| Model Name | SSA iClaim V4 |   | ||||||
| Model ID | Underlined & Italicized: Re-order | |||||||
| Partitioned | Yes - 2 MQ | Pink: Addition | ||||||
| Date | 8/19/2019 | Blue: Reword | ||||||
| Label | Element Questions | Label | Satisfaction Questions | Label | Future Behaviors | |||
| Site Performance (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Recommend (1=Very Unlikely, 10=Very Likely) | ||||||
| 1 | Site Performance - Speed | Please rate the speed that pages and content loaded for you. | 16 | Satisfaction - Overall | What is your overall satisfaction with this application? (1=Very Dissatisfied, 10=Very Satisfied) | 19 | Recommend | How likely are you to recommend this application to someone else? | 
| 2 | Site Performance - Completeness | Please rate the consistency of complete loading of pages and content. | 17 | Satisfaction - Expectations | How well does this application meet your expectations? (1=Falls Short, 10=Exceeds) | Use Other Online Services (1=Very Unlikely, 10=Very Likely) | ||
| 3 | Site Performance -Responsiveness | Please rate the responsiveness of the pages to your actions. | 18 | Satisfaction - Ideal | How does this application compare to your idea of an ideal application? (1=Not Very Close, 10=Very Close) | 20 | Use Other Online Services | How likely are you to use other Social Security online services? | 
| Look and Feel (1=Poor, 10=Excellent, Don't Know) | ||||||||
| 4 | Look and Feel - Appeal | Please rate the visual appeal of the pages that you visited. | ||||||
| 5 | Look and Feel - Spacing | Please rate the spacing between items on the pages that you visited. | ||||||
| 6 | Look and Feel - Readability | Please rate the legibility of the pages that you visited. | ||||||
| Navigation (1=Poor, 10=Excellent, Don't Know) | ||||||||
| 7 | Navigation - Ease | Please rate the ease of finding what you were looking for. | ||||||
| 8 | Navigation - Layout | Please rate the page layout on displaying content and links where you could find them. | ||||||
| 9 | Navigation - Links | Please rate the links on taking you where you needed to go. | ||||||
| Site Information (1=Poor, 10=Excellent, Don't Know) | ||||||||
| 10 | Site Information - Relevance | Please rate the relevance to your interests of the information that you found. | ||||||
| 11 | Site Information - Thoroughness | Please rate the thoroughness of the information that you found. | ||||||
| 12 | Site Information - Readability | Please rate the readability of the information that you found. | ||||||
| Account Management (1=Poor, 10=Excellent, Don't Know) | ||||||||
| 13 | Account Management - Simplicity | Please rate the simplicity of account management on this site. | ||||||
| 14 | Account Management - Efficiency | Please rate the efficiency of account management on this site. | ||||||
| 15 | Account Management - Essential Information | Please rate the presentation of essential account information. | 
| Model Instance Name: | ||||||||||
| SSA iClaim v3 |   | |||||||||
| MID: | Q0ExM1xNQRl9JJUR0M0JlA4C | |||||||||
| Partitioned No | ||||||||||
| FPI Included(Y/N)? | ||||||||||
| 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: | 7/19/2013 | |||||||||
| SSA iClaim v3 | ||||||||||
| Model questions utilize the ACSI methodology to determine scores and impacts | ||||||||||
| ELEMENTS (drivers of satisfaction) | CUSTOMER SATISFACTION | FUTURE BEHAVIORS | FPI | |||||||
| NOTE: All questions under each element are required. Element questions are partitioned among surveys. | ||||||||||
| REQUIRED ELEMENTS (common to all websites) | ||||||||||
| MQ Label | MQ Label | MQ Label | Y? | |||||||
| Información del sitio de Internet (1=Mala, 10=Excelente, No sé) | Satisfacción | Recomendar (1=Muy improbablemente, 10=Muy probablemente) | ||||||||
| Site Information - Thoroughness | Por favor califique lo exhaustivo de la información presentada en este programa de computadora. | Satisfaction - Overall | ¿Cómo calificaría su satisfacción en general de este programa de computadora? (1=Totalmente insatisfecho, 10=Totalmente satisfecho) | Recommend | ¿Cuáles son las posibilidades de que le recomiende a otra persona el que use este programa de computadora ? | |||||
