Form 1044 2017 1044 Q_myE-Verify-Self Check v2_Web_Browse_20171121

---

Overview

Welcome and Thank You Text
Model Questions
Custom Questions

---

Sheet 1: Welcome and Thank You Text

	The text you see here will appear at the top and bottom of your survey, examples below.
	Default text is included and you may modify this text as needed.
	Welcome and Thank You Text
		Welcome Text		Welcome Text - Tablet / Phone
		Thank you for visiting myE-Verify. 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 visiting everify.gov/mye-verify. You've been selected to participate in a brief survey to let us know how we can improve your experience. Please take a minute to share your opinions.
		Thank You Text		Thank You Text - Tablet / Phone
		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. We appreciate your input!
		Example Desktop		Example Mobile

---

Sheet 2: Model Questions

Model Name		myE-Verify/Self Check v2					Red & Strike-Through: Delete
Model ID							Underlined & Italicized: Re-order
Partitioned		Yes - 2MQ					Pink: Addition
Date							Blue: Reword
Model Version		17.2.G
	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 the myE-Verify site.	16	Satisfaction - Overall	What is your overall satisfaction with the myE-Verify site? (1=Very Dissatisfied, 10=Very Satisfied)	19	Return	How likely are you to return to the myE-Verify site?
2	Look and Feel - Balance	Please rate the balance of graphics and text on the myE-Verify site.	17	Satisfaction - Expectations	How well does the myE-Verify 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 the myE-Verify site.	18	Satisfaction - Ideal	How does the myE-Verify site compare to an ideal website? (1=Not Very Close, 10=Very Close)	20	Recommend	How likely are you to recommend the myE-Verify 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 the myE-Verify site.				21	Primary Resource	How likely are you to use the myE-Verify site as your primary resource for all myE-Verify/Self Check needs?
5	Site Performance - Consistency	Please rate the consistency of speed from page to page on the myE-Verify site.
6	Site Performance - Completeness	Please rate how completely the page content loads on the myE-Verify site.
		Navigation (1=Poor, 10=Excellent, Don't Know)
7	Navigation - Organized	Please rate how well the myE-Verify site is organized.
8	Navigation - Options	Please rate the options available for navigating the myE-Verify 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 the myE-Verify site.
11	Information Browsing - Narrow	Please rate the ability to narrow choices to find the information you are looking for on the myE-Verify site.
12	Information Browsing - Features	Please rate how well the features on the myE-Verify 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 the myE-Verify site.
14	Site Information - Understandable	Please rate how understandable the myE-Verify’s information is.
15	Site Information - Answers	Please rate how well the myE-Verify’s information provides answers to your questions.

---

Sheet 3: Custom Questions

Model Name		myE-Verify/Self Check v2				Red & Strike-Through: Delete
Model ID		0				Underlined & Italicized: Re-order
Partitioned		Yes - 2MQ				Pink: Addition
Date		1/1/2016				Blue: Reword
QID	QUESTION META TAG	Skip From	Question Text	Answer Choices	Skip To	Required Y/N	Type	Special Instructions	CQ Label
	Visit Frequency		How frequently do you visit the myE-Verify/Self Check site?	First time		Y	Drop down, select one		Frequency
				Daily
				Once or twice a week
				Once or twice a month
				Less than once a month
	Role		Which of the following best describes your role?	US citizen/job seeker		Y	Radio button, one-up vertical	Skip Logic Group*	Role
				International visitor with a work authorization
				Individual with a recently adjusted status
				I am an E-Verify user or administrator
				Other	A
		A	What is your role?			N	Text area, no char limit	Skip Logic Group*	Other role
	Acquisition Source		How did you learn about myE-Verify/Self Check?	Previous experience with the tool		Y	Drop down, select one	Skip Logic Group*	Source
				An employer
				Internet advertisement
				On the E-Verify or USCIS site
				Social media
				Other	A
		A	What is the other way you learned about myE-Verify/Self Check?			N	Text area, no char limit	Skip Logic Group*	Other source
			Which area(s) of the myE-Verify/Self Check did you visit today? (Select all that apply)	Login to myE-Verify		Y	Checkbox, one-up vertical		Area visited
				Start Self Check
				About myE-Verify
				Self Lock
				Resource Center
				Case History
				Case Tracker
				Other
	Primary Reason: Federal Government or Informational Non-Profit		For what reason did you visit myE-Verify/Self Check today?	To use Self Check		Y	Radio button, one-up vertical	Skip Logic Group*	Reason for visiting
				Use myE-Verify
				Create an account
				Learn more about Self Check before I use it
				Learn about myE-Verify
				Explore Self Lock
				Review resource center
				Review the steps on how to use Self Check
				Learn about my employee rights				Randomize
				Read the Self Check privacy statement
				Research the Self Check FAQs
				Learn about my employer rights and rules regarding Self Check
				View my case history
				Track my case
				Other	A			Anchor Answer Choice
		A	What is your other reason for visiting?			N	Text area, no char limit	Skip Logic Group*	Other reasons
	Accomplish		Were you able to find what you were looking for?	Yes		Y	Drop down, select one	Skip Logic Group*	Find info
				Partially	A
				No	A
	OE_Accomplish	A	What specifically did you look for?			N	Text area, no char limit	Skip Logic Group*	No info found
			Did you use the myE-Verify/Self Check tool today?	Yes	A,B	Y	Radio button, one-up vertical	Skip Logic Group*	Used Self Check
				No	C
		C	Why did you not use the myE-Verify/Self Check tool today? Please provide as much detail as possible.			N	Text area, no char limit	Skip Logic Group*	Why didn’t use
		A	Was this your first time using myE-Verify/Self Check tool?	Yes		Y	Radio button, one-up vertical	Skip Logic Group*	First tine
				No	D
		D	Why did you use myE-Verify/Self Check again today?	Unable to complete it the previous use		Y	Radio button, one-up vertical	Skip Logic Group*	Why using again
				To see if I would get a different result
				Received system error
				Other	E
		E	Please specify other reason for using myE-Verify/Self Check again.			N	Text area, no char limit	Skip Logic Group*	Other using again
		B	Were you able to complete the process?	Yes		Y	Radio button, one-up vertical	Skip Logic Group*	Did you complete
				No	F
		F	Why were you unable to complete the myE-Verify/Self Check process?	Did not get an identity proofing quiz		Y	Radio button, one-up vertical	Skip Logic Group*	Why no complete
				Did not pass my identity proofing quiz
				System error
				Other	G
		G	Please specify other reason why you were unable to complete the myE-Verify/Self Check process.			N	Text area, no char limit	Skip Logic Group*	Other no complete
			How likely are you to use myE-Verify/Self Check tool again in the future?	1=Very unlikely		Y	Radio button, scale, has don't know		Likelihood to use again
				2
				3
				4
				5
				6
				7
				8
				9
				10=Very likely
				Don't know
	OE_Improve Experience		What improvement would you like to see made to the myE-Verify/Self Check site to make it more useful for you in the future?			N	Text area, no char limit		Improvement