| Model Name | SSA Retirement Estimator |   | ||||||
| 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 Retirement Estimator v4 |   | ||||||||
| MID: | p00IdwE4ssR1MA9UUtZ5Ng4C | ||||||||
| Partitioned (Y/N)? | N | Element rotation scheme has been added | |||||||
| FPI Included(Y/N)? | |||||||||
| Date: | 7/19/2013 | ||||||||
| SSA Retirement Estimator v4 | |||||||||
| ELEMENTS (drivers of satisfaction) | CUSTOMER SATISFACTION | FUTURE BEHAVIORS | FPI | ||||||
| MQ Label | MQ Label | MQ Label | Y? | ||||||
| Apariencia y función (1=Mala, 10=Excelente, No sé) | Satisfacción | Apply in Office | Visitar la oficina local para solicitar los beneficios (1=Muy improbablemente, 10=Muy probablemente) | ||||||
| Look and Feel - Appeal | Por favor califique la apariencia del Calculador de beneficios de jubilación por Internet. | Satisfaction - Overall | ¿Cómo calificaría su satisfacción en general del Calculador de beneficios de jubilación por Internet? (1=Totalmente insatisfecho, 10=Totalmente satisfecho) | ¿Cuáles son las posibilidades de que visite la oficina personalmente la oficina local del Seguro Social para solicitar los beneficios? | |||||
| Look and Feel - Balance | Por favor califique el equilibrio entre gráficas y texto del Calculador de beneficios de jubilación por Internet. | Satisfaction - Expectations | ¿Con cuánta exactitud el Calculador de beneficios de jubilación por Internet satisfizo sus expectativas? (1=No llenó mis expectativas, 10=Totalmente satisfecho) | Apply Online | Solicitar los beneficios de Seguro Social por Internet (1=Muy improbablemente, 10=Muy probablemente) | ||||
| Look and Feel - Readability | Por favor califique la fluidez del texto del Calculador de beneficios de jubilación por Internet. | Satisfaction - Ideal | ¿Cómo se compara el Calculador de beneficios de jubilación por Internet con lo que se imaginaría que sería su programa de computadora ideal? (1=No se asemeja, 10=Se asemeja) | ¿Cuáles son las posibilidades de que solicite los beneficios de Seguro Social usando la Internet? | |||||
| Rendimiento del sitio de Internet (1=Mala, 10=Excelente, No sé) | Recommend | Recomendar (1=Muy improbablemente, 10=Muy probablemente) | |||||||
| Site Performance - Loading | Por favor califique la rapidez con que suben las páginas el Calculador de beneficios de jubilación por Internet. | ¿Cuáles son las posibilidades de que le recomiende el Calculador de beneficios de jubilación por Internet a otra persona? | |||||||
| Site Performance - Consistency | Por favor califique la consistencia de la rapidez para moverse de una página a la otra del Calculador de beneficios de jubilación por Internet. | Return | Regresar (si procede) (1=Muy improbablemente, 10=Muy probablemente) | ||||||
| Site Performance - Errors | Por favor califique la capacidad para subir las páginas sin que reciba un error del Calculador de beneficios de jubilación por Internet. | ¿Cuáles son las posibilidades de que regrese a usar el Calculador de beneficios de jubilación por Internet? | |||||||
| Simpleza del vocabulario (1=Malo, 10=Excelente, No sé) | Use Other Online Services | Usar por Internet otros programas de computadora del Seguro Social (1=Muy improbablemente, 10=Muy probablemente) | |||||||
| Plain Language - Clear | Por favor califique la claridad de las palabras usadas en el Calculador de beneficios de jubilación por Internet. | ¿Cuáles son las posibilidades de que use otros programas de computadora en este sitio de Internet del Seguro Social? | |||||||
| Plain Language - Understandable | Por favor califique su comprensión de las palabras usadas en el Calculador de beneficios de jubilación por Internet. | ||||||||
| Plain Language - Concise | Por favor califique el Calculador de beneficios de jubilación por Internet basado en el uso de oraciones cortas y claras. |   | |||||||
 
| Social Security Administration | |||||||||||
