OMB Mapping 2018-2019 Survey (CMS) IA 30628 Amend 4

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Overview

CGS J15
CGS JB
CGS JC
Noridian JA
Noridian JD
Noridian JF
Noridian JE
FCSO JN
NGS JK
NGS J6
Novitas JH
Novitas JL
WPS J8
WPS J5
Palmetto GBA JJ
Palmetto GBA JM

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Sheet 1: CGS J15

Survey:	Centers for Medicare and Medicaid Services CMS
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend Site
21	Standard	Return
22	Custom	Role
23	Custom	Other_Role
24	Custom	Visit Frequency
25	Custom	Log In
26	Custom	Primary Resource
27	Custom	Other_Primary Resource
28	Custom	Portal Enhancements
29	Custom	Accomplish Goal
30	Custom	Why Not Accomplish
31	Custom	Look for Info
32	Custom	Navigation Experience
33	Custom	Nav Links Wrong Path
34	Custom	Other_Nav Experience
35	Custom	One Improvement
36	Custom	Email

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Sheet 2: CGS JB

Survey:	CMS - CGS DME MAC B V2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Best Describes You
23	Custom	OE_Role
24	Custom	Visit Frequency
25	Custom	Log In
26	Custom	Reason for Portal
27	Custom	Other Reason for Portal
28	Custom	Portal Enhancements
29	Custom	Easy to Access
30	Custom	Portal Use Frequency
31	Custom	Reason for Visiting
32	Custom	Other_Primary Reason
33	Custom	Look for Info
34	Custom	OE_Look for Info
35	Custom	Navigation Experience
36	Custom	Nav Links Wrong Path
37	Custom	Other_Nav Experience
38	Custom	Accomplish Goal
39	Custom	Why Not Accomplish
40	Custom	Trying to Find
41	Custom	Web Improvement
42	Custom	Secure Improvement
43	Custom	Email

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Sheet 3: CGS JC

Survey:	CMS - CGS DME MAC C V2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Best Describes You
23	Custom	OE_Role
24	Custom	Visit Frequency
25	Custom	Log In
26	Custom	Reason for Portal
27	Custom	Other Reason for Portal
28	Custom	Portal Enhancements
29	Custom	Easy to Access
30	Custom	Portal Use Frequency
31	Custom	Reason for Visiting
32	Custom	Other_Primary Reason
33	Custom	Look for Info
34	Custom	OE_Look for Info
35	Custom	Navigation Experience
36	Custom	Nav Links Wrong Path
37	Custom	Other_Nav Experience
38	Custom	Accomplish Goal
39	Custom	Why Not Accomplish
40	Custom	Trying to Find
41	Custom	Web Improvement
42	Custom	Secure Improvement
43	Custom	Email

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Sheet 4: Noridian JA

Survey:	CMS Noridian DME MAC A V2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Best Describes You
23	Custom	Other - Best Describes You
24	Custom	Visit Reasons Non-CMS
25	Custom	OE_Visit Reason non-CMS
26	Custom	OE_Who Contact
27	Custom	OE_Topic Program Info
28	Custom	OE_Code FreeSched
29	Custom	OE_Research Q
30	Custom	Look for Info
31	Custom	Keywords
32	Custom	Search Experience
33	Custom	OE_Search Experience
34	Custom	Site Map Experience
35	Custom	Did You Find
36	Custom	OE_Unable to Find
37	Custom	Medicare Contract
38	Custom	Vsiti Frequency
39	Custom	Open-Improvement
40	Custom	Feedback Email
41	Custom	Tech Difficulties
42	Custom	Technical Difficulties - What
43	Custom	OE_Technical Difficulties - What
44	Custom	Navigation Experience
45	Custom	OE_Navigation Experience
46	Custom	OE_Links/Paths
47	Custom	OE_Links/Labels

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Sheet 5: Noridian JD

Survey:	CMS Noridian DME MAC D V2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Best Describes You
23	Custom	Other - Best Describes You
24	Custom	Visit Reasons Non-CMS
25	Custom	OE_Visit Reason non-CMS
26	Custom	OE_Who Contact
27	Custom	OE_Topic Program Info
28	Custom	OE_Code FeeSched
29	Custom	OE_Research Q
30	Custom	Look for Info
31	Custom	Keywords
32	Custom	Search Experience
33	Custom	OE_Search Experience
34	Custom	Site Map Experience
35	Custom	Did You Find
36	Custom	OE_Unable to Find
37	Custom	Medicare Contract
38	Custom	Vsiti Frequency
39	Custom	Open-Improvement
40	Custom	Feedback Email
41	Custom	Tech Difficulties
42	Custom	Technical Difficulties - What
43	Custom	OE_Technical Difficulties - What
44	Custom	Navigation Experience
45	Custom	OE_Navigation Experience
46	Custom	OE_Links/Paths
47	Custom	OE_Links/Labels

