Q_PbgcMyPaa_Web_Br Q_PbgcMyPaa_Web_Browse_20180614_DOT

---

Overview

Current Model Qsts
Current CQs
CQs (6-14-18)
CQs 5-11-18
Custom Qsts (5-29-13)
Custom Qsts (4-1-12)
Custom Qsts (01-24-12)
Custom Qsts (04-04-11)

---

Sheet 1: Current Model Qsts

Model Instance Name:
PBGC My PAA v3
MID:	YcNcR4olw5RpZ44BQNw0UA==
Date:	10/4/2010
PBGC My PAA v3 MODEL QUESTION LIST
Model questions utilize the ACSI methodology to determine scores and impacts
	ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION		FUTURE BEHAVIORS
	Content (1=Poor, 10=Excellent, Don't Know)		Satisfaction		Future Transactions (1=Very Unlikely, 10=Very Likely)
1	Please rate the accuracy of information on this site.	20	What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)	23	How likely are you to conduct future transactions on this site?
2	Please rate the quality of information on this site.	21	How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)		Recommend (1=Very Unlikely, 10=Very Likely)
3	Please rate the freshness of content on this site.	22	How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)	24	How likely are you to recommend this site to someone else?
	Functionality (1=Poor, 10=Excellent, Don't Know)				Return (1=Very Unlikely, 10=Very Likely)
4	Please rate the usefulness of the features provided on this site.			25	How likely are you to return to this site?
5	Please rate the convenience of the features on this site.
6	Please rate the variety of features on this site.
	Look and Feel (1=Poor, 10=Excellent, Don't Know)
7	Please rate the visual appeal of this site.
8	Please rate the balance of graphics and text on this site.
9	Please rate the readability of the pages on this site.
	Navigation (1=Poor, 10=Excellent, Don't Know)
10	Please rate how well the site is organized.
11	Please rate the options available for navigating this site.
12	Please rate how well the site layout helps you find what you are looking for.
13	Please rate the number of clicks to get where you want on this site.
	Site Performance (1=Poor, 10=Excellent, Don't Know)
14	Please rate how quickly pages load on this site.
15	Please rate the consistency of speed from page to page on this site.
16	Please rate the ability to load pages without getting error messages on this site.
	Tasks/ Transactions (1=Poor, 10=Excellent, Don't Know)
17	Please rate the process for completing task(s) on this site.
18	Please rate the clarity of instructions for completing task(s) on this site.
19	Please rate the verification of task completion on this site.

---

Sheet 2: Current CQs

Model Instance Name:			red & strike-through: DELETE
PBGC My PAA v3			underlined & italicized: RE-ORDER
MID: YcNcR4olw5RpZ44BQNw0UA==			pink: ADDITION
Date:	6/1/2013		blue + -->: REWORDING
PBGC My PAA v3 CUSTOM QUESTION LIST
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 Labels
LON0030462		Did you experience any problems using My PAA?	Yes	C	Radio button, one-up vertical	Single	Y	Skip Logic Group	Experience Problems
			No
LON0030463	C	What problems did you experience? (Select all that apply.)	Unsure how to create or edit filing		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Problems
			Unsure how to sign or authorize payment
			Unsure how to submit, import, or upload a filing
			Difficulty understanding the e-filing instructions
			Difficulty understanding the premium instructions
			Password, user ID, secret question/answer issues
			Unexpectedly timed out or logged off
			Technical difficulties or system outage
			Slowness
			Difficulty adding plan or becoming filing coordinator
			Unclear My PAA warnings or error messages
			Other (please specify)	H
LON0030464	H	Please describe the problems you experienced.			Text area, no char limit		N	Skip Logic Group	OE_Problems
BUC0236784		Did you refer to the My PAA user guide or demos?	Yes, user guide	A	Radio button, one-up vertical	single	y	Skip Logic Group	User guides/demos
			Yes, demos	A
			Yes, both user guide and demos	A
			No, neither
			Not sure
BUC0236785	A	How could the user guide and/or demos be more helpful?			Text area, no char limit		N	Skip Logic Group	Improve guides/demos
LON0030459		What was your purpose in visiting My PAA today?	Prepare a premium filing		Radio button, one-up vertical	Single	Y	Skip Logic Group	Purpose
			Review/print premium filing receipt
			Review account history
			Add a plan/update filing team information
			Update, deactivate, or reactivate an account
			Submit a penalty reconsideration or refund request
			Change or unlock password
			Other (please specify)	B
LON0030460	B	Please describe your purpose in visiting My PAA today.			Text area, no char limit		N	Skip Logic Group	OE_Purpose
LON0030456		How frequently do you visit My PAA?	Daily		Radio button, one-up vertical	Single	Y		Visit Frequency
			Weekly
			Monthly
			Twice per year
			Once per year
			This is my first time
LON0030457		Which best describes you?	Plan administrator or sponsor		Radio button, one-up vertical	Single	Y	Skip Logic Group	Best Describes
			Third-party administrator (TPA)
			Representative of plan administrator or sponsor
			Actuary
			CFO or controller
			Small-business (<100 plan participants) owner or employee
			Consultant or accountant
			Employee benefits professional
			Other (please specify)	B
LON0030458	B	Please describe your business or position.			Text area, no char limit		N	Skip Logic Group	OE_Best Describes
LON0030461		Did you accomplish your goal using My PAA?	Yes		Radio button, one-up vertical	Single	Y		Accomplish Goal
			No
			In part
LON0030465		What could PBGC do to better meet your needs?			Text area, no char limit		N		Better Meet Needs
		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, F	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, F
			No, no contact is needed
	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
	B	Email: (e.g. ,[email protected])			Text field, <100 char	S	Y	Skip Logic Group	Email
	C	Telephone: (e.g. ,555-555-5555)			Text field, <100 char	S	Y	Skip Logic Group	Telephone
	D	Best weekday(s) to be reached:	Monday		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
	E	Best time(s) to be reached:	9 - 10 AM (ET)		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Best hour to Reach
			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)
	F	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y	Skip Logic Group	Assistance requested

