ABOUT OUR my Social Security OFFICE VISITOR SURVEY |
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We would like to know why some my Social Security account holders choose to visit a Social Security office instead of using our website to conduct their business. The survey should take less than 10 minutes to complete. |
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Example: |
o Yes CONTINUE to question 2 |
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o No SKIP to question 3. |
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INSTRUCTIONS FOR MARKING YOUR ANSWERS |
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Please do not write any of your personal information anywhere on this survey form. |
YOUR REQUEST FOR A BENEFIT VERIFICATION LETTER |
1. |
Social Security records show that you recently visited an office to request a benefit verification (award) letter. Why did you need a benefit verification letter? |
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Mark [X] ONE best answer. |
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2. |
For what agency or program did you need a benefit verification letter? |
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Mark [X] ALL that apply. |
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3. |
Were you aware that you could use your my Social Security account to request a benefit verification letter? |
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Mark [X] ONE answer. |
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4. |
Why did you choose to visit a Social Security office to get your benefit verification letter instead of getting one online? |
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Mark [X] ONE best answer. |
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5. |
Why weren’t you able to get your benefit verification letter using your my Social Security account? |
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Mark [X] ALL that apply. |
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6. |
Why was the letter you printed not accepted as valid ? |
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Mark [X] ALL that apply. |
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7. |
Were you able to get an acceptable benefit verification letter during your office visit? |
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Mark [X] ONE answer. |
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VISITING SOCIAL SECURITY |
Please rate the service you received when you visited the Social Security office.
Mark [X] ONE answer for every item. |
Excellent |
Very Good |
Good |
Fair |
Poor |
Very Poor |
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8. |
Office location |
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9. |
Office hours |
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10. |
Signs/instructions explaining how to check in when you got to the office |
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11. |
Office comfort (seating, temperature, etc.) |
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12. |
Office appearance (clean, pleasant, etc.) |
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13. |
Office privacy |
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14. |
Courtesy of the staff |
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15. |
Waiting time to be served in the office |
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Mark [X] ONE answer. |
Less than 10 minutes |
Between 10 and 30 minutes |
Between 31 and 60 minutes |
More than 60 minutes |
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16. |
How long did you wait to be served? |
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17. |
Did you have to visit the office more than once to get the service you needed? |
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Mark [X] ONE answer. |
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Mark [X] ONE answer. |
Excellent |
Very Good |
Good |
Fair |
Poor |
Very Poor |
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18. |
Overall, how would you rate the service you received when you visited the office? |
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19. |
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20. |
Why didn’t that work for you? |
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Mark [X] ALL that apply. |
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USING YOUR my Social Security ACCOUNT ON SOCIAL SECURITY’S WEBSITE |
21. |
Do you plan to use your my Social Security account for your future business? |
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Mark [X] ONE answer. |
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22. |
What do you plan to use your my Social Security account for? |
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Mark [X] ALL that apply. |
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23. |
Why won’t you use your my Social Security account for future business? |
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Mark [X] ONE answer. |
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(Please explain): |
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24. |
What do you plan to do instead of using your my Social Security account for future business? |
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Mark [X] ALL that apply. |
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END OF SURVEY |
Thank you for taking the time to complete this survey. Social Security will use your answers to improve our services. Please return the completed questionnaire in the postage-paid envelope as soon as possible to:
Social Security Survey |
[Contractor Return Address] |
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PRIVACY ACT STATEMENT
The Social Security Administration is authorized to collect the information for this survey under Executive Order 12862, “Setting Customer Service Standards.” Your response to these questions is strictly voluntary. The information you provide will be used to help us improve the service that we give you. Your response will not be disclosed to any other government or private agency. |
PAPERWORK REDUCTION ACT STATEMENT
This information collection meets the requirements of 44 U.S.C. § 3507, as amended by Section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 10 minutes to read the instructions, gather the facts and answer the questions. You may send comments on our time estimate above to: Social Security Administration, 6401 Security Blvd., Baltimore, MD 21235-6401.
Send only comments relating to our time estimate to this address, not the completed form. |
OMB Control No: 0960-0526 Expiration Date: TBD |
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ABOUT OUR my Social Security OFFICE VISITOR SURVEY |
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||||
|
We would like to know why some my Social Security account holders choose to visit a Social Security office instead of using our website to conduct their business. The survey should take less than 10 minutes to complete. |
|
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Example: |
o Yes CONTINUE to question 2. |
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o No SKIP to question 3. |
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INSTRUCTIONS FOR MARKING YOUR ANSWERS |
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Please do not write any of your personal information anywhere on this survey form.
