Questionnaire Management Guidelines | ||||||||||||||||||||
Goals: | ||||||||||||||||||||
� | One consolidated document to track all model and CQ changes throughout the life of the project | |||||||||||||||||||
� | Questionnaire always matches the live survey | |||||||||||||||||||
� | Easy and error-free way to submit CQ changes | |||||||||||||||||||
� | All changes tracked and reflected in one document (DOT will help) | |||||||||||||||||||
Questionnaire Resources: | ||||||||||||||||||||
1 | Questionnaire Design and Approval Process | |||||||||||||||||||
2 | Question Grouping Rules | |||||||||||||||||||
3 | OPS vs. Skip Logic Decision for "Other, Please Specify" | |||||||||||||||||||
4 | Foreign Language Survey Instructions | |||||||||||||||||||
Model Instance Name: | |||||||||||
SSA Mobile Wage Reporting | |||||||||||
MID: | oYYdlt48ctdtx8cgFh0Q4Q== |
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Date: | 8/2/2012 | ||||||||||
Welcome and Thank You Text | |||||||||||
Directions: | |||||||||||
This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom. This is a good place to mention the site/company/agency name so the visitor knows whom they are taking the survey for. Feel free to modify the standard Welcome text shown in the box below. | |||||||||||
Examples | |||||||||||
Welcome Text Example | |||||||||||
Welcome Text | |||||||||||
Thank you for using the SSI Mobile Wage Reporting app. You've been randomly chosen to take part in a brief survey to let us know what we're doing well and where we can improve. Please take a few minutes to share your opinions, which are essential in helping us provide the best online experience possible. |
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Thank You Text Example | |||||||||||
Thank You Text | |||||||||||
Please note you will not receive a response from us based on your survey comments. If you would like to get in touch with Social Security, please visit our Contact Us page to find out how. |
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Model Instance Name: | |||||||||
SSA Mobile Wage Reporting | |||||||||
MID: | oYYdlt48ctdtx8cgFh0Q4Q== |
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Partitioned (Y/N)? N | Element rotation scheme has been added | ||||||||
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: | 5/30/2012 | ||||||||
SSA Mobile Wage Reporting | |||||||||
Model questions utilize the ACSI methodology to determine scores and impacts | |||||||||
ELEMENTS (drivers of satisfaction) | CUSTOMER SATISFACTION | FUTURE BEHAVIORS | |||||||
MQ Label | MQ Label | MQ Label | |||||||
Look and Feel (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Use Again (1=Very Unlikely, 10=Very Likely) | |||||||
Look and Feel - Appeal | Please rate the visual appeal of this mobile app. | Satisfaction - Overall | What is your overall satisfaction with this mobile app? (1=Very Dissatisfied, 10=Very Satisfied) |
Use Mobile App Again | How likely are you to use this mobile app again? | ||||
Look and Feel - Readability | Please rate the readability of the views in this mobile app. | Satisfaction - Expectations | How well does this mobile app meet your expectations? 1=Falls Short, 10=Exceeds) |
Mobile App Channel Preference | Use over other channels (1=Very Unlikely, 10=Very Likely) | ||||
Navigation (1=Poor, 10=Excellent, Don't Know) | Satisfaction - Ideal | How does this app compare to your idea of an ideal mobile app? (1=Not Very Close, 10=Very Close) |
How likely are you to use a mobile app to conduct business with SSA instead of using other channels such as the telephone, or going in person? | ||||||
Navigation - Organized | Please rate how well this mobile app is organized. | ||||||||
Navigation - Options | Please rate the options available for navigating this mobile app. | ||||||||
App Performance (1=Poor, 10=Excellent, Don't Know) | |||||||||
App Performance - Loading | Please rate how quickly views load in this mobile app. | ||||||||
App Performance - Errors | Please rate the ability to load views without getting error messages in this mobile app. | ||||||||
#REF! | ||||||||||
SSA Mobile Wage Reporting | underlined & italicized: RE-ORDER | |||||||||
MID: oYYdlt48ctdtx8cgFh0Q4Q== |
pink: ADDITION | |||||||||
Date: | 1/25/2018 | blue + -->: REWORDING | ||||||||
SSA Mobile Wage Reporting CUSTOM QUESTION LIST | ||||||||||
QID | Skip Logic Label | Question Text | AnswerIDs (DOT) | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Special Instructions | CQ Label |
TAR0209325 | Who are you reporting wages for? | Myself | Radio button, one-up vertical | Single | Y | Skip logic | Reporting for | |||
My Spouse | ||||||||||
Myself and Spouse | ||||||||||
Myself and Other | Q1 | |||||||||
Other | Q1 | |||||||||
TAR0209344 | Q1 | What is your relationship to the individual you are reporting wages for? | Text field <100 characters | N | Text area, no Char limit | OE_Relationship | ||||