---

Sheet 3: CQs (6-14-18)

Model Instance Name:			red & strike-through: DELETE
PBGC My PAA v3			underlined & italicized: RE-ORDER
MID: YcNcR4olw5RpZ44BQNw0UA==			pink: ADDITION
Date:	6/1/2013		blue + -->: REWORDING
PBGC My PAA v3 CUSTOM QUESTION LIST
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 Labels
LON0030462		Ray Seghers: questions are reordered Did you experience any problems using My PAA?	Yes	C	Radio button, one-up vertical	Single	Y	Skip Logic Group	Experience Problems
			No
LON0030463	C	What problems did you experience? (Select all that apply.)	Ray Seghers: response choices reordered Unsure how to create or edit filing		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Problems
			Unsure how to sign or authorize payment
			Unsure how to submit, import, or upload a filing
			Difficulty understanding the e-filing instructions
			Difficulty understanding the premium instructions
			Password, user ID, secret question/answer issues
			Unexpectedly timed out or logged off
			Technical difficulties or system outage
			Slowness
			Difficulty adding plan or becoming filing coordinator
			Unclear My PAA warnings or error messages
			Other (please specify)	H
LON0030464	H	Please describe the problems you experienced.			Text area, no char limit		N	Skip Logic Group	OE_Problems
		Did you refer to the My PAA user guide or demos?	Yes, user guide	A	Radio button, one-up vertical	single	y	Skip Logic Group	User guides/demos
			Yes, demos	A
			Yes, both user guide and demos	A
			No, neither
			Not sure
	A	How could the user guide and/or demos be more helpful?			Text area, no char limit		N	Skip Logic Group	Improve guides/demos
LON0030459		What was your purpose in visiting My PAA today?	Ray Seghers: response choices reordered Prepare a premium filing		Radio button, one-up vertical	Single	Y	Skip Logic Group	Purpose
			Review/print premium filing receipt
			Review account history
			Create an account
			Add a plan/update filing team information
			Update, deactivate, or reactivate an account
			Submit a penalty reconsideration or refund request
			Change or unlock password
			Other (please specify)	B
LON0030460	B	Please describe your purpose in visiting My PAA today.			Text area, no char limit		N	Skip Logic Group	OE_Purpose
LON0030456		How frequently do you visit My PAA?	Daily		Radio button, one-up vertical	Single	Y		Visit Frequency
			Weekly
			Monthly
			Ray Seghers: response choices in lines 42 and 43 swapped Twice per year
			Once per year
			This is my first time
LON0030457		Which best describes you?	Plan administrator or sponsor		Radio button, one-up vertical	Single	Y	Skip Logic Group	Best Describes
			Attorney
			Third-party administrator (TPA)
			Representative of plan administrator or sponsor
			Actuary
			CFO or controller
			Small-business (<100 plan participants) owner or employee
			Consultant or accountant
			Employee benefits professional
			Other (please specify)	B
LON0030458	B	Please describe your business or position.			Text area, no char limit		N	Skip Logic Group	OE_Best Describes
LON0030461		Did you accomplish your goal using My PAA?	Yes		Radio button, one-up vertical	Single	Y		Accomplish Goal
			No
			In part
LON0030465		What could PBGC do to better meet your needs?			Text area, no char limit		N		Better Meet Needs
		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, F	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, F
			No, no contact is needed
	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
	B	Email: (e.g. ,[email protected])			Text field, <100 char	S	Y	Skip Logic Group	Email
	C	Telephone: (e.g. ,555-555-5555)			Text field, <100 char	S	Y	Skip Logic Group	Telephone
	D	Best weekday(s) to be reached:	Monday		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
	E	Best time(s) to be reached:	9 - 10 AM (ET)		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Best hour to Reach
			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)
	F	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y	Skip Logic Group	Assistance requested