| SSA Retirement Estimator v4 | underlined & italicized: RE-ORDER | ||||||||||
| MID: dwYM9t9olVlhBdRVhFxhIw4C | pink: ADDITION | ||||||||||
| Date: | 10/6/2010 | blue + -->: REWORDING | |||||||||
| SSA Retirement Estimator v4 CUSTOM QUESTION LIST | |||||||||||
| QID | Skip From | Question Text | Answer Choices | Skip to | Type (select from list) | Required Y/N | Special Instructions | CQ Label | |||
| BJL2254 | How did you first learn about the Retirement Estimator? | Social media (e.g., Blog, Facebook, Twitter, etc.) | Radio button, one-up vertical | Y | Skip Logic Group | Learned about RE | |||||
| Online search engine or other website (e.g., Google) | |||||||||||
| Linked from another website | C2 | ||||||||||
| An online ad (Banner/Image) | |||||||||||
| A newspaper or magazine article | |||||||||||
| A newspaper or magazine ad | |||||||||||
| An email from Social Security | |||||||||||
| My Social Security Statement | |||||||||||
| Social Security employee | |||||||||||
| Relative or friend | |||||||||||
| Social Security event | |||||||||||
| My employer or Human Resources department | |||||||||||
| My financial advisor | |||||||||||
| Word of mouth | |||||||||||
| Other, please specify | C | ||||||||||
| BJL2255 | C | Please specify how you first learned about the Retirement Estimator. | Text field, <100 char | N | Skip Logic Group | Other learned about | |||||
| STE0050206 | C2 | Please specify the website that led you to the Retirement Estimator | Text field, <100 char | N | Skip Logic Group | OE_Website | |||||
| STE0050207 | How often do you use the Retirement Estimator? | This was the first time | Radio button, one-up vertical | Y | Frequency | ||||||
| Every few months or less often | |||||||||||
| Monthly | |||||||||||
| I use the Retirement Estimator more than once a month | |||||||||||
| JAC0123788 | When do you expect to file for retirement benefits? | Within 6 months | Radio button, one-up vertical | Y | Expect to File | ||||||
| Within 12 months | |||||||||||
| Within 1 to 3 years | |||||||||||
| More than 3 but less than 6 years | |||||||||||
| Don't know at this time | |||||||||||
| BJL2264 | How do you plan to file for retirement benefits? | Online | Radio button, one-up vertical | Y | How to File | ||||||
| Online with telephone or in-person assistance | |||||||||||
| By telephone interview | |||||||||||
| At my local Social Security office | |||||||||||
| Don't know at this time | |||||||||||
| STE0057596 | Do you believe the retirement estimate(s) provided to you was/were based on your entire Social Security earnings record? | Yes | Radio button, one-up vertical | Y | Skip Logic Group | RE Based on Earnings | |||||
| No | G | ||||||||||
| STE0057597 | G | Please explain why you think that the retirement estimate(s) was/were not based on your entire Social Security earnings record? | Text area, no char limit | N | Skip Logic Group | OE_Not based on earnings | |||||
| RCH4677Q059 | 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 | |||||||||||
| Strongly Agree=5 | |||||||||||
| RCH4677Q060 | 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 | |||||||||||
| Strongly Agree=5 | |||||||||||
| RCH4677Q061 | My need was addressed. | 1=Strongly Disagree | Radio Button, Scale, No don't know | Y | A11-Quality | ||||||
| 2 | |||||||||||
| 3 | |||||||||||
| 4 | |||||||||||
| Strongly Agree=5 | |||||||||||
| RCH4677Q062 | It was easy to complete what I needed to do. | 1=Strongly Disagree | Radio Button, Scale, No don't know | Y | A11-Ease | ||||||
| 2 | |||||||||||
| 3 | |||||||||||
| 4 | |||||||||||
| Strongly Agree=5 | |||||||||||
| RCH4677Q063 | 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 | |||||||||||
| Strongly Agree=5 | |||||||||||
| STE0061399 | Have you registered for a my Social Security account? | Yes | Radio button, one-up vertical | Y | Skip Logic | Have mySSA Account | |||||
