30688 Q_SSAMobileWage_Mobile_AccountManagement_20180803_DOT

E-Government Website Customer Satisfaction Surveys

Q_SSAMobileWage_Mobile_AccountManagement_20180803_DOT.xlsx

Mapping and Questionnaire Documents IA 30688 A4 (SSA)

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

Guidelines
Welcome and Thank You Text
Current Model Qsts
Current CQs
CQs (8-3-18)


Sheet 1: Guidelines























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


































Sheet 2: Welcome and Thank You Text

Model Instance Name:








SSA Mobile Wage Reporting







MID: oYYdlt48ctdtx8cgFh0Q4Q==







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.



























































































Thank You Text Example


















Thank You Text












Thank you for taking our survey - and for helping us serve you better.

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.


























































































































































































































Sheet 3: Current Model Qsts

Model Instance Name:







SSA Mobile Wage Reporting







MID:
oYYdlt48ctdtx8cgFh0Q4Q==





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.













































































































































































































Sheet 4: Current CQs

#REF!


red & strike-through: DELETE





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

Sheet 5: CQs (8-3-18)

#REF!


red & strike-through: DELETE





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
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