30739 FEMA NFIP_Cl 30739 FEMA NFIP_Claim Start Functional 02_08_2022_DOT

E-Government Website Customer Satisfaction Surveys

30739 FEMA NFIP_Claim Start Functional 02_08_2022_DOT.xlsx

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

How to read this file
Welcome and Thank You Text
Model Questions
Custom Questions
CQs (02-08-2022)
CQs (8-31-2021)
CQs (4-20-2021)
CQs (4-27-2020)
CQs (2020-02-27)
CQs (11-19-2019)


Sheet 1: How to read this file

Welcome and Thank You Text





The text you see here will appear at the top and bottom of your survey. Default text is included and you may modify this text as needed.












Model Questions





As discussed during the kick-off call, the model questions are part of the ForeSee methodology. For consistency within the model, these questions are standardized and have been tested and validated. Standardization of model questions allows benchmarking across companies/industries, and these questions are used in calculating scores and impacts.





Focus on the future behaviors; I’ve started with some that I believe are a good fit but we can certainly make adjustments. These are desired customer outcomes that are impacted by customer satisfaction.












Custom Questions





When reviewing the custom questions tab, keep in mind these questions are used for segmentation analysis of the model data. It is suggested that you add, delete or change custom questions over time, as your needs or business objectives change.





Focus Area #1: Achieving Actionable Data
- Know what changes are being made based on the intelligence
- Change Custom Questions so that stakeholders see a clear “must do”






Focus Area #2: Aligning Data to Business Strategies
- Update your Custom Questions as business cycles change
- Integrate Executive Level questions to evaluate initiatives






Focus Area #3: Strategic and Tactical Value
- Influence Board Room Decisions
- Change Operational Approaches
- Mature Your Research















Sheet 2: Welcome and Thank You Text


The text you see here will appear at the top and bottom of your survey, examples below.



Default text is included and you may modify this text as needed.










Welcome and Thank You Text









Welcome Text








We understand that you filed a claim with the National Flood Insurance Program (NFIP) after experiencing a flood loss. We appreciate you taking the time to take this survey.

By taking this brief survey, your input will help improve our process.







































Thank You Text








Thank you for taking our survey and for helping us serve you better.








































Example Desktop

































































































































































































Sheet 3: Model Questions

Model Name
NFIP Claim Filing Functional



Red & Strike-Through: Delete
Model ID
VphFlklxBg40l4Qx0xJgtg4C



Underlined & Italicized: Re-order
Partitioned
No



Pink: Addition
Date
10/27/2017





Model Version
NA



Blue: Reword










Label Element Questions
Label Satisfaction Questions
Label Future Behaviors








Satisfaction

Recommend Company
(1=Very Unlikely, 10=Very Likely)



1 Satisfaction - Overall What is your overall satisfaction with the process for filing a flood insurance claim with the NFIP?
(1=Very Dissatisfied, 10=Very Satisfied)
4 Recommend Company How likely are you to recommend purchasing NFIP flood insurance to someone else?



2 Satisfaction - Expectations How well does the NFIP process for filing a claim meet your expectations?
(1=Falls Short, 10=Exceeds)


Trust (1=Not at all Trustworthy, 10=Very Trustworthy)



3 Satisfaction - Ideal How does the NFIP process compare to an ideal process for filing an insurance claim?
(1=Not Very Close, 10=Very Close)
5 Trust Please rate your level of trust in NFIP flood insurance.








Renew
(1=Very Unlikely, 10=Very Likely)






6 Renew How likely are you to renew your NFIP policy again next year?



































































































































































Sheet 4: Custom Questions

Model Name
NFIP Claim Filing Functional


Red & Strike-Through: Delete


Model ID
VphFlklxBg40l4Qx0xJgtg4C


Underlined & Italicized: Re-order

Partitioned
No


Pink: Addition

Date
5/2/2018


Blue: Reword












QID QUESTION META TAG Skip From Question Text Answer Choices Skip To Required
Y/N
Type Special Instructions CQ Label
CUE0408095

My claim was adjusted using the following method: Adjuster visited my property and completed a physical inspection.
Y Radio button, one-up vertical Skip Logic Group* Adjustment Method




I approved and assisted in remote adjusting to receive an advance payment while awaiting a physical inspection.








I approved and assisted in remote adjusting to receive final payment and conclude my claim.








Other  A1



CUE0408096
A1 Please explain how your claim was adjusted.

N Text area, no char limit Skip Logic Group* OE Adjustment Method
HAJ7571Q001

Was the communication and guidance you received on how to file your claim easy to understand? Yes
Y Radio button, one-up vertical Skip Logic Group* Guidance Clarity




No A







Don't know




HAJ7571Q002
A Please tell us what was not easy to understand.

N Text area, no char limit Skip Logic Group* OE_Guidance Clarity
HAJ7571Q003

Was the process to file your claim simple?  Yes
Y Radio button, one-up vertical Skip Logic Group* Process Simplicity




No A







Don't know




HAJ7571Q004
A Please tell us why you found filing your claim was not simple.

N Text area, no char limit Skip Logic Group* OE_Process Simplicity
HAJ7571Q005

Where are you currently in the NFIP claims process? Select all that apply. Completed my claim filing
Y Checkbox, one-up vertical Skip Logic Group* Primary Reason




Waiting to be contacted by my adjuster








Gathering supporting documentation for my loss








Working on my inventory of damaged items to provide to the adjuster








The adjuster already completed the inspection








Other, please specify A



RUS0305927
A Please tell us where you currently are in the NFIP claims process.

N Text area, no char limit Skip Logic Group* OE_Primary Reason
HAJ7571Q006

Which of these options did you mainly use to file your claim? Website B Y Radio button, one-up vertical Skip Logic Group* Report Loss




Mobile site B







Email








Call center C







Agent C







Other, please specify A



HAJ7571Q007
A Please tell us how you filed your claim.

N Text area, no char limit Skip Logic Group* OE_Report Method
HAJ7571Q008
B How satisfied were you with your experience navigating the site for the information you needed to prepare your claim? 1=Very Dissatisfied B1 Y Radio button, scale, no don't know Skip Logic Group* Site Navigation




2 B1







3 B1







4 B1







5 B1







6 B1







7








8








9








Very Satisfied=10




HAJ7571Q009
B1 Please explain your reason for providing this rating.