---

Sheet 4: CQs 5-11-18

Model Instance Name:			red & strike-through: DELETE
PBGC My PAA v3			underlined & italicized: RE-ORDER
MID: YcNcR4olw5RpZ44BQNw0UA==			pink: ADDITION
Date:	6/1/2013		blue + -->: REWORDING
PBGC My PAA v3 CUSTOM QUESTION LIST
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 Labels
LON0030456		How frequently do you visit My PAA?	Daily		Radio button, one-up vertical	Single	Y		Visit Frequency
			Weekly
			Monthly
			Once per year
			Twice per year
			This is my first time
LON0030457		Which best describes you?	Actuary		Radio button, one-up vertical	Single	Y	Skip Logic Group	Best Describes
			Attorney
			Third-party administrator (TPA)
			Consultant or accountant
			Plan administrator or sponsor
			Representative of plan administrator or sponsor
			Employee benefits professional
			Small-business (<100 plan participants) owner or employee
			CFO or controller
			Other (please specify)	B
LON0030458	B	Please describe your business or position.			Text area, no char limit		N	Skip Logic Group	OE_Best Describes
LON0030459		What was your purpose in visiting My PAA today?	Premium filing		Radio button, one-up vertical	Single	Y	Skip Logic Group	Purpose
			Review/print premium filing receipt
			Review account history
			Create an account
			Update an account
			Add a plan/update filing team information
			Other (please specify)	B
LON0030460	B	Please describe your purpose in visiting My PAA today.			Text area, no char limit		N	Skip Logic Group	OE_Purpose
LON0030461		Did you accomplish your goal using My PAA?	Yes		Radio button, one-up vertical	Single	Y		Accomplish Goal
			No
			In part
LON0030462		Did you experience any problems using My PAA?	Yes	C	Radio button, one-up vertical	Single	Y	Skip Logic Group	Experience Problems
			No
LON0030463	C	What problems did you experience? (Select all that apply.)	Technical difficulties or system outage		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Problems
			Slowness
			Unexpectedly timed out or logged off
			Password, ID, secret question/answer issues
			Unsure how to create/edit filing
			Unsure how to sign/authorize payment
			Unsure how to submit filing
			Difficulty understanding the e-filing instructions
			Difficulty understanding the premium instructions
			Other (please specify)	H
LON0030464	H	Please describe the problems you experienced.			Text area, no char limit		N	Skip Logic Group	OE_Problems
LON0030465		What could PBGC do to better meet your needs?			Text area, no char limit		N		Better Meet Needs
BUC0228364		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, F	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, F
			No, no contact is needed
BUC0228326	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		Name
BUC0228327	B	Email: (e.g. ,[email protected])			Text field, <100 char	S	Y		Email
BUC0228328	C	Telephone: (e.g. ,555-555-5555)			Text field, <100 char	S	Y		Telephone
BUC0228365	D	Best weekday(s) to be reached:	Monday		Checkbox, one-up vertical	Multi	Y		Best Day to Reach
			Tuesday
			Wednesday
			Thursday
			Friday
BUC0228329	E	Best time(s) to be reached:	9 - 10 AM (ET)		Checkbox, one-up vertical	Multi	Y		Best hour to Reach
			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)
BUC0228406	F	Please describe what you would like PBGC to contact you about:			Text area, no char limit	S	Y		Assistance requested

---

Sheet 5: Custom Qsts (5-29-13)

