30688 Q_SSARetirementEstimator_Web_AccountManagement_20160614

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Overview

v4 Model Qsts (EE)
v4 Model Qsts (SP)
v4 Custom Qsts EE
v4 Custom Qsts SP
v4 CQs EE (7-1-16)

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Sheet 1: v4 Model Qsts (EE)

Model Instance Name:
SSA Retirement Estimator v4
MID:		dwYM9t9olVlhBdRVhFxhIw4C
Partitioned (Y/N)?		N			Element rotation scheme has been added
FPI Included(Y/N)?
Date:		7/19/2013
SSA Retirement Estimator v4
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?
		Look and Feel (1=Poor, 10=Excellent, Don't Know)			Satisfaction			Apply in office for Benefits (1=Very Unlikely, 10=Very Likely)
	Look and Feel - Appeal	Please rate the visual appeal of this online Retirement Estimator.		Satisfaction - Overall	What is your overall satisfaction with the online Retirement Estimator? (1=Very Dissatisfied, 10=Very Satisfied)		Apply in Office	How likely are you to apply for Social Security Benefits in the field office?
	Look and Feel - Balance	Please rate the balance of graphics and text in this online Retirement Estimator.		Satisfaction - Expectations	How well does the online Retirement Estimator meet your expectations? (1=Falls Short, 10=Exceeds)			Apply online for Benefits (1=Very Unlikely, 10=Very Likely)
	Look and Feel - Readability	Please rate the readability of the pages in this online Retirement Estimator.		Satisfaction - Ideal	How does the online Retirement Estimator compare to your idea of an ideal online process? (1=Not Very Close, 10=Very Close)		Apply Online	How likely are you to apply for Social Security Benefits online?
		Site Performance (1=Poor, 10=Excellent, Don't Know)						Recommend (1=Very Unlikely, 10=Very Likely)
	Site Performance - Loading	Please rate how quickly pages load in this online Retirement Estimator.					Recommend	How likely are you to recommend this online Retirement Estimator to someone else?
	Site Performance - Consistency	Please rate the consistency of speed from page to page in this online Retirement Estimator.						Return (if applicable) (1=Very Unlikely, 10=Very Likely)
	Site Performance - Errors	Please rate the ability to load pages without getting error messages in this online Retirement Estimator.					Return	How likely are you to return to the Retirement Estimator?
		Plain Language (1=Poor, 10=Excellent, Don't Know)						Use Other SSA Applications (1=Very Unlikely, 10=Very Likely)
	Plain Language - Clear	Please rate the clarity of the wording in the online Retirement Estimator.					Use Other Online Services	How likely are you to use other Social Security online services?
	Plain Language - Understandable	Please rate how well you understand the wording in the online Retirement Estimator.
	Plain Language - Concise	Please rate the online Retirement Estimator on its use of short, clear sentences.

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Sheet 2: v4 Model Qsts (SP)

Model Instance Name:
SSA Retirement Estimator v4
MID:		p00IdwE4ssR1MA9UUtZ5Ng4C
Partitioned (Y/N)?		N			Element rotation scheme has been added
FPI Included(Y/N)?
Date:		7/19/2013
SSA Retirement Estimator v4
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?
		Apariencia y función (1=Mala, 10=Excelente, No sé)			Satisfacción		Apply in Office	Visitar la oficina local para solicitar los beneficios (1=Muy improbablemente, 10=Muy probablemente)
	Look and Feel - Appeal	Por favor califique la apariencia del Calculador de beneficios de jubilación por Internet.		Satisfaction - Overall	¿Cómo calificaría su satisfacción en general del Calculador de beneficios de jubilación por Internet? (1=Totalmente insatisfecho, 10=Totalmente satisfecho)			¿Cuáles son las posibilidades de que visite la oficina personalmente la oficina local del Seguro Social para solicitar los beneficios?
	Look and Feel - Balance	Por favor califique el equilibrio entre gráficas y texto del Calculador de beneficios de jubilación por Internet.		Satisfaction - Expectations	¿Con cuánta exactitud el Calculador de beneficios de jubilación por Internet satisfizo sus expectativas? (1=No llenó mis expectativas, 10=Totalmente satisfecho)		Apply Online	Solicitar los beneficios de Seguro Social por Internet (1=Muy improbablemente, 10=Muy probablemente)
	Look and Feel - Readability	Por favor califique la fluidez del texto del Calculador de beneficios de jubilación por Internet.		Satisfaction - Ideal	¿Cómo se compara el Calculador de beneficios de jubilación por Internet con lo que se imaginaría que sería su programa de computadora ideal? (1=No se asemeja, 10=Se asemeja)			¿Cuáles son las posibilidades de que solicite los beneficios de Seguro Social usando la Internet?
