Form 030 2020 030 SSA Feedback Survey July 2020

E-Government Website Customer Satisfaction Surveys

2020 030 SSA Feedback Survey July 2020

2020 030 SSA Feedback Survey July 2020

OMB: 1090-0008

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Social Security ROME MN


SSA Feedback Survey



  1. What would you like to tell us about this page? (Multi-line text area)

  2. What was the reason for your selection on this page? (Multi-line text area)

  3. Is there other information we could have included to help you make your selection? (Multi-line text area)

  4. Was it clear that you would need to select the Request Text Message button in order to get started? (Yes/No radio buttons)

  5. Was it clear that that you would need to return to this browser window after taking photos?
    (Yes/No radio buttons)

  6. Was it clear that you needed to retrieve a text message and select a link in the text message in order to begin the photo capture (Yes/No radio buttons)

  7. Is there anything you would like to tell us about your photo capture experience? (Multi-line text area)

  8. Are there other types of IDs you would like to see added to this page?

  9. Please list additional options you would like to see on this page. (Multi-line text area)

  10. Were the instructions for creating a username clear? (Yes/No radio button)

  11. Were the instructions for creating a password clear? (Yes/No radio button)


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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleSocial Security ROME MN
SubjectForeSee Question Placement
Author[Your Name]
File Modified0000-00-00
File Created2021-01-13

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