Compensation and Pension Enrollment |
Education Enrollment |
Compensation sample population definition: Individuals who have received a decision in the past 30 days (includes those who were found eligible on a new or subsequent claim and those who have been denied and are not appealing the decision) |
Sample population definition: Beneficiaries who have received a decision on their application within the past 90 days (i.e., the original end-product has been cleared within the past 90 days) and classified in one of the following buckets: (1) Accepted and enrolled or (2) Accepted and not enrolled |
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Pension sample population definition: Individuals who have received a decision in the past 30 days (includes those who were eligible on a new claim, and those who were denied and are not appealing the decision) |
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Benefit Information |
Benefit Information |
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1. How did you FIRST learn about VA benefit programs? (Mark only one) If you are unsure, please indicate the first way you remember learning about VA benefit programs. |
1. How did you FIRST learn about the education benefit programs? (Mark only one) If you are unsure, please indicate the first way you remember learning about the education benefit program |
a. VA website |
a. VA website |
b. VetSuccess.gov |
b. Vetsuccess.gov |
c. eBenefits.va.gov |
c. eBenefits.va.gov |
d. Mail (from VA) |
d. Mail (from VA) |
e. VA phone number (800-827-1000) |
e. VA phone number (800-827-1000) |
f. Transition Assistance Program/Disabled Transition Assistance Program briefings |
f. Transition Assistance Program/Disabled Transition Assistance Program briefings |
g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
h. VA medical center |
h. VA medical center |
i. VA Vet center |
i. VA Vet center |
j. In person at a Regional Office |
j. In person at a Regional Office |
k. Social media websites (e.g., Facebook, Twitter, etc.) |
k. Social media websites (e.g., Facebook, Twitter, etc.) |
l. Visit from a VA employee |
l. Personal visit from a VA employee |
m. Other Veterans |
m. Other Veterans |
n. Internet (excluding VA and social media sites) |
n. Internet (excluding VA and social media sites) |
o. Friends or family |
o. Friends or family |
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p. Information came with notification/ratings letter |
p. Other publications (e.g., Army Times, local newspapers, etc.) |
q. Other Publications (e.g., Army Times, local newspaper, etc.) |
q. Other (Specify) ___________________ |
r. Other (Specify) ___________________ |
r. Don’t know or not sure |
s. Don’t know or not sure |
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2. What method(s) do you MOST FREQUENTLY use to obtain general information about VA’s benefits or services? (Mark all that apply) |
2. What method(s) do you MOST FREQUENTLY use to obtain general information about VA’s education benefits or services? (Mark all that apply) |
a. Phone |
a. Phone |
b. Mail |
b. Mail |
c. E-mail |
c. E-mail |
d. In person at a Regional Office |
d. In person at a Regional Office |
e. Veterans Service Organizations e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) _________________ |
e. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ______________ |
f. Disabled Veterans’ Outreach Program |
f. Disabled Veterans’ Outreach Program |
g. VA website |
g. VA website |
h. VetSuccess.gov |
h. VetSuccess.gov |
i. eBenefits.va.gov |
i. eBenefits.va.gov |
j. Social media websites (e.g., Facebook, Twitter, etc.) |
j. Social media websites (e.g., Facebook, Twitter, etc.) |
k. Other websites (excluding VA or social media sites) |
k. Other websites (excluding VA or social media sites) |
l. VA medical center |
l. VA medical center |
m. VA Vet center |
m. VA Vet center |
n. Friends or family |
n. Friends or family |
o. Other publications (e.g., Army Times, local newspapers, etc.) |
o. Other Publications (e.g., Army Times, local newspaper, etc.) |
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p. Certifying official at school |
p. Other (Specify) ___________________ |
q. Other (Specify) ___________________ |
q. Don’t know or not sure |
r. Don’t know or not sure |
r. None of the above |
s. None of the above |
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3. How did the VA provide you information about the application process for your most recent education benefit application? (Mark all that apply) |
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a. Transition Assistance Program/Disabled Transition Assistance Program briefings |
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b. Phone |
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c. Mail |
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d. E-mail |
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e. Pamphlets/brochures |
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f. VA website |
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g. VA medical center |
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h. In person at a Regional Office |
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i. Veterans Service Organizations e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
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j. Disabled Veterans’ Outreach Program |
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k. Certifying official at school |
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l. Other (Specify) ___________________ |
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m. Don’t know or not sure |
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n. Did not receive information about application process |
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3. How frequently would you like to receive communications (e.g., e-mails, letters, newsletters, etc.) about VA benefits or services? (Mark only one) |
4. How frequently would you like to receive communications (e.g., e-mails, letters, newsletters, etc.) from VA about education benefits or services? (Mark only one) |
a. Weekly |
a. Weekly |
b. Monthly |
b. Monthly |
c. Quarterly (every 3 months) |
c. Quarterly (every 3 months) |
d. Semi-annually (twice per year) |
d. Semi-annually (twice per year) |
e. Annually (once per year) |
e. Annually (once per year) |
f. Don’t know or not sure |
f. Don’t know or not sure |
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4. How would you like to receive information from VA about applying for VA benefits or services? (Mark all that apply) |
5. How would you like to receive information from VA about applying for education benefits or services? (Mark all that apply) |
a. Phone |
a. Phone |
b. Mail |
b. Mail |
c. E-mail |
c. E-mail |
d. VA website |
d. VA website |
e. Social media websites (e.g., Facebook, Twitter, etc.) |
e. Social media websites (e.g., Facebook, Twitter, etc.) |
f. In person at a Regional Office |
f. In person at a Regional Office |
g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
h. Other (Specify) ___________________ |
h. Other (Specify) ___________________ |
i. Don’t know or not sure |
i. Don’t know or not sure |
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The following question asks you to rate various aspects of your experience with Compensation and Pension using a scale of 1 to 10, where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
The following question asks you to rate various aspects of your experience with education, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
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5. When thinking about your most frequently used methods of communication please rate your experience in obtaining information about your benefit application on the following items: (Mark only one per row) |
6. When thinking about your most frequently used methods of communication please rate your experience obtaining information about your education benefit application on the following items: (Mark only one per row) |
a. Ease of accessing information |
a. Ease of accessing information |
b. Availability of information |
b. Availability of information |
c. Clarity of information |
c. Clarity of information |
d. Usefulness of information |
d. Usefulness of information |
e. Frequency of information provided by VA |
e. Frequency of information provided by VA |
f. Overall rating of information |
f. Overall rating of information |
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Contact with VA |
Contact with VA |
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6. During the past 6 months, did you contact anyone from VA about the benefit application process? (Mark only one) |
7. During the past 6 months, did you contact anyone from VA about the education benefit application process? (Mark only one) |
a. Yes |
a. Yes |
b. No |
b. No |
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(Ask Q7-Q12 if Q6 is yes, otherwise go to Q13) |
(Ask Q8-Q13 if Q7 is yes, otherwise go to Q14) |
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7. Which of the following best describes the reason for your most recent contact? (Mark only one) |
8. Which of the following best describes the reason for your most recent contact? (Mark only one) |
a. Resolve a problem |
a. Resolve a problem |
b. Ask a question |
b. Ask a question |
c. Request a change to your records/provide information |
c. Request a change to your records/provide information |
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8. Can you briefly describe the nature of your most recent contact? (Mark all that apply) |
9. Can you briefly describe the nature of your most recent contact? (Mark all that apply) |
a. Change your address or direct deposit information |
a. Change your address or direct deposit information |
b. Report the death of an individual who received VA benefits |
b. Report the death of an individual who received VA benefits |
c. Report that you did not receive your VA check or direct deposit |
c. Report that you did not receive your monthly stipend or book allowance |
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d. Submit monthly verification of enrollment |
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e. Check on the status of your claim |
d. Report a problem with a VA customer service representative |
f. Report a problem with a VA customer service representative |
e. Ask a general question |
g. Ask a general question |
f. Obtain information about submitting/re-opening a claim |
h. Obtain information about submitting a claim |
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i. Question about a payment amount |
g. Other (Specify) ___________________ |
j. Other (Specify) ___________________ |
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9. Thinking about your most recent contact, how did you contact VA? (Mark only one) |
10. Thinking about your most recent contact, how did you contact VA? (Mark only one) |
a. Phone |
a. Phone |
b. Fax |
b. Fax |
c. Website |
c. Website |
d. E-mail |
d. E-mail |
e. Mail |
e. Mail |
f. In person |
f. In person |
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10. Was your most recent issue resolved? (Mark only one) |
11. Was your most recent issue resolved? (Mark only one) |
a. Yes |
a. Yes |
b. No |
b. No |
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(Ask Q11 if Q10 is No, otherwise go to Q12 |
(Ask Q12 if Q11 is No, otherwise go to Q13) |
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11. Why wasn’t your most recent issue resolved? |
12. Why wasn’t your most recent issue resolved? |
a. Did not receive all of the information required |
a. Did not receive all of the information required |
b. Received incorrect information |
b. Received incorrect information |