N Text area, no char limit Skip Logic Group* OE_Site Navigation
HAJ7571Q010
C Was the person you spoke with sympathetic to your situation? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Sympathetic




No




HAJ7571Q011
C Was the person you spoke with knowledgeable about the process for filing a claim? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Knowledgeable




No




HAJ7571Q012
C Were you able to obtain the assistance you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Obtain Assistance




No




HAJ7571Q013
C Was the person you spoke with courteous? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Courteousness




No




HAJ7571Q014
C Was your call answered promptly? Yes
Y Radio button, one-up vertical Skip Logic Group* Call Answered Promptly




No




HAJ7571Q015

Did you search for information on the website to assist you with filing your claim? Yes A Y Radio button, one-up vertical Skip Logic Group* Additional Info




No




HAJ7571Q016
A Were you able to find the information you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Find Info




No C



HAJ7571Q019
C Please tell us what you were looking for and were unable to find.

N Text area, no char limit Skip Logic Group* OE_What Info Missing
CUR0367773

Please indicate the Claim Date of Loss you reported by selecting the month, day and year below. January
Y Drop down, select one
CDOL Month




February







Month March








April








May








June








July








August








September








October








November








December








Don't know




CUR0367774

Day 1
Y Drop down, select one
CDOL Day




2








3








4








5








6








7








8








9








10








11








12








13








14








15








16








17








18








19








20








21








22








23








24








25








26








27








28








29








30








31








Don't know




CUR0367775

Year 2022
Y Drop down, select one
CDOL Year




2021








2020








2019








2018








2017








2016








2015








2014








2013








2012








2011








2010








2009








2008








2007








2006








2005








2004








2003








2002








2001








2000








Don't know




HAJ7571Q021

Were you provided enough information on the website to complete the next step in the claims process? Yes
Y Radio button, one-up vertical
Claim Empowerment




No








Don't know




HAJ7571Q024

Please tell us what we can improve in the process for filing a claim.

N Text area, no char limit
OE_Improve
HAJ7571Q025

Have you filed and completed an NFIP claim before (not including this current claim)? Yes A Y Radio button, one-up vertical Skip Logic Group* Previous Claim




No




HAJ7571Q026
A Were you satisfied with your previous NFIP claim experience? Yes
Y Radio button, one-up vertical Skip Logic Group* Prev Claim Sat




No B



HAJ7571Q027
B Please tell us why you were not satisfied with your previous claim experience.

N Text area, no char limit Skip Logic Group* OE_Not Sat
HAJ7571Q028 Demographics: Gender
What is your gender? Male
N Radio button, one-up vertical
Demos: Gender Fed Govt




Female








Prefer not to respond




HAJ7571Q029 Demographics: Age
Which category includes your age? Under 18
N Drop down, select one
Demos: Age




18 - 24








25 - 34








35 - 44








45 - 54








55 - 64








65 or older








Prefer not to respond




HAJ7571Q030

Please tell us what type of property has sustained damage. Residential
Y Radio button, one-up vertical
Property Type




Business








Other property




HAJ7571Q031

Where did the flood loss occur? Alabama
N Drop down, select one Skip Logic Group* State




Alaska








American Samoa








Arizona








Arkansas








California








Colorado








Connecticut








Delaware








District of Columbia








Florida








Georgia








Guam








Hawaii








Idaho








Illinois








Indiana








Iowa








Kansas








Kentucky








Louisiana








Maine








Maryland








Massachusetts








Michigan








Minnesota








Mississippi








Missouri








Montana








Nebraska








Nevada








New Hampshire








New Jersey








New Mexico








New York








North Carolina








North Dakota








Northern Mariana Islands








Ohio








Oklahoma








Oregon








Pennsylvania








Puerto Rico








Rhode Island








South Carolina








South Dakota








Tennessee








Texas








US Virgin Islands A







Utah








Vermont








Virginia








Washington








West Virginia








Wisconsin








Wyoming








Other








Prefer not to respond




TAR0227291
A Specifically, where did the flood loss occur? Saint Croix
N Drop down, select one Skip Logic Group* VI Island




Saint John








Saint Thomas








Prefer not to respond





Sheet 5: CQs (02-08-2022)

Model Name
NFIP Claim Filing Functional


Red & Strike-Through: Delete


Model ID
VphFlklxBg40l4Qx0xJgtg4C


Underlined & Italicized: Re-order

Partitioned
No


Pink: Addition

Date
5/2/2018


Blue: Reword












QID QUESTION META TAG Skip From Question Text Answer Choices Skip To Required
Y/N
Type Special Instructions CQ Label
CUE0408095

My claim was adjusted using the following method: Adjuster visited my property and completed a physical inspection.
Y Radio button, one-up vertical Skip Logic Group* Adjustment Method




I approved and assisted in remote adjusting to receive an advance payment while awaiting a physical inspection.








I approved and assisted in remote adjusting to receive final payment and conclude my claim.








Other  A1



CUE0408096
A1 Please explain how your claim was adjusted.

N Text area, no char limit Skip Logic Group* OE Adjustment Method
HAJ7571Q001

Was the communication and guidance you received on how to file your claim easy to understand? Yes
Y Radio button, one-up vertical Skip Logic Group* Guidance Clarity




No A







Don't know




HAJ7571Q002
A Please tell us what was not easy to understand.

N Text area, no char limit Skip Logic Group* OE_Guidance Clarity
HAJ7571Q003

Was the process to file your claim simple?  Yes
Y Radio button, one-up vertical Skip Logic Group* Process Simplicity




No A







Don't know




HAJ7571Q004
A Please tell us why you found filing your claim was not simple.

N Text area, no char limit Skip Logic Group* OE_Process Simplicity
HAJ7571Q005

Where are you currently in the NFIP claims process? Select all that apply. Completed my claim filing
Y Checkbox, one-up vertical Skip Logic Group* Primary Reason




Waiting to be contacted by my adjuster








Gathering supporting documentation for my loss








Working on my inventory of damaged items to provide to the adjuster








The adjuster already completed the inspection








Other, please specify A



RUS0305927
A Please tell us where you currently are in the NFIP claims process.

N Text area, no char limit Skip Logic Group* OE_Primary Reason
HAJ7571Q006

Which of these options did you mainly use to file your claim? Website B Y Radio button, one-up vertical Skip Logic Group* Report Loss




Mobile site B







Email








Call center C







Agent C







Other, please specify A



HAJ7571Q007
A Please tell us how you filed your claim.

