| Model Name | ForeSee Feedback Questions | 
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		| Date | 2/27/2019 | 
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		| Question Text | Answer Choices | 
	
		| How do you rate your experience on this page? | 1 Star | 
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 | 2 Stars | 
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 | 3 Stars | 
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 | 4 Stars | 
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 | 5 Stars | 
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		| What are you trying to do on VA.gov today? | Learn about VA benefits and eligibility | 
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		|  | Apply for a new benefit | 
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 | Check the status of my application or claim | 
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 | Manage my health care or benefits | 
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 | Find information about my VA Medical Center | 
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 | Get a Job at VA | 
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 | Something Else (Ask follow up) | 
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		| What are you trying to do on VA.gov today? | 
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		| Which VA service is this for? | Health Care | 
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 | Disability | 
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 | Education and Training | 
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 | Careers and Employment | 
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 | Pension | 
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 | Housing Assistance | 
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 | Life Insurance | 
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 | Burials and Memorials | 
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 | Records | 
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 | Something Else (Ask follow up) | 
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		| Which VA service is this for? | 
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