| SiteInformation - Understandable | Por favor califique lo comprensible de la información presentada en este programa de computadora. | Satisfaction - Expectations | ¿Con cuánta exactitud este programa de computadora satisfizo sus expectativas? (1=No llenó mis expectativas, 10=Totalmente satisfecho) | Uso de otros servicios del Seguro Social por Internet (1=Muy improbablemente, 10=Muy probablemente) | ||||||
| SiteInformation - Answers | Por favor califique lo adecuado de las respuestas que presenta este programa de computadora. | Satisfaction - Ideal | ¿Cómo se compara este programa de computadora con lo que se imaginaría que sería su programa de computadora ideal? (1=No se asemeja, 10=Se asemeja) | Use Other Online Services | ¿Cuáles son las posibilidades de que use otros programas del Seguro Social de computadora por Internet ? | |||||
| Rendimiento del sitio de Internet (1=Malo, 10=Excelente, No sé) | ||||||||||
| Site Performance - Consistency | Por favor califique la rapidez con que suben las páginas en este programa de computadora. | |||||||||
| Site Performance - Errors | Por favor califique la consistencia de la rapidez para moverse de una página a la otra en este programa de computadora. | |||||||||
| Por favor califique la capacidad para subir las páginas sin que reciba un error en este programa de computadora. | ||||||||||
| Navegación (1=Mala, 10=Excelente, No sé) | ||||||||||
| Navigation - Organized | Por favor califique la organización de este programa de computadora. | |||||||||
| Navigation - Options | Por favor califique las opciones disponibles para navegar este programa de computadora. |   |   | |||||||
| Navigation - Layout | Por favor califique cómo el diseño de este programa de computadora le ayuda a encontrar lo que busca. | |||||||||
| Navigation - Clicks | Por favor califique el número de clics que tuvo que hacer para encontrar lo que buscaba en este programa de computadora. | |||||||||
| Simpleza del vocabulario (1=Malo, 10=Excelente, No sé) | ||||||||||
| Plain Language - Clear | Por favor califique la claridad de las palabras usadas este programa de computadora. | |||||||||
| Plain Language - Understandable | Por favor califique su comprensión de las palabras usadas este programa de computadora. | |||||||||
| Plain Language - Concise | Por favor califique este programa de computadora basado en el uso de oraciones cortas y claras de este programa de computadora. | |||||||||
| Model Instance Name: | |||||||||||
| SSA iClaim v3 | underlined & italicized: RE-ORDER | ||||||||||
| MID: xZAAEQw81gIo1Vo4Noc1Rw4C | pink: ADDITION | ||||||||||
| Date: | 9/10/2018 | blue + -->: REWORDING | |||||||||
| violet (bold): SKIP-LOGIC | |||||||||||
| SSA iClaim v3 CUSTOM QUESTION LIST | |||||||||||
| QID | Skip Logic Label | Question Text | Answer Choices (limited to 50 characters) | Skip To | Type (select from list) | Required Y/N | Special Instructions | CQ Label | |||
| CAS0045242 | Are you applying online for yourself or are you helping someone else? | Myself | Radio button, one-up vertical | Y | skip logic group | Applying for | |||||
| Helping a Spouse/Relative/Friend | |||||||||||
| Professional Helping a Client | |||||||||||
| Other | |||||||||||
| CAS0045243 | How did you learn about applying for Retirement, Disability or Medicare online? (Select all that apply.) | Official Social Security website (www.ssa.gov) | check box one up vertical | Y | Skip Logic Group | Learn about App | |||||
| Social Media (Blog, Facebook, Twitter, etc.) | |||||||||||
| A general web search (e.g. Google, Bing, etc.) | |||||||||||
| An online ad (Banner/Image) | |||||||||||
| An online video | |||||||||||
| Radio | |||||||||||
| Television | |||||||||||
| A newspaper or magazine article | |||||||||||
| A newspaper or magazine ad | |||||||||||
| An email from Social Security | |||||||||||
| My Social Security statement | |||||||||||
| A Social Security employee | A | ||||||||||
| A relative or friend | |||||||||||
| A community group or association | |||||||||||
| A billboard or other printed ad | |||||||||||
| Other, please specify | B | ||||||||||