N Text area, no char limit Skip Logic Group* OE_Report Method
HAJ7571Q008
B How satisfied were you with your experience navigating the site for the information you needed to prepare your claim? 1=Very Dissatisfied B1 Y Radio button, scale, no don't know Skip Logic Group* Site Navigation




2 B1







3 B1







4 B1







5 B1







6 B1







7








8








9








Very Satisfied=10




HAJ7571Q009
B1 Please explain your reason for providing this rating.

N Text area, no char limit Skip Logic Group* OE_Site Navigation
HAJ7571Q010
C Was the person you spoke with sympathetic to your situation? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Sympathetic




No




HAJ7571Q011
C Was the person you spoke with knowledgeable about the process for filing a claim? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Knowledgeable




No




HAJ7571Q012
C Were you able to obtain the assistance you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Obtain Assistance




No




HAJ7571Q013
C Was the person you spoke with courteous? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Courteousness




No




HAJ7571Q014
C Was your call answered promptly? Yes
Y Radio button, one-up vertical Skip Logic Group* Call Answered Promptly




No




HAJ7571Q015

Did you search for information on the website to assist you with filing your claim? Yes A Y Radio button, one-up vertical Skip Logic Group* Additional Info




No




HAJ7571Q016
A Were you able to find the information you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Find Info




No C



HAJ7571Q019
C Please tell us what you were looking for and were unable to find.

N Text area, no char limit Skip Logic Group* OE_What Info Missing
CUR0367773

Please indicate the Claim Date of Loss you reported by selecting the month, day and year below. January
Y Drop down, select one
CDOL Month




February







Month March








April








May








June








July








August








September








October








November








December








Don't know




CUR0367774

Day 1
Y Drop down, select one
CDOL Day




2








3








4








5








6








7








8








9








10








11








12








13








14








15








16








17








18








19








20








21








22








23








24








25








26








27








28








29








30








31








Don't know




CUR0367775

Year 2022
Y Drop down, select one
CDOL Year




2021








2020








2019








2018








2017








2016








2015








2014








2013








2012








2011








2010








2009








2008








2007








2006








2005








2004








2003








2002








2001








2000








Don't know




HAJ7571Q021

Were you provided enough information on the website to complete the next step in the claims process? Yes
Y Radio button, one-up vertical
Claim Empowerment




No








Don't know




HAJ7571Q024

Please tell us what we can improve in the process for filing a claim.

N Text area, no char limit
OE_Improve
HAJ7571Q025

Have you filed and completed an NFIP claim before (not including this current claim)? Yes A Y Radio button, one-up vertical Skip Logic Group* Previous Claim




No




HAJ7571Q026
A Were you satisfied with your previous NFIP claim experience? Yes
Y Radio button, one-up vertical Skip Logic Group* Prev Claim Sat




No B



HAJ7571Q027
B Please tell us why you were not satisfied with your previous claim experience.

N Text area, no char limit Skip Logic Group* OE_Not Sat
HAJ7571Q028 Demographics: Gender
What is your gender? Male
N Radio button, one-up vertical
Demos: Gender Fed Govt




Female








Prefer not to respond




HAJ7571Q029 Demographics: Age
Which category includes your age? Under 18
N Drop down, select one
Demos: Age




18 - 24








25 - 34








35 - 44








45 - 54








55 - 64








65 or older








Prefer not to respond




HAJ7571Q030

Please tell us what type of property has sustained damage. Residential
Y Radio button, one-up vertical
Property Type




Business








Other property




HAJ7571Q031

Where did the flood loss occur? Alabama
N Drop down, select one Skip Logic Group* State




Alaska








American Samoa








Arizona








Arkansas








California








Colorado








Connecticut








Delaware








District of Columbia








Florida








Georgia








Guam








Hawaii








Idaho








Illinois








Indiana








Iowa








Kansas








Kentucky








Louisiana








Maine








Maryland








Massachusetts








Michigan








Minnesota








Mississippi








Missouri








Montana








Nebraska








Nevada








New Hampshire








New Jersey








New Mexico








New York








North Carolina








North Dakota








Northern Mariana Islands








Ohio








Oklahoma








Oregon








Pennsylvania








Puerto Rico








Rhode Island








South Carolina








South Dakota








Tennessee








Texas








US Virgin Islands A







Utah








Vermont








Virginia








Washington








West Virginia








Wisconsin








Wyoming








Other








Prefer not to respond




TAR0227291
A Specifically, where did the flood loss occur? Saint Croix
N Drop down, select one Skip Logic Group* VI Island




Saint John








Saint Thomas








Prefer not to respond





Sheet 6: CQs (8-31-2021)

Model Name
NFIP Claim Filing Functional


Red & Strike-Through: Delete


Model ID
VphFlklxBg40l4Qx0xJgtg4C


Underlined & Italicized: Re-order

Partitioned
No


Pink: Addition

Date
5/2/2018


Blue: Reword












QID QUESTION META TAG Skip From Question Text Answer Choices Skip To Required
Y/N
Type Special Instructions CQ Label
CUE0408095

My claim was adjusted using the following method: Adjuster visited my property and completed a physical inspection.
Y Radio button, one-up vertical Skip Logic Group* Adjustment Method




I approved and assisted in remote adjusting to receive an advance payment while awaiting a physical inspection.








I approved and assisted in remote adjusting to receive final payment and conclude my claim.








Other  A1



CUE0408096
A1 Please explain how your claim was adjusted.

N Text area, no char limit Skip Logic Group* OE Adjustment Method
HAJ7571Q001

Was the communication and guidance you received on how to file your claim easy to understand? Yes
Y Radio button, one-up vertical Skip Logic Group* Guidance Clarity




No A







Don't know




HAJ7571Q002
A Please tell us what was not easy to understand.

N Text area, no char limit Skip Logic Group* OE_Guidance Clarity
HAJ7571Q003

Was the process to file your claim simple?  Yes
Y Radio button, one-up vertical Skip Logic Group* Process Simplicity




No A







Don't know




HAJ7571Q004
A Please tell us why you found filing your claim was not simple.

N Text area, no char limit Skip Logic Group* OE_Process Simplicity
HAJ7571Q005

Where are you currently in the NFIP claims process? Select all that apply. Completed my claim filing
Y Checkbox, one-up vertical Skip Logic Group* Primary Reason




Waiting to be contacted by my adjuster








Gathering supporting documentation for my loss








Working on my inventory of damaged items to provide to the adjuster








The adjuster already completed the inspection








Other, please specify A



RUS0305927
A Please tell us where you currently are in the NFIP claims process.

