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MTF Feedback Survey
FCG IA number: 30815 |
| Question Text |
Answer Text |
| Q1. Please rate your experience of this page. |
Star rating ( 5 stars) |
| Q2. Where is the Military Hospital or Military Clinic for which you are providing website feedback located? |
Overseas |
| Continental US |
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| Q3. (if Overseas is selected) Which country is the Military Hospital or Military Clinic for which you are providing website feedback located in? |
List of countries containing Military Treatment Facilities |
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| Q4. (If Continental US is selected) Which state is the Military Hospital or Military Clinic for which you are providing website feedback located in? |
List of states containing Military Treatment Facilities |
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| Q5. (Depending on the state/country selected) Which Military Hospital or Military Clinic are you providing website feedback on? |
List of specific hospitals and clinics |
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| Q6. What information were you looking for on this website? (Please select all that apply.) |
Hours, location, and/or phone number |
| Services available |
| Information about the military installment |
| TRICARE and benefits information |
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None of the above |
| Q7. (If none of the above selected) Please specify what you were looking for. |
(Open-ended question) |
| Q8. Please rate your agreement with the following statement: I was able to easily find the information I was looking for. |
Strongly agree |
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Somewhat agree |
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Somewhat disagree |
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Strongly disagree |
| Q9. How often do you use military and hospital clinic websites to find what you need? |
Often (once every two weeks, or more often) |
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Sometimes (once per month) |
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Occasionally (once every six months) |
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Rarely (once per year or less) |
| Q10. Which best describes you? |
Retired Service Member |
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Family of Retired Service Member |
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National Guard or Reserve Member (Active, Reserve, or Retired) |
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Family of National Guard or Reserve Member |
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Active Duty Service Member (includes all Uniformed Services) |
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Family of Active Duty Service Member |
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Other (Provider, Staff, Government, Media, etc.) |
| Q11. (If Other for previous question) Please specify your role |
Military Hospital/Military Clinic Provider |
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Military Hospital/Military Staff Member |
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Government Employee |
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Media |
| Q12.. Which plan are you currently enrolled in? |
I don't have a TRICARE health plan |
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TRICARE Prime |
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TRICARE For Life |
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TRICARE Select |
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TRICARE Retired Reserve |
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TRICARE Prime Remote |
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TRICARE Prime Overseas |
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TRICARE Prime Remote Overseas |
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TRICARE Select Overseas |
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TRICARE Reserve Select |
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TRICARE Young Adult |
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US Family Health Plan |
| Q13. Which features of the website do you like? (Please select all that apply) |
Website appearance and design |
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Integration with TRICARE resources (Nurse Advice Line, Coverage, etc.) |
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Local news, articles, and videos |
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Similarity to TRICARE.mil and other Military Hospital/Military Clinic websites |
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Other (please specify) |
| Q14. (If Other selected on previous question) Please specify which feature/features of the site you like. |
(Open-ended question) |
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| Q15. What could we do to improve your experience using this website? |
(Open ended question) |
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