c. Was referred to the incorrect office/person |
c. Was referred to the incorrect office/person |
d. Waiting for follow-up from VA |
d. Waiting for follow-up from VA |
e. Other (Specify) ____________________ |
e. Other (Specify) ____________________ |
f. Don't know or not sure |
f. Don't know or not sure |
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12. Thinking of your most recent contact with the VA, how would you rate your overall customer service experience with the VA or VA representatives using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
13. Thinking of your most recent contact with the VA, how would you rate your overall customer service experience with the VA or VA representatives using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
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Benefit Eligibility and Application Process |
Benefit Eligibility and Application Process |
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14. Relative to your separation from active duty, when did you begin to think about or plan the use of your education benefit? (Open Capture) Please respond using one of the following categories. |
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a. Prior to separation (Specify months: 0-24 months) ________________ |
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b. After separation (Specify months: 0-24 months) ____________ |
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c. After separation (Specify years: 2 -10 years) ____________ |
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d. Don’t know or not sure |
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15. Thinking about your most recent application for education benefits, which of the following benefits were you applying/reapplying for? (Mark all that apply) |
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a. Post-9/11 GI Bill (Chapter 33 of Title 38, U.S. Code) |
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b. Montgomery GI Bill Active Duty (Chapter 30 of Title 38, U.S. Code) |
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c. Montgomery GI Bill Selected Reserve (Chapter 1606 of Title 10, U.S. Code) |
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d. Reserve Educational Assistance Program (Chapter 1607 of Title 10, U.S. Code) |
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e. Survivors’ and Dependents’ Educational Assistance Program (Chapter 35 of Title 38, U.S. Code) |
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f. Veterans’ Educational Assistance Program (Chapter 32 of Title 38, U.S. Code) |
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g. Educational Assistance Test Program (Section 901 of Public Law 96-342) |
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h. National Call to Service Program (Section 510 of Chapter 31 of Title 10, U.S. Code) |
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i. Other (Specify) ___________________ |
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j. Don’t know or not sure |
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13. Thinking about your most recent application, did someone from VA (e.g., call center representative, office staff, etc.) provide you with information about the benefit application process? |
16. For your most recent application, did someone from VA (e.g., call center representative, office staff, etc.) provide you with information about the education benefit application process? (Mark only one) |
a. Yes |
a. Yes |
b. No |
b. No |
c. Don’t know or not sure |
c. Don’t know or not sure |
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d. Not applicable |
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14. Thinking about your most recent benefit application, what method did you use to apply for your benefit? (Mark only one) |
17. Thinking about your most recent education benefit application, what method did you use to apply for your benefit? (Mark only one) |
a. Veterans Online Application |
a. Veterans Online Application |
b. Mail |
b. Mail |
c. In person at a Regional Office |
c. In person at a Regional Office |
d. In person at a Veterans Service Organization e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. |
d. In person at a Veterans Service Organization, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
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e. In person at school through a certifying official |
e. Other (Specify) ___________________ |
f. Other (Specify) ___________________ |
f. Don’t know or not sure |
g. Don’t know or not sure |
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15. After you submitted your application, did you receive a letter from VA notifying you that your claim was received? |
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a. Yes |
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b. No |
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c. Don’t know or unsure |
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(Ask Q16-23 if Q15 is Yes, otherwise go to Q24) |
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16. Thinking about the letter, was it clear and easy to understand? (Mark only one) |
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a. Not at all clear |
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b. Somewhat clear |
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c. Completely clear |
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d. Don’t know or not sure |
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e. I did not read the letter |
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17. Did you contact VA to obtain clarification about any of the letters you received? |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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18. Did you provide VA with the documentation that was requested in the letter(s)? (Mark only one) |
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a. Yes |
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b. No |
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c. Nothing was requested |
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d. Don’t know or not sure |
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(Ask Q19 if Q18 is yes, otherwise go to Q21) |
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19. How did you submit the documentation to VA that was requested in the letter? (Mark only one) |
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a. Mail |
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b. In person at a Regional Office |
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c. Through a Veterans Service Organization, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. |
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d. Other (Specify) ___________________ |
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e. Don’t know or not sure |
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20. What is your preferred method to submit the documentation to VA that was requested in the letter(s)? (Mark only one) |
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a. Mail |
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b. In person at a Regional Office |
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c. Online (ebenefits/ Veterans Online Application) |
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d. Through a Veterans Service Organization, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. |
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e. Other (Specify) ___________________ |
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f. Don’t know or not sure |
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21. Did you receive a subsequent letter for requesting information in support of your claim from VA? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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22. During the application process, did you have to provide the same information more than once? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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(Ask Q23 if Q22 is Yes, otherwise go to Q24) |
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23. What information did you have to provide more than once? (Mark all that apply) |
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a. Discharge papers (DD214) |
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b. Service treatment records |
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c. Private medical records |
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d. Other (Specify) ___________________ |
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e. Don’t know or not sure |
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(Ask Q18 if Q17(e), otherwise go to Q19) |
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18. Prior to receiving this survey, were you aware that your school's certifying official is not an employee of the VA? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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19. Did VA confirm receipt of your application? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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20. From the time you submitted your application, how long did it take to receive a letter explaining your eligibility for education benefits? (Open Capture) Please respond using any or all of the following categories |
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a. Days (0-99 days) ____________ |
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b. Months (0-99 months) _____________ |
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c. Did not need certificate of eligibility (Specify) ___________________ |
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d. Don’t know or not sure |
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The following question asks you to rate various aspects of your experience with your benefit application using a scale of 1 to 10, where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
The following question asks you to rate various aspects of your experience with education benefits, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
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24. Please rate your experience with the benefit application process on the following items: (Mark only one per row) |
21. Please rate your experience with the education benefit application process on the following items: (Mark only one per row) |
a. Ease of completing the application |
a. Ease of completing the application |
b. Timeliness of eligibility/entitlement notification |
b. Timeliness of eligibility notification |
c. Flexibility of application methods |
c. Flexibility of application methods |
d. Overall rating of application process |
d. Overall rating of application process |
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(Ask Q25-Q27 if previously found ineligible for VA benefits, otherwise go to Q21) |
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25. If you were previously found ineligible for VA benefit payments, did you understand why you were found ineligible? (Mark only one) |
22. If you were previously found ineligible for education benefits, why were you found ineligible? (Mark all that apply) |
a. Yes |
a. Did not meet eligibility requirements |
b. No |
b. Missing/insufficient documentation |
c. Don’t know or not sure |
c. Other (Specify) ___________________ |
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d. Don’t know or not sure |
26. Were you provided information about how to appeal your decision? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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27. Using a scale of 1 to 10, where 1 is Unacceptable, 10 is Outstanding, and 5 is Average, please rate the clarity of the information you were provided about appealing your decision. |