		Rendimiento del sitio de Internet (1=Mala, 10=Excelente, No sé)					Recommend	Recomendar (1=Muy improbablemente, 10=Muy probablemente)
	Site Performance - Loading	Por favor califique la rapidez con que suben las páginas el Calculador de beneficios de jubilación por Internet.						¿Cuáles son las posibilidades de que le recomiende el Calculador de beneficios de jubilación por Internet a otra persona?
	Site Performance - Consistency	Por favor califique la consistencia de la rapidez para moverse de una página a la otra del Calculador de beneficios de jubilación por Internet.					Return	Regresar (si procede) (1=Muy improbablemente, 10=Muy probablemente)
	Site Performance - Errors	Por favor califique la capacidad para subir las páginas sin que reciba un error del Calculador de beneficios de jubilación por Internet.						¿Cuáles son las posibilidades de que regrese a usar el Calculador de beneficios de jubilación por Internet?
		Simpleza del vocabulario (1=Malo, 10=Excelente, No sé)					Use Other Online Services	Usar por Internet otros programas de computadora del Seguro Social (1=Muy improbablemente, 10=Muy probablemente)
	Plain Language - Clear	Por favor califique la claridad de las palabras usadas en el Calculador de beneficios de jubilación por Internet.						¿Cuáles son las posibilidades de que use otros programas de computadora en este sitio de Internet del Seguro Social?
	Plain Language - Understandable	Por favor califique su comprensión de las palabras usadas en el Calculador de beneficios de jubilación por Internet.
	Plain Language - Concise	Por favor califique el Calculador de beneficios de jubilación por Internet basado en el uso de oraciones cortas y claras.

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Sheet 3: v4 Custom Qsts EE

Social Security Administration			red & strike-through: DELETE
SSA Retirement Estimator v4			underlined & italicized: RE-ORDER
MID: dwYM9t9olVlhBdRVhFxhIw4C			pink: ADDITION
Date:	10/6/2010		blue + -->: REWORDING
SSA Retirement Estimator v4 CUSTOM QUESTION LIST
QID	Skip From	Question Text	Answer Choices	Skip to	Type (select from list)	Required Y/N	Special Instructions	CQ Label
JAC0123847		How did you connect to SSA today?	Desktop		Radio button, one-up verticalb	Y		How Connected with SSA
			Laptop
			Smartphone
			Tablet
JAC0123850		From where did you connect to SSA today?	At home		Radio button, one-up verticalb	Y	Skip Logic Group	From Where Connected with SSA
			In office / place of employment
			At a friend or relative's place
			Public library	A
			Social Security Office
			Social Security Kiosk	B
			Other agency
			Other, please specify	C
JAC0123859	A	Did you connect through a unique Social Security icon featured on the computer's desktop?	Yes		Radio button, one-up vertical	Y	Skip Logic Group	Use SSA Icon
			No	AA
JAC0123862	AA	How did you link to the SSA website?			Text area, no char limit	N	Skip Logic Group	OE_How Linked to SSA (library)
JAC0123856	B	Please describe the location.			Text area, no char limit	N	Skip Logic Group	OE_Location of Kiosk
JAC0123854	C	Please tell us how and from where you connected with SSA during your visit today.			Text area, no char limit	N	Skip Logic Group	OPS_How Connected with SSA
BJL2254		How did you first learn about the Retirement Estimator?	Social media (e.g., Blog, Facebook, Twitter, etc.)		Radio button, one-up vertical	Y	Skip Logic Group	Learned about RE
			Online search engine or other website (e.g., Google)
			Linked from another website	C2
			An online ad (Banner/Image)
			A newspaper or magazine article
			A newspaper or magazine ad
			An email from Social Security
			My Social Security Statement
			Social Security employee
			Relative or friend
			Social Security event
			My employer or Human Resources department
			My financial advisor
			Word of mouth
			Other, please specify	C
BJL2255	C	Please specify how you first learned about the Retirement Estimator.			Text field, <100 char	N	Skip Logic Group	Other learned about
STE0050206	C2	Please specify the website that led you to the Retirement Estimator			Text field, <100 char	N	Skip Logic Group	OE_Website
STE0050207		How often do you use the Retirement Estimator?	This was the first time		Radio button, one-up vertical	Y		Frequency
			Every few months or less often
			Monthly
			I use the Retirement Estimator more than once a month
JAC0123788		When do you expect to file for retirement benefits?	Within 6 months		Radio button, one-up vertical	Y		Expect to File
