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		| Welcome and Thank You Text | 
	
		
	
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 | Welcome Text | 
 | Thank You Text | 
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 | Thank you for visiting your IRS Online Account and taking the time 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.
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 | Thank you! Your response will be used to help make Online Account better for taxpayers. 
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 | Welcome Text - Alternate | 
 | Thank You Text - Alternate | 
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 | 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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		| Model Name IRS Online Account | 
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 | Red & Strike-Through:  Delete | 
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		| Model ID | 
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 | Underlined & Italicized: Re-order | 
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		| Partitioned No | 
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 | Pink: Addition | 
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		| Date 11-16-16 | 
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 | Blue: Reword | 
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		| QID | Skip From | Question Text | Answer Choices | Skip To | Required Y/N
 | Type | Special Instructions | CQ Label | 
	
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 | Overall, how was your Online Account experience? | Positive | 
 | Y | Radio button,  one-up vertical | 
 | Experience | 
	
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 | Negative | 
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 | Tell us what we got right: | I could pay my taxes | 
 | Y | Checkbox,  one-up vertical | 
 | Got Right | 
	
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 | The breakdown of what I owe was easy to understand | 
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 | Showing when I need to pay | 
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 | It was fast and easy to use | 
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 | The app was well organized | 
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 | The information was clear and concise | 
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 | Tell us what could be better: | Inclusion of educational content | 
 | Y | Checkbox,  one-up vertical | 
 | Be Better | 
	
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 | Online communication with IRS (i.e. chat, email, form) | 
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 | The sign-in process | 
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 | The payment process | 
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 | The level of detail of the information | 
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 | The organization of information | 
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 | Do you currently have a balance due in your Online Account? | Yes | 
 | Y | Radio button,  one-up vertical | 
 | Balance | 
	
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 | No | 
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 | Please use this area to include additional comments and suggestions to help improve the Online Account application. | 
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 | Y | Text area,  no char limit | 
 | Improve |