OMB Approved
No. 3206-0236
Insurance Website Customer Satisfaction Survey
Privacy Act Statement
Collection of this information is authorized by Section 4702 of Title 5, U.S. Code.
Your responses to this survey are voluntary and there is no penalty if you choose not to respond. However, maximum participation is encouraged so that the data will be complete and representative.
The principal purpose in collecting this information is to gather input from employees about their experiences in working for the [Agency]. Routine uses are identifying organizational strengths and challenges and identifying strategies that will help improve the work environment.
In any public release of survey results, no data will be disclosed that could be used to match your responses with your identity because there will be no individual identifiers associated with the data. All email addresses will be stripped and discarded automatically when the completed survey is submitted.
Public Burden Statement
We estimate this feedback survey will take an average of 1 minute to complete, 3 minutes if additional comments are included. Send comments regarding our time estimate or any other aspect of this form, including suggestions for reducing completion time, to the Office of Personnel Management, Program Planning and Evaluation Group, Angelo Cueto, (3206-0236), 1900 E. Street N.W., Washington, DC. 20415-7900. The OMB number 3206-0236 is currently valid. OPM may not collect this information, and you are not required to respond, unless this number is displayed.
Please take a minute to answer these questions about the Federal Benefits website. We appreciate your feedback.
1. The information on the website is clearly written and easy to understand.
Very dissatisfied
Dissatisfied
Neither dissatisfied nor satisfied
Satisfied
Very satisfied
2. The information on the website met my needs to make health insurance decisions.
Dissatisfied
Neither dissatisfied nor satisfied
Satisfied
Very satisfied
3. The layout of the website is well-organized and clear.
Very dissatisfied
Dissatisfied
Neither dissatisfied nor satisfied
Satisfied
Very satisfied
4. Overall, how satisfied are you with the website?
Very dissatisfied
Dissatisfied
Neither dissatisfied nor satisfied
Satisfied
Very satisfied
5. Are you:
A Federal employee
A Federal retiree / annuitant
Other
Please add any additional comments or suggestions.
| File Type | application/msword |
| File Title | TITLE OF SURVEY |
| Author | MEWindsor |
| Last Modified By | SYSTEM |
| File Modified | 2018-01-31 |
| File Created | 2018-01-31 |