Q_PbgcGov_Web_Brow Q_PbgcGov_Web_Browse_20180410_DOT

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Overview

Current Model Qsts 9.22.14
Current CQs
CQs (4-10-18)
CQs (12-7-17)
CQs (4-24-17)
CQs(6-7-2016)
CQs 10.02.15 edits for DOT
CQs 3.31.15 edits for DOT
CQ edits live 2.5.15
CQs 1.28.15 edits for DOT
Current MQs - edit (9-22-14)
CQs 8.26.14 live
CQs 8.18.14 edits for DOT
CQs 9-20-13
Custom Qsts (9-18-13)
Custom Qsts (2-6-13)
Custom Qsts (1-21-13)
Custom Qsts (12-20-12)
Custom Qsts (10-9-12)

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Sheet 1: Current Model Qsts 9.22.14

Model Instance Name:
PBGC.gov v4
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==
Partitioned: No
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:		9/18/2012 (9.22.14 aspect wording change)
PBGC.gov v4
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
		Content (1=Poor, 10=Excellent, Don't Know)			Satisfaction			Prefer Web Channel (1=Very Unlikely, 10=Very Likely)
1	Content - Accuracy	Please rate the thoroughness of information on this site.	13	Satisfaction - Overall	What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)	16	Prefer Web Channel	How likely are you to use this site rather than calling or writing?
2	Content - Quality	Please rate the quality of information on this site.	14	Satisfaction - Expectations	How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)			Recommend (1=Very Unlikely, 10=Very Likely)
3	Content - Freshness	Please rate your perception of the freshness of content on this site.	15	Satisfaction - Ideal	How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)	17	Recommend	How likely are you to recommend this site to someone else?
		Navigation (1=Poor, 10=Excellent, Don't Know)
4	Navigation - Organized	Please rate how well the site is organized.
5	Navigation - Options	Please rate the options available for navigating this site (for example, menus, links).
6	Navigation - Layout	Please rate how well the site layout helps you find what you are looking for.
		Search (1=Poor, 10=Excellent, Don't Know)
7	Search - Results Relevance	Please rate the relevance of search results on this site.
8	Search - Results Organization	Please rate the organization of search results on this site.
9	Search - Results Help	Please rate how well the headings and descriptions in the search results help you decide what to select.
		Plain Language (1=Poor, 10=Excellent, Don't Know)
10	Plain Language - Clear	Please rate the clarity of the wording on this site.
11	Plain Language - Understandable	Please rate how well you understand the wording on this site.
12	Plain Language - Concise	Please rate the site on its use of short, clear sentences.

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Sheet 2: Current CQs

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	6.1.16
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			Excellent=10
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			Excellent=10
LIV0079825		About how often do you interact with the PBGC?	This is my first interaction		Radio button, one-up vertical	S	Y		Visit Frequency
			At least monthly
			A few times a year
			Once a year or less
LNH0801		Which best describes you?	Eligible for future PBGC benefits		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Retiree receiving benefit payments from PBGC
			Worker/retiree with active pension plan
			Worker/retiree without a pension plan
			Disabled worker or retiree
			Widow(er) or spouse or beneficiary
			Family, friend, beneficiary, and/or power of attorney
			Practitioner or pension professional
			Media or press representative
			Congressional or regulatory researcher
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		What was your primary reason for visiting PBGC’s website?	Benefit entitlement question		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			Interest in what benefits of mine are insured by PBGC
			What to expect if PBGC takes over my pension plan
			My Pension Benefit Account (MyPBA)
			Learning about PBGC's mission
			Benefit estimate
			Media report
			PBGC newsletter
			Other (please specify)	A
LNH0804	A	Please specify your reason for visiting PBGC.gov today.			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes		Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No
LNH0806		How could our website better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		PBGC wants to ensure we are providing you with excellent customer service. If you have a particular issue you need help with we want to hear from you. Please indicate that you would like to be contacted and provide us with the best way to reach you. Please note: This survey is anonymous unless you provide contact information.	Yes, please contact me by phone	A, C, D, E	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			Yes, please contact me by email	A, B, F
			Yes, you can contact me by either phone or email	A, B, C, D, E
			No, no contact is needed.
LNH0808	A	This survey is anonymous unless you provide contact information. If you would like a PBGC representative to contact you, please provide the following: Name: (First/Last Name)			Text field, <100 char	S	Y	Skip Logic Group*	Name
LNH0809	B	Email: (e.g. [email protected])			Text field, <100 char	S	Y	Skip Logic Group*	Email
LNH0810	C	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	Y	Skip Logic Group*	Telephone
RUS0222744	D	Best weekday(s) to be reached:	Monday		Checkbox, one-up vertical	Multi	Y	Skip Logic Group*	Best Day to Reach	change to multi select
			Tuesday
			Wednesday
			Thursday
			Friday
RUS0222745	E	Best time(s) to be reached:	9 - 10 AM (ET)		Checkbox, one-up vertical	Multi	Y	Skip Logic Group*	Best hour to Reach	change to multi select
			10 - 11 AM (ET)
			11 - 12 PM (ET)
			12 - 1 PM (ET)
			1 - 2 PM (ET)
			2 - 3 PM (ET)
			3 - 4 PM (ET)
			4 - 5 PM (ET)
			5 - 6 PM (ET)
LNH0813	A	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