Model Instance Name:			red & strike-through: DELETE
PBGC My PAA v3			underlined & italicized: RE-ORDER
MID: YcNcR4olw5RpZ44BQNw0UA==			pink: ADDITION
Date:	6/1/2013		blue + -->: REWORDING
PBGC My PAA v3 CUSTOM QUESTION LIST
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 Labels
EDO06961		Did you set up a My PAA account in the past three months?	Yes	A, B, C	Drop down, select one	Single	Y	Skip Logic Group	Account Setup
			No
			Not sure
EDO06962	A	Please rate the number of steps required to set up an account on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Steps
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06963	B	Please rate the verification of account set-up on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Verify
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06964	C	Please rate the ease of choosing/modifying your password on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Password
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06960		How <strong>frequently</strong> do you visit My PAA?	Daily		Drop down, select one	Single	Y		Visit Frequency
			Weekly
			Monthly
			Once per year
			Twice per year
			This is my first time
EDO06965		Which <strong>best describes you</strong>?	Actuary		Radio button, one-up vertical	Single	Y	Skip Logic Group	Best Describes
			Attorney
			Third Party Administrator (TPA)
			Consultant or accountant
			Plan administrator or sponsor	B
			Representative of plan administrator or sponsor	B
			Other (please specify)	B
EDO06966	B	Which of the following best describes you?	Employee benefits professional		Radio button, one-up vertical	Single	Y	Skip Logic Group	Description
			Small-business (<100 plan participants) owner or employee
			Other	A
EDO06967	A	Other - best describes you			Text field, <100 char	Single	N	Skip Logic Group	OE_Best Describes
EDO06968		What was your <strong>purpose</strong> in visiting My PAA today?	Premium filing		Radio button, one-up vertical	Single	Y	OPS Group	Purpose
			Review/print premium filing receipt
			Review account history
			Create an account
			Update an account
			Add a plan/update filing team information
			Other (please specify)	B
EDO06969	B	Other - best describes your purpose in visiting My PAA today			Text field, <100 char	Single	N	OPS Group	OE_Purpose
EDO06970		Did you <strong>accomplish your goal using My PAA</strong>?	Yes		Drop down, select one	Single	Y	Skip Logic Group	Accomplish Goal
			No	F
			In part	G
EDO06971	F	Why were you unable to accomplish your goal?			Text area, no char limit	Single	N	Skip Logic Group	OE_Unable to Accomplish
EDO06972	G	Why were you able to complete your goal only in part?			Text area, no char limit	Single	N	Skip Logic Group	OE_Complete in Part
ACQCol0004464		Did you experience any problems with the instructions?	Yes	I	Radio button, one-up vertical	Single	Y	Skip Logic Group	Instructions
			No
			I did not view/use the instructions during my visit
ACQCol0004465	I	Where did you experience the problem? (Select all that apply.)	The premium payment instructions	J	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Instructions Type
			The My PAA usage instructions	K
			Other	L
ACQCol0004466	J	Please specify the particular topics or sections in the premium payment instructions that were problematic.			Text area, no char limit	Single	N	Skip Logic Group	OE_Prem Pmt Prob
ACQCol0004467	K	Please specify the particular topics or sections in the My PAA usage instructions that were problematic.			Text area, no char limit	Single	N	Skip Logic Group	OE_Usage Prob