			Within 12 months
			Within 1 to 3 years
			More than 3 but less than 6 years
			Don't know at this time
BJL2264		How do you plan to file for retirement benefits?	Online		Radio button, one-up vertical	Y		How to File
			Online with telephone or in-person assistance
			By telephone interview
			At my local Social Security office
			Don't know at this time
LIV0073004		Did you review your Social Security Statement before using the Retirement Estimator?	Yes, I reviewed my paper Social Security Statement.		Radio button, one-up vertical	Y	Skip Logic Group	Review SS Statement
			Yes, I reviewed my online Social Security Statement	A
			No	B
LIV0073005	A	Did you have difficulty navigating between your online Social Security Statement and the Retirement Estimator?	Yes	C	Radio button, one-up vertical	Y	Skip Logic Group	Difficulty Navigating Between RE and Statement
			No
LIV0073006	C	Please describe the difficulty you had navigating between your online Social Security Statement and the Retirement Estimator.			Text area, no char limit	N	Skip Logic Group	OE_Difficulty Navigating Between RE and Statement
LIV0073008	B	Do you plan to review your online Social Security Statement next?	Yes		Radio button, one-up vertical	Y	Skip Logic Group	Plan to Review SS Statement
			No
BJL2265		Did the Retirement Estimator provide you with all the benefit estimates you were seeking today?	Yes		Radio button, one-up vertical	Y	Skip Logic Group	Accomplish Goal
			No	F
BJL2266	F	What other benefit estimates were you trying to obtain?			Text area, no char limit	N	Skip Logic Group	OE_Did not accomplish
STE0057596		Do you believe the retirement estimate(s) provided to you was/were based on your entire Social Security earnings record?	Yes		Radio button, one-up vertical	Y	Skip Logic Group	RE Based on Earnings
			No	G
STE0057597	G	Please explain why you think that the retirement estimate(s) was/were not based on your entire Social Security earnings record?			Text area, no char limit	N	Skip Logic Group	OE_Not based on earnings
BJL2267		How would you describe your navigation experience on the SSA site today prior to arriving at the Retirement Estimator? (Please select all that apply)	I had no difficulty navigating/browsing to the Retirement Estimator		Checkbox, one-up vertical	Y	Skip Logic Group	Navigation Experience
			I had difficulty finding the links to the Retirement Estimator
			I had difficulty because the links did not take me where I expected
			I had difficulty because I experienced technical difficulties (error messages, broken links, etc.)
			I had a navigation difficulty not listed above:	A
BJL2268	A	Please describe your navigation difficulty and identify where on the Social Security website this problem occurred			Text area, no char limit	N	Skip Logic Group	Other Difficulty
JAC0123896		Have you used any other SSA resources for your retirement planning? (Please select all that apply)	Your Online Social Security Statement in the my Social Security pages		Checkbox, one-up vertical	Y	Skip Logic Group	Other Resources
			Social Security’s Online Retirement Planner
			Other Social Security Calculators offered on ssa.gov
			Frequently Asked Questions (FAQ) on ssa.gov
			Other resources on the SSA website
			I used resources outside of ssa.gov	A
			I did not use any resources to prepare at this time				Mutually Exclusive
JAC0123897	A	Please describe what other resources you used to help prepare/plan for your retirement.			Text area, no char limit	N	Skip Logic Group	OPS Other Resources
JAC0123898		After visiting the Retirement Estimator today, what do you plan to do next?	Nothing, the Retirement Estimator provided what I needed		Radio button, one-up vertical	Y	Skip Logic Group	Do Next Y/N
			Try the Retirement Estimator again (at a later time)
			I am ready to file for Social Security Retirement Benefits
			Browse the SSA website
			I will call Social Security’s 1-800 number
			I will visit my local Social Security Office
			I do not know what I will do next at this time
STE0061399		Have you registered for a my Social Security account?	Yes		Radio button, one-up vertical	Y	Skip Logic	Have mySSA Account
			No	A
STE0061400	A	What is the main reason you have not registered for a my Social Security account?	I plan to register for a my Social Security account today.		Radio button, one-up vertical	Y	Skip Logic	Why Not Have mySSA Account
			I plan to register for a my Social Security account in the near future.