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Benefit Entitlement |
Benefit Entitlement |
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23. Are you eligible to transfer your benefits to a spouse and/or dependent child? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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(Ask Q24 if Q23 is yes, otherwise go to Q25) |
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24. Have you already or do you intend to transfer your benefits to a spouse and/or dependent child? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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The following question asks you to rate various aspects of your experience with your benefit payment using a scale of 1 to 10, where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
The following question asks you to rate various aspects of your experience with the Education program, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
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28. Please rate your benefit payment on the following items: (Mark only one per row) |
25. Please rate your education benefit entitlement on the following items: (Mark only one per row) |
a. Amount of benefit payment |
a. Amount of financial assistance |
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b. Effectiveness of benefit in helping you achieve your educational or vocational goal |
b. Timeliness of receiving initial benefit payment |
c. Timeliness of receiving benefit payment |
c. Overall rating of your benefit payment |
d. Overall rating of benefit payment |
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Overall Application Experience |
Overall Application Experience |
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29. Thinking about ALL aspects of your experience applying for your compensation or pension benefit, please rate VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
26. Thinking about ALL aspects of your application experience applying for your education benefits, please rate VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
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Overall Experience with VA |
Overall Experience with VA |
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30. Taking into consideration all of the non-medical benefits (e.g., education, compensation and pension, home loan guaranty, vocational rehabilitation and employment, insurance, etc.) you have applied for or currently receive, please rate your experience with VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
27. Taking into consideration all of the non-medical benefits (e.g., education, compensation and pension, home loan guaranty, vocational rehabilitation and employment, insurance, etc.) you have applied for or currently receive, please rate your experience with VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
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31. How likely are you to inform other Veterans or beneficiaries about your experience VA benefits or services? (Mark only one) |
28. How likely are you to inform other Veterans or beneficiaries about your experience with VA benefits or services? (Mark only one) |
a. Definitely will not |
a. Definitely will not |
b. Probably will not |
b. Probably will not |
c. Probably will |
c. Probably will |
d. Definitely will |
d. Definitely will |
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School Marketing/Recruiter |
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29. How did the marketing materials or recruiter at the school/university in which you are enrolled influence your decision to enroll in that program. (Mark only one) |
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a. Definitely did not influence my decision |
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b. Somewhat influenced my decision |
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c. Absolutely influenced my decision |
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30. To what degree was your experience consistent with what was presented to you in any marketing materials or by a recruiter? (Mark only one) |
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a. Not at all consistent |
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b. Somewhat consistent |
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c. Very consistent |
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31. Was your experience with the program you enrolled in... (Mark only one) |
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a. Harder than you expected |
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b. What you expected |
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c. Easier than you expected |
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32. Do you have any comments you would like to add regarding the marketing efforts or recruiter from the school/university you enrolled in? (Open Capture) |
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___________________________________________________ |
Optional Questions |
Optional Questions |
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The following questions are optional. As a reminder, your responses will be kept completely confidential and will not affect any current or future benefits you may receive. |
The following questions are optional. |
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33. How are you currently using or intending to use your benefit payment? (Mark all that apply) |
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a. Rent/mortgage payment |
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b. Paying bills |
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c. Paying down debt |
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d. Education expenses |
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e. Establishing savings |
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f. Other (Specify) ___________________ |
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g. Prefer not to state |
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h. Don’t know or not sure |
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34. Would you like to provide an e-mail address so VA can contact you with general information about VA benefits and services? (Mark only one) |
33. Would you like to provide an e-mail address so VA can contact you with general information about VA benefits and services? (Mark only one) |
a. Yes |
a. Yes |
b. No |
b. No |
c. I do not have an e-mail address |
c. I do not have an e-mail address |
d. Prefer not to answer |
d. Prefer not to answer |
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(Ask Q35 if Yes in Q34) |
(Ask Q34 if Yes in Q33) |
35. Please enter your preferred e-mail address where you would like to be contacted: (Open Capture) |
34. Please enter your preferred e-mail address where you would like to be contacted: (Open Capture) |
a. E-mail: |
a. E-mail: |
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36. Do you have any other comments or concerns about your experience? (Open Capture) |
69. Do you have any other comments or concerns about your experience? (Open Capture) |
____________________________________________________ |
____________________________________________________ |
C&P enrollment items |
Question # |
Question |
Source |
Purpose of item |
Rationale |
Factor 1 |
Benefit Information |
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Allows us to determine if Veteran experience differs based on informational needs and usage patterns during enrollment for a benefit |
Satisfaction with the enrollment experience may be higher or lower dependent upon Veterans' informational needs and usage patterns during their application. The informational needs and usage patterns will be determined in this section. These questions will help us differentiate Veteran satisfaction based on benefit informational needs and usage, identify areas where improvements to the process can occur and prioritize them based on the impact of the Benefit Information factor to overall Veteran satisfaction. |
1 |
How did you FIRST learn about VA benefit programs? (Mark only one) If you are unsure, please indicate the first way you remember learning about VA benefit programs. |
Outreach Requirement |
Identify usage of available information sources |
This will be used to assess Veteran point-of-entry and most frequent source for finding information about VA benefits and to evaluate usage patterns. This information will be used in the context of overall satisfaction with benefit information, including ease of accessing, availability, usefulness, and clarity of information and identifying information sources where any of these attributes has the potential for improvement. |
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a. VA website |
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b. VetSuccess.gov |
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c. eBenefits.va.gov |
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d. Mail (from VA) |
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e. VA phone number (800-827-1000) |
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f. Transition Assistance Program/Disabled Transition Assistance Program briefings |
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g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
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h. VA medical center |
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i. VA Vet center |
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j. In person at a Regional Office |
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k. Social media websites (e.g., Facebook, Twitter, etc.) |
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l. Visit from a VA employee |
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m. Other Veterans |
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n. Internet (excluding VA and social media sites) |
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o. Friends or family |
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p. Other publications (e.g., Army Times, local newspapers, etc.) |
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q. Other (Specify) ___________________ |
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r. Don’t know or not sure |
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2 |
What method(s) do you MOST FREQUENTLY use to obtain general information about VA’s benefits or services? (Mark all that apply) |
Outreach Requirement |
Identify most preferred communication channel for benefits information |
This question will assess the optimal channel of communications to help maintain an optimal communication strategy for outreach to Veterans about their benefits. |
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a. Phone |
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b. Mail |
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c. E-mail |
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d. In person at a Regional Office |
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e. Veterans Service Organizations e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) _________________ |
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f. Disabled Veterans’ Outreach Program |
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g. VA website |
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h. VetSuccess.gov |
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i. eBenefits.va.gov |