ACQCol0004468	L	Please specify the problems you encountered.			Text area, no char limit	Single	N	Skip Logic Group	OE_Other Prob
EDO06973		Did you experience any <strong>problems</strong> using My PAA?	No		Radio button, one-up vertical	Single	Y	Skip Logic Group	Experience Problems
			Yes	C
EDO06974	C	What problems did you experience? (Select all that apply.)	Technical difficulties or system outage		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Problems
			Slowness
			Unexpectedly timed out or logged off
			Password, ID, secret question/answer issues
			Unsure how to create/edit filing
			Unsure how to sign/authorize payment
			Unsure how to submit filing
			Other (please specify)	H
EDO06975	H	Description of problems you experienced			Text field, <100 char	Single	N	Skip Logic Group	OE_Problems
EDO06976		<strong>What other changes, information, or online services</strong> would you like to see in My PAA?	None		Radio button, one-up vertical	Single	Y	Skip Logic Group	Changes
			Please consider	D
EDO07042	D	Description of other changes, information, or online services			Text area, no char limit	Single	N	Skip Logic Group	OE_Changes
EDO06977		<strong>What additional help</strong> would you like to see available when using My PAA?	Nothing		Radio button, one-up vertical	Single	Y	Skip Logic Group	Help
			Please consider	E
EDO06978	E	Description of additional help you would like to see available			Text area, no char limit	Single	N	Skip Logic Group	OE_Help
NEW		How frequently do you visit My PAA?	Daily		Radio button, one-up vertical	Single	Y		Visit Frequency
			Weekly
			Monthly
			Once per year
			Twice per year
			This is my first time
NEW		Which best describes you?	Actuary		Radio button, one-up vertical	Single	Y	Skip Logic Group	Best Describes
			Attorney
			Third-party administrator (TPA)
			Consultant or accountant
			Plan administrator or sponsor
			Representative of plan administrator or sponsor
			Employee benefits professional
			Small-business (<100 plan participants) owner or employee
			CFO or controller
			Other (please specify)	B
NEW	B	Please describe your business or position.			Text area, no char limit		N	Skip Logic Group	OE_Best Describes
NEW		What was your purpose in visiting My PAA today?	Premium filing		Radio button, one-up vertical	Single	Y	Skip Logic Group	Purpose
			Review/print premium filing receipt
			Review account history
			Create an account
			Update an account
			Add a plan/update filing team information
			Other (please specify)	B
NEW	B	Please describe your purpose in visiting My PAA today.			Text area, no char limit		N	Skip Logic Group	OE_Purpose
NEW		Did you accomplish your goal using My PAA?	Yes		Radio button, one-up vertical	Single	Y		Accomplish Goal
			No
			In part
NEW		Did you experience any problems using My PAA?	Yes	C	Radio button, one-up vertical	Single	Y	Skip Logic Group	Experience Problems
			No
NEW	C	What problems did you experience? (Select all that apply.)	Technical difficulties or system outage		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Problems
			Slowness
			Unexpectedly timed out or logged off
			Password, ID, secret question/answer issues
			Unsure how to create/edit filing
			Unsure how to sign/authorize payment
			Unsure how to submit filing
			Difficulty understanding the e-filing instructions
			Difficulty understanding the premium instructions
			Other (please specify)	H
NEW	H	Please describe the problems you experienced.			Text area, no char limit		N	Skip Logic Group	OE_Problems
NEW		What could PBGC do to better meet your needs?			Text area, no char limit		N		Better Meet Needs

