		What is your level of comfort of conducting business with the government using a mobile app?	1 = Uncomfortable		Radio button, scale, no don't know	Single	Y		Level of Comfort
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Very comfortable
LNH0238		How long did it take you to use this app?	Less than a minute		Radio button, one-up vertical	Single	Y		Length of Time
			About a minute
			Over a minute
			5 minutes or more
LNH0239		Please provide any suggestions you may have to improve this mobile site.			Text area, no char limit	Single	N		OE_Improvement

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Sheet 7: CQs (4-25-13)

#REF!			red & strike-through: DELETE
SSA Mobile Wage Reporting			underlined & italicized: RE-ORDER
MID: oYYdlt48ctdtx8cgFh0Q4Q==			pink: ADDITION
Date:	3/1/2008		blue + -->: REWORDING
SSA Mobile Wage Reporting CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
LNH0233		What best describes your role in visiting this mobile wage reporting application?	I receive benefits		Radio button, one-up vertical	Single	Y		Role
			I act on behalf of the SSI beneficiary
			I report on behalf of someone else and am not a representative payee
			I am a parent or spouse of an SSI beneficiary
			Other
LNH0234		Are you planning on using this app to report your wages again?	Yes		Radio button, two-up vertical	single	Y	OPS Group	Use Again
			No	A
LNH0235	A	Please explain why you are not planning to use this app to report your wages again:			Text area, no char limit		N		OE_Not Again
LNH0236		How would you rate your experience reporting your wages using this app as compared to other avenues of reporting your wages?	1 = Poor		Radio button, scale, has don't know	Single	Y		Experience Reporting
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don't know, have not used other methods to report wages
		Which statement best describes your opinion about the access code?	The access code provides added security.		Radio button, one-up vertical	Single	Y		Acces Code Opinion
			The access code provides little to no benefit.
			I have no opinion about the access code.
LNH0237		What is your level of comfort of conducting business with the government using a mobile app?	1 = Uncomfortable		Radio button, scale, no don't know	Single	Y		Level of Comfort
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Very comfortable
LNH0238		How long did it take you to use this app?	Less than a minute		Radio button, one-up vertical	Single	Y		Length of Time
			About a minute
			Over a minute
			5 minutes or more
LNH0239		Please provide any suggestions you may have to improve this mobile site.			Text area, no char limit	Single	N		OE_Improvement

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Sheet 8: Element Rotations

Base Element Order	Version 2	Version 3	Version 4
Look and Feel	App Performance	Navigation	Look and Feel
Navigation	Navigation	Look and Feel	App Performance
App Performance	Look and Feel	App Performance	Navigation