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j. Social media websites (e.g., Facebook, Twitter, etc.) |
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k. Other websites (excluding VA or social media sites) |
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l. VA medical center |
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m. VA Vet center |
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n. Friends or family |
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o. Other publications (e.g., Army Times, local newspapers, etc.) |
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p. Other (Specify) ___________________ |
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q. Don’t know or not sure |
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r. None of the above |
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3 |
How frequently would you like to receive communications (e.g., e-mails, letters, newsletters, etc.) about VA benefits or services? (Mark only one) |
Outreach Requirement |
Measures the frequency of communications received from VA about their benefits |
This question will assess the optimal frequency of communications, in addition to the number of communications, to help maintain an optimal communication strategy for outreach to Veterans about their benefits. |
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a. Weekly |
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b. Monthly |
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c. Quarterly (every 3 months) |
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d. Semi-annually (twice per year) |
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e. Annually (once per year) |
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g. Don’t know or not sure |
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4 |
How would you like to receive information from VA about applying for VA benefits or services? (Mark all that apply) |
Outreach Requirement |
Assess Veterans' preferred communication methods |
This question will help to assess the most desired methods of communication about VA benefits or services and help guide the strategy for information outreach to Veterans. |
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a. Phone |
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b. Mail |
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c. E-mail |
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d. VA website |
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e. Social media websites (e.g., Facebook, Twitter, etc.) |
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f. In person at a Regional Office |
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g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
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h. Other (Specify) ___________________ |
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i. Don’t know or not sure |
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5 |
The following question asks you to rate various aspects of your experience with Compensation and Pension using a scale of 1 to 10, where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
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When thinking about your most frequently used methods of communication please rate your experience in obtaining information about your benefit application on the following items: (Mark only one per row) |
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These items will be used in the development of the index model, which will determine the factors that have the largest impact on the overall Veteran experience with the enrollment for their benefit. |
Satisfaction with the benefit information represents one of the main elements of Veterans' experience with the enrollment for their benefit. These items represent key attributes in the enrollment process and will be compared to other factors to determine the areas of improvement with the greatest overall impact. These metrics will also allow us to compare the experience of Veterans with different information usage patterns and informational needs during the enrollment for their benefit. |
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a. Ease of accessing information |
VBA Performance Metric |
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b. Availability of information |
VBA Performance Metric |
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c. Clarity of information |
VBA Performance Metric |
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d. Usefulness of information |
VBA Performance Metric |
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e. Frequency of information provided by VA |
VBA Performance Metric |
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f. Overall rating of information |
VBA Performance Metric |
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Factor 2 |
Contact with VA |
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Determine if Veteran experience differs based on the level of contact and issue resolution during benefit enrollment |
Satisfaction with the enrollment experience may be higher or lower dependent upon Veterans' level of contact and issue resolution during and immediately after the enrollment process. The level of contact will be determined in this section. These questions will help us differentiate Veteran satisfaction based on level of contact and issue resolution, identify areas where improvements to the process can occur and prioritize them based on the impact of the Contact factor to overall Veteran satisfaction. |
6 |
During the past 6 months, did you contact anyone from VA about the benefit application process? (Mark only one) |
Contact/Resolution Assessment |
Assess whether or not contact occurred |
This question allows us to assess whether or not someone has had a contact with VA about their benefit recently enough to evaluate their experience with the contact. Individuals who have had recent contact with VA about their benefit may exhibit different levels of satisfaction than those who have not had recent contact. This question allows us to assess the variation between these two groups. |
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a. Yes |
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b. No |
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(Ask Q7-Q12 if Q6 is yes, otherwise go to Q13) |
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7 |
Which of the following best describes the reason for your most recent contact? (Mark only one) |
Contact/Resolution Assessment |
Evaluate the reason for the call |
The reason for calling may contribute to the satisfaction related to the call experience. It is important to understand how satisfaction varies based on the type of call. This information will be used in conjunction with the VBA Call Center Satisfaction Research to analyze methods of contact/resolution. |
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a. Resolve a problem |
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b. Ask a question |
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c. Request a change to your records/provide information |
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8 |
Can you briefly describe the nature of your most recent contact? (Mark all that apply) |
Contact/Resolution Assessment |
Assess the nature of the call |
Understand the specific reason for the call to help identify potential needs of various groups of Veterans and the ability of VA to respond to those needs. This information may assist in developing actionable recommendations for training, information communication, etc. This information will be used in conjunction with the VBA Call Center Satisfaction Research to analyze methods of contact/resolution. |
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a. Change your address or direct deposit information |
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b. Report the death of an individual who received VA benefits |
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c. Report that you did not receive your VA check or direct deposit |
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d. Report a problem with a VA customer service representative |
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f. Obtain information about submitting/re-opening a claim |
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g. Other (Specify) ___________________ |
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9 |
Thinking about your most recent contact, how did you contact VA? (Mark only one) |
Contact/Resolution Assessment |
Allows us to measure the satisfaction with various methods of communication |
Veterans' experiences with contacting VA may differ based on the method they use for contact. This may highlight contact methods that are used most frequently by Veterans and help identify processes VA can use to optimize those communication channels. |
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a. Phone |
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b. Fax |
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c. Website |
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d. E-mail |
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e. Mail |
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f. In person |
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10 |
Was your most recent issue resolved? (Mark only one) |
Contact/Resolution Assessment |
Allows us to measure issue resolution |
Veterans who have their issue resolved upon contacting VA may have different levels of satisfaction than those who do not have their issue resolved. This will allow us to set benchmarks for issue resolution and identify areas where contact can be improved based on the reason or nature of the call. This information will be used in conjunction with the VBA Call Center Satisfaction Research to analyze methods of contact/resolution. |
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a. Yes |
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b. No |
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(Ask Q11 if Q10 is No, otherwise go to Q12) |
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11 |
Why wasn’t your most recent issue resolved? (Mark all that apply) |
Contact/Resolution Assessment |
Allows us to identify the reasons why issues were not resolved |
This is important because it allows us to evaluate the reasons why there may be different levels of resolution depending on the nature and or reason for the call and assist in developing actionable courses of action based on study results. |
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a. Did not receive all of the information required |
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b. Received incorrect information |
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c. Was referred to the incorrect office/person |
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d. Waiting for follow-up from VA |
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e. Other (Specify) _______________ |
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f. Don't know or not sure |
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12 |
Thinking of your most recent contact with the VA, how would you rate your overall customer service experience with the VA or VA representatives using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
VBA Performance Metric |
These items will be used in the development of the index model, which will determine the factors that have the largest impact on the overall Veteran experience with the enrollment for their benefit. |
