Form 30688 Q_SSABSO_Web_AccountManagement_201805014_DOT

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Overview

Proposed v3 Model Qsts
Current Custom Qsts v2
CQs (5-14-18)
Element Rotations

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Sheet 1: Proposed v3 Model Qsts

Model Instance Name:
SSA BSO v2
MID:		JsxgcQkkV0I5dxF8JE1lQg4C
Partitioned No					Element rotation scheme has been added
FPI Included(Y/N)?
NOTE: All non-partitioned surveys will NOT be imputed and the elements will be rotated as a default unless otherwise specified and approved by Research.
Date:		6/12/2013
SSA BSO v2
Model questions utilize the ACSI methodology to determine scores and impacts
		ELEMENTS (drivers of satisfaction)			CUSTOMER SATISFACTION			FUTURE BEHAVIORS	FPI
	MQ Label			MQ Label			MQ Label		Y?
		Content (1=Poor, 10=Excellent, Don't Know)			Satisfaction			Return (1=Very Unlikely, 10=Very Likely)
1	Content - Accuracy	Please rate the accuracy of information in this application.	13	Satisfaction - Overall	What is your overall satisfaction with this application? (1=Very Dissatisfied, 10=Very Satisfied)	16	Return	How likely are you to return to this application?
2	Content - Quality	Please rate the quality of information in this application.	14	Satisfaction - Expectations	How well does this application meet your expectations? (1=Falls Short, 10=Exceeds)			Recommend (1=Very Unlikely, 10=Very Likely)
3	Content - Freshness	Please rate the freshness of content in this application.	15	Satisfaction - Ideal	How does this application compare to your idea of an ideal application? (1=Not Very Close, 10=Very Close)	17	Recommend	How likely are you to recommend this application to someone else?
		Look and Feel (1=Poor, 10=Excellent, Don't Know)
4	Look and Feel - Appeal	Please rate the visual appeal of this application.
5	Look and Feel - Balance	Please rate the balance of graphics and text in this application.
6	Look and Feel - Readability	Please rate the readability of the pages in this application.
		Site Performance (1=Poor, 10=Excellent, Don't Know)
7	Site Performance - Loading	Please rate how quickly pages load in this application.
8	Site Performance - Consistency	Please rate the consistency of speed from page to page in this application.
9	Site Performance - Errors	Please rate the ability to load pages without getting error messages in this application.
		Plain Language (1=Poor, 10=Excellent, Don't Know)
10	Plain Language - Clear	Please rate the clarity of the wording in this appliocation.
11	Plain Language - Understandable	Please rate how well you understand the wording in this application.
12	Plain Language - Concise	Please rate this application on its use of short, clear sentences.

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Sheet 2: Current Custom Qsts v2

Model Instance Name:

red & strike-through: DELETE

SSA BSO v2

underlined & italicized: RE-ORDER

MID:

JsxgcQkkV0I5dxF8JE1lQg4C

pink: ADDITION

Date:

1/13/2011

blue + -->: REWORDING

violet (bold): SKIP-LOGIC

SSA BSO v2 CUSTOM QUESTION LIST

QID

Skip Logic Label

Question Text

Answer Choices (limited to 50 characters)

Skip to

Type (select from list)

Single or Multi

Required Y/N

Group Types

Labels

LNH5306

How did you hear about Business Services Online?

SSA Speaker at a Conference

Radio Button One Up Vertical

Single

Y

OPS Group

How Did You Hear

Types

Direct Mail I Received from Social Security

Column1

Booth at an accounting/payroll conference

Open-ended

Webcast

Text Field – limited to 100 characters

SSA/IRS Reporter

Text Area – no character limit

CPA/Accountant

Dropdown (Select-one)

Other Direct Contact Initiated by Social Security

Radio Button One Up Vertical

Professional Association

Radio Button Two Up Vertical

Social media (e.g., Facebook, Twitter, blog, etc.)