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Sheet 6: Noridian JF

Survey:	CMS Noridian JF V2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Best Describes You
23	Custom	Other - Best Describes You
24	Custom	Visit Reasons Non-CMS
25	Custom	OE_Visit Reason non-CMS
26	Custom	OE_Who Contact
27	Custom	OE_Topic Program Info
28	Custom	OE_Code FeeSched
29	Custom	OE_Research Q
30	Custom	Visit Frequency
31	Custom	Medicare Contract
32	Custom	Look for Info
33	Custom	Key Words
34	Custom	Search Experience
35	Custom	OE_Search Experience
36	Custom	Site Map Experience
37	Custom	Did You Find
38	Custom	OE_Unable to Find
39	Custom	Open-Improvement
40	Custom	Feedback Email
41	Custom	Tech Difficulties
42	Custom	Technical
43	Custom	OE_Technical
44	Custom	Navigation Experience
45	Custom	OE_Navigation Experience
46	Custom	OE_Links/Paths
47	Custom	OE_Links/Labels

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Sheet 7: Noridian JE

Survey:	CMS Noridian JE V2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Best Describes You
23	Custom	Other - Best Describes You
24	Custom	Visit Reasons Non-CMS
25	Custom	OE_Visit Reason non-CMS
26	Custom	OE_Who Contact
27	Custom	OE_Topic Program Info
28	Custom	OE_Code FeeSched
29	Custom	OE_Research Q
30	Custom	Visit Frequency
31	Custom	Medicare Contract
32	Custom	Look for Info
33	Custom	Keywords
34	Custom	Search Experience
35	Custom	OE_Search Experience
36	Custom	Site Map Experience
37	Custom	Did You Find
38	Custom	Trying to Find
39	Custom	Open-Improvement
40	Custom	Feedback Email
41	Custom	Tech Difficulties
42	Custom	Technical Difficulties - what
43	Custom	OE_Technical Difficulties what
44	Custom	Navigation Experience
45	Custom	OE_Navigation Experience
46	Custom	OE_Links/Paths
47	Custom	OE_Links/Labels

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Sheet 8: FCSO JN

Survey:	CMS - FCSO JN MAC v2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Recommend Company
23	Custom	Best Describes You
24	Custom	OE_Other Best Describes You
25	Custom	SV- Rank 1
26	Custom	SV-Rank 2
27	Custom	SV-Rank 3
28	Custom	Visit Frequency
29	Custom	Primary Visit Reason
30	Custom	OE_Other Visit Reason
31	Custom	Access SPOT
32	Custom	SPOT Visit Frequency
33	Custom	SPOT Visit Reason
34	Custom	Rate SPOT
35	Custom	OE_Improve SPOT
36	Custom	Part A or B
37	Custom	Application Assistance Tool
38	Custom	Application Assistance Tool
39	Custom	AA Tool Help Find Forms
40	Custom	AA Tool Help Info to Provide
41	Custom	AA Tool Help Docs to Attach
42	Custom	AA Tool Improve
43	Custom	Fee Schedule Use Y/N
44	Custom	Fee Schedule Ease Use
45	Custom	Fee Schedule Helpful Rating
46	Custom	OE_Improve Fee Schedule
47	Custom	Accomplish Goal
48	Custom	OE_Trying to Find
49	Custom	Unclear Info
50	Custom	OE_Describe Unclear Info
51	Custom	Biggest Challenge
52	Custom	OE_Other Challenge
53	Custom	Most Useful
54	Custom	OE_Other Most Useful
55	Custom	Discourage Company
56	Custom	OE_Improvement
57	Custom	OE_Email Address

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Sheet 9: NGS JK

Survey:	CMS - NGS JK MAC V2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Email Follow Up
23	Custom	Best Describes You
24	Custom	Other Role
25	Custom	Visit Frequency
26	Custom	Websites
27	Custom	Visit Reason
28	Custom	Other Reason
29	Custom	Find
30	Custom	Specific Task
31	Custom	OE_Find
32	Custom	Navigate
33	Custom	Search Useful
34	Custom	OE_Navigate
35	Custom	Features/Tools
36	Custom	Rate Tools
37	Custom	OE_Improve Tools
38	Custom	Rate Edu Content
39	Custom	OE_Medicare_Improvement
40	Custom	OE_Medicare_Like Most
41	Custom	Tools Used
42	Custom	Rate Portal
43	Custom	OE_Connex_Improvement
44	Custom	OE_Connex_Like Most

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Sheet 10: NGS J6

Survey:	CMS - NGS J6 MAC V2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Email Follow Up
23	Custom	Best Describes You
24	Custom	Other Role
25	Custom	Visit Frequency
26	Custom	Websites
27	Custom	Visit Reason
28	Custom	Other Reason
29	Custom	Find
30	Custom	Specific Task
31	Custom	OE_Find
32	Custom	Navigate
33	Custom	Search Useful
34	Custom	OE_Navigate
35	Custom	Features/Tools
36	Custom	Rate Tools
37	Custom	OE_Improve Tools
38	Custom	Rate Edu Content
39	Custom	OE_Medicare_Improvement
40	Custom	OE_Medicare_Like Most
41	Custom	Tools Used
42	Custom	Rate Portal
43	Custom	OE_Connex_Improvement
44	Custom	OE_Connex_Like Most