Satisfaction with Contacting VA represents one of the main elements of Veterans' experience with the enrollment for their benefit. These items represent key attributes in the ongoing servicing process and will be compared to other factors to determine the areas of improvement with the greatest overall impact. These metrics will also allow us to compare the experience of Veterans with different levels of contact during and immediation following the enrollment their benefit. |
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Factor 3 |
Benefit Eligibility and Application Process |
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Determine if Veteran experience differs based on the level of engagement with VBA during the application process |
Satisfaction with the servicing experience may be higher or lower dependent upon the level of interaction a Veteran has with VBA during the application process. The level of interaction will be determined based on the various experiences a Veteran might have during the application for benefits. Questions focused on these various experiences will help us differentiate Veteran satisfaction based on the various touch points related to their benefit eligibility and application, identify areas where improvements to the process can occur and prioritize them based on the impact of the Benefit Eligibility and Application Process factor to overall Veteran satisfaction. |
13 |
Thinking about your most recent application, did someone from VA (e.g., call center representative, office staff, etc.) provide you with information about the benefit application process? |
Application Experience Requirement |
Assess receipt of information about application process |
Veteran satisfaction with the application process may differ based on whether or not they received information about the application process. |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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14 |
Thinking about your most recent benefit application, what method did you use to apply for your benefit? (Mark only one) |
2004 C&P Satisfaction Study |
Measure the effectiveness of various methods of applying for a benefit |
Veteran satisfaction may differ based on the method they used to apply for their benefit. This will help to identify areas where Veterans are experiencing difficulty with the process and potential opportunities for improvement. |
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a. Veterans Online Application |
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b. Mail |
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c. In person at a Regional Office |
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d. In person at a Veterans Service Organization e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. |
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e. Other (Specify) ___________________ |
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f. Don’t know or not sure |
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15 |
After you submitted your application, did you receive a letter from VA notifying you of the receipt of your claim? (Mark only one) |
2004 C&P Satisfaction Study |
Measure Veterans' receipt of the letter that is sent to upon application submittal |
This question will be used to document receipt of the letter that is sent upon application submittal and evaluate how receipt of the document may tie to the Veteran experience. |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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(Ask Q16-23 if Q15 is Yes, otherwise go to Q24) |
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16 |
Thinking about the letter, was it clear and easy to understand? (Mark only one) |
2004 C&P Satisfaction Study |
Allows us to measure the efficacy of the letter in terms of the letter's usability |
Veteran satisfaction may differ based on whether they had difficulty understanding the information provided in the standard form letter. Since information in the letter is intended to assist Veterans, this information will also help us understand if the letter is serving the intended purpose. |
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a. Not at all clear |
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b. Somewhat clear |
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c. Completely clear |
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d. Don’t know or not sure |
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e. I did not read the letter |
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17 |
Did you contact VA to obtain clarification about any of the letters you received? (Mark only one) |
2004 C&P Satisfaction Study |
Allows us to determine if the Veteran had an additional level of engagement with VBA related to the letter |
Veterans who felt the letter was not completely clear may reach out to VBA for clarification. This question will be evaluated based on the Veterans' level of satisfaction to determine whether or not the additional level of contact impacts the Veterans' experience positively or negatively. |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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18 |
Did you provide VA with the documentation that was requested in the letter? (Mark only one) |
Application Experience Requirement |
Allow us to determine if the Veteran had an additional level of engagement with VBA related to having to provide additional information |
Veteran satisfaction may differ based on whether or not they have to provide additional information as a supplement to their original application. This will help us identify an area of potential improvement based on a comparison of levels of satisfaction between those who did have to submit additional information versus those who did not. |
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a. Yes |
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b. No |
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c. Nothing was requested |
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d. Don’t know or not sure |
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(Ask Q19 if Q18 is yes, otherwise go to Q21) |
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19 |
How did you submit the documentation to VA that was requested in the letter? (Mark only one) |
Application Experience Requirement |
Measure the effectiveness of various methods of submitting additional information |
Among those who submitted an application for benefits, Veteran satisfaction may differ based on the method they used to submit additional information. This will help to identify areas where Veterans are experiencing difficulty with the process and potential opportunities for improvement. |
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a. Mail |
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b. In person at a Regional Office |
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c. In person at a Veterans Service Organization, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. |
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d. Other (Specify) ___________________ |
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e. Don’t know or not sure |
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20 |
What is your preferred method to submit the documentation to VA that was requested in the letter? |
Contact Assessment |
Identify most preferred communication channel for requested documentation |
This question will help to assess the most desired methods of communication about VA benefits or services and help guide the strategy for information outreach to Veterans. |
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a. Mail |
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b. In person at a Regional Office |
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c. Online (ebenefits/ Veterans Online Application) |
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d. In person at a Veterans Service Organization, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. |
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e. Other (Specify) ___________________ |
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f. Don’t know or not sure |
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21 |
Did you receive a subsequent letter requesting information in support of your claim from VA? (Mark only one) |
Application Experience Requirement |
Allow us to determine if the Veteran had an additional level of engagement with VBA in support of a claim |
Veteran satisfaction may differ based on whether or not they received a letter requesting additional information in support of a claim. This will help us identify an area of potential improvement based on a comparison of levels of satisfaction between those who received a letter requesting additional information in support of a claim versus those who did not. |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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22 |
During the application process, did you have to provide the same information more than once? (Mark only one) |
2004 C&P Satisfaction Study |
Allow us to determine if the Veteran had an additional level of engagement with VBA related to having to provide duplicate information |
Veteran satisfaction may differ based on whether or not they have to provide duplicate information after submitting their original application. This will help us identify an area of potential improvement based on a comparison of levels of satisfaction between those who did have to submit duplicate information versus those who did not. |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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(Ask Q23 if Q22 is Yes, otherwise go to Q24) |
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23 |
What information did you have to provide more than once? (Mark all that apply) |
Application Experience Requirement |
Determine the type of information provided more than once |
It is important to determine the types of information that are typically provided more than once to develop actionable recommendations related to reducing redundant processes. This question will assist in determining actionable recommendations for improving the Veteran experience related to providing duplicate information. |
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a. Discharge papers (DD214) |
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b. Service treatment records |
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c. Private medical records |
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d. Other (Specify) ___________________ |
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e. Don’t know or not sure |
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24 |
The following question asks you to rate various aspects of your experience with your benefit application using a scale of 1 to 10, where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
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These items will be used in the development of the index model, which will determine the factors that have the largest impact on the overall Veteran experience with the benefit enrollment process. |
Satisfaction with benefit eligibility and application process represents one of the main elements of Veterans' experience with the benefit enrollment process. These items represent key attributes in the enrollment process and will be compared to other factors to determine the areas of improvement with the greatest overall impact. These metrics will also allow us to compare the experience of Veterans with different levels of engagement with VBA during enrollment for their benefit. |
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Please rate your experience with the benefit application process on the following items: |