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Sheet 3: CQs (4-10-18)

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	6.1.16
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			Excellent=10
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			Excellent=10
LIV0079825		About how often do you interact with the PBGC?	This is my first interaction		Radio button, one-up vertical	S	Y		Visit Frequency
			At least monthly
			A few times a year
			Once a year or less
LNH0801		Which best describes you?	Eligible for future PBGC benefits		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Retiree receiving benefit payments from PBGC
			Worker/retiree with active pension plan
			Worker/retiree without a pension plan
			Disabled worker or retiree
			Widow(er) or spouse or beneficiary
			Family, friend, beneficiary, and/or power of attorney
			Practitioner or pension professional
			Media or press representative
			Congressional or regulatory researcher
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		What was your primary reason for visiting PBGC’s website?	Benefit entitlement question		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			Interest in what benefits of mine are insured by PBGC
			What to expect if PBGC takes over my pension plan
			My Pension Benefit Account (MyPBA)
			Learning about PBGC's mission
			Benefit estimate
			Media report
			PBGC newsletter
			Other (please specify)	A
LNH0804	A	Please specify your reason for visiting PBGC.gov today.			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes		Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No
LNH0806		How could our website better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		PBGC wants to ensure we are providing you with excellent customer service. If you have a particular issue you need help with we want to hear from you. Please indicate that you would like to be contacted and provide us with the best way to reach you. Please note: This survey is anonymous unless you provide contact information.	Yes, please contact me by phone	A, C, D, E	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			Yes, please contact me by email	A, B, F
			Yes, you can contact me by either phone or email	A, B, C, D, E
			No, no contact is needed.
LNH0808	A	This survey is anonymous unless you provide contact information. If you would like a PBGC representative to contact you, please provide the following: Name: (First/Last Name)			Text field, <100 char	S	Y	Skip Logic Group*	Name
LNH0809	B	Email: (e.g. [email protected])			Text field, <100 char	S	Y	Skip Logic Group*	Email
LNH0810	C	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	Y	Skip Logic Group*	Telephone
LNH0811	D	Best weekday to be reached:	Monday		Drop down, select one	S	Y	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
	D	Best weekday(s) to be reached:	Monday		Checkbox, one-up vertical	Multi	Y	Skip Logic Group*	Best Day to Reach	change to multi select
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	E	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	Y	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
	E	Best time(s) to be reached:	9 - 10 AM (ET)		Checkbox, one-up vertical	Multi	Y	Skip Logic Group*	Best hour to Reach	change to multi select
			10 - 11 AM (ET)
			11 - 12 PM (ET)
			12 - 1 PM (ET)
			1 - 2 PM (ET)
			2 - 3 PM (ET)
			3 - 4 PM (ET)
			4 - 5 PM (ET)
			5 - 6 PM (ET)
LNH0813	A	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

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Sheet 4: CQs (12-7-17)

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	6.1.16
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			Excellent=10
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			Excellent=10
LIV0079825		About how often do you interact with the PBGC?	This is my first interaction		Radio button, one-up vertical	S	Y		Visit Frequency
			At least monthly
			A few times a year
			Once a year or less
LNH0801		Which best describes you?	Eligible for future PBGC benefits		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Retiree receiving benefit payments from PBGC
			Worker/retiree with active pension plan
			Worker/retiree without a pension plan
			Disabled worker or retiree
			Widow(er) or spouse or beneficiary
			Family, friend, beneficiary, and/or power of attorney
			Practitioner or pension professional
			Media or press representative
			Congressional or regulatory researcher
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		What was your primary reason for visiting PBGC’s website?	Benefit entitlement question		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			Interest in what benefits of mine are insured by PBGC
			What to expect if PBGC takes over my pension plan
			My Pension Benefit Account (MyPBA)
			Learning about PBGC's mission
			Benefit estimate
			Media report
			PBGC newsletter
			Other (please specify)	A
LNH0804	A	Please specify your reason for visiting PBGC.gov today.			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes		Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No
LNH0806		How could our website better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
KAU0158931		PBGC recently redesigned its website to improve service to you. We would like to hear your thoughts and opinions on the new look.	I have feedback on the new look	Z	Radio button, one-up vertical	S	Y	Skip Logic Group	Noticed Changes
			I did not notice changes to the site
KAU0158932	Z	Please share your feedback on the new look of PBGC’s website.			Text area, no char limit		N	Skip Logic Group	Feedback on change
LNH0807		PBGC wants to ensure we are providing you with excellent customer service. If you have a particular issue you need help with we want to hear from you. Please indicate that you would like to be contacted and provide us with the best way to reach you. Please note: This survey is anonymous unless you provide contact information.	Yes, please contact me by phone	A, C, D, E	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			Yes, please contact me by email	A, B, F
			Yes, you can contact me by either phone or email	A, B, C, D, E
			No, no contact is needed.
LNH0808	A	This survey is anonymous unless you provide contact information. If you would like a PBGC representative to contact you, please provide the following: Name: (First/Last Name)			Text field, <100 char	S	Y	Skip Logic Group*	Name
LNH0809	B	Email: (e.g. [email protected])			Text field, <100 char	S	Y	Skip Logic Group*	Email
LNH0810	C	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	Y	Skip Logic Group*	Telephone
LNH0811	D	Best weekday to be reached:	Monday		Drop down, select one	S	Y	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	E	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	Y	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

