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Medicaid.gov Always On Feedback Survey

ICR 202609-0938-011 · OMB 0938-1382 · Object 172932000.

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Record metadata
application/vnd.openxmlformats-officedocument.spreadsheetml.sheet
Medicaid.gov Always On Feedback Survey
Andrea Rodriguez
Calc
2024-08-22
2026-10-10
complete

Extracted Text

Completed by
Completed date
Reviewed by
Reviewed date

Medicaid.go
QID

Question Type

Question Text

Q0

Descriptive Text

Medicaid.gov is looking for your feedback.
Thanks for taking a moment to tell us about
your experience today on Medicaid.gov!

Q1

Multiple Choice (single select)

Which of these best describes you?

Q2

Multiple Choice (single select)

How satisfied are you with your overall experience on Medicaid.gov?

Q3

Multiple Choice (multi-select)

What about today's interaction made the
difference? (Select all that apply)

Q4

Q5

Multiple Choice (multi-select)

Text Entry

What could have been better? (Select all
that apply)
How can we improve your overall
experience on Medicaid.gov?
Please be specific, but protect your privacy don't include personal information, like
your phone number, address, or Social
Security number.

We thank you for you

END

Your respon

PRA Disclosure Statement The purpose of the PRA package is to collect voluntary feedback to asssit in websi

Under the Privacy Act of 1974 any personally identifying information obtained will be kept private to the extent of
information unless it displays a valid OMB control number. The valid OMB control number for this information co
average 2 minutes per response, including the time to review instructions, search existing data resources, gathe
the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn:

Survey Options
Incomplete responses are
Survey Title (appears on web browser tab)

Medicaid.gov Website Feedback
Answer Choices (if applicable)
NA
Person looking for Medicaid information
Healthcare professional or administrative staff
Government employee
Academic researcher or healthcare policy analyst
Other (Please specify)
Extremely Dissatisfied
Slightly Dissatisfied
Neither satisfied nor dissatisfied
Slightly Satisfied
Extremely Satisfied
I accomplished my task
The website was easy to navigate
Found what I needed quickly
The information was easy to understand
Something else
I did not complete my task
The website was difficult to navigate
It took too long to do what I needed to do
The information was hard to understand
Something else

We thank you for your time spentNA
taking this survey.

END OF SURVEY

Your response has been recorded.

oluntary feedback to asssit in website development.

d will be kept private to the extent of the law. According to the Paperwork Reduction Act of 1995, no persons are required to res
ntrol number for this information collection is 0938-1382 (Expires: 12/31/2026). The time required to complete this information c
arch existing data resources, gather the data needed, and complete and review the information collection. If you have commen
CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.

recorded
Medicaid.gov Website Feedback

Required?

Display Logic

Randomize
Answer
Choices?

N

N

N

N

N

N

Y

N

N

N

If Q2= "Slightly
satisfied "or
"Extremely
satisfied"

N

N

If Q2= "Slightly
dissatisfied "or
"Extremely
dissatisfied"

N

N

N

N

eduction Act of 1995, no persons are required to respond to a collection of
026). The time required to complete this information collection is estimated to
eview the information collection. If you have comments concerning the accuracy of
Stop C4-26-05, Baltimore, Maryland 21244-1850.