TAR0209326 | Are you reporting for more than one employer for the same person? | Yes | Radio button, one-up vertical | Single | Y | Reporting multiple employers | ||||
No | ||||||||||
Don't know | ||||||||||
LNH0233 | What best describes your role? | I receive my own benefits | Radio button, one-up vertical | Single | Y | Role | ||||
I am the representative payee for my spouse or child | ||||||||||
I am the representative payee for someone else | ||||||||||
Other | ||||||||||
HAR0034853 | Is this your first time using this app? | Yes | A | Radio button, one-up vertical | Single | Y | Skip logic | Use app | ||
No | ||||||||||
HAR0034922 | A | Are you planning on using this app to report your wages again? | Yes | Radio button, one-up vertical | Single | Y | Skip logic | Use again | ||
No | AA | |||||||||
HAR0034923 | AA | Please explain why you are not planning to use this app to report your wages again. | Text area, no char limit | N | skip logic | OE_Why Not Again | ||||
MAD0051531 | How did you learn about this app? | I first heard about it when I visited the app store | Radio button, one-up vertical | Single | Y | Find Out About App | ||||
An SSA employee told me about it | ||||||||||
Another agency referred me to it | ||||||||||
I saw information about it on SSA TV | ||||||||||
Social media (e.g., Facebook, Twitter, blog, etc.) | ||||||||||
Other | ||||||||||
HAR0034927 | How helpful was the instruction package you received? | Very helpful | Radio button, one-up vertical | Single | Y | Instructions Packet | ||||
Helpful | ||||||||||
Not helpful | ||||||||||
I did not receive an instruction package. | ||||||||||
MAD0051510 | Would you use this app if it were available between 11 pm and 5 am Eastern Standard Time? | Yes | Radio button, one-up vertical | Single | Y | Use app between 11pm-5am | ||||
No | ||||||||||
Not sure | ||||||||||
CAS0064362 | Have you registered for a my Social Security account? | Yes | Radio button, one-up vertical | Single | Y | Registered for mySSA | ||||
No | ||||||||||
CAS0059588 | Have you ever used your mobile device to access other online Social Security applications or services? | Yes | A | Radio button, one-up vertical | Single | Y | Skip logic | Use Other Apps with Mobile | ||
No | ||||||||||
TAR0209345 | A | Which online Social Security application(s) or service(s) did you use? (Select all that apply.) | Get a Benefit Verification Letter | Checkbox, one-up vertical | Multi | N | Skip logic | Other app used | ||
View my Benefits and Payment Details | ||||||||||
Enroll in or update my direct deposit | ||||||||||
Change my address with SSA | ||||||||||
Print or view my online Social Security Statement | ||||||||||
Make sure my earnings record is correct | ||||||||||
Replace my Social Security Card or get a new card | ||||||||||
Check the Status of my recently filed application for benefits | ||||||||||
Learn about the benefits to which I might be entitled | ||||||||||
Apply only for Social Security or Medicare Only benefits | ||||||||||
Report my wages | ||||||||||
Request a replacement SSA-1099 (or SSA-10425) for tax purposes | ||||||||||
Add Extra Security to my online account | ||||||||||
None of these | Mutually exclusive | |||||||||
TAR0250192 | Before using the SSA app did you first try to accomplish your task in any of the following ways? | Calling Social Security's 1-800 number | Checkbox, one up vertical | Multi | Y | Skip Logic | First try | |||
Visiting my local Social Security office | ||||||||||
Calling my local Social Security office | ||||||||||
No, I visited SSA.gov first | ||||||||||
Not sure | ||||||||||
TAR0250193 | Did you accomplish what you wanted to with the SSA app? | Yes | Radio button, one up veritical | Single | Y | Skip logic | Accomplish | |||
Partially | A | |||||||||
No | A | |||||||||
TAR0250194 | A | What do you plan to do next? | Try again to complete my task online | Radio button, one up veritical | Single | Y | Skip Logic | Do next | ||
Call Social Security's 1-800 number | ||||||||||
Visit my local Social Security office | ||||||||||
Call my local Social Security office | ||||||||||
Other (please specify) | B | |||||||||
TAR0250195 | B | What do you plan to do next? | Text area, no char limit | N | Skip Logic | OPS_Other plan next | ||||
LNH0239 | Please provide any suggestions you may have to improve this mobile site. | Text area, no char limit | Single | N | OE_Improvement |
#REF! | ||||||||||
SSA Mobile Wage Reporting | underlined & italicized: RE-ORDER | |||||||||
MID: oYYdlt48ctdtx8cgFh0Q4Q== |
pink: ADDITION | |||||||||
Date: | 1/25/2018 | blue + -->: REWORDING | ||||||||
SSA Mobile Wage Reporting CUSTOM QUESTION LIST | ||||||||||
QID | Skip Logic Label | Question Text | AnswerIDs (DOT) | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Special Instructions | CQ Label |