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Sheet 5: CQs (4-24-17)

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	6.1.16
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			Excellent=10
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			Excellent=10
LIV0079825		About how often do you interact with the PBGC?	This is my first interaction		Radio button, one-up vertical	S	Y		Visit Frequency
			At least monthly
			A few times a year
			Once a year or less
LNH0801		Which best describes you?	Eligible for future PBGC benefits		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Retiree receiving benefit payments from PBGC
			Worker/retiree with active pension plan
			Worker/retiree without a pension plan
			Disabled worker or retiree
			Widow(er) or spouse or beneficiary
			Family, friend, beneficiary, and/or power of attorney
			Practitioner or pension professional
			Media or press representative
			Congressional or regulatory researcher
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	Benefit entitlement question		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			Interest in what benefits of mine are insured by PBGC
			What to expect if PBGC takes over my pension plan
			My Pension Benefit Account (MyPBA)
			Learning about PBGC's mission
			Benefit estimate
			Media report
			PBGC newsletter
			Other (please specify)	A
LNH0804	A	Please specify your reason for visiting PBGC.gov today.			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes		Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No
LNH0806		How could our website better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
		PBGC recently redesigned its website to improve service to you. We would like to hear your thoughts and opinions on the new look.	I have feedback on the new look	Z	Radio button, one-up vertical	S	Y	Skip Logic Group	Noticed Changes
			I did not notice changes to the site
	Z	Please share your feedback on the new look of PBGC’s website.			Text area, no char limit		N	Skip Logic Group	Feedback on change
LNH0807		PBGC wants to ensure we are providing you with excellent customer service. If you have a particular issue you need help with we want to hear from you. Please indicate that you would like to be contacted and provide us with the best way to reach you. Please note: This survey is anonymous unless you provide contact information.	Yes, please contact me by phone	A, C, D, E	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			Yes, please contact me by email	A, B, F
			Yes, you can contact me by either phone or email	A, B, C, D, E
			No, no contact is needed.
LNH0808	A	This survey is anonymous unless you provide contact information. If you would like a PBGC representative to contact you, please provide the following: Name: (First/Last Name)			Text field, <100 char	S	Y	Skip Logic Group*	Name
LNH0809	B	Email: (e.g. [email protected])			Text field, <100 char	S	Y	Skip Logic Group*	Email
LNH0810	C	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	Y	Skip Logic Group*	Telephone
LNH0811	D	Best weekday to be reached:	Monday		Drop down, select one	S	Y	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	E	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	Y	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

---

Sheet 6: CQs(6-7-2016)

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	6.1.16
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			Excellent=10
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			Excellent=10
LIV0079825		About how often do you interact with the PBGC?	This is my first interaction		Radio button, one-up vertical	S	Y		Visit Frequency
			At least monthly
			A few times a year
			Once a year or less
LNH0801		Which best describes you?	Eligible for future PBGC benefits		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Retiree receiving benefit payments from PBGC
			Worker/retiree with active pension plan
			Worker/retiree without a pension plan
			Worker
			Retiree
			Disabled worker or retiree
			Widow(er) or spouse or beneficiary
			Family, friend, beneficiary, and/or power of attorney
			Practitioner or pension professional
			Media or press representative
			Congressional or regulatory researcher
			Trade association or business organization
			Job seeker
			Student
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	Benefit entitlement question		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			Interest in what benefits of mine are insured by PBGC
			What to expect if PBGC takes over my pension plan
			My Pension Benefit Account (MyPBA)
			To better understand the extent to which my benefits (pension, health care, etc.) are insured
			Learning about PBGC's mission
			To access a plan administrator account (My PAA)
			Benefit estimate
			Media report
			PBGC newsletter
			I received an Annual Funding Notice from my employer
			Other (please specify)	A
LNH0804	A	Please specify your reason for visiting PBGC.gov today.			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes		Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No
LNH0806		How could our website better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		PBGC wants to ensure we are providing you with excellent customer service. If you have a particular issue you need help with we want to hear from you. Please indicate that you would like to be contacted and provide us with the best way to reach you. Please note: This survey is anonymous unless you provide contact information.	Yes, please contact me by phone	A, C, D, E	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			Yes, please contact me by email	A, B, F
			Yes, you can contact me by either phone or email	A, B, C, D, E
			No, no contact is needed.
LNH0808	A	This survey is anonymous unless you provide contact information. If you would like a PBGC representative to contact you, please provide the following: Name: (First/Last Name)			Text field, <100 char	S	Y	Skip Logic Group*	Name
LNH0809	B	Email: (e.g. [email protected])			Text field, <100 char	S	Y	Skip Logic Group*	Email
LNH0810	C	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	Y	Skip Logic Group*	Telephone
LNH0811	D	Best weekday to be reached:	Monday		Drop down, select one	S	Y	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	E	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	Y	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

