925 2015 925 Tricare Survvey

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Overview

Welcome and Thank You Text
Model Qsts
Current CQs

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Sheet 1: Welcome and Thank You Text

Welcome and Thank You Text
	Welcome Text			Thank You Text
	Thank you for visiting [Company/Site/Agency]. 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 for taking our survey - and for helping us serve you better. We appreciate your input!
	Welcome Text - Alternate			Thank You Text - Alternate
	Thank you for visiting [Company/Site/Agency]. You have been randomly selected to take part in this survey that is being conducted by ForeSee on behalf of the [Company/Site/Agency]. Please take a few minutes to give us your feedback. All results are strictly confidential.			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 web site.

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Sheet 2: Model Qsts

Model Name							Red & Strike-Through: Delete
Model ID		(MID)					Underlined & Italicized: Re-order
Partitioned		Yes					Pink: Addition
Date		(1/2/2013)					Blue: Reword
	Label	Element Questions		Label	Satisfaction Questions		Label	Future Behaviors
		Look and Feel (1=Poor, 10=Excellent, Don't Know)			Satisfaction			Return (1=Very Unlikely, 10=Very Likely)
1	Look and Feel - Appeal	Please rate the visual appeal of this site.	16	Satisfaction - Overall	What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)	19	Return	How likely are you to return to this site?
2	Look and Feel - Balance	Please rate the balance of graphics and text on this site.	17	Satisfaction - Expectations	How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)			Recommend (1=Very Unlikely, 10=Very Likely)
3	Look and Feel - Readability	Please rate the readability of the pages on this site.	18	Satisfaction - Ideal	How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)	20	Recommend	How likely are you to recommend this site to someone else?
		Site Performance (1=Poor, 10=Excellent, Don't Know)						Primary Resource (1=Very Unlikely, 10=Very Likely)
4	Site Performance - Loading	Please rate how quickly pages load on this site.				21	Primary Resource	How likely are you to use this site as your primary resource for obtaining information from this organization?
5	Site Performance - Consistency	Please rate the consistency of speed from page to page on this site.
6	Site Performance - Completeness	Please rate how completely the page content loads on this site.
		Navigation (1=Poor, 10=Excellent, Don't Know)
7	Navigation - Organized	Please rate how well the site is organized.
8	Navigation - Options	Please rate the options available for navigating this site.
9	Navigation - Layout	Please rate how well the site layout helps you find what you need.
		Information Browsing (1=Poor, 10=Excellent, Don't Know)
10	Information Browsing - Sort	Please rate the ability to sort information by criteria that are important to you on this site.
11	Information Browsing - Narrow	Please rate the ability to narrow choices to find the information you are looking for on this site.
12	Information Browsing - Features	Please rate how well the features on the site help you find the information you need.
		Site Information (1=Poor, 10=Excellent, Don't Know)
13	Site Information - Thoroughness	Please rate the thoroughness of information provided on this site.
14	Site Information - Understandable	Please rate how understandable this site’s information is.
15	Site Information - Answers	Please rate how well the site’s information provides answers to your questions.