N Text area, no char limit Skip Logic Group* OE_Primary Reason
HAJ7571Q006

Which of these options did you mainly use to file your claim? Website B Y Radio button, one-up vertical Skip Logic Group* Report Loss




Mobile site B







Email








Call center C







Agent C







Other, please specify A



HAJ7571Q007
A Please tell us how you filed your claim.

N Text area, no char limit Skip Logic Group* OE_Report Method
HAJ7571Q008
B How satisfied were you with your experience navigating the site for the information you needed to prepare your claim? 1=Very Dissatisfied B1 Y Radio button, scale, no don't know Skip Logic Group* Site Navigation




2 B1







3 B1







4 B1







5 B1







6 B1







7








8








9








Very Satisfied=10




HAJ7571Q009
B1 Please explain your reason for providing this rating.

N Text area, no char limit Skip Logic Group* OE_Site Navigation
HAJ7571Q010
C Was the person you spoke with sympathetic to your situation? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Sympathetic




No




HAJ7571Q011
C Was the person you spoke with knowledgeable about the process for filing a claim? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Knowledgeable




No




HAJ7571Q012
C Were you able to obtain the assistance you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Obtain Assistance




No




HAJ7571Q013
C Was the person you spoke with courteous? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Courteousness




No




HAJ7571Q014
C Was your call answered promptly? Yes
Y Radio button, one-up vertical Skip Logic Group* Call Answered Promptly




No




HAJ7571Q015

Did you search for information on the website to assist you with filing your claim? Yes A Y Radio button, one-up vertical Skip Logic Group* Additional Info




No




HAJ7571Q016
A Were you able to find the information you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Find Info




No C



HAJ7571Q019
C Please tell us what you were looking for and were unable to find.

N Text area, no char limit Skip Logic Group* OE_What Info Missing
CUR0367773

Please indicate the Claim Date of Loss you reported by selecting the month, day and year below. January
Y Drop down, select one
CDOL Month




February







Month March








April








May








June








July








August








September








October








November








December








Don't know




CUR0367774

Day 1
Y Drop down, select one
CDOL Day




2








3








4








5








6








7








8








9








10








11








12








13








14








15








16








17








18








19








20








21








22








23








24








25








26








27








28








29








30








31








Don't know




CUR0367775

Year 2021
Y Drop down, select one
CDOL Year




2020








2019








2018








2017








2016








2015








2014








2013








2012








2011








2010








2009








2008








2007








2006








2005








2004








2003








2002








2001








2000








Don't know




HAJ7571Q021

Were you provided enough information on the website to complete the next step in the claims process? Yes
Y Radio button, one-up vertical
Claim Empowerment




No








Don't know




HAJ7571Q024

Please tell us what we can improve in the process for filing a claim.

N Text area, no char limit
OE_Improve
HAJ7571Q025

Have you filed and completed an NFIP claim before (not including this current claim)? Yes A Y Radio button, one-up vertical Skip Logic Group* Previous Claim




No




HAJ7571Q026
A Were you satisfied with your previous NFIP claim experience? Yes
Y Radio button, one-up vertical Skip Logic Group* Prev Claim Sat




No B



HAJ7571Q027
B Please tell us why you were not satisfied with your previous claim experience.

N Text area, no char limit Skip Logic Group* OE_Not Sat
HAJ7571Q028 Demographics: Gender
What is your gender? Male
N Radio button, one-up vertical
Demos: Gender Fed Govt




Female








Prefer not to respond




HAJ7571Q029 Demographics: Age
Which category includes your age? Under 18
N Drop down, select one
Demos: Age




18 - 24








25 - 34








35 - 44








45 - 54








55 - 64








65 or older








Prefer not to respond




HAJ7571Q030

Please tell us what type of property has sustained damage. Residential
Y Radio button, one-up vertical
Property Type




Business








Other property




HAJ7571Q031

Where did the flood loss occur? Alabama
N Drop down, select one Skip Logic Group* State




Alaska








American Samoa








Arizona








Arkansas








California








Colorado








Connecticut








Delaware








District of Columbia








Florida








Georgia








Guam








Hawaii








Idaho








Illinois








Indiana








Iowa








Kansas








Kentucky








Louisiana








Maine








Maryland








Massachusetts








Michigan








Minnesota








Mississippi








Missouri








Montana








Nebraska








Nevada








New Hampshire








New Jersey








New Mexico








New York








North Carolina








North Dakota








Northern Mariana Islands








Ohio








Oklahoma








Oregon








Pennsylvania








Puerto Rico








Rhode Island








South Carolina








South Dakota








Tennessee








Texas








US Virgin Islands A







Utah








Vermont








Virginia








Washington








West Virginia








Wisconsin








Wyoming








Other








Prefer not to respond




TAR0227291
A Specifically, where did the flood loss occur? Saint Croix
N Drop down, select one Skip Logic Group* VI Island




Saint John








Saint Thomas








Prefer not to respond





Sheet 7: CQs (4-20-2021)

Model Name
NFIP Claim Filing Functional


Red & Strike-Through: Delete


Model ID
VphFlklxBg40l4Qx0xJgtg4C


Underlined & Italicized: Re-order

Partitioned
No


Pink: Addition

Date
5/2/2018


Blue: Reword












QID QUESTION META TAG Skip From Question Text Answer Choices Skip To Required
Y/N
Type Special Instructions CQ Label
CUE0408095

My claim was adjusted using the following method: Adjuster visited my property and completed a physical inspection.
Y Radio button, one-up vertical Skip Logic Group* Adjustment Method




I approved and assisted in remote adjusting to receive an advance payment while awaiting a physical inspection.








I approved and assisted in remote adjusting to receive final payment and conclude my claim.








Other  A1



CUE0408096
A1 Please explain how your claim was adjusted.

N Text area, no char limit Skip Logic Group* OE Adjustment Method
HAJ7571Q001

Was the communication and guidance you received on how to file your claim easy to understand? Yes
Y Radio button, one-up vertical Skip Logic Group* Guidance Clarity




No A







Don't know




HAJ7571Q002
A Please tell us what was not easy to understand.