---

Sheet 7: CQs 10.02.15 edits for DOT

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	9.28.15
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LIV0079825		About how often do you interact with the PBGC?	This is my first interaction		Radio button, one-up vertical	S	Y		Visit Frequency
			At least monthly
			A few times a year
			Once a year or less
LNH0801		Which best describes you?	Worker		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Retiree
			Disabled worker or retiree
			Widow(er) or spouse or beneficiary
			Other family member, friend, or power of attorney
			Practitioner or pension professional
			Media or press representative
			Congressional or regulatory researcher
			Trade association or business organization
			Job seeker
			Student
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	To find out if I am entitled to a benefit or unclaimed pension		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			To learn if my pension plan is insured or covered by the PBGC
			To learn what to expect if PBGC takes over my pension plan
			To access my pension benefit account (MyPBA) to update my account information, obtain forms, etc.
			To better understand the extent to which my benefits (pension, health care, etc.) are insured
			To learn more about PBGC's mission to protect pensions
			To access a plan administrator account (My PAA)
			To get an estimate of my benefit
			I saw or heard something about PBGC in the media
			I received a newsletter from PBGC
			I received an Annual Funding Notice from my employer
			Other (please specify)	A
LNH0804	A	Please specify your reason for visiting PBGC.gov today.			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes		Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No
LNH0806		How could PBGC.gov better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		PBGC wants to ensure we are providing you with excellent customer service. If you have a particular issue you need help with we want to hear from you. Please indicate that you would like to be contacted and provide us with the best way to reach you. Please note: This survey is anonymous unless you provide contact information.	Yes, please contact me.		Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			Yes, please contact me by phone	A, C, D, E
			Yes, please contact me by email	A, B, F
			Yes, you can contact me by either phone or email	A, B, C, D, E
			No, no contact is needed.
LNH0808	A	This survey is anonymous unless you provide contact information. If you would like a PBGC representative to contact you, please provide the following: Name: (First/Last Name)			Text field, <100 char	S	Y	Skip Logic Group*	Name
LNH0809	B	Email: (e.g. [email protected])			Text field, <100 char	S	Y	Skip Logic Group*	Email
LNH0810	C	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	Y	Skip Logic Group*	Telephone
LNH0811	D	Best weekday to be reached:	Monday		Drop down, select one	S	Y	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	E	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	Y	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

---

Sheet 8: CQs 3.31.15 edits for DOT

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	3.31.15
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0799		Is this your first visit to PBGC.gov?	Yes		Radio button, one-up vertical	S	Y		Visit Frequency_ OLD
			No
			Not sure
		About how often do you interact with the PBGC?	This is my first interaction		Radio button, one-up vertical	S	Y		Visit Frequency
			At least monthly
			A few times a year
			Once a year or less
LNH0801		Which best describes you?	Worker or retiree		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Worker
			Retiree
			Disabled worker or retiree
			Widow(er) or spouse or beneficiary
			Other family member, friend, or power of attorney
			Researcher or student
			Practitioner or pension professional
			Media or press representative
			Congressional or regulatory researcher
			Trade association or business organization
			Job seeker
			Student
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	To find out if I am entitled to a benefit or unclaimed pension		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			To learn if my pension plan is insured or covered by the PBGC
			To learn what to expect if PBGC takes over my pension plan
			To access my pension benefit account (MyPBA) to update my account information, obtain forms, etc.
			To better understand the extent to which my benefits (pension, health care, etc.) are insured
			To learn more about PBGC's mission to protect pensions
			To read about recent PBGC news
			To access a plan administrator account (My PAA)
			To get an estimate of my benefit
			I saw or heard something about PBGC in the media
			I received a newsletter from PBGC
			I received an Annual Funding Notice from my employer
			Other (please specify)	A
LNH0804	A	Please specify your reason for visiting PBGC.gov today.			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes		Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No
LNH0806		How could PBGC.gov better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		Would you like PBGC to contact you about your experience today?	Yes, please contact me.	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			No, no contact is needed.
LNH0808	A	This survey is anonymous unless you provide contact information. If you would like a PBGC representative to contact you, please provide the following: Name: (First/Last Name)			Text field, <100 char	S	N	Skip Logic Group*	Name
LNH0809	A	Email: (e.g. [email protected])			Text field, <100 char	S	N	Skip Logic Group*	Email
LNH0810	A	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	N	Skip Logic Group*	Telephone
LNH0811	A	Best weekday to be reached:	Monday		Drop down, select one	S	N	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	A	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	N	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