| CAS0045244 | A | How did you make contact with a Social Security employee? | Called the national 800 number | check box one up vertical | Y | Skip Logic | SSA Employee Contact | ||||
| Called a local Social Security office | |||||||||||
| Visited a local Social Security office | |||||||||||
| At a Social Security sponsored event | |||||||||||
| Other, please specify | AA | ||||||||||
| CAS0045245 | AA | Please describe how you made contact with a Social Security employee. | Text box, no char limit | N | Skip Logic | OPS SSA Employee Contact | |||||
| CAS0045246 | B | Please specify how you learned about this online application. | Text box, no char limit | N | Skip Logic | OPS Learn about App | |||||
| CAS0045262 | Did you use any of the following to prepare to apply online? (Select all that apply.) | Reviewed my online Social Security Statement | A | check box one up vertical | Y | Skip Logic | Prepare for App | ||||
| Reviewed the Social Security statement that was mailed to me | |||||||||||
| I used the Retirement Estimator or other tools on the Social Security website | B | ||||||||||
| I watched the instructional video | C | ||||||||||
| I used other information on the Social Security website to prepare | D | ||||||||||
| I used another resource to prepare to apply online | E | ||||||||||
| I used the Retirement/Medicare Checklist | F | ||||||||||
| I did not use any resources to prepare to apply online | Mutually Exclusive | ||||||||||
| CAS0045263 | A | How helpful did you find the online Social Security Statement? | Very helpful | Drop down select one | Y | Skip Logic | Rate Statement | ||||
| Somewhat helpful | |||||||||||
| Not at all helpful | |||||||||||
| CAS0045264 | B | How helpful did you find the estimator tools on the website? | Very helpful | Drop down select one | Y | Skip Logic | Rate RE Tools | ||||
| Somewhat helpful | |||||||||||
| Not at all helpful | |||||||||||
| CAS0045265 | C | How helpful did you find the instructional video? | Very helpful | Drop down select one | Y | Skip Logic | Rate Video | ||||
| Somewhat helpful | |||||||||||
| Not at all helpful | |||||||||||
| CAS0045266 | D | How helpful did you find the other information on the Social Security website? | Very helpful | Drop down select one | Y | Skip Logic | Rate Other Info on Website | ||||
| Somewhat helpful | |||||||||||
| Not at all helpful | |||||||||||
| RUS0268228 | F | How helpful did you find the Retirement/Medicare Checklist? | Very helpful | Drop down select one | Y | Skip Logic | Checklist helpful | ||||
| Somewhat helpful | |||||||||||
| Not at all helpful | |||||||||||
| CAS0045267 | E | Please describe what other resource(s) you used to prepare to apply online? | Text field, no char limit | N | Skip Logic | OPS Prepare for App | |||||
| RUS0268209 | How did you determine when to start receiving your benefits? (Select all that apply.) | Online Statement | check box one up vertical | Y | How determine | ||||||
| Picked one of the dates that was listed in the application | |||||||||||
| Retirement Estimator | |||||||||||
| Financial Planner | |||||||||||
| SSA Publications | |||||||||||
| CAS0045247 | Did you start a new online application today or did you return to a previously saved application? | Started a new application | Drop down select one | Y | Skip Logic | App Status | |||||
| Returned to work on a saved application | R1 | ||||||||||
| STE0123836 | R1 | Were you able to access your previously saved online application with your Reentry number? | Yes, I was able to use the Reentry number that was provided to me | R0 | Drop down select one | Y | Skip Logic | Access Saved App | 92- | ||
| No, I was not able to use the Reentry number that was provided to me | R2 | ||||||||||
| No, I did not have my Reentry number | R2, R3 | ||||||||||
| RUS0268229 | R0 | Were you aware you could find your re-entry number in mySSA "Your Benefit Applications"? | Yes | Drop down select one | Y | Skip logic group | Aware find reentry | ||||
| No | |||||||||||
| RUS0268230 | R3 | Do you have a mySSA account? | Yes | Drop down select one | Y | Skip logic group | Have mySSA account | ||||
| No | |||||||||||
| Don't know | |||||||||||