			I tried to register for a my Social Security account, but was unsuccessful.
			I am not sure why I need a my Social Security account.
			I do not want a my Social Security account.
			Other, please specify	AA
STE0061424	AA	Please tell us why you have not registered for a my Social Security account.			Text field, no char limit	N	Skip Logic	OPS_Why Not Have mySSA Account
JAC0123895		What is your age?	40 and under		Drop down, select one	N		Age
			41 to 50
			51 to 61
			62 to 64
			65 to 67
			68 to 70
			Prefer not to answer
BJL2278		What is your current marital status?	Married		Radio button, one-up vertical	N	OPS Group	Marital Status
			Significant Other/Partner
			Separated
			Divorced
			Widowed
			Never Married/Single
			Prefer not to answer
			Other, please specify	x
BJL2279	X	Other marital status			Text field, <100 char	N	OPS Group	Other Marital
BJL2280		Do you have any suggestions for improving the online Retirement Estimator application?			Text area, no char limit	N		Improvement

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Sheet 4: v4 Custom Qsts SP

Social Security Administration			red & strike-through: DELETE
SSA Retirement Estimator v4			underlined & italicized: RE-ORDER
MID: p00IdwE4ssR1MA9UUtZ5Ng4C			pink: ADDITION
Date:	10/6/2010		blue + -->: REWORDING
SSA Retirement Estimator v4 CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Required Y/N	Special Instructions	CQ Label
JAC0123847		¿Cómo se comunicó hoy con la Administración del Seguro Social (SSA, por sus siglas en inglés)?	Computadora de escritorio		Radio button, one-up verticalb	Y		Cómo se comunicó con la SSA
			Computadora portátil
			Smartphone
			Tableta
JAC0123850		¿Desde dónde se comunicó hoy con la SSA?	Desde mi hogar		Radio button, one-up verticalb	Y	Skip Logic Group	Desde dónde se comunicó con la SSA
			Desde la oficina/lugar de trabajo
			Desde la casa de un amigo o familiar
			Desde la biblioteca pública	A
			Desde la oficina del Seguro Social
			Desde un quiosco del Seguro Social	B
			A través de otra agencia
			Otra opción (indique cuál)	C
JAC0123859	A	¿Se conectó a través del ícono propio del Seguro Social que aparece en el escritorio de la computadora?	Sí		Radio button, one-up vertical	Y	Skip Logic Group	Usó ícono de la SSA
			No	AA
JAC0123862	AA	¿Cómo llegó al sitio web del Seguro Social?			Text area, no char limit	N	Skip Logic Group	OE_Cómo llegó a la SSA (biblioteca)
JAC0123856	B	Describa la ubicación.			Text area, no char limit	N	Skip Logic Group	OE_Ubicación del quiosco
JAC0123854	C	Díganos cómo y desde dónde se comunicó con el Seguro Social durante su visita de hoy:			Text area, no char limit	N	Skip Logic Group	OPS_Cómo se comunicó con la SSA
BJL2254		¿Cómo se enteró del Calculador de beneficios por jubilación?	Redes sociales (por ejemplo, blog, Facebook, Twitter, etc.)		Radio button, one-up vertical	Y	Skip Logic Group	Learned about RE
			Motor de búsqueda en línea u otros sitios web (por ejemplo, Google)
			Un enlace de otra página de Internet.	C2
			Anuncio por Internet (banner / imagen)
			Artículo de periódico o revista
			Anuncio de periódico o revista
			Correo electrónico del Seguro Social
			Mi estado de cuenta del Seguro Social
			Un empleado del Seguro Social
			Un familiar o un amigo
			Un evento del Seguro Social
			Fue sugerido por mi empleador o por el Departamento de Recursos Humanos
			Fue sugerido por mi asesor financiero
			Alguien me lo comentó
			Otro, especificar	C