---

Sheet 6: Custom Qsts (4-1-12)

Model Instance Name:			red & strike-through: DELETE
PBGC My PAA v3			underlined & italicized: RE-ORDER
MID: YcNcR4olw5RpZ44BQNw0UA==			pink: ADDITION
Date:	10/4/2010		blue + -->: REWORDING
PBGC My PAA v3 CUSTOM QUESTION LIST
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 Labels
ACQLiv0010445		Please rate the PBGC in providing accurate guidance for making premium filings.	1=Poor	A	Radio button, scale, has don't know	S	Y	Skip Logic Group	Acc Guideance
			2	A
			3	A
			4	A
			5	A
			6	A
			7
			8
			9
			10=Excellent
			Don't Know
ACQLiv0010447	A	Please specify your reason for this score.			Text area, no char limit	S	N	Skip Logic Group	OE_Acc Guideance
ACQLiv0010448		Please rate the PBGC in providing timely guidance for making premium filings.	1=Poor	A	Radio button, scale, has don't know	S	Y	Skip Logic Group	Acc Guideance
			2	A
			3	A
			4	A
			5	A
			6	A
			7
			8
			9
			10=Excellent
			Don't Know
ACQLiv0010449	A	Please specify your reason for this score.			Text area, no char limit	S	N	Skip Logic Group	OE_Acc Guideance
ACQLiv0010450		Please rate how understandable the premium filing information is that the PBGC provides.	1=Poor	A	Radio button, scale, has don't know	S	Y	Skip Logic Group	Filing Info
			2	A
			3	A
			4	A
			5	A
			6	A
			7
			8
			9
			10=Excellent
			Don't Know
ACQLiv0010451	A	Please specify your reason for this score.			Text area, no char limit	S	N	Skip Logic Group	OE_Filing Info
ACQLiv0010452		Please rate how well the information provided by the PBGC agency answers your questions.	1=Poor	A	Radio button, scale, has don't know	S	Y	Skip Logic Group	Info Answers Qsts
			2	A
			3	A
			4	A
			5	A
			6	A
			7
			8
			9
			10=Excellent
			Don't Know
ACQLiv0010453	A	Please specify your reason for this score.			Text area, no char limit	S	N	Skip Logic Group	OE_Info Answers Qsts
EDO06961		Did you set up a My PAA account in the past three months?	Yes	A, B, C	Drop down, select one	Single	Y	Skip Logic Group	Account Setup
			No
			Not sure
EDO06962	A	Please rate the number of steps required to set up an account on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Steps
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06963	B	Please rate the verification of account set-up on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Verify
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06964	C	Please rate the ease of choosing/modifying your password on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Password
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06960		How <strong>frequently</strong> do you visit My PAA?	Daily		Drop down, select one	Single	Y		Visit Frequency
			Weekly
			Monthly
			Once per year
			Twice per year
			This is my first time
EDO06965		Which <strong>best describes you</strong>?	Actuary		Radio button, one-up vertical	Single	Y	Skip Logic Group	Best Describes
			Attorney
			Third Party Administrator (TPA)
			Consultant or accountant
			Plan administrator or sponsor	B
			Representative of plan administrator or sponsor	B
			Other (please specify)	B
EDO06966	B	Which of the following best describes you?	Employee benefits professional		Radio button, one-up vertical	Single	Y	Skip Logic Group	Description
			Small-business (<100 plan participants) owner or employee
			Other	A
EDO06967	A	Other - best describes you			Text field, <100 char	Single	N	Skip Logic Group	OE_Best Describes
EDO06968		What was your <strong>purpose</strong> in visiting My PAA today?	Premium filing		Radio button, one-up vertical	Single	Y	OPS Group	Purpose
			Review/print premium filing receipt
			Review account history
			Create an account
			Update an account
			Add a plan/update filing team information
			Other (please specify)	B
EDO06969	B	Other - best describes your purpose in visiting My PAA today			Text field, <100 char	Single	N	OPS Group	OE_Purpose
EDO06970		Did you <strong>accomplish your goal using My PAA</strong>?	Yes		Drop down, select one	Single	Y	Skip Logic Group	Accomplish Goal
			No	F
			In part	G
EDO06971	F	Why were you unable to accomplish your goal?			Text area, no char limit	Single	N	Skip Logic Group	OE_Unable to Accomplish
EDO06972	G	Why were you able to complete your goal only in part?			Text area, no char limit	Single	N	Skip Logic Group	OE_Complete in Part
ACQCol0004464		Did you experience any problems with the instructions?	Yes	I	Radio button, one-up vertical	Single	Y	Skip Logic Group	Instructions
			No
			I did not view/use the instructions during my visit
ACQCol0004465	I	Where did you experience the problem? (Select all that apply.)	The premium payment instructions	J	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Instructions Type
			The My PAA usage instructions	K
			Other	L
ACQCol0004466	J	Please specify the particular topics or sections in the premium payment instructions that were problematic.			Text area, no char limit	Single	N	Skip Logic Group	OE_Prem Pmt Prob
ACQCol0004467	K	Please specify the particular topics or sections in the My PAA usage instructions that were problematic.			Text area, no char limit	Single	N	Skip Logic Group	OE_Usage Prob
ACQCol0004468	L	Please specify the problems you encountered.			Text area, no char limit	Single	N	Skip Logic Group	OE_Other Prob
EDO06973		Did you experience any <strong>problems</strong> using My PAA?	No		Radio button, one-up vertical	Single	Y	Skip Logic Group	Experience Problems
			Yes	C
EDO06974	C	What problems did you experience? (Select all that apply.)	Technical difficulties or system outage		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Problems
			Slowness
			Unexpectedly timed out or logged off
			Password, ID, secret question/answer issues
			Unsure how to create/edit filing
			Unsure how to sign/authorize payment
			Unsure how to submit filing
			Other (please specify)	H
EDO06975	H	Description of problems you experienced			Text field, <100 char	Single	N	Skip Logic Group	OE_Problems
EDO06976		<strong>What other changes, information, or online services</strong> would you like to see in My PAA?	None		Radio button, one-up vertical	Single	Y	Skip Logic Group	Changes
			Please consider	D
EDO07042	D	Description of other changes, information, or online services			Text area, no char limit	Single	N	Skip Logic Group	OE_Changes
EDO06977		<strong>What additional help</strong> would you like to see available when using My PAA?	Nothing		Radio button, one-up vertical	Single	Y	Skip Logic Group	Help
			Please consider	E
EDO06978	E	Description of additional help you would like to see available			Text area, no char limit	Single	N	Skip Logic Group	OE_Help

