| Survey: | VHA | 
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		| IA#: | 30820 Amend 0 | 
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		| Date: | 1/16/2019 | 
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		| SURVEY TYPE: | Relationship (tab 4) | 
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		| Survey Q# | Type# | Type Topic | 
	
		| 1 | Standard | Look and Feel - Appeal | 
	
		| 2 | Standard | Look and Feel - Balance | 
	
		| 3 | Standard | Look and Feel - Readability | 
	
		| 4 | Standard | Site Performance - Loading | 
	
		| 5 | Standard | Site Performance - Consistency | 
	
		| 6 | Standard | Site Performance - Completeness | 
	
		| 7 | Standard | Navigation - Organized | 
	
		| 8 | Standard | Navigation - Options | 
	
		| 9 | Standard | Navigation - Layout | 
	
		| 10 | Standard | Site Information - Thoroughness | 
	
		| 11 | Standard | Site Information - Understandable | 
	
		| 12 | Standard | Site Information - Answers | 
	
		| 13 | Standard | Task Process - Time | 
	
		| 14 | Standard | Task Process - Procedures | 
	
		| 15 | Standard | Task Process - Efficiency | 
	
		| 16 | Standard | Satisfaction - Overall | 
	
		| 17 | Standard | Satisfaction - Expectations | 
	
		| 18 | Standard | Satisfaction - Ideal | 
	
		| 19 | Standard | Return | 
	
		| 20 | Standard | Recommend | 
	
		| 21 | Standard | Trust - Level MHV | 
	
		| 22 | Standard | Trust - Level VA | 
	
		| 23 | Standard | Use Web Channel Over Others | 
	
		| 24 | Custom | Visit Reason | 
	
		| 25 | Custom | OE_Visit Reason | 
	
		| 26 | Custom | ANRole | 
	
		| 27 | Custom | ANHealth | 
	
		| 28 | Custom | ANFacilCare | 
	
		| 29 | Custom | VACareType | 
	
		| 30 | Custom | OE_VACareType | 
	
		| 31 | Custom | SummaryAwareVAproviders | 
	
		| 32 | Custom | SummaryAccessVAproviders | 
	
		| 33 | Custom | NonVACare | 
	
		| 34 | Custom | NonVACareType | 
	
		| 35 | Custom | OE_NonVACareType | 
	
		| 36 | Custom | OE_ShareNotTypes | 
	
		| 37 | Custom | OE_VLERheard | 
	
		| 38 | Custom | VLERwhynoconsent | 
	
		| 39 | Custom | OE_VLERwhynoconsent | 
	
		| 40 | Custom | SummaryUsed | 
	
		| 41 | Custom | OE_SummaryUsed | 
	
		| 42 | Custom | ANMHVFreq | 
	
		| 43 | Custom | OE_Redesign Not Improvement | 
	
		| 44 | Custom | ANRegUser | 
	
		| 45 | Custom | ANUserType | 
	
		| 46 | Custom | Log Into Site | 
	
		| 47 | Custom | Log In Successfully | 
	
		| 48 | Custom | Log In Experience | 
	
		| 49 | Custom | OE_Log In Info Unavailable | 
	
		| 50 | Custom | OE_Log In Experience | 
	
		| 51 | Custom | ANTaskAcc | 
	
		| 52 | Custom | NotAccomplished | 
	
		| 53 | Custom | OE_NotAccomplished | 
	
		| 54 | Custom | Receive Care | 
	
		| 55 | Custom | State | 
	
		| 56 | Custom | Alaska | 
	
		| 57 | Custom | Alabama | 
	
		| 58 | Custom | Arkansas | 
	
		| 59 | Custom | Arizona | 
	
		| 60 | Custom | California | 
	
		| 61 | Custom | Colorado | 
	
		| 62 | Custom | Connecticut | 
	
		| 63 | Custom | DC | 
	
		| 64 | Custom | Delaware | 
	
		| 65 | Custom | Florida | 
	
		| 66 | Custom | Georgia | 
	
		| 67 | Custom | Hawaii | 
	
		| 68 | Custom | Iowa | 
	
		| 69 | Custom | Idaho | 
	
		| 70 | Custom | Illinois | 
	
		| 71 | Custom | Indiana | 
	
		| 72 | Custom | Kansas | 
	
		| 73 | Custom | Kentucky | 
	
		| 74 | Custom | Louisiana | 
	
		| 75 | Custom | Massachusetts | 
	
		| 76 | Custom | Maryland | 
	
		| 77 | Custom | Maine | 
	
		| 78 | Custom | Michigan | 
	
		| 79 | Custom | Minnesota | 
	
		| 80 | Custom | Missouri | 
	
		| 81 | Custom | Mississippi | 
	
		| 82 | Custom | Montana | 
	
		| 83 | Custom | North Carolina | 
	
		| 84 | Custom | North Dakota | 
	
		| 85 | Custom | Nebraska | 
	
		| 86 | Custom | New Hampshire | 
	
		| 87 | Custom | New Jersey | 
	
		| 88 | Custom | New Mexico | 
	
		| 89 | Custom | Nevada | 
	
		| 90 | Custom | New York | 
	
		| 91 | Custom | Ohio | 
	
		| 92 | Custom | Oklahoma | 
	
		| 93 | Custom | Oregon | 
	
		| 94 | Custom | Pennsylvania | 
	
		| 95 | Custom | Puerto Rico | 
	
		| 96 | Custom | Rhode Island | 
	
		| 97 | Custom | South Carolina | 
	
		| 98 | Custom | South Dakota | 
	
		| 99 | Custom | Tennessee | 
	
		| 100 | Custom | Texas | 
	
		| 101 | Custom | Utah | 
	
		| 102 | Custom | Virginia | 
	
		| 103 | Custom | Vermont | 
	
		| 104 | Custom | Washington | 
	
		| 105 | Custom | Wisconsin | 
	
		| 106 | Custom | West Virginia | 
	
		| 107 | Custom | Wyoming | 
	
		| 108 | Custom | Social Media | 
	
		| 109 | Custom | SM_Facebook | 
	
		| 110 | Custom | SM_Twitter | 
	
		| 111 | Custom | Newsletter | 
	
		| 112 | Custom | Subscribe | 
	
		| 113 | Custom | Newsletter Useful | 
	
		| 114 | Custom | OE_Newsletter | 
	
		| 115 | Custom | PRYrsUse | 
	
		| 116 | Custom | 12mosAccessVAMedRecords | 
	
		| 117 | Custom | MHV improve Health | 
	
		| 118 | Custom | OE_Topics | 
	
		| 119 | Custom | ENDRequest | 
	
		| 120 | Custom | Survey | 
	
		| 121 | Custom | ANMilServ | 
	
		| 122 | Custom | ANAge | 
	
		| 123 | Custom | ANGender | 
	
		| 124 | Custom | ANEduc | 
	
		| 125 | Custom | Paperwork | 
	
		| 126 | Custom | Label | 
	
		| 127 | Custom | Why discard | 
	
		| 128 | Custom | Why paperwork | 
	
		| 129 | Custom | Tracking numbers |