BJL2255	C	Por favor, especifique cómo se enteró del Calculador de beneficios jubilación.			Text field, <100 char	N	Skip Logic Group	Other learned about
STE0050206	C2	Por favor, especifique el sitio web que llevó a la Calculador de beneficios por jubilación.			Text field, <100 char	N	Skip Logic Group	OE Website
STE0050207		¿Con qué frecuencia se utiliza el Estimador de la jubilción?	Esta fue la primera vez		Radio button, one-up vertical	Y		Frequency
			Cada pocos meses o con menor frecuencia
			Mensual
			Uso el Calculador de beneficios de jubilación más de una vez por mes
JAC0123788		¿Cuándo espera solicitar beneficios por jubilación?	En un plazo de 6 meses		Radio button, one-up vertical	Y		Espera solicitar
			En un plazo de 12 meses
			En un plazo de entre 1 y 3 años
			En más de 3 pero menos de 6 años
			En este momento, no lo sé
BJL2264		¿Cómo piensa solicitar sus beneficios por jubilación?	En línea		Radio button, one-up vertical	Y		How to File
			En línea con ayuda telefónica o en persona
			Por entrevista telefónica
			En la oficina del Seguro Social de mi zona
			En este momento, no lo sé
LIV0073004		¿Sabía usted revise su Declaración del Seguro Social antes de utilizar el Estimador de jubilación?	Sí, he revisado mi papel Declaración del Seguro Social.		Radio button, one-up vertical	Y	Skip Logic Group	Review SS Statement
			Sí, he revisado mi Declaración del Seguro Social en línea (que se encuentra en su mi cuenta de la Seguridad Social).	A
			No	B
LIV0073005	A	¿Tuvo dificultades para navegar entre su Declaración del Seguro Social en línea y el Estimador de jubilación?	Sí	C	Radio button, one-up vertical	Y	Skip Logic Group	Difficulty Navigating Between RE and Statement
			No
LIV0073006	C	Por favor, describa la dificultad que había navegar entre su Declaración del Seguro Social en línea y el Estimador de Retiro.			Text area, no char limit	N	Skip Logic Group	OE_Difficulty Navigating Between RE and Statement
LIV0073008	B	¿Tiene planes para revisar su Declaración del Seguro Social en línea ahora?	Sí		Radio button, one-up vertical	Y	Skip Logic Group	Plan to Review SS Statement
			No
BJL2265		¿El Calculador de Beneficios por Jubilación le proporcionan todas las estimaciones de beneficios que estaban buscando hoy?	Sí		Radio button, one-up vertical	Y		Accomplish Goal
			No	F
BJL2266	F	¿Qué otras estimaciones de beneficios estabas tratando de obtener?			Text area, no char limit	N		OE_Did not accomplish
STE0057596		¿Cree usted que la estimación de la jubilación previsto para que el se basó en todo su registro de ganancias del Seguro Social?	Sí		Radio button, one-up vertical	Y	Skip Logic Group	RE Based on Earnings
			No	G
STE0057597	G	Por favor, explique por qué piensa que la estimación de la jubilación no se basó en todo su registro de ganancias del Seguro Social?			Text area, no char limit	N	Skip Logic Group	OE_Not based on earnings
BJL2267		¿Cómo describiría su experiencia navegando el sitio de Internet del Seguro Social hoy antes de llegar al Calculador de beneficios por jubilación? (Por favor seleccione todo lo que aplique.)	No tuve dificultad navegando hacia el Calculador de beneficios por jubilación.		Checkbox, one-up vertical	Y	Skip Logic Group	Navigation Experience
			Tuve dificultad encontrando los enlaces hacia el Calculador de beneficios por jubilación.
			Los enlaces a veces no me llevaban a donde esperaba llegar.
			Experimenté dificultades técnicas (mensajes de error, enlaces rotos, etc.).