---

Sheet 9: CQ edits live 2.5.15

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	2.5.15
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0799		Is this your first visit to PBGC.gov?	Yes		Radio button, one-up vertical	S	Y		Visit Frequency
			No
			Not sure
LNH0801		Which best describes you?	Worker or retiree		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Widow(er) or spouse or beneficiary
			Other family member, friend, or power of attorney
			Disabled worker or retiree
			Researcher or student
			Practitioner or pension professional
			Media or press representative
			Trade association or business organization
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	To find out if I am entitled to a benefit or unclaimed pension		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			To learn if my pension plan is insured or covered by the PBGC
			To learn what to expect if PBGC takes over my pension plan
			To access my pension benefit account (MyPBA) to update my account information, obtain forms, etc.
			To better understand the extent to which my benefits (pension, health care, etc.) are insured
			To learn more about PBGC's mission to protect pensions
			To read about recent PBGC news
			To access a plan administrator account (My PAA)
			To understand the Annual Funding Notice I received from my employer
			To get an estimate of my benefit
			Other (please specify)	A
LNH0804	A	Please specify your reason for visiting PBGC.gov today.			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes		Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No
LNH0806		How could PBGC.gov better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		Would you like PBGC to contact you about your experience today?	Yes, please contact me.	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			No, no contact is needed.
LNH0808	A	This survey is anonymous unless you provide contact information. If you would like a PBGC representative to contact you, please provide the following: Name: (First/Last Name)			Text field, <100 char	S	N	Skip Logic Group*	Name
LNH0809	A	Email: (e.g. [email protected])			Text field, <100 char	S	N	Skip Logic Group*	Email
LNH0810	A	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	N	Skip Logic Group*	Telephone
LNH0811	A	Best weekday to be reached:	Monday		Drop down, select one	S	N	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	A	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	N	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

---

Sheet 10: CQs 1.28.15 edits for DOT

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	1.28.15 (live 2.5)
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0799		Is this your first visit to PBGC.gov?	Yes		Radio button, one-up vertical	S	Y		Visit Frequency
			No
			Not sure
LNH0801		Which best describes you?	Worker or retiree		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Widow(er) or spouse or beneficiary
			Other family member, friend, or power of attorney
			Disabled worker or retiree
			Researcher or student
			Practitioner or pension professional
			Media or press representative
			Trade association or business organization
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	To find out if I am entitled to a benefit or unclaimed pension		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			To learn if my pension plan is insured or covered by the PBGC
			To learn what to expect if PBGC takes over my pension plan
			To access my pension benefit account (MyPBA) to update my account information, obtain forms, etc.
			To better understand the extent to which my benefits (pension, health care, etc.) are insured
			To learn more about PBGC's mission to protect pensions
			To read about recent PBGC news
			To access a plan administrator account (My PAA)
			To understand the Annual Funding Notice I received from my employer
			To get an estimate of my benefit
			Other (please specify)	A
LNH0804	A	Please specify your reason for visiting PBGC.gov today.			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes		Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No
LNH0806		How could PBGC.gov better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		Would you like PBGC to contact you about your experience today?	Yes, please contact me.	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			No, no contact is needed.
LNH0808	A	This survey is anonymous unless you provide contact information. If you would like a PBGC representative to contact you, please provide the following: Name: (First/Last Name)			Text field, <100 char	S	N	Skip Logic Group*	Name
LNH0809	A	Email: (e.g. [email protected])			Text field, <100 char	S	N	Skip Logic Group*	Email
LNH0810	A	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	N	Skip Logic Group*	Telephone
LNH0811	A	Best weekday to be reached:	Monday		Drop down, select one	S	N	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	A	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	N	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

---

Sheet 11: Current MQs - edit (9-22-14)

Model Instance Name:
PBGC.gov v4
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==
Partitioned: No
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:		9/18/2012 (
PBGC.gov v4
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
		Content (1=Poor, 10=Excellent, Don't Know)			Satisfaction			Prefer Web Channel (1=Very Unlikely, 10=Very Likely)
1	Content - Accuracy	Please rate the thoroughness of information on this site.	13	Satisfaction - Overall	What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)	16	Prefer Web Channel	How likely are you to use this site rather than calling or writing?
2	Content - Quality	Please rate the quality of information on this site.	14	Satisfaction - Expectations	How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)			Recommend (1=Very Unlikely, 10=Very Likely)
3	Content - Freshness	Please rate your perception of the freshness of content on this site.	15	Satisfaction - Ideal	How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)	17	Recommend	How likely are you to recommend this site to someone else?
		Navigation (1=Poor, 10=Excellent, Don't Know)
4	Navigation - Organized	Please rate how well the site is organized.
5	Navigation - Options	Please rate the options available for navigating this site (for example, menus, links, site map).
6	Navigation - Layout	Please rate how well the site layout helps you find what you are looking for.
		Search (1=Poor, 10=Excellent, Don't Know)
7	Search - Results Relevance	Please rate the relevance of search results on this site.
8	Search - Results Organization	Please rate the organization of search results on this site.
9	Search - Results Help	Please rate how well the headings and descriptions in the search results help you decide what to select.
		Plain Language (1=Poor, 10=Excellent, Don't Know)
10	Plain Language - Clear	Please rate the clarity of the wording on this site.
11	Plain Language - Understandable	Please rate how well you understand the wording on this site.
12	Plain Language - Concise	Please rate the site on its use of short, clear sentences.