| No | A | ||||||||||
| STE0061400 | A | What is the main reason you have not registered for a my Social Security account? | I plan to register for a my Social Security account today. | Radio button, one-up vertical | Y | Skip Logic | Why Not Have mySSA Account | ||||
| I plan to register for a my Social Security account in the near future. | |||||||||||
| I tried to register for a my Social Security account, but was unsuccessful. | |||||||||||
| I am not sure why I need a my Social Security account. | |||||||||||
| I do not want a my Social Security account. | |||||||||||
| Other, please specify | AA | ||||||||||
| STE0061424 | AA | Please tell us why you have not registered for a my Social Security account. | Text field, no char limit | N | Skip Logic | OPS_Why Not Have mySSA Account | |||||
| JAC0123895 | What is your age? | 40 and under | Drop down, select one | N | Age | ||||||
| 41 to 50 | |||||||||||
| 51 to 61 | |||||||||||
| 62 to 64 | |||||||||||
| 65 to 67 | |||||||||||
| 68 to 70 | |||||||||||
| Prefer not to answer | |||||||||||
| BJL2280 | Do you have any suggestions for improving the online Retirement Estimator application? | Text area, no char limit | N | Improvement | |||||||
| Social Security Administration | |||||||||||
| SSA Retirement Estimator v4 | underlined & italicized: RE-ORDER | ||||||||||
| MID: p00IdwE4ssR1MA9UUtZ5Ng4C | pink: ADDITION | ||||||||||
| Date: | 10/6/2010 | blue + -->: REWORDING | |||||||||
| SSA Retirement Estimator v4 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 | |||
| BJL2254 | How did you first learn about the Retirement Estimator? | ¿Cómo se enteró del Calculador de beneficios por jubilación? | Redes sociales (por ejemplo, blog, Facebook, Twitter, etc.) | Radio button, one-up vertical | Y | Skip Logic Group | Learned about RE | ||||
| Motor de búsqueda en línea u otros sitios web (por ejemplo, Google) | |||||||||||
| Un enlace de otra página de Internet. | C2 | ||||||||||
| Anuncio por Internet (banner / imagen) | |||||||||||
| Artículo de periódico o revista | |||||||||||
| Anuncio de periódico o revista | |||||||||||
| Correo electrónico del Seguro Social | |||||||||||
| Mi estado de cuenta del Seguro Social | |||||||||||
| Un empleado del Seguro Social | |||||||||||
| Un familiar o un amigo | |||||||||||
| Un evento del Seguro Social | |||||||||||
| Fue sugerido por mi empleador o por el Departamento de Recursos Humanos | |||||||||||
| Fue sugerido por mi asesor financiero | |||||||||||
| Alguien me lo comentó | |||||||||||
| Otro, especificar | C | ||||||||||
| BJL2255 | C | Please specify how you first learned about the Retirement Estimator. | Por favor, especifique cómo se enteró del Calculador de beneficios jubilación. | Text field, <100 char | N | Skip Logic Group | Other learned about | ||||
| STE0050206 | C2 | Please specify the website that led you to the Retirement Estimator | Por favor, especifique el sitio web que llevó a la Calculador de beneficios por jubilación. | Text field, <100 char | N | Skip Logic Group | OE Website | ||||
| STE0050207 | How often do you use the Retirement Estimator? | ¿Con qué frecuencia se utiliza el Estimador de la jubilción? | Esta fue la primera vez | Radio button, one-up vertical | Y | Frequency | |||||
| Cada pocos meses o con menor frecuencia | |||||||||||
| Mensual | |||||||||||
| Uso el Calculador de beneficios de jubilación más de una vez por mes | |||||||||||
| JAC0123788 | When do you expect to file for retirement benefits? | ¿Cuándo espera solicitar beneficios por jubilación? | En un plazo de 6 meses | Radio button, one-up vertical | Y | Espera solicitar | |||||
| En un plazo de 12 meses | |||||||||||
| En un plazo de entre 1 y 3 años | |||||||||||
| En más de 3 pero menos de 6 años | |||||||||||
| En este momento, no lo sé | |||||||||||