			Tuve una dificultad navegando el sistema que no está listada arriba:	A
BJL2268	A	Other navigation difficulty			Text area, no char limit	N	Skip Logic Group	Other Difficulty
JAC0123896		¿Ha usado algún otro recurso o recursos de la SSA para planear su jubilación? (Seleccione todas las opciones que correspondan.)	Mi estado de cuenta del Seguro Social en las páginas del Seguro Social		Checkbox, one-up vertical	Y	Skip Logic Group	Otros recursos
			Planificador en línea de beneficios por jubilación del Seguro Social
			Otros Calculadores del Seguro Social que se ofrecen en ssa.gov
			Sección de Preguntas frecuentes en ssa.gov
			Otros recursos del sitio web de la SSA
			Usé recursos que no pertenecen a ssa.gov	A
			En esta ocasión, no usé ningún recurso para preparar la solicitud				Mutually Exclusive
JAC0123897	A	Describa que otros recursos usó para preparar/ planear su jubilación:			Text area, no char limit	N		OPS Otros recursos
JAC0123898		Después de visitar el Calculador de beneficios de jubilación, ¿qué planea hacer a continuación?	Nada, el Calculador de beneficios de jubilación me proporcionó todo lo que necesitaba		Radio button, one-up vertical	Y	Skip Logic Group	Próximo paso S/N
			Volver a intentar usar el Calculador de beneficios de jubilación (más tarde)
			Estoy listo para solicitar los beneficios por jubilación del Seguro Social
			Navegar por el sitio web de la SSA
			Llamar al 1-800 del Seguro Social
			Visitar la oficina del Seguro Social de mi zona
			En este momento, no sé lo que haré a continuación
STE0061399		¿Ha abierto una cuenta del Seguro Social?	Sí		Radio button, one-up vertical	Y	Skip Logic	Have mySSA Account
			No	A
STE0061400	A	¿Cuál es el motivo principal por el que no ha abierto una cuenta del Seguro Social?	Planeo abrir hoy una cuenta del Seguro Social		Radio button, one-up vertical	Y	Skip Logic	Why Not Have mySSA Account
			Planeo abrir una cuenta del Seguro Social en un futuro próximo
			Intenté registrarme para abrir una cuenta del Seguro Social hoy, pero no lo conseguí
			No estoy seguro de por qué necesito una cuenta del Seguro Social
			No quiero una cuenta del Seguro Social
			Otra opción (indique cuál)	AA
STE0061424	AA	Díganos cuál es el motivo principal por el que no ha abierto una cuenta del Seguro Social.			Text field, no char limit	N	Skip Logic	OPS_Why Not Have mySSA Account
JAC0123895		¿Cuál es su edad?	40 años y menos		Drop down, select one	N		Edad
			41 a 50
			51 a 61
			62 a 64
			65 a 67
			68 a 70
			Prefiero no responder
BJL2278		¿Cuál es su estado civil?	Casada/o		Radio button, one-up vertical	N	OPS Group	Marital Status
			En pareja/ Compañero
			Separada/o
			Divorciada/o
			Viuda/o
			Nunca contraje matrimonio/ Soltero
			Me reservo el derecho a contestar la pregunta
			Otro (especifique)	x
BJL2279	X	Otro estado civil			Text field, <100 char	N	OPS Group	Other Marital
BJL2280		¿Tiene alguna sugerencia para mejorar el Calculador de beneficios de jubilación en línea?			Text area, no char limit	N		Improvement

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Sheet 5: v4 CQs EE (7-1-16)

Social Security Administration			red & strike-through: DELETE
SSA Retirement Estimator v4			underlined & italicized: RE-ORDER
MID: dwYM9t9olVlhBdRVhFxhIw4C			pink: ADDITION
Date:	10/6/2010		blue + -->: REWORDING
SSA Retirement Estimator v4 CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Required Y/N	Special Instructions	CQ Label
STE0076430		Please tell us how and from where you connected with SSA during your visit today?	Desktop computer/laptop from my home		Radio button, one-up vertical	Y	Skip Logic Group	How Connected with SSA
			Desktop computer/laptop from a friend or relative's home				Randomize
			Desktop computer/laptop from my place of employment
			Public computer workstation in a library	A
			Public computer workstation in some other agency/social organization (e.g., social services, Motor Vehicle Administration, housing agency, hospital, etc.)
			Public computer workstation made available at my local Social Security office
			SSA Express kiosk located in a public space or governmental office	B
			Other (please specify)	C			Anchor Answer Choice
STE0076431	A	Did you connect through a unique Social Security icon featured on the computer's desktop?	Yes		Radio button, one-up vertical	Y	Skip Logic Group	Use SSA Icon
			No	AA
STE0076432	AA	How did you link to the SSA website?			Text area, no char limit	N	Skip Logic Group	OE_How Linked to SSA (library)
STE0076433	B	Please describe the location.			Text area, no char limit	N	Skip Logic Group	OE_Location of Kiosk
STE0076434	C	Please tell us how and from where you connected with SSA during your visit today?			Text area, no char limit	N	Skip Logic Group	OPS_How Connected with SSA
		How did you connect to SSA today?	Desktop		Radio button, one-up verticalb	Y		How Connected with SSA
			Laptop
			Smart Phone
			Tablet
		From where did you connect to SSA today?	At home		Radio button, one-up verticalb	Y	Skip Logic Group	From Where Connected with SSA
			In office / place of employment
			At a friend or relative's place
			Public library	A
			Social Security Office
			Social Security Kiosk	B
			Other agency
			Other, please specify	C
	A	Did you connect through a unique Social Security icon featured on the computer's desktop?	Yes		Radio button, one-up vertical	Y	Skip Logic Group	Use SSA Icon
			No	AA
	AA	How did you link to the SSA website?			Text area, no char limit	N	Skip Logic Group	OE_How Linked to SSA (library)
	B	Please describe the location.			Text area, no char limit	N	Skip Logic Group	OE_Location of Kiosk
	C	Please tell us how and from where you connected with SSA during your visit today:			Text area, no char limit	N	Skip Logic Group	OPS_How Connected with SSA
BJL2254		How did you first learn about the Retirement Estimator?	Search engine		Radio button, one-up vertical	Y	Skip Logic Group	Learned about RE
			SSA publication
			Newspaper, magazine or other media
			Social media (e.g., Facebook, Twitter, blog, etc.) (e.g., Blog, Facebook, Twitter, etc.)