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Sheet 3: Current CQs

Model Name	0				Red & Strike-Through: Delete
Model ID	(MID)				Underlined & Italicized: Re-order
Partitioned	Yes				Pink: Addition
Date	(1/2/2013)				Blue: Reword
QID	Skip From	Question Text	Answer Choices	Skip To	Required Y/N	Type	Special Instructions	CQ Label
		How often do you visit our site?	First time		Y	Drop down, select one		Visit Frequency
			Every 6 months or less
			About once a month
			About once a week
			Daily
			More than once a day
		Did you Answer Three Questions (Who are you, Where do you live and What plan are you using) to get your plan info?	Yes		Y	Radio button, one-up vertical		Three Questions
			No
		Which best describes you?	Active Duty Service Member (includes all Uniformed Services)	N	Y	Radio button, one-up vertical	Skip Logic Group*	Status
			Retired Service Member	P
			National Guard or Reserve Member (Active, Reserve or Retired)	Q
			Family of Active Duty Service Member	R
			Family of Retired Service Member	S
			Family of National Guard or Reserve Member	T
			Other (Provider, Staff, Government, Media, etc.)	M
	M	Please specify.	Provider (Staff included)		Y	Radio button, one-up vertical	Skip Logic Group*	Other Status
			Government
			Government Contractor
			Media
			Other
	N	Which plan are you using?	TRICARE Prime		Y	Radio button, one-up vertical	Skip Logic Group*	Active Duty Plan
			TRICARE Prime Remote
			TRICARE Prime Overseas
			TRICARE Prime Remote Overseas
			Other/Don’t Know
	P	Which plan are you using?	TRICARE Prime		Y	Radio button, one-up vertical	Skip Logic Group*	Retired Plan
			TRICARE Standard and Extra
			TRICARE Standard Overseas
			TRICARE For Life
			US Family Health Plan
			Other/Don’t Know
	Q	Which plan are you using?	TRICARE Prime		Y	Radio button, one-up vertical	Skip Logic Group*	Guard or Reserve Plan
			TRICARE Prime Remote
			TRICARE Prime Overseas
			TRICARE Prime Remote Overseas
			TRICARE Standard and Extra
			TRICARE Standard Overseas
			TRICARE For Life
			TRICARE Reserve Select
			TRICARE Retired Reserve
			US Family Health Plan
			Other/Don’t Know
	R	Which plan are you using?	TRICARE Prime		Y	Radio button, one-up vertical	Skip Logic Group*	Family of Active Duty Plan
			TRICARE Prime Remote
			TRICARE Prime Overseas
			TRICARE Prime Remote Overseas
			TRICARE Standard and Extra
			TRICARE Standard Overseas
			TRICARE Young Adult
			US Family Health Plan
			Other/Don’t Know
	S	Which plan are you using?	TRICARE Prime		Y	Radio button, one-up vertical	Skip Logic Group*	Family of Retired Plan
			TRICARE Standard and Extra
			TRICARE Standard Overseas
			TRICARE For Life
			TRICARE Young Adult
			US Family Health Plan
			Other/Don’t Know
	T	Which plan are you using?	TRICARE Prime		Y	Radio button, one-up vertical	Skip Logic Group*	Family of Guard or Reserve Plan
			TRICARE Prime Remote
			TRICARE Prime Overseas
			TRICARE Prime Remote Overseas
			TRICARE Standard and Extra
			TRICARE Standard Overseas
			TRICARE For Life
			TRICARE Reserve Select
			TRICARE Retired Reserve
			TRICARE Young Adult
			US Family Health Plan
			Other/Don’t Know
		Did you use an interactive tool on our site today?	Yes	A, C	Y	Radio button, one-up vertical	Skip Logic Group*	Tool Interaction
			No
	A	Which tool(s) did you use? Select all that apply.	Covered Services Search Tool		Y	Checkbox, one-up vertical	Skip Logic Group*	Tools Used
			Plan Finder				Randomize
			Compare Plans
			Pharmacy Savings Calculator
			Military Hospital and Clinic Locator
			Prime Service Area ZIP Code Tool
			TRICARE Prime Remote ZIP Code Tool
			Frequently Asked Question Database
			Other, please specify	B			Anchor Answer Choice
	B	Please specify which tool(s) you used on the site today.			N	Text area, no char limit	Skip Logic Group*	OE_Tools Used
	C	Did you find the tool(s) helpful?	Yes		Y	Radio button, one-up vertical	Skip Logic Group*	Tools Helpful
			No	G
	G	Please specify why you found the tool(s) unhelpful.			N	Text area, no char limit	Skip Logic Group*	OE_Why Unhelpful
		What were you looking for today?	Plans		Y	Drop down, select one	Skip Logic Group*	Looking For
			What's Covered?
			Find a Doctor
			Costs/Pay a Bill
			Login
			Appointments
			Dental
			Prescriptions
			Claims
			Update Info/ID Cards
			Contact Info
			Other, please specify	E
	E	Please specify what you were looking for today.			N	Text area, no char limit	Skip Logic Group*	OE_Looking For
	F	Did you find what you were looking for?	Yes		Y	Radio button, one-up vertical		Did You Find
			No