N Text area, no char limit Skip Logic Group* OE_Guidance Clarity
HAJ7571Q003

Was the process to file your claim simple?  Yes
Y Radio button, one-up vertical Skip Logic Group* Process Simplicity




No A







Don't know




HAJ7571Q004
A Please tell us why you found filing your claim was not simple.

N Text area, no char limit Skip Logic Group* OE_Process Simplicity
HAJ7571Q005

Where are you currently in the NFIP claims process? Select all that apply. Completed my claim filing
Y Checkbox, one-up vertical Skip Logic Group* Primary Reason




Waiting to be contacted by my adjuster








Gathering supporting documentation for my loss








Working on my inventory of damaged items to provide to the adjuster








The adjuster already completed the inspection








Other, please specify A



RUS0305927
A Please tell us where you currently are in the NFIP claims process.

N Text area, no char limit Skip Logic Group* OE_Primary Reason
HAJ7571Q006

Which of these options did you mainly use to file your claim? Website B Y Radio button, one-up vertical Skip Logic Group* Report Loss




Mobile site B







Email








Call center C







Agent C







Other, please specify A



HAJ7571Q007
A Please tell us how you filed your claim.

N Text area, no char limit Skip Logic Group* OE_Report Method
HAJ7571Q008
B How satisfied were you with your experience navigating the site for the information you needed to prepare your claim? 1=Very Dissatisfied B1 Y Radio button, scale, no don't know Skip Logic Group* Site Navigation




2 B1







3 B1







4 B1







5 B1







6 B1







7








8








9








Very Satisfied=10




HAJ7571Q009
B1 Please explain your reason for providing this rating.

N Text area, no char limit Skip Logic Group* OE_Site Navigation
HAJ7571Q010
C Was the person you spoke with sympathetic to your situation? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Sympathetic




No




HAJ7571Q011
C Was the person you spoke with knowledgeable about the process for filing a claim? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Knowledgeable




No




HAJ7571Q012
C Were you able to obtain the assistance you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Obtain Assistance




No




HAJ7571Q013
C Was the person you spoke with courteous? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Courteousness




No




HAJ7571Q014
C Was your call answered promptly? Yes
Y Radio button, one-up vertical Skip Logic Group* Call Answered Promptly




No




HAJ7571Q015

Did you search for information on the website to assist you with filing your claim? Yes A Y Radio button, one-up vertical Skip Logic Group* Additional Info




No




HAJ7571Q016
A Were you able to find the information you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Find Info




No C



HAJ7571Q019
C Please tell us what you were looking for and were unable to find.

N Text area, no char limit Skip Logic Group* OE_What Info Missing
CUR0367773

Please indicate the Claim Date of Loss you reported by selecting the month, day and year below. January
Y Drop down, select one
CDOL Month




February







Month March








April








May








June








July








August








September








October








November








December








Don't know




CUR0367774

Day 1
Y Drop down, select one
CDOL Day




2








3








4








5








6








7








8








9








10








11








12








13








14








15








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17








18








19








20








21








22








23








24








25








26








27








28








29








30








31








Don't know




CUR0367775

Year 2021
Y Drop down, select one
CDOL Year




2020








2019








2018








2017








2016








2015








2014








2013








2012








2011








2010








2009








2008








2007








2006








2005








2004








2003








2002








2001








2000








Don't know




HAJ7571Q021

Were you provided enough information on the website to complete the next step in the claims process? Yes
Y Radio button, one-up vertical
Claim Empowerment




No








Don't know




HAJ7571Q024

Please tell us what we can improve in the process for filing a claim.

N Text area, no char limit
OE_Improve
HAJ7571Q025

Have you filed and completed an NFIP claim before (not including this current claim)? Yes A Y Radio button, one-up vertical Skip Logic Group* Previous Claim




No




HAJ7571Q026
A Were you satisfied with your previous NFIP claim experience? Yes
Y Radio button, one-up vertical Skip Logic Group* Prev Claim Sat




No B



HAJ7571Q027
B Please tell us why you were not satisfied with your previous claim experience.

N Text area, no char limit Skip Logic Group* OE_Not Sat
HAJ7571Q028 Demographics: Gender
What is your gender? Male
N Radio button, one-up vertical
Demos: Gender Fed Govt




Female








Prefer not to respond




HAJ7571Q029 Demographics: Age
Which category includes your age? Under 18
N Drop down, select one
Demos: Age




18 - 24








25 - 34








35 - 44








45 - 54








55 - 64








65 or older








Prefer not to respond




HAJ7571Q030

Please tell us what type of property has sustained damage. Residential
Y Radio button, one-up vertical
Property Type




Business








Other property




HAJ7571Q031

Where did the flood loss occur? Alabama
N Drop down, select one Skip Logic Group* State




Alaska








American Samoa








Arizona








Arkansas








California








Colorado








Connecticut








Delaware








District of Columbia








Florida








Georgia








Guam








Hawaii








Idaho








Illinois








Indiana








Iowa








Kansas








Kentucky








Louisiana








Maine








Maryland








Massachusetts








Michigan








Minnesota








Mississippi








Missouri








Montana








Nebraska








Nevada








New Hampshire








New Jersey








New Mexico








New York








North Carolina








North Dakota








Northern Mariana Islands








Ohio








Oklahoma








Oregon








Pennsylvania








Puerto Rico








Rhode Island








South Carolina








South Dakota








Tennessee








Texas








US Virgin Islands A







Utah








Vermont








Virginia








Washington








West Virginia








Wisconsin








Wyoming








Other








Prefer not to respond




TAR0227291
A Specifically, where did the flood loss occur? Saint Croix
N Drop down, select one Skip Logic Group* VI Island




Saint John








Saint Thomas








Prefer not to respond





Sheet 8: CQs (4-27-2020)

Model Name
NFIP Claim Filing Functional


Red & Strike-Through: Delete


Model ID
VphFlklxBg40l4Qx0xJgtg4C


Underlined & Italicized: Re-order

Partitioned
No


Pink: Addition

Date
5/2/2018


Blue: Reword












QID QUESTION META TAG Skip From Question Text Answer Choices Skip To Required
Y/N
Type Special Instructions CQ Label



My claim was adjusted using the following method: Adjuster visited my property and completed a physical inspection.
Y Radio button, one-up vertical Skip Logic Group* Adjustment Method




I approved and assisted in remote adjusting to receive an advance payment while awaiting a physical inspection.








I approved and assisted in remote adjusting to receive final payment and conclude my claim.








Other  A1





A1 Please explain how your claim was adjusted.

