Model Name | CMS - WPS J8 MAC | |||||||
Model ID | UA4wdIoYVU8ZthBo5N5gIg4C | Underlined & Italicized: Re-order | ||||||
Partitioned | 2MQ Partitioning | Pink: Addition | ||||||
Date | 11/17/2016 | Blue: Reword | ||||||
Label | Element Questions | Label | Satisfaction Questions | Label | Future Behaviors | |||
Look and Feel (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Primary Resource (1=Not Very Likely, 10=Very Likely) |
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1 | Look and Feel - Appeal | Please rate the visual appeal of this site. | 21 | Satisfaction - Overall | What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied) |
24 | Primary Resource | How likely are you to use this site as your primary resource for getting information on Medicare? |
2 | Look and Feel - Balance | Please rate the balance of graphics and text on this site. | 22 | Satisfaction - Expectations | How well does this site meet your expectations? (1=Falls Short, 10=Exceeds) |
Recommend (1=Not Very Likely, 10=Very Likely) |
||
3 | Look and Feel - Legibility | Please rate the legibility of the pages on this site. | 23 | Satisfaction - Ideal | How does this site compare to your idea of an ideal site? (1=Not Very Close, 10=Very Close) |
25 | Recommend | How likely are you to recommend this site to someone else? |
Site Performance (1=Poor, 10=Excellent, Don't Know) | Likelihood to Return (1=Not Very Likely, 10=Very Likely) |
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4 | Site Performance - Loading | Please rate how quickly pages load on this site. | 26 | Return | How likely are you to return to this site? | |||
5 | Site Performance - Consistency | Please rate the consistency of speed from page to page on this site. | ||||||
6 | Site Performance - Completeness | Please rate how completely the page content loads on this site. | ||||||
Navigation (1=Poor, 10=Excellent, Don't Know) | ||||||||
7 | Navigation - Organized | Please rate how well this site is organized. | ||||||
8 | Navigation - Options | Please rate the options available for navigating this site. | ||||||
9 | Navigation - Layout | Please rate how well the site layout helps you find what you need. | ||||||
Information Browsing (1=Poor, 10=Excellent, Don't Know) | ||||||||
10 | Information Browsing - Sort | Please rate the ability to sort information by criteria that are important to you on this site. | ||||||
11 | Information Browsing - Narrow | Please rate the ability to narrow choices to find the information you are looking for on this site. | ||||||
12 | Information Browsing - Features | Please rate how well the features on the site help you find the information you need. | ||||||
Site Information (1=Poor, 10=Excellent, Don't Know) | ||||||||
13 | Site Information - Thoroughness | Please rate the thoroughness of information provided on this site. | ||||||
14 | Site Information - Relevant | Please rate how relevant this site’s information is. | ||||||
15 | Site Information - Answers | Please rate how well the site’s information provides answers to your questions. | ||||||
Model Name | CMS - WPS GHA J8 v2 | |||||||||
Model ID | UA4wdIoYVU8ZthBo5N5gIg4C | Underlined & Italicized: Re-order | ||||||||
Partitioned | Yes | Pink: Addition | ||||||||
Date | 42691 | Blue: Reword | ||||||||
QID | QUESTION META TAG | Skip From | Question Text | Answer Choices | Skip To | Required Y/N |
Type | Special Instructions | CQ Label | |
HDU7114Q001 | What is your primary reason for visiting this site today? | Access claim status and/or beneficiary eligibility | Y | Radio button, one-up vertical | OPS Group | Visit Reason | ||||
Download forms | ||||||||||
Learn of, or register for, workshops, seminars or other training events | ||||||||||
Find contact information | ||||||||||
Find general Medicare program information | ||||||||||
Research a specific question on Medicare policy or billing | ||||||||||
Find information on fees or fee schedules | ||||||||||
Find out about a Local Coverage Determination (LCD) | ||||||||||
Read Medicare publications such as newsletters, articles, etc. | ||||||||||
Find enrollment information | ||||||||||
Take an on-line training course | ||||||||||
Other (please specify) | B | |||||||||
HDU7114Q002 |
B | Other - primary reason? | N | Text field, <100 char | OPS Group | Other Visit Reason | ||||
HDU7114Q003 |
In the last 30 days, how many times have you visited this website? | This is my first time | Y | Radio button, one-up vertical | Visit Frequency | |||||
Once or twice | ||||||||||
Three or four times | ||||||||||
More than once per week but not every day | ||||||||||