---

Sheet 7: Custom Qsts (01-24-12)

Model Instance Name:			red & strike-through: DELETE
PBGC My PAA v3			underlined & italicized: RE-ORDER
MID: YcNcR4olw5RpZ44BQNw0UA==			pink: ADDITION
Date:	10/4/2010		blue + -->: REWORDING
PBGC My PAA v3 CUSTOM QUESTION LIST
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 Labels
ACQLiv0010445		Please rate the PBGC in providing accurate guidance for making premium filings.	1=Poor	A	Radio button, scale, has don't know	S	Y	Skip Logic Group	Acc Guideance
			2	A
			3	A
			4	A
			5	A
			6	A
			7
			8
			9
			10=Excellent
			Don't Know
ACQLiv0010447	A	Please specify your reason for this score.			Text area, no char limit	S	N	Skip Logic Group	OE_Acc Guideance
ACQLiv0010448		Please rate the PBGC in providing timely guidance for making premium filings.	1=Poor	A	Radio button, scale, has don't know	S	Y	Skip Logic Group	Acc Guideance
			2	A
			3	A
			4	A
			5	A
			6	A
			7
			8
			9
			10=Excellent
			Don't Know
ACQLiv0010449	A	Please specify your reason for this score.			Text area, no char limit	S	N	Skip Logic Group	OE_Acc Guideance
ACQLiv0010450		Please rate how understandable the premium filing information is that the PBGC provides.	1=Poor	A	Radio button, scale, has don't know	S	Y	Skip Logic Group	Filing Info
			2	A
			3	A
			4	A
			5	A
			6	A
			7
			8
			9
			10=Excellent
			Don't Know
ACQLiv0010451	A	Please specify your reason for this score.			Text area, no char limit	S	N	Skip Logic Group	OE_Filing Info
ACQLiv0010452		Please rate how well the information provided by the PBGC agency answers your questions.	1=Poor	A	Radio button, scale, has don't know	S	Y	Skip Logic Group	Info Answers Qsts
			2	A
			3	A
			4	A
			5	A
			6	A
			7
			8
			9
			10=Excellent
			Don't Know
ACQLiv0010453	A	Please specify your reason for this score.			Text area, no char limit	S	N	Skip Logic Group	OE_Info Answers Qsts
EDO06961		Did you set up a My PAA account in the past three months?	Yes	A, B, C	Drop down, select one	Single	Y	Skip Logic Group	Account Setup
			No
			Not sure
EDO06962	A	Please rate the number of steps required to set up an account on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Steps
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06963	B	Please rate the verification of account set-up on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Verify
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06964	C	Please rate the ease of choosing/modifying your password on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Password
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06960		How <strong>frequently</strong> do you visit My PAA?	Daily		Drop down, select one	Single	Y		Visit Frequency
			Weekly
			Monthly
			Once per year
			Twice per year
			This is my first time
EDO06965		Which <strong>best describes you</strong>?	Actuary		Radio button, one-up vertical	Single	Y	Skip Logic Group	Best Describes
			Attorney
			Third Party Administrator (TPA)
			Consultant or accountant
			Plan administrator or sponsor	B
			Representative of plan administrator or sponsor	B
			Other (please specify)	B
EDO06966	B	Which of the following best describes you?	Employee benefits professional		Radio button, one-up vertical	Single	Y	Skip Logic Group	Description
			Small-business (<100 plan participants) owner or employee
			Other	A
EDO06967	A	Other - best describes you			Text field, <100 char	Single	N	Skip Logic Group	OE_Best Describes
EDO06968		What was your <strong>purpose</strong> in visiting My PAA today?	Premium filing		Radio button, one-up vertical	Single	Y	OPS Group	Purpose
			Review/print premium filing receipt
			Review account history
			Create an account
			Update an account
			Add a plan/update filing team information
			Other (please specify)	B
EDO06969	B	Other - best describes your purpose in visiting My PAA today			Text field, <100 char	Single	N	OPS Group	OE_Purpose
EDO06970		Did you <strong>accomplish your goal using My PAA</strong>?	Yes		Drop down, select one	Single	Y	Skip Logic Group	Accomplish Goal
			No	F
			In part	G
EDO06971	F	Why were you unable to accomplish your goal?			Text area, no char limit	Single	N	Skip Logic Group	OE_Unable to Accomplish
EDO06972	G	Why were you able to complete your goal only in part?			Text area, no char limit	Single	N	Skip Logic Group	OE_Complete in Part
ACQCol0004464		Did you experience any problems with the instructions?	Yes	I	Radio button, one-up vertical	Single	Y	Skip Logic Group	Instructions
			No
			I did not view/use the instructions during my visit
ACQCol0004465	I	Where did you experience the problem? (Select all that apply.)	The premium payment instructions	J	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Instructions Type
			The My PAA usage instructions	K
			Other	L
ACQCol0004466	J	Please specify the particular topics or sections in the premium payment instructions that were problematic.			Text area, no char limit	Single	N	Skip Logic Group	OE_Prem Pmt Prob
ACQCol0004467	K	Please specify the particular topics or sections in the My PAA usage instructions that were problematic.			Text area, no char limit	Single	N	Skip Logic Group	OE_Usage Prob
ACQCol0004468	L	Please specify the problems you encountered.			Text area, no char limit	Single	N	Skip Logic Group	OE_Other Prob
EDO06973		Did you experience any <strong>problems</strong> using My PAA?	No		Radio button, one-up vertical	Single	Y	Skip Logic Group	Experience Problems
			Yes	C
EDO06974	C	What problems did you experience? (Select all that apply.)	Technical difficulties or system outage		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Problems
			Slowness
			Unexpectedly timed out or logged off
			Password, ID, secret question/answer issues
			Unsure how to create/edit filing
			Unsure how to sign/authorize payment
			Unsure how to submit filing
			Other (please specify)	H
EDO06975	H	Description of problems you experienced			Text field, <100 char	Single	N	Skip Logic Group	OE_Problems
EDO06976		<strong>What other changes, information, or online services</strong> would you like to see in My PAA?	None		Radio button, one-up vertical	Single	Y	Skip Logic Group	Changes
			Please consider	D
EDO07042	D	Description of other changes, information, or online services			Text area, no char limit	Single	N	Skip Logic Group	OE_Changes
EDO06977		<strong>What additional help</strong> would you like to see available when using My PAA?	Nothing		Radio button, one-up vertical	Single	Y	Skip Logic Group	Help
			Please consider	E
EDO06978	E	Description of additional help you would like to see available			Text area, no char limit	Single	N	Skip Logic Group	OE_Help

---

Sheet 8: Custom Qsts (04-04-11)