---

Sheet 12: CQs 8.26.14 live

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	8.18.14
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0799		Is this your first visit to PBGC.gov?	Yes		Radio button, one-up vertical	S	Y		Visit Frequency
			No
			Not sure
LNH0801		Which best describes you?	Worker or retiree		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Widow(er) or spouse or beneficiary
			Other family member, friend, or power of attorney
			Disabled worker or retiree
			Researcher or student
			Practitioner or pension professional
			Media or press representative
			Trade association or business organization
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	To find out if I am entitled to a benefit or unclaimed pension		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			To learn if my pension plan is insured or covered by the PBGC
			To learn what to expect if PBGC takes over my pension plan
			To access my pension benefit account (MyPBA) to update my account information, obtain forms, etc.
			To better understand the extent to which my benefits (pension, health care, etc.) are insured
			To learn more about PBGC's mission to protect pensions
			To read about recent PBGC news
			To access a plan administrator account (My PAA)
			To understand the Annual Funding Notice I received from my employer
			To get an estimate of my benefit
			Other (please specify)	A
LNH0804	A	Please specify your reason for visiting PBGC.gov today.			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes		Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No
LNH0806		How could PBGC.gov better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		Would you like PBGC to contact you about your experience today?	Yes, please contact me.	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			No, no contact is needed.
LNH0808	A	Please provide the following information, and a PBGC representative will contact you. Name: (First/Last Name)			Text field, <100 char	S	N	Skip Logic Group*	Name
LNH0809	A	Email: (e.g. [email protected])			Text field, <100 char	S	N	Skip Logic Group*	Email
LNH0810	A	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	N	Skip Logic Group*	Telephone
LNH0811	A	Best weekday to be reached:	Monday		Drop down, select one	S	N	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	A	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	N	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

---

Sheet 13: CQs 8.18.14 edits for DOT

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	8.18.14
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0799		Is this your first visit to PBGC.gov?	Yes		Radio button, one-up vertical	S	Y		Visit Frequency
			No
			Not sure
LNH0801		Which best describes you?	Worker or retiree		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Widow(er) or spouse or beneficiary
			Other family member, friend, or power of attorney
			Disabled worker or retiree
			Researcher or student
			Practitioner or pension professional
			Media or press representative
			Trade association or business organization
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	To find out if I am entitled to a benefit or unclaimed pension		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			To learn if my pension plan is insured or covered by the PBGC
			To learn what to expect if PBGC takes over my pension plan
			To access my pension benefit account (MyPBA) to update my account information, obtain forms, etc.
			To better understand the extent to which my benefits (pension, health care, etc.) are insured
			To learn more about PBGC's mission to protect pensions
			To read about recent PBGC news
			To access a plan administrator account (My PAA)
			To understand the Annual Funding Notice I received from my employer
			To get an estimate of my benefit
			Other (please specify)	A
LNH0804	A	Please specify your reason for visiting PBGC.gov today.			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No	A
LNH0806	A	How could PBGC.gov better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		Would you like PBGC to contact you about your experience today?	Yes, please contact me.	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			No, no contact is needed.
LNH0808	A	Please provide the following information, and a PBGC representative will contact you. Name: (First/Last Name)			Text field, <100 char	S	N	Skip Logic Group*	Name
LNH0809	A	Email: (e.g. [email protected])			Text field, <100 char	S	N	Skip Logic Group*	Email
LNH0810	A	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	N	Skip Logic Group*	Telephone
LNH0811	A	Best weekday to be reached:	Monday		Drop down, select one	S	N	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	A	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	N	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

---

Sheet 14: CQs 9-20-13

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	9/18/2012
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0799		Is this your first visit to PBGC.gov?	Yes		Radio button, one-up vertical	S	Y		Visit Frequency
			No
			Not sure
LNH0801		Which best describes you?	Worker or retiree		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Widow(er) or spouse or beneficiary
			Other family member, friend, or power of attorney
			Disabled worker or retiree
			Researcher or student
			Practitioner or pension professional
			Media or press representative
			Trade association or business organization
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	To find out if I am entitled to a benefit or unclaimed pension		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			To learn if my pension plan is insured or covered by the PBGC
			To learn what to expect if PBGC takes over my pension plan
			To access my pension benefit account (MyPBA) to update my account information, obtain forms, etc.
			To better understand the extent to which my benefits (pension, health care, etc.) are insured
			To learn more about PBGC's mission to protect pensions
			To read about recent PBGC news
			To access a plan administrator account (My PAA)
			To understand the Annual Funding Notice I received from my employer
			To get an estimate of my benefit
			Other (please specify)	A
LNH0804	A	Please specify your reason for visiting PBGC.gov today.			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No	A
LNH0806	A	How could PBGC.gov better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		Would you like PBGC to contact you regarding your response?	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			No
LNH0808	A	Please provide the following information, and a PBGC representative will contact you. Name: (First/Last Name)			Text field, <100 char	S	N	Skip Logic Group*	Name
LNH0809	A	Email: (e.g. [email protected])			Text field, <100 char	S	N	Skip Logic Group*	Email
LNH0810	A	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	N	Skip Logic Group*	Telephone
LNH0811	A	Best weekday to be reached:	Monday		Drop down, select one	S	N	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	A	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	N	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	What type of assistance do you need from PBGC?			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

---

Sheet 15: Custom Qsts (9-18-13)