Every day | ||||||||||
HDU7114Q004 |
Which best describes you? | Provider of medical services | Y | Radio button, one-up vertical | OPS Group | Best Describes you | ||||
Supplier of medical equipment or supplies | ||||||||||
Staff of provider/supplier working primarily with billing/insurance | ||||||||||
Administrative staff of a provider/supplier | ||||||||||
Other staff of a provider/supplier | ||||||||||
Consultant or attorney | ||||||||||
Billing service | ||||||||||
Other (please specify) | B | |||||||||
HDU7114Q005 |
B | Other - which best describes you? | N | Text field, <100 char | OPS Group | OE_Best Describes | ||||
HDU7114Q006 | Which best describes your area of interest? | Medicare Part A | Y | Radio button, one-up vertical | Area of Interest | |||||
Medicare Part B | ||||||||||
Other | ||||||||||
HDU7114Q012 |
Did you find what you were looking for on this website today? | Yes | Y | Radio button, one-up vertical | Skip Logic Group | Looking for | ||||
No | A, B | |||||||||
HDU7114Q013 |
A | What specifically were you seeking? | N | Text field, <100 char | Skip Logic Group | Specifically Seeking | ||||
TAR0211586 | B | In what section of the website would you expect to have found what you were looking for? | My Account | Y | Radio button, one-up vertical | Skip Logic Group | Site Section | |||
Claims | ||||||||||
Claim Review | ||||||||||
Overpayments | ||||||||||
Appeals | ||||||||||
Provider Enrollment | ||||||||||
Policies | ||||||||||
Fee Schedules and Reimbursement | ||||||||||
Cost Report Audit | ||||||||||
Training | ||||||||||
Not sure | ||||||||||
HDU7114Q015 |
How would you describe your navigation experience on this site today? (Please select all that apply.) | Links often did not take me where I expected | B | Y | Checkbox, one-up vertical | Skip Logic Group | Navigation Experience | |||
Had difficulty finding relevant information/products | ||||||||||
Links/labels were difficult to understand | C | |||||||||
Too many links/navigational options to choose from | ||||||||||
Had technical difficulties (error messages, broken links, etc.) | D | |||||||||
Could not navigate back to previous information | ||||||||||
I had a navigation difficulty not listed above: | A | |||||||||
I had no difficulty navigating/browsing on this site | Mutually exclusive | |||||||||
HDU7114Q016 |
A | Other navigation difficulty: | N | Text area, no char limit | Skip Logic Group | OE_Navigation Experience | ||||
HDU7114Q017 |
B | Please describe any specific navigation links or paths that did not take you where they should have. | N | Text area, no char limit | Skip Logic Group | OE_Links/Paths | ||||
HDU7114Q018 | C | What specific links/labels were difficult to understand? | N | Text area, no char limit | Skip Logic Group | OE_links/labels | ||||
HDU7114Q019 |
D | What type of technical difficulties did you encounter? | N | Text area, no char limit | Skip Logic Group | OE_Tech Difficulties | ||||
HDU7114Q022 |
Are you registered to receive WPS GHA Medicare eNews messages? | Yes, I am registered to receive WPS GHA Medicare eNews | Y | Radio button, one-up vertical | Registered | |||||
No, I choose not to register for WPS GHA Medicare eNews | ||||||||||
No, I was not aware that WPS GHA Medicare offered eNews | ||||||||||
HDU7114Q024 | If you could identify one improvement to this website, what would that improvement be? | N | Text area, no char limit | OE_Improvement | ||||||
HDU7114Q025 |
If you are over the age of 18 and would like WPS to respond to your feedback regarding this website, please provide your email address here. | N | Text field, <100 char |
Model Name | CMS - WPS GHA J8 v2 | |||||||||
Model ID | UA4wdIoYVU8ZthBo5N5gIg4C | Underlined & Italicized: Re-order | ||||||||
Partitioned | Yes | Pink: Addition | ||||||||
Date | 42691 | Blue: Reword | ||||||||
QID | QUESTION META TAG | Skip From | Question Text | Answer Choices | Skip To | Required Y/N |
Type | Special Instructions | CQ Label | |
HDU7114Q001 | What is your primary reason for visiting this site today? | Access claim status and/or beneficiary eligibility | Y | Radio button, one-up vertical | OPS Group | Visit Reason | ||||
Download forms | ||||||||||
Learn of, or register for, workshops, seminars or other training events | ||||||||||
Find contact information | ||||||||||
Find general Medicare program information | ||||||||||
Research a specific question on Medicare policy or billing | ||||||||||
Find information on fees or fee schedules | ||||||||||
Find out about a Local Coverage Determination (LCD) | ||||||||||
Read Medicare publications such as newsletters, articles, etc. | ||||||||||
