Form 019 2019 019 VA FeedbackSurvey
E-Government Website Customer Satisfaction Surveys
2019 019 VA FeedbackSurvey.xlsx
2019 019 VA FeedbackSurvey
OMB: 1090-0008
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1090-0008 can be found here:
Document [xlsx]
Download: xlsx | pdf
VA Feedback1
Overview
Welcome and Thank You TextVA Feedback1
Sheet 1: Welcome and Thank You Text
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| Welcome and Thank You Text | ||||||
| Welcome Text | Thank You Text | |||||
| Welcome! Thank you for providing your feedback on the VA.gov website. | Thank you for your feedback. If you want a response to a specific question, please direct your question to a point of contact on the Contact Us page. | |||||
Sheet 2: VA Feedback1
| Model Name | ForeSee Feedback Questions | |||
| Date | 2/27/2019 |
|
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| Question Text | Answer Choices | |||
| How do you rate your experience on this page? | 1 Star | |||
| 2 Stars | ||||
| 3 Stars | ||||
| 4 Stars | ||||
| 5 Stars | ||||
| What are you trying to do on VA.gov today? | Learn about VA benefits and eligibility | |||
| Apply for a new benefit | ||||
| Check the status of my application or claim | ||||
| Manage my health care or benefits | ||||
| Find information about my VA Medical Center | ||||
| Get a Job at VA | ||||
| Something Else (Ask follow up) | ||||
| What are you trying to do on VA.gov today? | ||||
| Which VA service is this for? | Health Care | |||
| Disability | ||||
| Education and Training | ||||
| Careers and Employment | ||||
| Pension | ||||
| Housing Assistance | ||||
| Life Insurance | ||||
| Burials and Memorials | ||||
| Records | ||||
| Something Else (Ask follow up) | ||||
| Which VA service is this for? | ||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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