VBA Performance Metric |
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a. Ease of completing the application |
VBA Performance Metric |
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b. Timeliness of eligibility/entitlement notification |
VBA Performance Metric |
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c. Flexibility of application methods |
VBA Performance Metric |
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d. Overall rating of application process |
VBA Performance Metric |
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(Ask Q25-Q27 if previously found ineligible for VA benefits, otherwise go to Q21) |
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25 |
If you were previously found ineligible for VA benefit payments, did you understand why were you found ineligible? (Mark only one) |
Benefit Eligibility Requirement |
Measures the level of understanding of the appeal decision |
Veterans who understood the decision may be more satisfied with the process overall than those who did not understand the decision. This allows us to measure whether or not Veterans' understand the information they are given and potentially identifies an area where the Veteran experience can be improved. |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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26 |
Were you provided information about how to appeal your entitlement decision? (Mark only one) |
Benefit Experience Requirement |
Measures Veteran receipt of information and awareness of the appeals process |
Veterans who have received information about how to appeal may be more satisfied with the process than whose who have not received this information. |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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27 |
Using a scale of 1 to 10, where 1 is Unacceptable, 10 is Outstanding, and 5 is Average, please rate the clarity of the information you were provided about appealing your entitlement decision. |
VBA Performance Metric |
Assesses the clarity of information provided about appealing the entitlement decision |
This question will be combined with Q18 to assess variations in satisfaction based on the clarity of information Veterans receive. This is a question that will assist in determining a potential area for improving the Veteran experience. |
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Factor 4 |
Benefit Entitlement |
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28 |
The following question asks you to rate various aspects of your experience with your benefit payment using a scale of 1 to 10, where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
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Please rate your benefit payment on the following items: (Mark only one per row) |
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These items will be used in the development of the index model, which will determine the factors that have the largest impact on the overall Veteran experience with the enrollment for their benefit. |
Satisfaction with the benefit entitlement represents one of the main elements of Veterans' experience with the enrollment for their benefit. These items represent key attributes in the ongoing servicing process and will be compared to other factors to determine the areas of improvement with the greatest overall impact. These metrics will also allow us to compare the experience of Veterans with different levels of engagement with VBA during the enrollment for their benefit. |
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a. Amount of benefit payment |
VBA Performance Metric |
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b. Timeliness of receiving initial benefit payment |
VBA Performance Metric |
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c. Overall rating of benefit payment |
VBA Performance Metric |
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Overall Application Experience |
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29 |
Thinking about ALL aspects of your experience applying for your compensation or pension benefit, please rate VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
VBA Performance Metric |
This item will be used in the development of the index model and will assist in creating an overall satisfaction score at the benefit enrollment level. |
All factors will be assessed in the context of the overall satisfaction score to understand the relative importance of each factor on Veterans' overall satisfaction. |
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Overall Experience with VA |
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30 |
Taking into consideration all of the non-medical benefits (e.g., education, compensation and pension, home loan guaranty, vocational rehabilitation and employment, insurance, etc.) you have applied for or currently receive, please rate your experience with VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
VBA Performance Metric |
This item will be used in the development of an index model for VBA overall across benefit lines and benefit status types (enrollment and servicing). |
Overall satisfaction with each benefit line at the enrollment and servicing level will be evaluated in the context of the overall experience with VA to understand the relative impact of different experiences across benefit lines. |
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31 |
How likely are you to inform other Veterans or beneficiaries about your experience with VA benefits or services? (Mark only one) |
VBA Performance Metric |
Assess Veteran advocacy of VA benefits or services |
Veterans with a more positive experience with the benefit line and VA overall may be more likely to positively advocate VA to their peers. This question will help identify changes in advocacy based on changes in the level of satisfaction over time. |
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a. Definitely will not |
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b. Probably will not |
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c. Probably will |
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d. Definitely will |
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32 |
Do you have any other comments or concerns about your experience? (Open Capture) |
Benefit Experience Requirement |
Allow Veterans' the opportunity to provide additional information related to their experience |
Veterans' may have additional information related to their experience that will help understand and interpret their overall experience. This may include elements of the experience that are not easily captured in quantitative form. |
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Optional Respondent Questions |
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The following questions are optional. As a reminder, your responses will be kept completely confidential and will not affect any current or future benefits you may receive. |
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33 |
How are you currently using or intending to use your benefit payment? (Mark all that apply) |
Socio-Economic Differentiator for Congress/VA Leadership |
Assess the usage of the benefit payment |
Veterans who have different experiences in the enrollment for their benefit may have different levels of satisfaction or exhibit different needs based on how they are using their benefit payment. For example, someone who is using their benefit payment for savings may be less impacted than someone who is using it for a rent/mortgage payment. This helps assess Veterans' needs. |
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a. Rent/mortgage payment |
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b. Paying bills |
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c. Paying down debt |
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d. Education expenses |
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e. Establishing savings |
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f. Other (Specify) ___________________ |
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g. Prefer not to state |
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h. Don’t know or not sure |
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34 |
Would you like to provide an e-mail address so VA can contact you with general information about VA benefits and services? (Mark only one) |
Contact Assessment |
Opt-in for future contact by VA |
Consent to contact respondent with more information on benefits and programs |
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a. Yes |
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b. No |
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c. I do not have an e-mail address |
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d. Prefer not to answer |
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(Ask Q45 if Yes in Q44) |
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35 |
Please enter your preferred e-mail address where you would like to be contacted: (Open Capture) |
Contact Assessment |
Email contact information |
Send additional information from VA to veterans - i.e. eBenefits information |
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a. E-mail: |
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Compensation Servicing |
Pension Servicing |
Education Servicing |
Sample population definition: Individuals who received a decision or were receiving benefit payments between 6-18 months ago |
Sample population definition: Individuals who have currently been receiving benefits for at least 6 months or individuals who received a decision 12 months ago |
Sample population definition: Beneficiary who has been enrolled and receiving benefit payments for at least 2 consecutive school terms |
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Benefit Information |
Benefit Information |
Benefit Information |
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1. How did you FIRST learn about VA benefit programs? (Mark only one) If you are unsure, please indicate the first way you remember learning about VA benefit programs. |
1. How did you FIRST learn about VA benefit programs? (Mark only one) If you are unsure, please indicate the first way you remember learning about VA benefit programs. |
1. How did you FIRST learn about the education benefit programs? (Mark only one) If you are unsure, please indicate the first way you remember learning about the education benefit programs. |
a. VA website |
a. VA website |
a. VA website |
b. VetSuccess.gov |
b. VetSuccess.gov |
b. VetSuccess.gov |
c. eBenefits.va.gov |
c. eBenefits.va.gov |
c. eBenefits.va.gov |
d. Mail (from VA) |
d. Mail (from VA) |
d. Mail (from VA) |
e. VA phone number (800-827-1000) |
e. VA phone number (800-827-1000) |
e. VA phone number (800-827-1000) |
f. Transition Assistance Program/Disabled Transition Assistance Program briefings |
f. Transition Assistance Program/Disabled Transition Assistance Program briefings |
f. Transition Assistance Program/Disabled Transition Assistance Program briefings |
g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
h. VA medical center |
h. VA medical center |
h. VA medical center |
i. VA Vet center |
i. VA Vet center |
i. VA Vet center |
j. In person at a Regional Office |
j. In person at a Regional Office |
j. In person at a Regional Office |
k. Social media websites (e.g., Facebook, Twitter, etc.) |
k. Social media websites (e.g., Facebook, Twitter, etc.) |
k. Social media websites (e.g., Facebook, Twitter, etc.) |
l. Visit from a VA employee |
l. Visit from a VA employee |
l. Visit from a VA employee |
m. Other Veterans |
m. Other Veterans |
m. Other Veterans |
n. Internet (excluding VA and social media sites) |