Find enrollment information | ||||||||||
Take an on-line training course | ||||||||||
Other (please specify) | B | |||||||||
HDU7114Q002 |
B | Other - primary reason? | N | Text field, <100 char | OPS Group | Other Visit Reason | ||||
HDU7114Q003 |
In the last 30 days, how many times have you visited this website? | This is my first time | Y | Radio button, one-up vertical | Visit Frequency | |||||
Once or twice | ||||||||||
Three or four times | ||||||||||
More than once per week but not every day | ||||||||||
Every day | ||||||||||
HDU7114Q004 |
Which best describes you? | Provider of medical services | Y | Radio button, one-up vertical | OPS Group | Best Describes you | ||||
Supplier of medical equipment or supplies | ||||||||||
Staff of provider/supplier working primarily with billing/insurance | ||||||||||
Administrative staff of a provider/supplier | ||||||||||
Other staff of a provider/supplier | ||||||||||
Consultant or attorney | ||||||||||
Billing service | ||||||||||
Other (please specify) | B | |||||||||
HDU7114Q005 |
B | Other - which best describes you? | N | Text field, <100 char | OPS Group | OE_Best Describes | ||||
HDU7114Q006 | Which best describes your area of interest? | Medicare Part A | Y | Radio button, one-up vertical | Area of Interest | |||||
Medicare Part B | ||||||||||
Other | ||||||||||
HDU7114Q012 |
Did you find what you were looking for on this website today? | Yes | Y | Radio button, one-up vertical | Skip Logic Group | Looking for | ||||
No | A, B | |||||||||
HDU7114Q013 |
A | What specifically were you seeking? | N | Text field, <100 char | Skip Logic Group | Specifically Seeking | ||||
B | In what section of the website would you expect to have found what you were looking for? | My Account | Y | Radio button, one-up vertical | Skip Logic Group | Site Section | ||||
Claims | ||||||||||
Claim Review | ||||||||||
Overpayments | ||||||||||
Appeals | ||||||||||
Provider Enrollment | ||||||||||
Policies | ||||||||||
Fee Schedules and Reimbursement | ||||||||||
Cost Report Audit | ||||||||||
Training | ||||||||||
Not sure | ||||||||||
HDU7114Q015 |
How would you describe your navigation experience on this site today? (Please select all that apply.) | Links often did not take me where I expected | B | Y | Checkbox, one-up vertical | Skip Logic Group | Navigation Experience | |||
Had difficulty finding relevant information/products | ||||||||||
Links/labels were difficult to understand | C | |||||||||
Too many links/navigational options to choose from | ||||||||||
Had technical difficulties (error messages, broken links, etc.) | D | |||||||||
Could not navigate back to previous information | ||||||||||
I had a navigation difficulty not listed above: | A | |||||||||
I had no difficulty navigating/browsing on this site | Mutually exclusive | |||||||||
HDU7114Q016 |
A | Other navigation difficulty: | N | Text area, no char limit | Skip Logic Group | OE_Navigation Experience | ||||
HDU7114Q017 |
B | Please describe any specific navigation links or paths that did not take you where they should have. | N | Text area, no char limit | Skip Logic Group | OE_Links/Paths | ||||
HDU7114Q018 | C | What specific links/labels were difficult to understand? | N | Text area, no char limit | Skip Logic Group | OE_links/labels | ||||
HDU7114Q019 |
D | What type of technical difficulties did you encounter? | N | Text area, no char limit | Skip Logic Group | OE_Tech Difficulties | ||||
HDU7114Q022 |
Are you registered to receive WPS GHA Medicare eNews messages? | Yes, I am registered to receive WPS GHA Medicare eNews | Y | Radio button, one-up vertical | Registered | |||||
No, I choose not to register for WPS GHA Medicare eNews | ||||||||||
No, I was not aware that WPS GHA Medicare offered eNews | ||||||||||
HDU7114Q024 | If you could identify one improvement to this website, what would that improvement be? | N | Text area, no char limit | OE_Improvement | ||||||
HDU7114Q025 |
If you are over the age of 18 and would like WPS to respond to your feedback regarding this website, please provide your email address here. | N | Text field, <100 char |
Model Name | CMS - WPS J8 MAC | ||||||||
Model ID | UA4wdIoYVU8ZthBo5N5gIg4C | Underlined & Italicized: Re-order | |||||||
Partitioned | Yes | Pink: Addition | |||||||
Date | 11/17/2016 | Blue: Reword | |||||||
QID | Skip From | Question Text | Answer Choices | Skip To | Required Y/N |
Type | Special Instructions | CQ Label | |
HDU7114Q001 | What is your primary reason for visiting this site today? | Access claim status and/or beneficiary eligibility | Y | Radio button, one-up vertical | OPS Group* | Visit Reason | |||