IRS Forms, Instructions & Publications

Other (please specify)

A

Radio Button Three Up Vertical

LNH5307

A

Other_how did you hear

Text Field – limited to 100 characters

Single

N

OPS Group

OE - How Did You Hear

LNH5308

Which services of Business Services Online did you use today? (Choose all that apply)

W-2 Online

D

Checkbox One Up Vertical

Multi

Y

Skip Logic Group

Services Used

Radio Button Scale Has Don’t Know

W-2c Online

D

Radio Button Scale No Don’t Know

View Submission Status

D

Checkbox One Up Vertical

View Employer Report Status

D

Checkbox Two Up Vertical

View Errors

D

Checkbox Three Up Vertical

View Notices

D

Select-multiple Show Two

SSN Verification

D

Select-multiple Show Three

Registration Services

D

Select-multiple Show Four

Resubmission Services

D

Consent-Based Services

D

Appointed Representative Services

D

Representative Payee Accounting Report

A, B, C

LNH5309

A

How satisfied overall were you with the payee accounting form online?

1=Very dissatisfied

Radio Button Scale No Don’t Know

Single

Y

Skip Logic Group

Payee Account Form

2

3

4

5

6

7

8

9

10=Very satisfied

LNH5310

B

How likely are you to return to the representative payee accounting form online for your next accounting report?

1=Not very likely

Radio Button Scale No Don’t Know

Single

Y

Skip Logic Group

Return to Payee Acct

2

3

4

5

6

7

8

9

10=Very likely

LNH5311

C

What specific improvements would you like to see in Internet Representative Payee Accounting?

Text Field – limited to 100 characters

Single

N

Skip Logic Group

Improve Internet Payee Acct

LNH5312

D

What specific improvements would you like to see in Business Services Online?

Text Field – limited to 100 characters

Single

N

Skip Logic Group

Improve Business Services

LNH5313

How would you describe your role? (Select all that apply)

Representative payee

Checkbox One Up Vertical

Multi

Y

Skip Logic Group

Primary Business

Appointed Representative

Z

Accountant/CPA

Z

Administrative Assistant

Z

Accounts Payable/HR

Z

Attorney

Z

Bookkeeper

Z

Business Manager

Z

Business Owner

Z

Church Officer

Z

Clerical Staff

Z

Corporate Officer

Z

Finance Staff

Z

Office Manager

Z

Other (please specify)

A, Z

LNH5314

A

Other_describe

Text Area – no character limit

Single

N

Skip Logic Group

OE - Describe

LNH5315

Z

Please describe the size of your business, based on your number of employees/workers, including yourself.

Micro (10 or less)

Radio Button One Up Vertical

Single

Y

Skip Logic Group

Size of Business

Small (11-50)

Medium (51-250)

Large (more than 250)

LNH5316

Rate the ease with which you located the Business Services Online website? (1 = Very Difficult; 10 = Very Easy)

1 = Very Difficult

Radio Button Scale No Don’t Know

Single

Y

Ease to Locate

2

3

4

5

6

7

8

9

10 = Very Easy

LNH5317

How often do you use Business Services Online?

Once per year

Radio Button One Up Vertical

Single

Y

Freq of Use

2-4 times per year

5-10 times per year

11 times or more per year

BUC0228704

What is your age?

Under 18

Radio Button One Up Vertical

Single

Y

Age

18 - 29

30 - 39

40 - 49

50 - 59

60 - 69

70 or older

Prefer not to answer

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Sheet 3: CQs (5-14-18)

Model Instance Name:

red & strike-through: DELETE

SSA BSO v2

underlined & italicized: RE-ORDER

MID:

JsxgcQkkV0I5dxF8JE1lQg4C

pink: ADDITION

Date:

1/13/2011

blue + -->: REWORDING

violet (bold): SKIP-LOGIC

SSA BSO v2 CUSTOM QUESTION LIST

QID

Skip Logic Label

Question Text

Answer Choices (limited to 50 characters)

Skip to

Type (select from list)

Single or Multi

Required Y/N

Group Types

Labels

LNH5306

How did you hear about Business Services Online?

SSA Speaker at a Conference

Radio Button One Up Vertical

Single

Y

OPS Group

How Did You Hear

Types

Direct Mail I Received from Social Security

Column1

Booth at an accounting/payroll conference

Open-ended

Webcast

Text Field – limited to 100 characters

SSA/IRS Reporter

Text Area – no character limit

CPA/Accountant

Dropdown (Select-one)

Other Direct Contact Initiated by Social Security

Radio Button One Up Vertical

Professional Association

Radio Button Two Up Vertical

Social media (e.g., Facebook, Twitter, blog, etc.)

