Attachment A-18. Exiter and Possible Exiter Survey Reminder Letter

Attachment A-19. Exiter and Possible Exiter Survey Reminder Letter

OMB Control Number: xxxx-xxxx
Expiration Date: xx/xx/xxxx
<>
«City» Resident
«Address1»
«Address2»
«City», «State» «Zip»

There’s still time for you to help.
A couple weeks ago, we sent you an invitation to participate in the Beyond Benefits Survey. If you have
already responded, thank you! If not, there is still time.
To get started, please go online to take the survey.

Website: <>
PIN: <>
You can also scan the QR code below using the camera on a smart device to get to the website.

Your participation is important to the study. It will allow the SSA to identify ways to help people who may be
leaving or have left disability programs.
It should take no more than 45 minutes to complete. Once you complete the survey, we will send you a $40
Visa gift card.
You can choose not to answer one or more of the questions and you can stop the survey at any time without
penalty. All your answers will be combined with information from other participants making sure that all
personal information you provide is treated confidentially as required by law. If you have any questions about
the survey, please visit the Beyond Benefits website at [WEBSITE], or call our study team at 1-855-516-3665.
I do hope you will agree to participate in this very important survey helping to improve our nation’s disability
benefits programs.
Sincerely,
[INSERT SIGNATURE OF SSA SIGNATORY]