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	9/18/2012
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0799		Is this your first visit to PBGC.gov?	Yes		Radio button, one-up vertical	S	Y		Visit Frequency
			No
			Not sure
LNH0801		Which best describes you?	Worker or retiree		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Widow(er) or spouse or beneficiary
			Other family member, friend, or power of attorney
			Disabled worker or retiree
			Researcher or student
			Practitioner or pension professional
			Media or press representative
			Trade association or business organization
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	To find out if I am entitled to a benefit or unclaimed pension		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			To learn if my pension plan is insured or covered by the PBGC
			To learn what to expect if PBGC takes over my pension plan
			To access my pension benefit account (MyPBA) to update my account information, obtain forms, etc.
			To better understand the extent to which my benefits (pension, health care, etc.) are insured
			To learn more about PBGC's mission to protect pensions
			To read about recent PBGC news
			To access a plan administrator account (My PAA)
			To understand the Annual Funding Notice I received from my employer
			To get an estimate of my benefit
			Other (please specify)	A
LNH0804	A	Other - best describes you: Please specify your reason for visiting PBGC.gov today.			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No	A
LNH0806	A	How could PBGC.gov better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		Would you like PBGC to contact you regarding your response?	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			No
LNH0808	A	Please provide the following information, and a PBGC representative will contact you. Name: (First/Last Name)			Text field, <100 char	S	N	Skip Logic Group*	Name
LNH0809	A	Email: (e.g. [email protected])			Text field, <100 char	S	N	Skip Logic Group*	Email
LNH0810	A	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	N	Skip Logic Group*	Telephone
LNH0811	A	Best weekday to be reached:	Monday		Drop down, select one	S	N	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	A	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	N	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	What type of assistance do you need from PBGC?			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

---

Sheet 16: Custom Qsts (2-6-13)

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	9/18/2012
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ACQWro0021001		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0799		Is this your first visit to PBGC.gov?	Yes		Radio button, one-up vertical	S	Y		Visit Frequency
			No
			Not sure
LNH0801		Which best describes you?	Worker or retiree		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Widow(er) or spouse or beneficiary
			Other family member, friend, or power of attorney
			United Airlines worker or retiree
			Disabled worker or retiree
			Researcher or student
			Practitioner or pension professional
			Media or press representative
			Trade association or business organization
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	To find out if I am entitled to a benefit or unclaimed pension		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			To learn if my pension plan is insured or covered by the PBGC
			To learn what to expect if PBGC takes over my pension plan
			To access my pension benefit account (MyPBA) to update my account information, obtain forms, etc.
			To better understand the extent to which my benefits (pension, health care, etc.) are insured
			To learn more about PBGC's mission to protect pensions
			To read about recent PBGC news
			To access a plan administrator account (My PAA)
			To understand the Annual Funding Notice I received from my employer
			To get an estimate of my benefit
			Other (please specify)	A
LNH0804	A	Other - best describes you:			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No	A
LNH0806	A	How could PBGC.gov better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		Would you like PBGC to contact you regarding your response?	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			No
LNH0808	A	Please provide the following information, and a PBGC representative will contact you. Name: (First/Last Name)			Text field, <100 char	S	N	Skip Logic Group*	Name
LNH0809	A	Email: (e.g. [email protected])			Text field, <100 char	S	N	Skip Logic Group*	Email
LNH0810	A	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	N	Skip Logic Group*	Telephone
LNH0811	A	Best weekday to be reached:	Monday		Drop down, select one	S	N	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	A	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	N	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	What type of assistance do you need from PBGC?			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

---

Sheet 17: Custom Qsts (1-21-13)

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	9/18/2012
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
		How likely are you to return to this site?	1=Poor		Radio button, scale, no don't know	S	Y		Likelihood to Return
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0799		Is this your first visit to PBGC.gov?	Yes		Radio button, one-up vertical	S	Y		Visit Frequency
			No
			Not sure
LNH0801		Which best describes you?	Worker or retiree		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Widow(er) or spouse or beneficiary
			United Airlines worker or retiree
			Disabled worker or retiree
			Researcher or student
			Practitioner or pension professional
			Media or press representative
			Trade association or business organization
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	To find out if I am entitled to a benefit or unclaimed pension		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			To learn if my pension plan is insured or covered by the PBGC
			To learn what to expect if PBGC takes over my pension plan
			To access my pension benefit account (MyPBA) to update my account information, obtain forms, etc.
			To better understand the extent to which my benefits (pension, health care, etc.) are insured
			To learn more about PBGC's mission to protect pensions
			To read about recent PBGC news
			To access a plan administrator account (My PAA)
			To understand the Annual Funding Notice I received from my employer
			To get an estimate of my benefit
			Other (please specify)	A
LNH0804	A	Other - best describes you:			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No	A
LNH0806	A	How could PBGC.gov better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		Would you like PBGC to contact you regarding your response?	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			No
LNH0808	A	Please provide the following information, and a PBGC representative will contact you. Name: (First/Last Name)			Text field, <100 char	S	N	Skip Logic Group*	Name
LNH0809	A	Email: (e.g. [email protected])			Text field, <100 char	S	N	Skip Logic Group*	Email
LNH0810	A	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	N	Skip Logic Group*	Telephone
LNH0811	A	Best weekday to be reached:	Monday		Drop down, select one	S	N	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	A	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	N	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	What type of assistance do you need from PBGC?			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

---

Sheet 18: Custom Qsts (12-20-12)