| STE0123837 | R2 | If you were not able to access your saved application, did you create a new application? | Yes | Drop down select one | Y | Skip Logic | Create New App | ||||
| No | |||||||||||
| CAS0045252 | Why did you choose to apply online? (Select all that apply.) | I prefer to use online services as much as possible | check box one up vertical | Y | Skip Logic | Why Online | |||||
| I learned about applying online while visiting Social Security's website (www.ssa.gov) | |||||||||||
| A Social Security employee recommended that I apply online | |||||||||||
| I can't get to my local Social Security Office | B | ||||||||||
| A friend or relative recommended that I apply online | |||||||||||
| I knew that if I had a question or problem applying online, I could still get help from Social Security | |||||||||||
| I did not want to go to a local Social Security office | |||||||||||
| I did not want to apply over the phone | |||||||||||
| I saw the link while I was checking my online statements | |||||||||||
| Other, please specify | A | ||||||||||
| CAS0045287 | A | Please specify why you choose to apply online: | Text field, no char limit | N | Skip Logic Group | OPS Why Online | |||||
| STE0123838 | B | What is the reason that you cannot get to your local office? | Text field, no char limit | N | Skip Logic Group | OPS Why Local Office | |||||
| RCH4676Q080 | Please indicate your level of agreement with the following statements about your interaction today: I am satisfied with the service I received from the Social Security Administration. | 1=Strongly Disagree | Radio Button, Scale, No don't know | Y | A11-Satisfied | ||||||
| 2 | |||||||||||
| 3 | |||||||||||
| 4 | |||||||||||
| 5=Strongly Agree | |||||||||||
| RCH4676Q081 | This interaction increased my confidence in the Social Security Administration. | 1=Strongly Disagree | Radio Button, Scale, No don't know | Y | A11-Trust | ||||||
| 2 | |||||||||||
| 3 | |||||||||||
| 4 | |||||||||||
| 5=Strongly Agree | |||||||||||
| RCH4676Q082 | My need was addressed. | 1=Strongly Disagree | Radio Button, Scale, No don't know | Y | A11-Quality | ||||||
| 2 | |||||||||||
| 3 | |||||||||||
| 4 | |||||||||||
| 5=Strongly Agree | |||||||||||
| RCH4676Q083 | It was easy to complete what I needed to do. | 1=Strongly Disagree | Radio Button, Scale, No don't know | A11-Ease | |||||||
| 2 | |||||||||||
| 3 | |||||||||||
| 4 | |||||||||||
| 5=Strongly Agree | |||||||||||
| RCH4676Q084 | It took a reasonable amount of time to do what I needed to do. | 1=Strongly Disagree | Radio Button, Scale, No don't know | Y | A11-Speed | ||||||
| 2 | |||||||||||
| 3 | |||||||||||
| 4 | |||||||||||
| 5=Strongly Agree | |||||||||||
| CAS0045291 | Do you have any suggestions for improving Social Security's online application. | Text field, no char limit | N | OE_Improvement | |||||||
| Model Instance Name: | ||||||||||
| SSA iClaim v3 (Spanish) | underlined & italicized: RE-ORDER | |||||||||
| MID: | Q0ExM1xNQRl9JJUR0M0JlA4C | pink: ADDITION | ||||||||
| Date: | 7/15/2011 | blue + -->: REWORDING | ||||||||
| violet (bold): SKIP-LOGIC | ||||||||||
| SSA iClaim v3 (Spanish) CUSTOM QUESTION LIST | ||||||||||
| QID | Skip Logic Label | Question Tex - English | Question Tex - SP | Answer Choices (limited to 50 characters) | Answer Choices - SP | Skip To | Type (select from list) | Required Y/N | Special Instructions | CQ Label | 
| CAS0045242 | Are you applying online for yourself or are you helping someone else? | ¿Está usted haciendo esta solicitud en línea para usted mismo o está ayudando a otra persona con su solicitud? | Myself | Para mí | Dropdown (Select-one) | Y | Applying for | |||
| Helping a Spouse/Relative/Friend | Ayudando a un cónyuge / familiar / amigo | |||||||||
| Professional Helping a Client | Profesional ayudando a un cliente | |||||||||
| Other | Otro | |||||||||
| CAS0045243 | How did you learn about applying for Retirement, Disability or Medicare online? (Select all that apply.) | ¿Cómo se enteró de la posibilidad de solicitar en línea beneficios por jubilación, por discapacidad o de Medicare? (Seleccione todas las opciones que correspondan) | Official Social Security website (www.ssa.gov) | En el sitio web oficial del Seguro Social (www.ssa.gov) | check box one up vertical | Y | Skip Logic Group | Learn about App | ||
