Form 008 2019 008 TRICARE_Feedback Survey

E-Government Website Customer Satisfaction Surveys

2019 008 TRICARE_Feedback Survey.xlsx

2019 008 TRICARE_Feedback Survey

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

EN
Additional Languages


Sheet 1: EN


TRICARE Open Season Feedback Survey
FCG IA number: 30605


Question Text Answer Text
Brand new CQ Q1. Please provide your overall opinion of Open Season Start rating ( 5 stars)
Brand new CQ Q2. Which best describes you? Active duty service member (includes uniform services)

National Guard or Reserve member

Retired service member

Retired service member

Family member

Other
Brand new CQ Q2A. Which best describes you? (Open ended answer)
Brand new CQ Q3. Choose your age range Under 25

25-34

35-44

45-54

55-65 or older
Brand new CQ Q4. What other topics would you be interestedin seeing in Loglines? (Open ended question)
Brand new CQ Q5. Do you know about:
TRICARE's first annual Open Season enrollment
Yes (Go to Q5A)

No
Brand new CQ Q6. Do you know about:
Federal Benefits Open Season for enrollment in the Federal Employees Dental and Vision Insurance Program (FEDVIP)
Yes (Go to Q6A)

No
Brand new CQ Q5A. Where did you hear about TRICARE's first annual Open Season for enrollment: [Select all that apply] Website

Email

Telephone

Mail

Social Media

Word of Mouth

Other: (specify) (Go to Q5B)
Brand new CQ Q5B. Where did you hear about TRICARE's first annual Open Season for enrollment?
Brand new CQ Q6. Where did you hear about Federal Benefits Open Season for enrollment in FEDVIP: [ Select all that apply] Website

Email

Telephone

Mail

Social Media

Word of Mouth

Other: (specify) (Go to Q6B)
Brand new CQ Q6B. Where did you hear about Federal Benefits Open Season for enrollment in FEDVIP?
Brand new CQ Q7. Do you have all the information you need to make a decision during Open Season? Yes


No (Go to Q7A)
Brand new CQ Q7A. What other information would be helpful? (Opend ended answer)
Brand new CQ Q8. Do you have any other feedback about Open Season communications that you would like to share? (Opend ended answer)

Sheet 2: Additional Languages

[CLIENT NAME & SURVEY NAME] Feedback Survey
FCG IA number: [EAM can help provide this number]
Question Text Answer Text
Q1. Start rating ( 5 stars)
Q2.









Q3.









Q4.









Q5.









Q6.


Q7. (Open ended question)
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
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File Created0000-00-00

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