| BJL2264 | How do you plan to file for retirement benefits? | ¿Cómo piensa solicitar sus beneficios por jubilación? | En línea | Radio button, one-up vertical | Y | How to File | |||||
| En línea con ayuda telefónica o en persona | |||||||||||
| Por entrevista telefónica | |||||||||||
| En la oficina del Seguro Social de mi zona | |||||||||||
| En este momento, no lo sé | |||||||||||
| STE0057596 | Do you believe the retirement estimate(s) provided to you was/were based on your entire Social Security earnings record? | ¿Cree usted que la estimación de la jubilación previsto para que el se basó en todo su registro de ganancias del Seguro Social? | Sí | Radio button, one-up vertical | Y | Skip Logic Group | RE Based on Earnings | ||||
| No | G | ||||||||||
| STE0057597 | G | Please explain why you think that the retirement estimate(s) was/were not based on your entire Social Security earnings record? | Por favor, explique por qué piensa que la estimación de la jubilación no se basó en todo su registro de ganancias del Seguro Social? | Text area, no char limit | N | Skip Logic Group | OE_Not based on earnings | ||||
| RCH4677Q059 | 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 | ||||||||||
| RCH4677Q060 | 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 | ||||||||||
| RCH4677Q061 | 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 | ||||||||||
| RCH4677Q062 | 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 | Y | A11-Ease | ||||
| 2 | 2 | ||||||||||
| 3 | 3 | ||||||||||
| 4 | 4 | ||||||||||
| Strongly Agree=5 | Totalmente de acuerdo=5 | ||||||||||
| RCH4677Q063 | 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 | ||||||||||
| STE0061399 | Have you registered for a my Social Security account? | ¿Ha abierto una cuenta del Seguro Social? | Yes | Sí | Radio button, one-up vertical | Y | Skip Logic | Have mySSA Account | |||
| No | No | A | |||||||||
| STE0061400 | A | What is the main reason you have not registered for a my Social Security account? | ¿Cuál es el motivo principal por el que no ha abierto una cuenta del Seguro Social? | I plan to register for a my Social Security account today. | Planeo abrir hoy una cuenta del Seguro Social | Radio button, one-up vertical | Y | Skip Logic | Why Not Have mySSA Account | ||
| I plan to register for a my Social Security account in the near future. | Planeo abrir una cuenta del Seguro Social en un futuro próximo | ||||||||||
| I tried to register for a my Social Security account, but was unsuccessful. | Intenté registrarme para abrir una cuenta del Seguro Social hoy, pero no lo conseguí | ||||||||||
| I am not sure why I need a my Social Security account. | No estoy seguro de por qué necesito una cuenta del Seguro Social | ||||||||||
| I do not want a my Social Security account. | No quiero una cuenta del Seguro Social | ||||||||||
| Other, please specify | Otra opción (indique cuál) | AA | |||||||||
| STE0061424 | AA | Please tell us why you have not registered for a my Social Security account. | Díganos cuál es el motivo principal por el que no ha abierto una cuenta del Seguro Social. | Text field, no char limit | N | Skip Logic | OPS_Why Not Have mySSA Account | ||||
| JAC0123895 | What is your age? | ¿Cuál es su edad? | 40 and under | 40 años y menos | Drop down, select one | N | Edad | ||||
| 41 to 50 | 41 a 50 | ||||||||||
| 51 to 61 | 51 a 61 | ||||||||||
| 62 to 64 | 62 a 64 | ||||||||||
| 65 to 67 | 65 a 67 | ||||||||||
| 68 to 70 | 68 a 70 | ||||||||||
| Prefer not to answer | Prefiero no responder | ||||||||||
| BJL2280 | Do you have any suggestions for improving the online Retirement Estimator application? | ¿Tiene alguna sugerencia para mejorar el Calculador de beneficios de jubilación en línea? | Text area, no char limit | N | Improvement | ||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet | 
| File Modified | 0000-00-00 | 
| File Created | 0000-00-00 |