n. Internet (excluding VA and social media sites) |
n. Internet (excluding VA and social media sites) |
o. Friends or family |
o. Friends or family |
o. Friends or family |
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p. Information came with notification/ratings letter |
p. Other publications (e.g., Army Times, local newspaper, etc.) |
p. Other publications (e.g., Army Times, local newspaper, etc.) |
q. Other Publications (e.g., Army Times, local newspaper, etc.) |
q. Other (Specify) ___________________ |
q. Other (Specify) ___________________ |
r. Other (Specify) ___________________ |
r. Don’t know or not sure |
r. Don’t know or not sure |
s. Don’t know or not sure |
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2. What method(s) do you MOST FREQUENTLY use to obtain general information about VA benefits or services? (Mark all that apply) |
2. What method(s) do you MOST FREQUENTLY use to obtain general information about VA’s benefits or services? (Mark all that apply) |
2. What method(s) do you MOST FREQUENTLY use to obtain general information about VA’s education benefits or services? (Mark all that apply) |
a. Phone |
a. Phone |
a. Phone |
b. Mail |
b. Mail |
b. Mail |
c. E-mail |
c. E-mail |
c. E-mail |
d. In person at a Regional Office |
d. In person at a Regional Office |
d. In person at a Regional Office |
e. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
e. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
e. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ______________ |
f. Disabled Veterans’ Outreach Program |
f. Disabled Veterans’ Outreach Program |
f. Disabled Veterans’ Outreach Program |
g. VA website |
g. VA website |
g. VA website |
h. VetSuccess.gov |
h. VetSuccess.gov |
h. VetSuccess.gov |
i. eBenefits.va.gov |
i. eBenefits.va.gov |
i. eBenefits.va.gov |
j. Social media websites (e.g., Facebook, Twitter, etc.) |
j. Social media websites (e.g., Facebook, Twitter, etc.) |
j. Social media websites (e.g., Facebook, Twitter, etc.) |
k. Other websites (excluding VA or social media sites) |
k. Other websites (excluding VA or social media sites) |
k. Other websites (excluding VA or social media sites) |
l. VA medical center |
l. VA medical center |
l. VA medical center |
m. VA Vet center |
m. VA Vet center |
m. VA Vet center |
n. Friends or family |
n. Friends or family |
n. Friends or family |
o. Other publications (e.g., Army Times, local newspaper, etc.) |
o. Other publications (e.g., Army Times, local newspaper, etc.) |
o. Other Publications (e.g., Army Times, local newspaper, etc.) |
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p. Certifying official at school |
p. Other (Specify) ___________________ |
p. Other (Specify) ___________________ |
q. Other (Specify) ___________________ |
q. Don’t know or not sure |
q. Don’t know or not sure |
r. Don’t know or not sure |
r. None of the above |
r. None of the above |
s. None of the above |
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3. How frequently would you like to receive communications (e.g., e-mails, letters, newsletters, etc.) about VA benefits or services? (Mark only one) |
3. How frequently would you like to you receive communications (e.g., e-mails, letters, newsletters, etc.) about VA benefits or services? (Mark only one) |
3. How frequently would you like to receive communications (e.g., e-mails, letters, newsletters, etc.) from VA about education benefits or services? (Mark only one) |
a. Weekly |
a. Weekly |
a. Weekly |
b. Monthly |
b. Monthly |
b. Monthly |
c. Quarterly (every 3 months) |
c. Quarterly (every 3 months) |
c. Quarterly (every 3 months) |
d. Semi-annually (twice per year) |
d. Semi-annually (twice per year) |
d. Semi-annually (twice per year) |
e. Annually (once per year) |
e. Annually (once per year) |
e. Annually (once per year) |
f. Don’t know or not sure |
f. Don’t know or not sure |
f. Don’t know or not sure |
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4. How would you like to receive information from VA about benefits or services? (Mark all that apply) |
4. How would you like to receive information from VA about benefits or services? (Mark all that apply) |
4. How would you like to receive information from VA about education benefits or services? (Mark all that apply) |
a. Phone |
a. Phone |
a. Phone |
b. Mail |
b. Mail |
b. Mail |
c. E-mail |
c. E-mail |
c. E-mail |
d. VA website |
d. VA website |
d. VA website |
e. Social media websites (e.g., Facebook, Twitter, etc.) |
e. Social media websites (e.g., Facebook, Twitter, etc.) |
e. Social media websites (e.g., Facebook, Twitter, etc.) |
f. In person at a Regional Office |
f. In person at a Regional Office |
f. In person at a Regional Office |
g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ______________ |
h. Other (Specify) ___________________ |
h. Other (Specify) ___________________ |
h. Other (Specify) ___________________ |
i. Don’t know or not sure |
i. Don’t know or not sure |
i. Don’t know or not sure |
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The following question asks you to rate various aspects of your experience with benefits, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
The following question asks you to rate various aspects of your experience with benefits, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
The following question asks you to rate various aspects of your experience with Education, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
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5. When thinking about your most frequently used methods of communication, please rate your experience in obtaining information about your benefit on the following items: (Mark only one per row) |
5. Please rate your experience in obtaining information about your benefit on the following items: (Mark only one per row) |
5. When thinking about your most frequently used methods of communication, please rate your experience obtaining information about your education benefits on the following items: (Mark only one per row) |
a. Ease of accessing information |
a. Ease of accessing information |
a. Ease of accessing information |
b. Availability of information |
b. Availability of information |
b. Availability of information |
c. Clarity of information |
c. Clarity of information |
c. Clarity of information |
d. Usefulness of information |
d. Usefulness of information |
d. Usefulness of information |
e. Frequency of information provided by VA |
e. Frequency of information provided by VA |
e. Frequency of information provided by VA |
f. Overall rating of information |
f. Overall rating of information |
f. Overall rating of information |
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Contact with VA |
Contact with VA |
Contact with VA |
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6. During the past 6 months, did you contact anyone from VA about your benefit? (Mark only one) |
6. During the past 6 months, did you contact anyone from VA about your benefit? (Mark only one) |
6. During the past 6 months, did you contact anyone from VA about your education benefit? (Mark only one) |
a. Yes |
a. Yes |
a. Yes |
b. No |
b. No |
b. No |
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(Ask Q7-Q12 if Q6 is yes, otherwise go to Q13) |
(Ask Q7-Q12 if Q6 is yes, otherwise go to Q13) |
(Ask Q7-Q12 if Q6 is Yes, otherwise go to Q13) |
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7. Which of the following best describes the reason for your most recent contact? (Mark only one) |
7. Which of the following best describes the reason for your most recent contact? (Mark only one) |
7. Which of the following best describes the reason for your most recent contact? (Mark only one) |
a. Resolve a problem |
a. Resolve a problem |
a. Resolve a problem |
b. Ask a question |
b. Ask a question |
b. Ask a question |
c. Request a change to your records/provide information |
c. Request a change to your records/provide information |
c. Request a change to your records/provide information |
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8. Can you briefly describe the nature of your most recent contact? (Mark all that apply) |
8. Can you briefly describe the nature of your most recent contact? (Mark all that apply) |
8. Can you briefly describe the nature of your most recent contact? (Mark all that apply) |
a. Update your dependency status |
a. Update your dependency status |
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b. Change your address or direct deposit information |
b. Change your address or direct deposit information |
a. Change your address or direct deposit information |
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c. Provide verification documents required for payment (e.g., income verification, medical records, etc.) |
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c. Report the death of an individual who received VA benefits |
d. Report the death of an individual who received VA benefits |
b. Report the death of an individual who received VA benefits |
d. Report that you did not receive your VA check or direct deposit |
e. Report that you did not receive your VA check or direct deposit |
c. Report that you did not receive your monthly stipend or book allowance |
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d. Submit monthly verification of enrollment |
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e. Check on the status of your claim |
e. Resolve a problem with your benefits |
f. Resolve a problem with your benefits |
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f. Find out about a late benefit payment |
g. Find out about a late benefit payment |
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g. Report a problem with a VA customer service representative |
h. Report a problem with a VA customer service representative |
f. Report a problem with a VA customer service representative |
h. Ask a general question |
i. Ask a general question |
g. Ask a general question |
i. Obtain information about submitting/re-opening a claim |
j. Obtain information about submitting/re-opening a claim |
h. Obtain information about submitting a claim |
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i. Question about a payment amount |
j. Other (Specify) ___________________ |
k. Other (Specify) ___________________ |
j. Other (Specify) ___________________ |
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9. Thinking about your most recent contact, how did you contact VA? (Mark only one) |
9. Thinking about your most recent contact, how did you contact VA? (Mark only one) |
9. Thinking about your most recent contact, how did you contact VA? (Mark only one) |
a. Phone |
a. Phone |
a. Phone |
b. Fax |
b. Fax |
b. Fax |
c. Website |
c. Website |
c. Website |
d. E-mail |
d. E-mail |
d. E-mail |
e. Mail |
e. Mail |
e. Mail |
f. In Person |
f. In person |
f. In person |
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10. Was your most recent issue resolved? (Mark only one) |
10. Was your most recent issue resolved? (Mark only one) |
10. Was your most recent issue resolved? (Mark only one) |
a. Yes |
a. Yes |
a. Yes |
b. No |
b. No |
b. No |
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(Ask Q11 if Q10 is No, otherwise go to Q13) |
(Ask Q11 if Q10 is No, otherwise go to Q12) |
(Ask Q11 if Q10 is No, otherwise go to Q12) |
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11. Why wasn’t your most recent issue resolved? |
11. Why wasn’t your most recent issue resolved? |
11. Why wasn’t your most recent issue resolved? |
a. Did not receive all of the information required |
a. Did not receive all of the information required |
a. Did not receive all of the information required |
b. Received incorrect information |
b. Received incorrect information |
b. Received incorrect information |