| Social Media (Blog, Facebook, Twitter, etc.) | En las redes sociales (Blog, Facebook, Twitter, etc.) | |||||||||
| A general web search (e.g. Google, Bing, etc.) | Usando un motor de búsqueda (por ejemplo, Google, Bing, etc.) | |||||||||
| An online ad (Banner/Image) | En un anuncio en línea (banner / imagen) | |||||||||
| An online video | En un video en línea (banner / imagen) | |||||||||
| Radio | Por la radio | |||||||||
| Television | Por la televisión | |||||||||
| A newspaper or magazine article | En un artículo de periódico o revista | |||||||||
| A newspaper or magazine ad | En un anuncio de periódico o revista | |||||||||
| An email from Social Security | Mediante un correo electrónico del Seguro Social | |||||||||
| My Social Security statement | En mi estado de cuenta del Seguro Social | |||||||||
| A Social Security employee | A través de un empleado del Seguro Social | |||||||||
| A relative or friend | A través de un familiar o un amigo | |||||||||
| A community group or association | En un grupo o asociación comunitaria | A | ||||||||
| A billboard or other printed ad | En una cartelera u otro anuncio impreso | |||||||||
| Other, please specify | Otra opción (indique cuál) | B | ||||||||
| CAS0045244 | A | How did you make contact with a Social Security employee? | ¿Cómo estableció contacto con un empleado del Seguro Social? | Called the national 800 number | Llamé al número nacional 800 | check box one up vertical | Y | Skip Logic | SSA Employee Contact | |
| Called a local Social Security office | Llamé a la oficina del Seguro Social de mi zona | |||||||||
| Visited a local Social Security office | Visité la oficina del Seguro Social de mi zona | |||||||||
| At a Social Security sponsored event | En un evento patrocinado por el Seguro Social | |||||||||
| Other, please specify | Otra opción (indique cuál) | AA | ||||||||
| CAS0045245 | AA | Please describe how you made contact with a Social Security employee. | Describa cómo estableció contacto con un empleado del Seguro Social. | Text box, no char limit | N | Skip Logic | OPS SSA Employee Contact | |||
| CAS0045246 | B | Please specify how you learned about this online application. | Especifique cómo se enteró de la existencia de esta solicitud en línea. | Text box, no char limit | N | Skip Logic | OPS Learn about App | |||
| CAS0045262 | Did you use any of the following to prepare to apply online? (Select all that apply.) | ¿Usó alguno de los siguientes recursos para prepararse para su solicitud en línea? (Seleccione todas las opciones que correspondan) | Reviewed my online Social Security Statement | Revisé mi estado de cuenta en línea del Seguro Social | A | check box one up vertical | Y | Skip Logic | Prepare for App | |
| Reviewed the Social Security statement that was mailed to me | Revisé el estado de cuenta que me envió el Seguro Social | |||||||||
| I used the Retirement Estimator or other tools on the Social Security website | Usé el Calculador de beneficios de jubilación u otras herramientas en el sitio web del Seguro Social | B | ||||||||
| I watched the instructional video | Vi el video instructivo | C | ||||||||
| I used other information on the Social Security website to prepare | Usé otra información en el sitio web del Seguro Social para prepararme | D | ||||||||
| I used another resource to prepare to apply online | Usé otro recurso para preparar mi solicitud en línea | E | ||||||||
| I used the Retirement/Medicare Checklist | Utilicé la lista de Jubilación/Medicare | F | ||||||||
| I did not use any resources to prepare to apply online | No usé ningún recurso para preparar la solicitud en línea | |||||||||
| CAS0045263 | A | How helpful did you find the online Social Security Statement? | ¿Qué tan útil le pareció el estado de cuenta en línea del Seguro Social? | Very helpful | Muy útil | Drop down select one | Y | Skip Logic | Rate Statement | |
| Somewhat helpful | Algo útil | |||||||||
| Not at all helpful | Para nada útil | |||||||||
| CAS0045264 | B | How helpful did you find the estimator tools on the website? | ¿Qué tan útil le pareció la herramienta “Calculadoras” en el sitio web? | Very helpful | Muy útil | Drop down select one | Y | Skip Logic | Rate RE Tools | |