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Sheet 11: Novitas JH

Survey:	CMS - Novitas JH MAC v2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Visit Frequency
23	Custom	Best Describes You
24	Custom	Other - Best Describes You
25	Custom	Reason for Visiting
26	Custom	Other - Primary Reason
27	Custom	Features or Topics
28	Custom	Other Feature
29	Custom	Search Usage
30	Custom	Type of Search
31	Custom	Search First
32	Custom	Search_Terms
33	Custom	Search Experience
34	Custom	Search OE Experience
35	Custom	Accomplish Goal
36	Custom	Reason for Visit
37	Custom	Improvement
38	Custom	Portal Usage
39	Custom	Portal Reason
40	Custom	Portal Visits
41	Custom	Portal Accomplish
42	Custom	Portal Unable
43	Custom	Contactable
44	Custom	Contact Info

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Sheet 12: Novitas JL

Survey:	CMS - Novitas JL MAC v2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Visit Frequency
23	Custom	Best Describes You
24	Custom	Other - Best Describes You
25	Custom	Reason for Visiting
26	Custom	Other - Primary Reason
27	Custom	Features or Topics
28	Custom	Other Feature
29	Custom	Search Usage
30	Custom	Type of Search
31	Custom	Search First
32	Custom	Search_Terms
33	Custom	Search Experience
34	Custom	Search OE Experience
35	Custom	Accomplish Goal
36	Custom	Reason for Visit
37	Custom	Improvement
38	Custom	Portal Usage
39	Custom	Portal Reason
40	Custom	Portal Visits
41	Custom	Portal Accomplish
42	Custom	Portal Unable
43	Custom	Contactable
44	Custom	Contact Info

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Sheet 13: WPS J8

Survey:	CMS - WPS J8 MAC
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Visit Reason
23	Custom	Other Visit Reason
24	Custom	Visit Frequency
25	Custom	Best Describes You
26	Custom	OE_Best Describes
27	Custom	Area of Interest
28	Custom	Looking For
29	Custom	Specifically Seeking
30	Custom	Site Section
31	Custom	Navigation Experience
32	Custom	OE_Navigation Experience
33	Custom	OE_Links/Paths
34	Custom	OE_Links/Labels
35	Custom	OE_Tech Difficulties
36	Custom	Registered
37	Custom	OE_Improvement
38	Custom	Email

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Sheet 14: WPS J5

Survey:	CMS - WPS GHA J5 v2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Visit Reason
23	Custom	Other Visit Reason
24	Custom	Visit Frequency
25	Custom	Best Describes You
26	Custom	OE_Best Describes
27	Custom	Area of Interest
28	Custom	Looking For
29	Custom	Specifically Seeking
30	Custom	Site Section
31	Custom	Navigation Experience
32	Custom	OE_Navigation Experience
33	Custom	OE_Links/Paths
34	Custom	OE_Links/Labels
35	Custom	OE_Tech Difficulties
36	Custom	Registered
37	Custom	OE_Improvement
38	Custom	Email

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Sheet 15: Palmetto GBA JJ

Survey:	CMS - Palmetto GBA JJ MAC v2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Best Describes You
23	Custom	OE_Best Describes You
24	Custom	Visit Reason
25	Custom	OE_Visit Reason
26	Custom	Looking For
27	Custom	OE_Didn't Find
28	Custom	Use Search
29	Custom	Visit Frequency
30	Custom	Location
31	Custom	OE_Contact Me
32	Custom	OE_Change One Thing

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Sheet 16: Palmetto GBA JM

Survey:	CMS - Palmetto GBA JJ MAC v2
IA#:	30628 Amend 4
Date:	12/28/2018
SURVEY TYPE:	Relationship (tab 4)
Survey Q#	Type#	Type Topic
1	Standard	Look and Feel - Appeal
2	Standard	Look and Feel - Balance
3	Standard	Look and Feel - Legibility
4	Standard	Site Performance - Loading
5	Standard	Site Performance - Consistency
6	Standard	Site Performance - Completeness
7	Standard	Navigation - Organized
8	Standard	Navigation - Options
9	Standard	Navigation - Layout
10	Standard	Information Browsing - Sort
11	Standard	Information Browsing - Narrow
12	Standard	Information Browsing - Features
13	Standard	Site Information - Thoroughness
14	Standard	Site Information - Relevant
15	Standard	Site Information - Answers
16	Standard	Satisfaction - Overall
17	Standard	Satisfaction - Expectations
18	Standard	Satisfaction - Ideal
19	Standard	Primary Resource
20	Standard	Recommend
21	Standard	Return
22	Custom	Best Describes You
23	Custom	OE_Best Describes You
24	Custom	Visit Reason
25	Custom	OE_Visit Reason
26	Custom	Looking For
27	Custom	OE_Didn't Find
28	Custom	Use Search
29	Custom	Visit Frequency
30	Custom	Location
31	Custom	OE_Contact Me
32	Custom	OE_Change One Thing