			Online search engine or other website (e.g., Google)
			Linked from another website	C2
			An online ad (Banner/Image)
			A newspaper or magazine article
			A newspaper or magazine ad
			An email from Social Security
			From my Annual Social Security Statement My Social Security Statement
			From an SSA representative Social Security employee
			Relative or friend
			Social Security event
			My employer or Human Resources department
			My financial advisor
			Word of mouth
			Other, please specify	C
BJL2255	C	Please specify how you first learned about the Retirement Estimator.			Text field, <100 char	N	Skip Logic Group	Other learned about
STE0050206	C2	Please specify the website that led you to the Retirement Estimator			Text field, <100 char	N	Skip Logic Group	OE_Website
STE0050207		How often do you use the Retirement Estimator?	This was the first time		Radio button, one-up vertical	Y		Frequency
			Every few months or less often
			Monthly
			I use the Retirement Estimator more than once a month
			Weekly
			Several times a week
			Daily/more than once a day
BJL2263		When do you expect to file for retirement benefits?			Radio button, one-up vertical	Y		Expect to File
			Within 12 months
			1 to 3 years
			More than 3 but less than 6 years
			6 years or more
			Don't Know
		When do you expect to file for retirement benefits?	Within 6 months		Radio button, one-up vertical	Y		Expect to File
			Within 12 months
			Within 1 to 3 years
			More than 3 but less than 6 years
			Don't know at this time
BJL2264		How do you plan to file for retirement benefits?	I prefer to file my retirement application online Online		Radio button, one-up vertical	Y		How to File
			Online with telephone or in-person assistance, if needed
			By telephone interview
			Face-to-face in my local SSA field office At my local Social Security office
			Don't Know Don't know at this time
LIV0073004		Did you review your Social Security Statement before using the Retirement Estimator?	Yes, I reviewed my paper Social Security Statement.		Radio button, one-up vertical	Y	Skip Logic Group	Review SS Statement
			Yes, I reviewed my online Social Security Statement (located in your mySocialSecurity account).	A
			No	B
LIV0073005	A	Did you have difficulty navigating between your online Social Security Statement and the Retirement Estimator?	Yes	C	Radio button, one-up vertical	Y	Skip Logic Group	Difficulty Navigating Between RE and Statement
			No
LIV0073006	C	Please describe the difficulty you had navigating between your online Social Security Statement and the Retirement Estimator.			Text area, no char limit	N	Skip Logic Group	OE_Difficulty Navigating Between RE and Statement
LIV0073008	B	Do you plan to review your online Social Security Statement next?	Yes		Radio button, one-up vertical	Y	Skip Logic Group	Plan to Review SS Statement
			No
BJL2265		Did the Retirement Estimator provide you with all the benefit estimates you were seeking today?	Yes		Radio button, one-up vertical	Y	Skip Logic Group	Accomplish Goal
			No	F
BJL2266	F	What other benefit estimates were you trying to obtain?			Text area, no char limit	N	Skip Logic Group	OE_Did not accomplish
STE0057596		Do you believe the retirement estimate(s) provided to you was/were based on your entire Social Security earnings record?	Yes		Radio button, one-up vertical	Y	Skip Logic Group	RE Based on Earnings
			No	G
STE0057597	G	Please explain why you think that the retirement estimate(s) was/were not based on your entire Social Security earnings record?			Text area, no char limit	N	Skip Logic Group	OE_Not based on earnings
BJL2267		How would you describe your navigation experience on the SSA site today prior to arriving at the Retirement Estimator? (Please select all that apply)	I had no difficulty navigating/browsing to the Retirement Estimator		Checkbox, one-up vertical	Y	Skip Logic Group	Navigation Experience
			I had difficulty finding the links to the Retirement Estimator
			I had difficulty because the links did not take me where I expected
			I had difficulty because I experienced technical difficulties (error messages, broken links, etc.)
