Form CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey

1. How would you rate the person's ability to give you a clear
answer to your questions?
2. How would you rate the person's ability to understand your
question or concern?
3. How would you rate the person's knowledge of the Medicare
system?
4. Thinking now about your general experience with using the
automated telephone system, how would you rate the
clearness of the instructions?
5. How would rate the time it took you to get through to a
customer service representative who helped you?
6. If you have used our website, Medicare.gov, please rate
your most recent experience.
7. How would you rate your overall experience with Medicare
Customer Service?

PRA Disclosure Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is
0938-1382 (Expires 9/30/2023). This is a voluntary information collection. Although CMS is not invoking statutory
support for confidentiality, the quality of this type of information requires respondent candor and anonymity. Therefore,
CMS pledges to keep the information collected private unless otherwise required by law. Respondents will be notified
on the data collection form that their information will only be reported in aggregated form and no personally identifiable
responses will be publicly released. The time required to complete this information collection is estimated to average
5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed,
and complete and review the information collection. If you have comments concerning the accuracy of the time
estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports
Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.