TAR0209325 | Who are you reporting wages for? | Myself | Radio button, one-up vertical | Single | Y | Skip logic | Reporting for | |||
My Spouse | ||||||||||
Myself and Spouse | ||||||||||
Myself and Other | Q1 | |||||||||
Other | Q1 | |||||||||
TAR0209344 | Q1 | What is your relationship to the individual you are reporting wages for? | Text field <100 characters | N | Text area, no Char limit | OE_Relationship | ||||
TAR0209326 | Are you reporting for more than one employer for the same person? | Yes | Radio button, one-up vertical | Single | Y | Reporting multiple employers | ||||
No | ||||||||||
Don't know | ||||||||||
LNH0233 | What best describes your role? | I receive my own benefits | Radio button, one-up vertical | Single | Y | Role | ||||
I am the representative payee for my spouse or child | ||||||||||
I am the representative payee for someone else | ||||||||||
Other | ||||||||||
HAR0034853 | Is this your first time using this app? | Yes | A | Radio button, one-up vertical | Single | Y | Skip logic | Use app | ||
No | ||||||||||
HAR0034922 | A | Are you planning on using this app to report your wages again? | Yes | Radio button, one-up vertical | Single | Y | Skip logic | Use again | ||
No | AA | |||||||||
HAR0034923 | AA | Please explain why you are not planning to use this app to report your wages again. | Text area, no char limit | N | skip logic | OE_Why Not Again | ||||
MAD0051531 | How did you learn about this app? | I first heard about it when I visited the app store | Radio button, one-up vertical | Single | Y | Find Out About App | ||||
An SSA employee told me about it | ||||||||||
Another agency referred me to it | ||||||||||
I saw information about it on SSA TV | ||||||||||
Social media (e.g., Facebook, Twitter, blog, etc.) | ||||||||||
Other | ||||||||||
HAR0034927 | How helpful was the instruction package you received? | Very helpful | Radio button, one-up vertical | Single | Y | Instructions Packet | ||||
Helpful | ||||||||||
Not helpful | ||||||||||
I did not receive an instruction package. | ||||||||||
MAD0051510 | Would you use this app if it were available between 11 pm and 5 am Eastern Standard Time? | Yes | Radio button, one-up vertical | Single | Y | Use app between 11pm-5am | ||||
No | ||||||||||
Not sure | ||||||||||
CAS0064362 | Have you registered for a my Social Security account? | Yes | Radio button, one-up vertical | Single | Y | Registered for mySSA | ||||
No | ||||||||||
CAS0059588 | Have you ever used your mobile device to access other online Social Security applications or services? | Yes | A | Radio button, one-up vertical | Single | Y | Skip logic | Use Other Apps with Mobile | ||
No | ||||||||||
TAR0209345 | A | Which online Social Security application(s) or service(s) did you use? (Select all that apply.) | Get a Benefit Verification Letter | Checkbox, one-up vertical | Multi | N | Skip logic | Other app used | ||
View my Benefits and Payment Details | ||||||||||
Enroll in or update my direct deposit | ||||||||||
Change my address with SSA | ||||||||||
Print or view my online Social Security Statement | ||||||||||
Make sure my earnings record is correct | ||||||||||
Replace my Social Security Card or get a new card | ||||||||||
Check the Status of my recently filed application for benefits | ||||||||||
Learn about the benefits to which I might be entitled | ||||||||||
Apply only for Social Security or Medicare Only benefits | ||||||||||
Report my wages | ||||||||||
Request a replacement SSA-1099 (or SSA-10425) for tax purposes | ||||||||||
Add Extra Security to my online account | ||||||||||
None of these | Mutually exclusive | |||||||||
Before using the SSA app did you first try to accomplish your task in any of the following ways? | Calling Social Security's 1-800 number | Checkbox, one up vertical | Multi | Y | Skip Logic | First try | ||||
Visiting my local Social Security office | ||||||||||
Calling my local Social Security office | ||||||||||
No, I visited SSA.gov first | ||||||||||
Not sure | ||||||||||
Did you accomplish what you wanted to with the SSA app? | Yes | Radio button, one up veritical | Single | Y | Skip logic | Accomplish | ||||
Partially | A | |||||||||
No | A | |||||||||
A | What do you plan to do next? | Try again to complete my task online | Radio button, one up veritical | Single | Y | Skip Logic | Do next | |||
Call Social Security's 1-800 number | ||||||||||
Visit my local Social Security office | ||||||||||
Call my local Social Security office | ||||||||||
Other (please specify) | B | |||||||||
B | What do you plan to do next? | Text area, no char limit | N | Skip Logic | OPS_Other plan next | |||||
LNH0239 | Please provide any suggestions you may have to improve this mobile site. | Text area, no char limit | Single | N | OE_Improvement |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |