Document
Medicaid.gov Static Feedback Tool
ICR 202609-0938-011 · OMB 0938-1382 · Object 172934400.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
|---|---|
| File Title | Medicaid.gov Static Feedback Tool |
| Author | Moore, Ethan (CMS/CMCS) |
| Last Modified By | Calc |
| File Modified | 2026-04-16 |
| File Created | 2026-10-10 |
| Conversion State | complete |
Extracted Text
QID Question Type Intro Message Descriptive Text BLOCK 1: INTRO BLOCK 2: Default Question Block Question Text Medicaid.gov (logo) Q1 This question will record the recipient's browser information. It will not be displayed to the user. - Browser Type - Browser Version - Operating System - Screen Resolution - User Agent Descriptive Text This question lets you record and manage how long a participant spends on this page. This question will not be displayed to the Descriptive Text participant. Based on my experience on Medicaid.gov, I trust that Medicaid is Multiple Choice (single working in the best interest of the select) American public. Q2 Multiple Choice (single select) Which of these best describes you? Q3 Multiple Choice (single How satisfied are you with your select) overall experience on Medicaid.gov? Q0 Q0.1 PAGE BREAK PAGE BREAK Block 3 - Open Text Q4 Text Entry How can we improve your overall experience on Medicaid.gov? Please be specific END OF Answer Choices (if applicable) Answer Choices Numeric Values (recodes) Required? Display Logic NA N N N N/A N N N N/A N N N Yes No N Y N I Have or am Applying for Medicaid I am a Caregiver, Friend, or Family Member Healthcare Professional Government Employee Researcher of Policy Analyst None of These Apply (Please specify) (open text box) N Y N Extremely dissatisfied Slightly dissatisfied Neither satisfied nor dissatisfied Slightly satisfied Extremely satisfied N Y N Open text box N Y N END OF SURVEY We thank you for your time spent taking this survey. Your response has been recorded. Medicaid.gov theme Next button and Back button Compact question spacing Auto advance on pages Randomize Answer Choices? Comments / Additional Configuration Notes N N These are background questions and should not display to the survey taker. N These are background questions and should not display to the survey taker. N N N N