| Survey: | Centers for Medicare and Medicaid Services CMS | 
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		| IA#: | 30628 Amend 4 | 
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		| Date: | 12/28/2018 | 
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		| 
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		| SURVEY TYPE: | Relationship (tab 4) | 
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		| 
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 | 
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		| 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 | 
	
	
	
	
		| 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 | 
	
	
	
	
		| 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 | 
	
	
	
	
		| Survey: | CMS Noridian DME MAC A V2 | 
 | 
	
		| IA#: | 30628 Amend 4 | 
 | 
	
		| Date: | 12/28/2018 | 
 | 
	
		| 
 | 
 | 
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		| 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 | 
	
	
	
	
		| 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 | 
	
	
	
	
		| 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 | 
	
	
	
	
		| 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 | 
	
	
	
	
		| 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 | 
	
	
	
	
		| 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 | 
	
	
	
	
		| 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 | 
	
	
	
	
		| 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 | 
	
	
	
	
		| 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 | 
	
	
	
	
		| 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 | 
	
	
	
	
		| 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 | 
	
	
	
	
		| 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 | 
	
	
	
	
		| 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 |