Download forms | CMS Required | ||||||||
Learn of, or register for, workshops, seminars or other training events | |||||||||
Find contact information | |||||||||
Find general Medicare program information | |||||||||
Research a specific question on Medicare policy or billing | |||||||||
Find information on fees or fee schedules | |||||||||
Find out about a Local Coverage Determination (LCD) | |||||||||
Read Medicare publications such as newsletters, articles, etc. | |||||||||
Find enrollment information | |||||||||
Take an on-line training course | |||||||||
Other (please specify) | A | ||||||||
HDU7114Q002 | A | Other - primary reason? | N | Text field, <100 char | OPS Group* | Other Visit Reason | |||
HDU7114Q003 | In the last 30 days, how many times have you visited this website? | This is my first time | Y | Radio button, one-up vertical | CMS Required | Visit Frequency | |||
Once or twice | |||||||||
Three or four times | |||||||||
More than once per week but not every day | |||||||||
Every day | |||||||||
HDU7114Q004 | Which best describes you? | Provider of medical services | Y | Radio button, one-up vertical | OPS Group* | Best Describes you | |||
Supplier of medical equipment or supplies | CMS Required | ||||||||
Staff of provider/supplier working primarily with billing/insurance | |||||||||
Administrative staff of a provider/supplier | |||||||||
Other staff of a provider/supplier | |||||||||
Consultant or attorney | |||||||||
Billing service | |||||||||
Other (please specify) | A | ||||||||
HDU7114Q005 | A | Other - which best describes you? | N | Text field, <100 char | OPS Group* | OE_Best Describes | |||
HDU7114Q006 | Which best describes your area of interest? | Medicare Part A | Y | Radio button, one-up vertical | Area of Interest | ||||
Medicare Part B | |||||||||
Other | |||||||||
HDU7114Q012 | Did you find what you were looking for on this website today? | Yes | Y | Radio button, one-up vertical | Skip Logic Group* | Looking for | |||
No | A, B | ||||||||
HDU7114Q013 | A | What specifically were you seeking? | N | Text area, no char limit | Skip Logic Group* | Specifically Seeking | |||
HDU7114Q015 | How would you describe your navigation experience on this site today? (Please select all that apply.) | Links often did not take me where I expected | B | Y | Checkbox, one-up vertical | Skip Logic Group* | Navigation Experience | ||
Had difficulty finding relevant information/products | |||||||||
Links/labels were difficult to understand | C | ||||||||
Too many links/navigational options to choose from | |||||||||
Had technical difficulties (error messages, broken links, etc.) | D | ||||||||
Could not navigate back to previous information | |||||||||
I had a navigation difficulty not listed above: | A | ||||||||
I had no difficulty navigating/browsing on this site | Mutually exclusive | ||||||||
HDU7114Q016 | A | Other navigation difficulty: | N | Text area, no char limit | Skip Logic Group* | OE_Navigation Experience | |||
HDU7114Q017 | B | Please describe any specific navigation links or paths that did not take you where they should have. | N | Text area, no char limit | Skip Logic Group* | OE_Links/Paths | |||
HDU7114Q018 | C | What specific links/labels were difficult to understand? | N | Text area, no char limit | Skip Logic Group* | OE_links/labels | |||
HDU7114Q019 | D | What type of technical difficulties did you encounter? | N | Text area, no char limit | Skip Logic Group* | OE_Tech Difficulties | |||
HDU7114Q020 | Does your place of business allow employees to access social media for business purposes? | Yes | Y | Radio button, one-up vertical | SM-Access at Work | ||||
No | |||||||||
Not Sure | |||||||||
HDU7114Q021 | Do you ever use a mobile device (smart phone or tablet) to view this website? | Yes | Y | Radio button, one-up vertical | Mobile or Tablet Access | ||||
No | |||||||||
HDU7114Q022 | Are you registered to receive WPS GHA Medicare eNews messages? | Yes, I am registered to receive WPS GHA Medicare eNews | Y | Radio button, one-up vertical | Registered | ||||
No, I choose not to register for WPS GHA Medicare eNews | |||||||||
No, I was not aware that WPS GHA Medicare offered eNews | |||||||||
HDU7114Q024 | If you could identify one improvement to this website, what would that improvement be? | N | Text area, no char limit | OE_Improvement | |||||
HDU7114Q025 | If you are over the age of 18 and would like WPS to respond to your feedback regarding this website, please provide your email address here. | N | Text field, <100 char |
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File Created | 0000-00-00 |