			I had a navigation difficulty not listed above:	A
BJL2268	A	Please describe your navigation difficulty and identify where on the Social Security website this problem occurred			Text area, no char limit	N	Skip Logic Group	Other Difficulty
MAD0043083		Prior to visiting the Retirement Estimator, have you used any of the following resources to prepare for your application for retirement?  (Please select all that apply)	Social Security’s Online Retirement Planner		Checkbox, one-up vertical	Y	Skip Logic Group	Other Resources
			SSA Home Page
			The Online Social Security Statement in  the my Social Security section
			Frequently Asked Questions (FAQ)
			Instructional video on the online application page
			Other resource on the SSA website	A
			I did not use any resources to prepare
MAD0043084	A	Please describe what other resources you used to help prepare for your retirement application			Text area, no char limit	N		OPS Other Resources
		Have you used any other SSA resources for your retirement planning? (Please select all that apply)	Your Online Social Security Statement in the my Social Security pages		Checkbox, one-up vertical	Y	Skip Logic Group	Other Resources
			Social Security’s Online Retirement Planner
			Other Social Security Calculators offered on ssa.gov
			Frequently Asked Questions (FAQ) on ssa.gov
			Other resources on the SSA website
			I used resources outside of ssa.gov	A
			I did not use any resources to prepare at this time				Mutually Exclusive
	A	Please describe what other resources you used to help prepare/plan for your retirement:			Text area, no char limit	N	Skip Logic Group	OPS Other Resources
BJL2270		What do you plan to do next on the Social Security website to continue your pre-retirement preparations?	Nothing, the Retirement Estimator provided what I needed		Radio button, one-up vertical	Y		Do Next
			Call Social Security's 800 number
			Call my local Social Security office
			Visit my local Social Security office
			Try finding the answers on the Social Security website
			Try the Retirement Estimator again
			Don't Know
			Other	A
MAD0043085	A	Please describe what you plan to do next to continue your pre-retirement preparation			Text area, no char limit	N		OPS Do Next
		After visiting the Retirement Estimator today, what do you plan to do next?	Nothing, the Retirement Estimator provided what I needed		Radio button, one-up vertical	Y	Skip Logic Group	Do Next Y/N
			Try the Retirement Estimator again (at a later time)
			I am ready to file for Social Security Retirement Benefits
			Browse the SSA website
			I will call Social Security’s 1-800 number
			I will visit my local Social Security Office
			I do not know what I will do next at this time
STE0061399		Have you registered for a my Social Security account?	Yes		Radio button, one-up vertical	Y	Skip Logic	Have mySSA Account
			No	A
STE0061400	A	What is the main reason you have not registered for a my Social Security account?	I am currently trying to register for a my Social Security account. I plan to register for a my Social Security account today		Radio button, one-up vertical	Y	Skip Logic	Why Not Have mySSA Account
			I plan to register for a my Social Security account in the near future
			I tried to register for a my Social Security account, but was unsuccessful.
			I am not sure why I need a my Social Security account
			I do not want a my Social Security account.
			I am unaware of what a my Social Security account is.
			Other (please specify): Other, please specify	AA
STE0061424	AA	Please tell us why you have not registered for a my Social Security account.			Text field, no char limit	N	Skip Logic	OPS_Why Not Have mySSA Account
BJL2273		What is your age?	Under 30		Drop down, select one	N		Age
			30 to 39
			40 to 49
			50 to 54
			55 to 59
			60 to 61
			62 to 63
			64 to 65
			66 and over
			Prefer not to answer
		What is your age?	40 and under		Drop down, select one	N		Age
			41 to 50
			51 to 61
			62 to 64
			65 to 67
			68 to 70
			Prefer not to answer
BJL2278		What is your current marital status?	Married		Radio button, one-up vertical	N	OPS Group	Marital Status
			Significant Other/Partner
			Separated
			Divorced
			Widowed
			Never married
			Never Married/Single
			Prefer not to answer
			Other, please specify	x
BJL2279	X	Other marital status			Text field, <100 char	N	OPS Group	Other Marital
BJL2280		Please tell us if there are any improvements/changes you would make to the Retirement Estimator. Do you have any suggestions for improving the online Retirement Estimator application?			Text area, no char limit	N		Improvement