IRS Forms, Instructions & Publications

Other (please specify)

A

Radio Button Three Up Vertical

LNH5307

A

Other_how did you hear

Text Field – limited to 100 characters

Single

N

OPS Group

OE - How Did You Hear

LNH5308

Which services of Business Services Online did you use today? (Choose all that apply)

W-2 Online

D

Checkbox One Up Vertical

Multi

Y

Skip Logic Group

Services Used

Radio Button Scale Has Don’t Know

W-2c Online

D

Radio Button Scale No Don’t Know

View Submission Status

D

Checkbox One Up Vertical

View Employer Report Status

D

Checkbox Two Up Vertical

View Errors

D

Checkbox Three Up Vertical

View Notices

D

Select-multiple Show Two

SSN Verification

D

Select-multiple Show Three

Registration Services

D

Select-multiple Show Four

Resubmission Services

D

Consent-Based Services

D

Appointed Representative Services

D

Representative Payee Accounting Report

A, B, C

LNH5309

A

How satisfied overall were you with the payee accounting form online?

1=Very dissatisfied

Radio Button Scale No Don’t Know

Single

Y

Skip Logic Group

Payee Account Form

2

3

4

5

6

7

8

9

10=Very satisfied

LNH5310

B

How likely are you to return to the representative payee accounting form online for your next accounting report?

1=Not very likely

Radio Button Scale No Don’t Know

Single

Y

Skip Logic Group

Return to Payee Acct

2

3

4

5

6

7

8

9

10=Very likely

LNH5311

C

What specific improvements would you like to see in Internet Representative Payee Accounting?

Text Field – limited to 100 characters

Single

N

Skip Logic Group

Improve Internet Payee Acct

LNH5312

D

What specific improvements would you like to see in Business Services Online?

Text Field – limited to 100 characters

Single

N

Skip Logic Group

Improve Business Services

LNH5313

How would you describe your role? (Select all that apply)

Representative payee

Checkbox One Up Vertical

Multi

Y

Skip Logic Group

Primary Business

Appointed Representative

Z

Accountant/CPA

Z

Administrative Assistant

Z

Accounts Payable/HR

Z

Attorney

Z

Bookkeeper

Z

Business Manager

Z

Business Owner

Z

Church Officer

Z

Clerical Staff

Z

Corporate Officer

Z

Finance Staff

Z

Office Manager

Z

Other (please specify)

A, Z

LNH5314

A

Other_describe

Text Area – no character limit

Single

N

Skip Logic Group

OE - Describe

LNH5315

Z

Please describe the size of your business, based on your number of employees/workers, including yourself.

Micro (10 or less)

Radio Button One Up Vertical

Single

Y

Skip Logic Group

Size of Business

Small (11-50)

Medium (51-250)

Large (more than 250)

LNH5316

Rate the ease with which you located the Business Services Online website? (1 = Very Difficult; 10 = Very Easy)

1 = Very Difficult

Radio Button Scale No Don’t Know

Single

Y

Ease to Locate

2

3

4

5

6

7

8

9

10 = Very Easy

LNH5317

How often do you use Business Services Online?

Once per year

Radio Button One Up Vertical

Single

Y

Freq of Use

2-4 times per year

5-10 times per year

11 times or more per year

What is your age?

Under 18

Radio Button One Up Vertical

Single

Y

Age

18 - 29

30 - 39

40 - 49

50 - 59

60 - 69

70 or older

Prefer not to answer

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Sheet 4: Element Rotations

Base Element Order	Version 2	Version 3	Version 4
Content	Plain Language	Site Performance	Look and Feel
Look and Feel	Site Performance	Content	Plain Language
Site Performance	Look and Feel	Plain Language	Content
Plain Language	Content	Look and Feel	Site Performance
Content	Plain Language	Site Performance	Look and Feel
Look and Feel	Site Performance	Content	Plain Language
Site Performance	Look and Feel	Plain Language	Content
Plain Language	Content	Look and Feel	Site Performance