929 2015 929 PalmettoGBA JM

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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 Palmetto GBA JM. You have been randomly selected to take part in this survey that is being conducted by ForeSee Results on behalf of Palmetto GBA JM. Please take a minute or two to give us your opinions. The feedback you provide will help Palmetto GBA JM enhance its site and serve you better in the future. All results are strictly confidential.			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 your time in completing this survey. Your input is very valuable and will be taken into consideration. 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.			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		CMS - Palmetto GBA JM MAC					Red & Strike-Through: Delete
Model ID		New					Underlined & Italicized: Re-order
Partitioned		Yes					Pink: Addition
Date		6/29/2015					Blue: Reword
	Label	Element Questions		Label	Satisfaction Questions		Label	Future Behaviors
		Content (1=Poor, 10=Excellent, Don't Know)			Satisfaction (1=Poor, 10=Excellent)			Likelihood to Return (1=Not Very Likely, 10=Very Likely)
	1	Please rate the accuracy of information on this site.		21	What is your overall satisfaction with this site?		24	How likely are you to return to this site?
	2	Please rate the quality of information on this site.		22	How well does this site meet your expectations?
	3	Please rate the freshness of content on this site.		23	How does this site compare to your idea of an ideal website?			Recommend (1=Not Very Likely, 10=Very Likely)
		Functionality (1=Poor, 10=Excellent, Don't Know)					25	How likely are you to recommend this site to someone else?
	4	Please rate the usefulness of the services provided on this site.
	5	Please rate the convenience of the services on this site.						Primary Resource (1=Not Very Likely, 10=Very Likely)
	6	Please rate the ability to accomplish what you wanted to on this site.					26	How likely are you to use this site as your primary resource for getting information on Medicare?
		Look and Feel (1=Poor, 10=Excellent, Don't Know)
	7	Please rate the ease of reading this site.
	8	Please rate the clarity of site organization.
	9	Please rate the clean layout of this site.
		Navigation (1=Poor, 10=Excellent, Don't Know)
	10	Please rate the degree to which the number of steps it took to get where you want is acceptable.
	11	Please rate the ability to find information you want on this site.
	12	Please rate the clarity of the site map/directory.
	13	Please rate the ease of navigation on this site.
		Site Performance (1=Poor, 10=Excellent, Don't Know)
	14	Please rate the speed of loading the page on this site.
	15	Please rate the consistency of speed on this site.
	16	Please rate the reliability of site performance on this site.
		Search (1=Poor, 10=Excellent, Don't Know)
	17	Please rate the usefulness of search results on this site.
	18	Please rate how this site provides comprehensive search results.
	19	Please rate the organization of search results on this site.
	20	Please rate how the search feature helps you to narrow the results to find the information you want.

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Sheet 3: Current CQs

Model Name	CMS - Palmetto GBA JM MAC				Red & Strike-Through: Delete
Model ID	New				Underlined & Italicized: Re-order
Partitioned	Yes				Pink: Addition
Date	6/29/2015				Blue: Reword
QID	Skip From	Question Text	Answer Choices	Skip To	Required Y/N	Type	Special Instructions	CQ Label