Model Instance Name:			red & strike-through: DELETE
PBGC My PAA v3			underlined & italicized: RE-ORDER
MID: YcNcR4olw5RpZ44BQNw0UA==			pink: ADDITION
Date:	10/4/2010		blue + -->: REWORDING
PBGC My PAA v3 CUSTOM QUESTION LIST
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 Labels
EDO06960		How <strong>frequently</strong> do you visit My PAA?	Daily		Drop down, select one	Single	Y		Visit Frequency
			Weekly
			Monthly
			Once per year
			Twice per year
			This is my first time
EDO06961		Did you set up a My PAA account in the past three months?	Yes	A, B, C	Drop down, select one	Single	Y	Skip Logic Group	Account Setup
			No
			Not sure
EDO06962	A	Please rate the number of steps required to set up an account on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Steps
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06963	B	Please rate the verification of account set-up on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Verify
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06964	C	Please rate the ease of choosing/modifying your password on this site.	1 = Poor		Radio button, scale, has don't know	Single	Y	Skip Logic Group	AS_Password
			2
			3
			4
			5
			6
			7
			8
			9
			10 = Excellent
			Don’t know
EDO06960		How <strong>frequently</strong> do you visit My PAA?	Daily		Drop down, select one	Single	Y		Visit Frequency
			Weekly
			Monthly
			Once per year
			Twice per year
			This is my first time
EDO06965		Which <strong>best describes you</strong>?	Actuary		Radio button, one-up vertical	Single	Y	Skip Logic Group	Best Describes
			Attorney
			Third Party Administrator (TPA)
			Consultant or accountant
			Plan administrator or sponsor	B
			Representative of plan administrator or sponsor	B
			Other (please specify)	B
EDO06966	B	Which of the following best describes you?	Employee benefits professional		Radio button, one-up vertical	Single	Y	Skip Logic Group	Description
			Small-business (<100 plan participants) owner or employee
			Small-business (<100 plan participants) mgr/admin
			Other	A
EDO06967	A	Other - best describes you			Text field, <100 char	Single	N	Skip Logic Group	OE_Best Describes
EDO06968		What was your <strong>purpose</strong> in visiting My PAA today?	Premium filing		Radio button, one-up vertical	Single	Y	OPS Group	Purpose
			Review/print premium filing receipt
			Review account history
			Create an account
			Update an account
			Add a plan/update filing team information
			Other (please specify)	B
EDO06969	B	Other - best describes your purpose in visiting My PAA today			Text field, <100 char	Single	N	OPS Group	OE_Purpose
EDO06970		Did you <strong>accomplish your goal using My PAA</strong>?	Yes		Drop down, select one	Single	Y	Skip Logic Group	Accomplish Goal
			No	F
			In part	G
EDO06971	F	Why were you unable to accomplish your goal?			Text area, no char limit	Single	N	Skip Logic Group	OE_Unable to Accomplish
EDO06972	G	Why were you able to complete your goal only in part?			Text area, no char limit	Single	N	Skip Logic Group	OE_Complete in Part
		Did you <strong>experience any problems with the instructions</strong>?	Yes	I	Radio button, one-up vertical	Single	Y	Skip Logic Group	Instructions
			No
			I did not view/use the instructions during my visit
	I	Where did you experience the problem? (Select all that apply.)	The premium payment instructions	J	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Instructions Type
			The My PAA usage instructions	K
			Other	L
	J	Please specify the particular topics or sections in the premium payment instructions that were problematic.			Text area, no char limit	Single	N	Skip Logic Group	OE_Prem Pmt Prob
	K	Please specify the particular topics or sections in the My PAA usage instructions that were problematic.			Text area, no char limit	Single	N	Skip Logic Group	OE_Usage Prob
	L	Please specify the problems you encountered.			Text area, no char limit	Single	N	Skip Logic Group	OE_Other Prob
EDO06973		Did you experience any <strong>problems</strong> using My PAA?	No		Radio button, one-up vertical	Single	Y	Skip Logic Group	Experience Problems
			Yes	C
EDO06974	C	What problems did you experience? (Select all that apply.)	Technical difficulties or system outage		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Problems
			Slowness
			Unexpectedly timed out or logged off
			Password, ID, secret question/answer issues
			Unsure how to create/edit filing
			Unsure how to sign/authorize payment
			Unsure how to submit filing
			Other (please specify)	H
EDO06975	H	Description of problems you experienced			Text field, <100 char	Single	N	Skip Logic Group	OE_Problems
EDO06976		<strong>What other changes, information, or online services</strong> would you like to see in My PAA?	None		Radio button, one-up vertical	Single	Y	Skip Logic Group	Changes
			Please consider	D
EDO07042	D	Description of other changes, information, or online services			Text area, no char limit	Single	N	Skip Logic Group	OE_Changes
EDO06977		<strong>What additional help</strong> would you like to see available when using My PAA?	Nothing		Radio button, one-up vertical	Single	Y	Skip Logic Group	Help
			Please consider	E
EDO06978	E	Description of additional help you would like to see available			Text area, no char limit	Single	N	Skip Logic Group	OE_Help