N Text area, no char limit Skip Logic Group* OE Adjustment Method
HAJ7571Q001

Was the communication and guidance you received on how to file your claim easy to understand? Yes
Y Radio button, one-up vertical Skip Logic Group* Guidance Clarity




No A







Don't know




HAJ7571Q002
A Please tell us what was not easy to understand.

N Text area, no char limit Skip Logic Group* OE_Guidance Clarity
HAJ7571Q003

Was the process to file your claim simple?  Yes
Y Radio button, one-up vertical Skip Logic Group* Process Simplicity




No A







Don't know




HAJ7571Q004
A Please tell us why you found filing your claim was not simple.

N Text area, no char limit Skip Logic Group* OE_Process Simplicity
HAJ7571Q005

Where are you currently in the NFIP claims process? Select all that apply. Completed my claim filing
Y Checkbox, one-up vertical Skip Logic Group* Primary Reason




Waiting to be contacted by my adjuster








Gathering supporting documentation for my loss








Working on my inventory of damaged items to provide to the adjuster








The adjuster already completed the inspection








Other, please specify A



RUS0305927
A Please tell us where you currently are in the NFIP claims process.

N Text area, no char limit Skip Logic Group* OE_Primary Reason
HAJ7571Q006

Which of these options did you mainly use to file your claim? Website B Y Radio button, one-up vertical Skip Logic Group* Report Loss




Mobile site B







Email








Call center C







Agent C







Other, please specify A



HAJ7571Q007
A Please tell us how you filed your claim.

N Text area, no char limit Skip Logic Group* OE_Report Method
HAJ7571Q008
B How satisfied were you with your experience navigating the site for the information you needed to prepare your claim? 1=Very Dissatisfied B1 Y Radio button, scale, no don't know Skip Logic Group* Site Navigation




2 B1







3 B1







4 B1







5 B1







6 B1







7








8








9








Very Satisfied=10




HAJ7571Q009
B1 Please explain your reason for providing this rating.

N Text area, no char limit Skip Logic Group* OE_Site Navigation
HAJ7571Q010
C Was the person you spoke with sympathetic to your situation? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Sympathetic




No




HAJ7571Q011
C Was the person you spoke with knowledgeable about the process for filing a claim? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Knowledgeable




No




HAJ7571Q012
C Were you able to obtain the assistance you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Obtain Assistance




No




HAJ7571Q013
C Was the person you spoke with courteous? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Courteousness




No




HAJ7571Q014
C Was your call answered promptly? Yes
Y Radio button, one-up vertical Skip Logic Group* Call Answered Promptly




No




HAJ7571Q015

Did you search for information on the website to assist you with filing your claim? Yes A Y Radio button, one-up vertical Skip Logic Group* Additional Info




No




HAJ7571Q016
A Were you able to find the information you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Find Info




No C



HAJ7571Q019
C Please tell us what you were looking for and were unable to find.

N Text area, no char limit Skip Logic Group* OE_What Info Missing
CUR0367773

Please indicate the Claim Date of Loss you reported by selecting the month, day and year below. January
Y Drop down, select one
CDOL Month




February







Month March








April








May








June








July








August








September








October








November








December








Don't know




CUR0367774

Day 1
Y Drop down, select one
CDOL Day




2








3








4








5








6








7








8








9








10








11








12








13








14








15








16








17








18








19








20








21








22








23








24








25








26








27








28








29








30








31








Don't know




CUR0367775

Year 2020
Y Drop down, select one
CDOL Year




2019








2018








2017








2016








2015








2014








2013








2012








2011








2010








2009








2008








2007








2006








2005








2004








2003








2002








2001








2000








Don't know




HAJ7571Q021

Were you provided enough information on the website to complete the next step in the claims process? Yes
Y Radio button, one-up vertical
Claim Empowerment




No








Don't know




HAJ7571Q024

Please tell us what we can improve in the process for filing a claim.

N Text area, no char limit
OE_Improve
HAJ7571Q025

Have you filed and completed an NFIP claim before (not including this current claim)? Yes A Y Radio button, one-up vertical Skip Logic Group* Previous Claim




No




HAJ7571Q026
A Were you satisfied with your previous NFIP claim experience? Yes
Y Radio button, one-up vertical Skip Logic Group* Prev Claim Sat




No B



HAJ7571Q027
B Please tell us why you were not satisfied with your previous claim experience.

N Text area, no char limit Skip Logic Group* OE_Not Sat
HAJ7571Q028 Demographics: Gender
What is your gender? Male
N Radio button, one-up vertical
Demos: Gender Fed Govt




Female








Prefer not to respond




HAJ7571Q029 Demographics: Age
Which category includes your age? Under 18
N Drop down, select one
Demos: Age




18 - 24








25 - 34








35 - 44








45 - 54








55 - 64








65 or older








Prefer not to respond




HAJ7571Q030

Please tell us what type of property has sustained damage. Residential
Y Radio button, one-up vertical
Property Type




Business








Other property




HAJ7571Q031

Where did the flood loss occur? Alabama
N Drop down, select one Skip Logic Group* State




Alaska








American Samoa








Arizona








Arkansas








California








Colorado








Connecticut








Delaware








District of Columbia








Florida








Georgia








Guam








Hawaii








Idaho








Illinois








Indiana








Iowa








Kansas








Kentucky








Louisiana








Maine








Maryland








Massachusetts








Michigan








Minnesota








Mississippi








Missouri








Montana








Nebraska








Nevada








New Hampshire








New Jersey








New Mexico








New York








North Carolina








North Dakota








Northern Mariana Islands








Ohio








Oklahoma








Oregon








Pennsylvania








Puerto Rico








Rhode Island








South Carolina








South Dakota








Tennessee








Texas








US Virgin Islands A







Utah








Vermont








Virginia








Washington








West Virginia








Wisconsin








Wyoming








Other








Prefer not to respond




TAR0227291
A Specifically, where did the flood loss occur? Saint Croix
N Drop down, select one Skip Logic Group* VI Island




Saint John








Saint Thomas








Prefer not to respond





Sheet 9: CQs (2020-02-27)

Model Name
NFIP Claim Filing Functional


Red & Strike-Through: Delete


Model ID
VphFlklxBg40l4Qx0xJgtg4C


Underlined & Italicized: Re-order

Partitioned
No


Pink: Addition

Date
5/2/2018


Blue: Reword












QID QUESTION META TAG Skip From Question Text Answer Choices Skip To Required
Y/N
Type Special Instructions CQ Label
HAJ7571Q001

Was the communication and guidance you received on how to file your claim easy to understand? Yes
Y Radio button, one-up vertical Skip Logic Group* Guidance Clarity




No A







Don't know




HAJ7571Q002
A Please tell us what was not easy to understand.