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YOUR REQUEST FOR A REPLACEMENT SOCIAL SECURITY CARD |
1. |
Social Security records show that you recently visited an office to request a replacement Social Security card. Why did you request a replacement Social Security card? |
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Mark [X] ONE best answer. |
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2. |
For what purpose or program did you need a replacement Social Security card? |
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Mark [X] ALL that apply. |
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In the state where you live, any person with a my Social Security account can request a replacement Social Security card online if they:
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3. |
Based on the information above, were you eligible to request a replacement card online? |
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Mark [X] ONE answer. |
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4. |
Why were you not eligible to request a replacement Social Security card online? |
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![]() Mark [X] ALL that apply. |
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5. |
Were you aware that you could request a replacement Social Security card online with your my Social Security account? |
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Mark [X] ONE answer. |
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6. |
Why did you choose to visit a Social Security office to request your replacement Social Security card instead of requesting one online? |
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Mark [X] ONE best answer. |
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7. |
Why weren’t you able to use your my Social Security account to get a replacement Social Security card ? |
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Mark [X] ONE best answer. |
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8. |
Were you able to request a replacement Social Security card during your office visit? |
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Mark [X] ONE answer. |
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VISITING SOCIAL SECURITY |
Please rate the service you received when you visited the Social Security office.
Mark [X] ONE answer for every item. |
Excellent |
Very Good |
Good |
Fair |
Poor |
Very Poor |
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9. |
Office location |
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|
|
|
|
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10. |
Office hours |
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|
|
|
|
|
11. |
Signs/instructions explaining how to check in when you got to the office |
|
|
|
|
|
|
12. |
Office comfort (seating, temperature, etc.) |
|
|
|
|
|
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13. |
Office appearance (clean, pleasant, etc.) |
|
|
|
|
|
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14. |
Office privacy |
|
|
|
|
|
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15. |
Courtesy of the staff |
|
|
|
|
|
|
16. |
Waiting time to be served in the office |
|
|
|
|
|
|
Mark [X] ONE answer. |
Less than 10 minutes |
Between 10 and 30 minutes |
Between 31 and 60 minutes |
More than 60 minutes |
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17. |
How long did you wait to be served? |
□ |
□ |
□ |
□ |
18. |
Did you have to visit the office more than once to get the service you needed? |
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Mark [X] ONE answer. |
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Mark [X] ONE answer. |
Excellent |
Very Good |
Good |
Fair |
Poor |
Very Poor |
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19. |
Overall, how would you rate the service you received when you visited the office? |
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20. |
Did you try to get your replacement card over the phone? |
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21. |
Why didn’t that work for you? |
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Mark [X] ALL that apply. |
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USING YOUR my Social Security ACCOUNT ON SOCIAL SECURITY’S WEBSITE |
22. |
Do you plan to use your my Social Security for future business? |
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Mark [X] ONE answer. |
|
|
|
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23. |
What do you plan to use your my Social Security account for? |
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Mark [X] ALL that apply. |
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|
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|
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|
![]()
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24. |
Why won’t you use your my Social Security account for future business? |
|
Mark [X] ONE answer. |
|
|
|
|
|
|
|
|
|
|
|
|
|
(Please explain): |
|
|
25. |
What do you plan to do instead of using your my Social Security account for future business? |
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Mark [X] ALL that apply. |
|
|
|
|
|
|
|
END OF SURVEY |
Thank you for taking the time to complete this survey. Social Security will use your answers to improve our services. Please return the completed questionnaire in the postage-paid envelope as soon as possible to:
Social Security Survey |
[Contractor Return Address] |
|
PRIVACY ACT STATEMENT
The Social Security Administration is authorized to collect the information for this survey under Executive Order 12862, “Setting Customer Service Standards.” Your response to these questions is strictly voluntary. The information you provide will be used to help us improve the service that we give you. Your response will not be disclosed to any other government or private agency. |
PAPERWORK REDUCTION ACT STATEMENT
This information collection meets the requirements of 44 U.S.C. § 3507, as amended by Section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 10 minutes to read the instructions, gather the facts and answer the questions. You may send comments on our time estimate above to: Social Security Administration, 6401 Security Blvd., Baltimore, MD 21235-6401.
Send only comments relating to our time estimate to this address, not the completed form. |
OMB Control No: 0960-0526 Expiration Date: TBD |
(BEVE Survey)
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | McDonald, Devery |
File Modified | 0000-00-00 |
File Created | 2021-01-20 |