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	9/18/2012
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
LNH0799		Is this your first visit to PBGC.gov?	Yes		Radio button, one-up vertical	S	Y		Visit Frequency
			No
			Not sure
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0801		Which best describes you?	Worker or retiree		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Widow(er) or spouse or beneficiary
			United Airlines worker or retiree
			Disabled worker or retiree
			Researcher or student
			Practitioner or pension professional
			Media or press representative
			Trade association or business organization
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	To find out if I am entitled to a benefit or unclaimed pension		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			To learn if my pension plan is insured or covered by the PBGC
			To learn what to expect if PBGC takes over my pension plan
			To access my pension benefit account (MyPBA) to update my account information, obtain forms, etc.
			To better understand the extent to which my benefits (pension, health care, etc.) are insured
			To learn more about PBGC's mission to protect pensions
			To read about recent PBGC news
			To access a plan administrator account (My PAA)
			To understand the Annual Funding Notice I received from my employer
			To get an estimate of my benefit
			Other (please specify)	A
LNH0804	A	Other - best describes you:			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No	A
LNH0806	A	How could PBGC.gov better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		Would you like PBGC to contact you regarding your response?	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			No
LNH0808	A	Please provide the following information, and a PBGC representative will contact you. Name: (First/Last Name)			Text field, <100 char	S	N	Skip Logic Group*	Name
LNH0809	A	Email: (e.g. [email protected])			Text field, <100 char	S	N	Skip Logic Group*	Email
LNH0810	A	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	N	Skip Logic Group*	Telephone
LNH0811	A	Best weekday to be reached:	Monday		Drop down, select one	S	N	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	A	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	N	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	What type of assistance do you need from PBGC?			Text area, no char limit	S	Y	Skip Logic Group*	Assistance requested

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Sheet 19: Custom Qsts (10-9-12)

Model Instance Name:			red & strike-through: DELETE
PBGC.gov v4			underlined & italicized: RE-ORDER
MID:	R4sAgMYZ0wBt9Bc1FAF1tA==		pink: ADDITION
			blue + -->: REWORDING
Date:	9/18/2012
PBGC.gov v4
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
LNH0799		Is this your first visit to PBGC.gov?	Yes		Radio button, one-up vertical	S	Y		Visit Frequency
			No
			Not sure
LNH0800		Using a scale of 1 to 10, where 1 is "poor" and 10 is "excellent," please rate the visual appeal of this site.	1=Poor		Radio button, scale, no don't know	S	Y		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			10=Excellent
LNH0801		Which best describes you?	Worker or retiree		Radio button, one-up vertical	S	Y	Skip Logic Group*	Role
			Widow(er) or spouse or beneficiary
			United Airlines worker or retiree
			Disabled worker or retiree
			Researcher or student
			Practitioner or pension professional
			Media or press representative
			Trade association or business organization
			Other (please specify)	A
LNH0802	A	Other - best describes you:			Text field, <100 char		N	Skip Logic Group*	OE_Role
LNH0803		Why did you visit PBGC's website today?	To find out if I am entitled to a benefit or unclaimed pension		Radio button, one-up vertical	S	Y	Skip Logic Group*	Primary Purpose
			To learn if my pension plan is insured or covered by the PBGC
			To learn what to expect if PBGC takes over my pension plan
			To access my pension benefit account (MyPBA) to update my account information, obtain forms, etc.
			To better understand the extent to which my benefits (pension, health care, etc.) are insured
			To learn more about PBGC's mission to protect pensions
			To read about recent PBGC news
			To access a plan administrator account (My PAA)
			To understand the Annual Funding Notice I received from my employer
			To get an estimate of my benefit
			Other (please specify)	A
LNH0804	A	Other - best describes you:			Text area, no char limit		N	Skip Logic Group*	OE_Primary Purpose
LNH0805		Did you find what you were looking for on PBGC.gov today?	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Find What Looking For
			No	A
LNH0806	A	How could PBGC.gov better meet your needs?			Text area, no char limit		N	Skip Logic Group*	OE_Better Meet Needs
LNH0807		Would you like PBGC to contact you regarding your response?	Yes	A	Radio button, one-up vertical	S	Y	Skip Logic Group*	Contact
			No
LNH0808	A	Please provide the following information, and a PBGC representative will contact you. Name: (First/Last Name)			Text field, <100 char	S	N	Skip Logic Group*	Name
LNH0809	A	Email: (e.g. [email protected])			Text field, <100 char	S	N	Skip Logic Group*	Email
LNH0810	A	Telephone: (e.g. 555-555-5555)			Text field, <100 char	S	N	Skip Logic Group*	Telephone
LNH0811	A	Best weekday to be reached:	Monday		Drop down, select one	S	N	Skip Logic Group*	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
LNH0812	A	Best time to be reached:	9 - 10 AM (EST)		Drop down, select one	S	N	Skip Logic Group*	Best hour to Reach
			10 - 11 AM (EST)
			11 - 12 PM (EST)
			12 - 1 PM (EST)
			1 - 2 PM (EST)
			2 - 3 PM (EST)
			3 - 4 PM (EST)
			4 - 5 PM (EST)
			5 - 6 PM (EST)
LNH0813	A	Type of assistance requested from PBGC:			Text area, no char limit	S	N	Skip Logic Group*	Assistance requested