N Text area, no char limit Skip Logic Group* OE_Guidance Clarity
HAJ7571Q003

Was the process to file your claim simple?  Yes
Y Radio button, one-up vertical Skip Logic Group* Process Simplicity




No A







Don't know




HAJ7571Q004
A Please tell us why you found filing your claim was not simple.

N Text area, no char limit Skip Logic Group* OE_Process Simplicity
HAJ7571Q005

Where are you currently in the NFIP claims process? Select all that apply. Completed my claim filing
Y Checkbox, one-up vertical Skip Logic Group* Primary Reason




Waiting to be contacted by my adjuster








Gathering supporting documentation for my loss








Working on my inventory of damaged items to provide to the adjuster








The adjuster already completed the inspection








Other, please specify A



RUS0305927
A Please tell us where you currently are in the NFIP claims process.

N Text area, no char limit Skip Logic Group* OE_Primary Reason
HAJ7571Q006

Which of these options did you mainly use to file your claim? Website B Y Radio button, one-up vertical Skip Logic Group* Report Loss




Mobile site B







Email








Call center C







Agent C







Other, please specify A



HAJ7571Q007
A Please tell us how you filed your claim.

N Text area, no char limit Skip Logic Group* OE_Report Method
HAJ7571Q008
B How satisfied were you with your experience navigating the site for the information you needed to prepare your claim? 1=Very Dissatisfied B1 Y Radio button, scale, no don't know Skip Logic Group* Site Navigation




2 B1







3 B1







4 B1







5 B1







6 B1







7








8








9








Very Satisfied=10




HAJ7571Q009
B1 Please explain your reason for providing this rating.

N Text area, no char limit Skip Logic Group* OE_Site Navigation
HAJ7571Q010
C Was the person you spoke with sympathetic to your situation? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Sympathetic




No




HAJ7571Q011
C Was the person you spoke with knowledgeable about the process for filing a claim? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Knowledgeable




No




HAJ7571Q012
C Were you able to obtain the assistance you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Obtain Assistance




No




HAJ7571Q013
C Was the person you spoke with courteous? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Courteousness




No




HAJ7571Q014
C Was your call answered promptly? Yes
Y Radio button, one-up vertical Skip Logic Group* Call Answered Promptly




No




HAJ7571Q015

Did you search for information on the website to assist you with filing your claim? Yes A Y Radio button, one-up vertical Skip Logic Group* Additional Info




No




HAJ7571Q016
A Were you able to find the information you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Find Info




No C



HAJ7571Q019
C Please tell us what you were looking for and were unable to find.

N Text area, no char limit Skip Logic Group* OE_What Info Missing
CUR0367773

Please indicate the Claim Date of Loss you reported by selecting the month, day and year below. January
Y Drop down, select one
CDOL Month




February







Month March








April








May








June








July








August








September








October








November








December








Don't know




CUR0367774

Day 1
Y Drop down, select one
CDOL Day




2








3








4








5








6








7








8








9








10








11








12








13








14








15








16








17








18








19








20








21








22








23








24








25








26








27








28








29








30








31








Don't know




CUR0367775

Year 2020
Y Drop down, select one
CDOL Year




2019








2018








2017








2016








2015








2014








2013








2012








2011








2010








2009








2008








2007








2006








2005








2004








2003








2002








2001








2000








Don't know




HAJ7571Q021

Were you provided enough information on the website to complete the next step in the claims process? Yes
Y Radio button, one-up vertical
Claim Empowerment




No








Don't know




HAJ7571Q024

Please tell us what we can improve in the process for filing a claim.

N Text area, no char limit
OE_Improve
HAJ7571Q025

Have you filed and completed an NFIP claim before (not including this current claim)? Yes A Y Radio button, one-up vertical Skip Logic Group* Previous Claim




No




HAJ7571Q026
A Were you satisfied with your previous NFIP claim experience? Yes
Y Radio button, one-up vertical Skip Logic Group* Prev Claim Sat




No B



HAJ7571Q027
B Please tell us why you were not satisfied with your previous claim experience.

N Text area, no char limit Skip Logic Group* OE_Not Sat
HAJ7571Q028 Demographics: Gender
What is your gender? Male
N Radio button, one-up vertical
Demos: Gender Fed Govt




Female








Prefer not to respond




HAJ7571Q029 Demographics: Age
Which category includes your age? Under 18
N Drop down, select one
Demos: Age




18 - 24








25 - 34








35 - 44








45 - 54








55 - 64








65 or older








Prefer not to respond




HAJ7571Q030

Please tell us what type of property has sustained damage. Residential
Y Radio button, one-up vertical
Property Type




Business








Other property




HAJ7571Q031

Where did the flood loss occur? Alabama
N Drop down, select one Skip Logic Group* State




Alaska








American Samoa








Arizona








Arkansas








California








Colorado








Connecticut








Delaware








District of Columbia








Florida








Georgia








Guam








Hawaii








Idaho








Illinois








Indiana








Iowa








Kansas








Kentucky








Louisiana








Maine








Maryland








Massachusetts








Michigan








Minnesota








Mississippi








Missouri








Montana








Nebraska








Nevada








New Hampshire








New Jersey








New Mexico








New York








North Carolina








North Dakota








Northern Mariana Islands








Ohio








Oklahoma








Oregon








Pennsylvania








Puerto Rico








Rhode Island








South Carolina








South Dakota








Tennessee








Texas








US Virgin Islands A







Utah








Vermont








Virginia








Washington








West Virginia








Wisconsin








Wyoming








Other








Prefer not to respond




TAR0227291
A Specifically, where did the flood loss occur? Saint Croix
N Drop down, select one Skip Logic Group* VI Island




Saint John








Saint Thomas








Prefer not to respond





Sheet 10: CQs (11-19-2019)

Model Name
NFIP Claim Filing Functional


Red & Strike-Through: Delete


Model ID
VphFlklxBg40l4Qx0xJgtg4C


Underlined & Italicized: Re-order

Partitioned
No


Pink: Addition

Date
5/2/2018


Blue: Reword












QID QUESTION META TAG Skip From Question Text Answer Choices Skip To Required
Y/N
Type Special Instructions CQ Label
HAJ7571Q001

Was the communication and guidance you received on how to file your claim easy to understand? Yes
Y Radio button, one-up vertical Skip Logic Group* Guidance Clarity




No A







Don't know




HAJ7571Q002
A Please tell us what was not easy to understand.