| Somewhat helpful | Algo útil | |||||||||
| Not at all helpful | Para nada útil | |||||||||
| CAS0045265 | C | How helpful did you find the instructional video? | ¿Qué tan útil le pareció el video instructivo? | Very helpful | Muy útil | Drop down select one | Y | Skip Logic | Rate Video | |
| Somewhat helpful | Algo útil | |||||||||
| Not at all helpful | Para nada útil | |||||||||
| CAS0045266 | D | How helpful did you find the other information on the Social Security website? | ¿Qué tan útil le pareció la otra información en el sitio web del Seguro Social? | Very helpful | Muy útil | Drop down select one | Y | Skip Logic | Rate Other Info on Website | |
| Somewhat helpful | Algo útil | |||||||||
| Not at all helpful | Para nada útil | |||||||||
| RUS0268228 | F | How helpful did you find the Retirement/Medicare Checklist? | ¿Qué tan útil le pareció la lista de Jubilación/Medicare? | Very helpful | Muy útil | Drop down select one | Y | Skip Logic | Checklist helpful | |
| Somewhat helpful | Algo útil | |||||||||
| Not at all helpful | Para nada útil | |||||||||
| CAS0045267 | E | Please describe what other resource(s) you used to prepare to apply online? | Describa que otro(s) recurso(s) usó para prepararse para su solicitud en línea. | Text field, no char limit | N | Skip Logic | OPS Prepare for App | |||
| RUS0268209 | How did you determine when to start receiving your benefits? (Select all that apply.) | ¿Cómo determinó cuándo comenzar a recibir sus beneficios? (Seleccione todas las opciones que correspondan) | Online Statement | Estado de cuenta en línea | check box one up vertical | Y | How determine | |||
| Picked one of the dates that was listed in the application | Elegí una de las fechas que aparecían en la solicitud | |||||||||
| Retirement Estimator | Calculador de beneficios por jubilación | |||||||||
| Financial Planner | Asesor financiero | |||||||||
| SSA Publications | Publicaciones de SSA | |||||||||
| CAS0045247 | Did you start a new online application today or did you return to a previously saved application? | ¿Comenzó a preparar una solicitud en línea hoy o regresó a una solicitud que había guardado anteriormente? | Started a new application | Comencé una nueva solicitud | Drop down select one | Y | Skip logic group | App Status | ||
| Returned to work on a saved application | Regresé a una solicitud guardada | R1 | ||||||||
| STE0123836 | R1 | Were you able to access your previously saved online application with your Reentry number? | ¿Logró acceder a la solicitud que había guardado previamente usando su número de re-ingreso? | Yes, I was able to use the Reentry number that was provided to me | Sí, pude usar el número de re-ingreso que me facilitaron | R0 | Drop down select one | Y | Skip Logic | Access Saved App | 
| No, I was not able to use the Reentry number that was provided to me | No, no pude usar el número de re-ingreso que me facilitaron | R2 | ||||||||
| No, I did not have my Reentry number | No, no tenía mi número de re-ingreso | R2, R3 | ||||||||
| RUS0268229 | R0 | Were you aware you could find your re-entry number in mySSA "Your Benefit Applications"? | ¿Sabía que puede encontrar su número de re-ingreso en la sección “Solicitudes a sus beneficios” en su cuenta de “my Social Security”? | Yes | Sí | Drop down select one | Y | Skip logic group | Aware find reentry | |
| No | No | |||||||||
| RUS0268230 | R3 | Do you have a mySSA account? | ¿Tiene una cuenta de “my Social Security”? | Yes | Sí | Drop down select one | Y | Skip logic group | Have mySSA account | |
| No | No | |||||||||
| Don't know | No sé | |||||||||
| STE0123837 | R2 | If you were not able to access your saved application, did you create a new application? | Si no pudo acceder a la solicitud guardada, ¿creó una nueva solicitud? | Yes | Sí | Drop down select one | Y | Skip Logic | Create New App | |
| No | No | |||||||||
| CAS0045252 | Why did you choose to apply online? (Select all that apply.) | ¿Por qué eligió completar su solicitud en línea? (Seleccione todas las opciones que correspondan) | I prefer to use online services as much as possible | Prefiero usar servicios en línea tanto como sea posible | check box one up vertical | Y | Skip Logic | Why Online | ||
| I learned about applying online while visiting Social Security's website (www.ssa.gov) | Me enteré de la posibilidad de presentar solicitudes en línea mientras visitaba el sitio web del Seguro Social (www.ssa.gov) | |||||||||
| A Social Security employee recommended that I apply online | Un empleado del Seguro Social me recomendó completar la solicitud en línea | |||||||||
| I can't get to my local Social Security Office | No puedo ir a la oficina del Seguro Social de mi zona | B | ||||||||
| A friend or relative recommended that I apply online | Un amigo o familiar me recomendó completar la solicitud en línea | |||||||||
| I knew that if I had a question or problem applying online, I could still get help from Social Security | Sabía que en caso de preguntas o problemas al completar la solicitud en línea, podría recibir ayuda del Seguro Social | |||||||||
| I did not want to go to a local Social Security office | No quería ir a la oficina del Seguro Social de mi zona | |||||||||
| I did not want to apply over the phone | No quería completar la solicitud por teléfono | |||||||||
| I saw the link while I was checking my online statements | Vi el enlace mientras comprobaba el estado de mi cuenta en línea | |||||||||
| Other, please specify | Otra opción (indique cuál) | A | ||||||||
| CAS0045287 | A | Please specify why you choose to apply online: | Especifique por qué eligió completar su solicitud en línea. | Text field, no char limit | N | Skip Logic | OPS Why Online | |||
| STE0123838 | B | What is the reason that you cannot get to your local office? | ¿Por qué motivo no puede ir a la oficina de su zona? | Text field, no char limit | N | Skip Logic | OPS Why Local Office | |||
| RCH4676Q080 | Please indicate your level of agreement with the following statements about your interaction today: I am satisfied with the service I received from the Social Security Administration. | Indíquenos su nivel de acuerdo con las siguientes afirmaciones acerca de su interacción en el día de hoy: Estoy satisfecho/a con el servicio que recibí de la Administración del Seguro Social. | 1=Strongly Disagree | 1=Totalmente en desacuerdo | Radio Button, Scale, No don't know | Y | A11-Satisfied | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| Strongly Agree=5 | Totalmente de acuerdo=5 | |||||||||
| RCH4676Q081 | This interaction increased my confidence in the Social Security Administration. | Esta interacción aumentó mi confianza en la Administración del Seguro Social. | 1=Strongly Disagree | 1=Totalmente en desacuerdo | Radio Button, Scale, No don't know | Y | A11-Trust | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| Strongly Agree=5 | Totalmente de acuerdo=5 | |||||||||
| RCH4676Q082 | My need was addressed. | Mis necesidades fueron atendidas. | 1=Strongly Disagree | 1=Totalmente en desacuerdo | Radio Button, Scale, No don't know | Y | A11-Quality | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| Strongly Agree=5 | Totalmente de acuerdo=5 | |||||||||
| RCH4676Q083 | It was easy to complete what I needed to do. | Me resultó fácil completar lo que tenía que hacer. | 1=Strongly Disagree | 1=Totalmente en desacuerdo | Radio Button, Scale, No don't know | A11-Ease | ||||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| Strongly Agree=5 | Totalmente de acuerdo=5 | |||||||||
| RCH4676Q084 | It took a reasonable amount of time to do what I needed to do. | Me llevó un tiempo razonable completar lo que tenía que hacer. | 1=Strongly Disagree | 1=Totalmente en desacuerdo | Radio Button, Scale, No don't know | Y | A11-Speed | |||
| 2 | 2 | |||||||||
| 3 | 3 | |||||||||
| 4 | 4 | |||||||||
| Strongly Agree=5 | Totalmente de acuerdo=5 | |||||||||
| CAS0045291 | Do you have any suggestions for improving Social Security's online application. | ¿Tiene alguna sugerencia para mejorar la aplicación en línea del Seguro Social? | Text field, no char limit | N | OE_Improvement | |||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet | 
| File Modified | 0000-00-00 | 
| File Created | 0000-00-00 |