N Text area, no char limit Skip Logic Group* OE_Guidance Clarity
HAJ7571Q003

Was the process to file your claim simple?  Yes
Y Radio button, one-up vertical Skip Logic Group* Process Simplicity




No A







Don't know




HAJ7571Q004
A Please tell us why you found filing your claim was not simple.

N Text area, no char limit Skip Logic Group* OE_Process Simplicity
HAJ7571Q005

Where are you currently in the NFIP claims process? Select all that apply. Completed my claim filing
Y Checkbox, one-up vertical Skip Logic Group* Primary Reason




Waiting to be contacted by my adjuster








Gathering supporting documentation for my loss








Working on my inventory of damaged items to provide to the adjuster








The adjuster already completed the inspection








Other, please specify A



RUS0305927
A Please tell us where you currently are in the NFIP claims process.

N Text area, no char limit Skip Logic Group* OE_Primary Reason
HAJ7571Q006

Which of these options did you mainly use to file your claim? Website B Y Radio button, one-up vertical Skip Logic Group* Report Loss




Mobile site B







Email








Call center C







Agent C







Other, please specify A



HAJ7571Q007
A Please tell us how you filed your claim.

N Text area, no char limit Skip Logic Group* OE_Report Method
HAJ7571Q008
B How satisfied were you with your experience navigating the site for the information you needed to prepare your claim? 1=Very Dissatisfied B1 Y Radio button, scale, no don't know Skip Logic Group* Site Navigation




2 B1







3 B1







4 B1







5 B1







6 B1







7








8








9








Very Satisfied=10




HAJ7571Q009
B1 Please explain your reason for providing this rating.

N Text area, no char limit Skip Logic Group* OE_Site Navigation
HAJ7571Q010
C Was the person you spoke with sympathetic to your situation? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Sympathetic




No




HAJ7571Q011
C Was the person you spoke with knowledgeable about the process for filing a claim? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Knowledgeable




No




HAJ7571Q012
C Were you able to obtain the assistance you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Obtain Assistance




No




HAJ7571Q013
C Was the person you spoke with courteous? Yes
Y Radio button, one-up vertical Skip Logic Group* Rep/Agent Courteousness




No




HAJ7571Q014
C Was your call answered promptly? Yes
Y Radio button, one-up vertical Skip Logic Group* Call Answered Promptly




No




HAJ7571Q015

Did you search for information on the website to assist you with filing your claim? Yes A Y Radio button, one-up vertical Skip Logic Group* Additional Info




No




HAJ7571Q016
A Were you able to find the information you needed? Yes
Y Radio button, one-up vertical Skip Logic Group* Find Info




No C



HAJ7571Q019
C Please tell us what you were looking for and were unable to find.

N Text area, no char limit Skip Logic Group* OE_What Info Missing
HAJ7571Q020

Approximately how long ago did you file your claim? Less than one week
Y Radio button, one-up vertical
Filing Timing




One to two weeks








More than two weeks








Don't know








Have not filed my claim yet







Please indicate the Claim Date of Loss you reported by selecting the month, day and year below. January
Y Drop down, select one
CDOL Month




February







Month March








April








May








June








July








August








September








October








November








December








Don't know







Day 1
Y Drop down, select one
CDOL Day




2








3








4








5








6








7








8








9








10








11








12








13








14








15








16








17








18








19








20








21








22








23








24








25








26








27








28








29








30








31








Don't know







Year 2019
Y Drop down, select one
CDOL Year




2018








2017








2016








2015








2014








2013








2012








2011








2010








2009








2008








2007








2006








2005








2004








2003








2002








2001








2000








Don't know




HAJ7571Q021

Were you provided enough information on the website to complete the next step in the claims process? Yes
Y Radio button, one-up vertical
Claim Empowerment




No








Don't know




HAJ7571Q024

Please tell us what we can improve in the process for filing a claim.

N Text area, no char limit
OE_Improve
HAJ7571Q025

Have you filed and completed an NFIP claim before (not including this current claim)? Yes A Y Radio button, one-up vertical Skip Logic Group* Previous Claim




No




HAJ7571Q026
A Were you satisfied with your previous NFIP claim experience? Yes
Y Radio button, one-up vertical Skip Logic Group* Prev Claim Sat




No B



HAJ7571Q027
B Please tell us why you were not satisfied with your previous claim experience.

N Text area, no char limit Skip Logic Group* OE_Not Sat
HAJ7571Q028 Demographics: Gender
What is your gender? Male
N Radio button, one-up vertical
Demos: Gender Fed Govt




Female








Prefer not to respond




HAJ7571Q029 Demographics: Age
Which category includes your age? Under 18
N Drop down, select one
Demos: Age




18 - 24








25 - 34








35 - 44








45 - 54








55 - 64








65 or older








Prefer not to respond




HAJ7571Q030

Please tell us what type of property has sustained damage. Residential
Y Radio button, one-up vertical
Property Type




Business








Other property




HAJ7571Q031

Where did the flood loss occur? Alabama
N Drop down, select one Skip Logic Group* State




Alaska








American Samoa








Arizona








Arkansas








California








Colorado








Connecticut








Delaware








District of Columbia








Florida








Georgia








Guam








Hawaii








Idaho








Illinois








Indiana








Iowa








Kansas








Kentucky








Louisiana








Maine








Maryland








Massachusetts








Michigan








Minnesota








Mississippi








Missouri








Montana








Nebraska








Nevada








New Hampshire








New Jersey








New Mexico








New York








North Carolina








North Dakota








Northern Mariana Islands








Ohio








Oklahoma








Oregon








Pennsylvania








Puerto Rico








Rhode Island








South Carolina








South Dakota








Tennessee








Texas








US Virgin Islands A







Utah








Vermont








Virginia








Washington








West Virginia








Wisconsin








Wyoming








Other








Prefer not to respond




TAR0227291
A Specifically, where did the flood loss occur? Saint Croix
N Drop down, select one Skip Logic Group* VI Island




Saint John








Saint Thomas








Prefer not to respond




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