c. Was referred to the incorrect office/person |
c. Was referred to the incorrect office/person |
c. Was referred to the incorrect office/person |
d. Waiting for follow-up from VA |
d. Waiting for follow-up from VA |
d. Waiting for follow-up from VA |
e. Other (Specify) ____________________ |
e. Other (Specify) ____________________ |
e. Other (Specify) ____________________ |
f. Don't know or not sure |
f. Don't know or not sure |
f. Don't know or not sure |
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12. Thinking of your most recent contact with the VA, how would you rate your overall customer service experience with the VA or VA representatives using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
12. Thinking of your most recent contact with the VA, how would you rate your overall customer service experience with the VA or VA representatives using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
12. Thinking of your most recent contact with the VA, how would you rate your overall customer service experience with the VA or VA representatives using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
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Benefit Entitlement |
Benefit Entitlement |
Benefit Entitlement |
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13. Have you submitted a claim for an increase in your benefit in the past 6 months? (Mark only one) |
13. Have you submitted a claim for an Aid and Attendance or Housebound benefit in the past 6 months? (Mark only one) |
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a. Yes |
a. Yes |
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b. No |
b. No |
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c. Don’t know or not sure |
c. Don’t know or not sure |
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(Ask Q14 if Q13 is yes, otherwise go to Q21) |
(Ask Q14-17 if Q13 is Yes, otherwise go to Q18) |
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14. What is your preferred method to submit a claim? (Mark only one) |
14. What is your preferred method to submit a claim? (Mark only one) |
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a. Mail |
a. Mail |
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b. In person at a Regional Office |
b. In person at a Regional Office |
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c. In person at a Veterans Service Organization, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. |
c. In person at a Veterans Service Organization, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. |
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d. Veterans Online Application |
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e. Other (Specify) ___________________ |
d. Other (Specify) ___________________ |
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f. Don’t know or not sure |
e. Don’t know or not sure |
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(Ask Q15 if Q13 is yes, otherwise go to Q21) |
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15. After you submitted your claim, did you receive a letter from VA notifying you that your claim was received? |
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a. Yes |
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b. No |
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c. Don’t know or unsure |
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(Ask Q16 if Q15 is Yes, otherwise go to Q21) |
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16. Thinking about the letter, was it clear and easy to understand? (Mark only one) |
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a. Not at all clear |
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b. Somewhat clear |
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c. Completely clear |
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d. Don’t know or not sure |
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e. I did not read the letter |
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17. Did you contact VA to obtain clarification about the letter? |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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18. Did VA require you to provide additional medical evidence beyond the information you provided in your original claim? (Mark only one) |
15. Did VA require you to provide additional medical evidence after you submitted your claim? (Mark only one) |
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a. Yes |
a. Yes |
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b. No |
b. No |
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c. Don’t know or not sure |
c. Don’t know or not sure |
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(Ask Q19 if Q18 is yes, otherwise go to Q21) |
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19. After you submitted your claim, did VA schedule a medical examination for you to be re-evaluated? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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d. Not applicable |
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(Ask Q16 if Q15 is Yes, otherwise go to Q18) |
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16. Were you required to undergo a VA medical evaluation as a result of your claim? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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d. Not applicable |
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(Ask Q20 if Q19 is Yes, otherwise go to Q21) |
(Ask Q17 if Q16 is Yes, otherwise go to Q18) |
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20. Did the exam seem appropriate and/or address your claimed condition(s)? |
17. Did the exam seem appropriate and/or address your claimed condition(s)? |
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a. Yes |
a. Yes |
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b. No |
b. No |
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c. Don’t know or not sure |
c. Don’t know or not sure |
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21. Have there been any interruptions to your benefit payments in the past 6 months? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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(Ask Q22 if ‘Yes’ to Q21, otherwise go to Q23) |
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22. Did you received a letter notifying you as to the reason why your benefit payment was interrupted and/or terminated? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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18. If you were previously found ineligible for VA pension benefits, did you understand why you were found ineligible? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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d. Not applicable (Web survey only) (Skip to Q20) |
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19. In the past 6 months, have you submitted any documentation required to verify your eligibility for benefits (e.g., income verification, marriage certificate, medical records, dependent information, etc.)? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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(Ask Q20 if Q19 is Yes, otherwise go to Q23) |
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20. Was there any change (increase or decrease) to your pension benefits based on the verification of the documents submitted? |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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(Ask Q21 if Yes to Q20, otherwise go to Q22) |
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21. Were you informed as to the reason why your benefit payment changed? (Mark only one) |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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Non-Post 9/11 GI Bill |
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Montgomery GI Bill, Survivors and Dependents Education Assistance (DEA), Reserve Education Assistance Program (REAP), Veterans Education Assistance Program (VEAP), and other programs |
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(Ask Q13 if you are receiving a benefit other than Post 9-11GI Bill benefits (e.g., MGIB, DEA, VEAP, REAP), otherwise go to Q14) |
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13. What type of program are you currently using your education benefit for? (Mark all that apply) |
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a. College/University |
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b. NCD (Non-College Degree Programs) |
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c. On-the-job and apprenticeship training |
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d. Flight training |
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e. Independent training/Distance learning/Internet training |
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f. Correspondence training |
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g. National Testing Program |
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h. Licensing and Certification Program |
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i. Entrepreneurship training |
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j. Work-Study Program |
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k. Don’t know or not sure |
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Post 9/11 GI Bill |
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(Ask Q14 if you are currently receiving Post 9/11 GI Bill benefits, otherwise go to Q16) |
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14. Has the stipend you received for books and supplies in the past two terms been incorrect/differed from what was communicated to you by VA? |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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15. Has the tuition payment you or your school received in the past two terms been incorrect/differed from what was communicated to you by VA? |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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The following question asks you to rate various aspects of your experience with benefits, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
The following question asks you to rate various aspects of your experience with benefits, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
The following question asks you to rate various aspects of your experience with Education, using a scale of 1 to 10, where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
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23. Please rate your compensation benefit on the following items: (Mark only one per row) |
22. Please rate your pension benefit on the following items: (Mark only one per row) |
16. Please rate your education benefit payment on the following items: (Mark only one per row) |
a. Combined disability evaluation rating percentage (eg. 10% disabled) |
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a. Amount of pension benefit payment |
a. Amount of financial assistance |
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b. Effectiveness of benefit in helping you achieve your educational or vocational goal |
b. Timeliness of receiving benefit |
b. Timeliness of receiving benefit payment |
c. Timeliness of receiving benefit payment |
c. Clarity of your disability rating |
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d. Overall rating of your benefit payment |
c. Overall rating of your benefit |
d. Overall rating of benefit payment |
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Overall Experience with Benefit Program |
Overall Experience with Benefit |
Overall Experience with Benefit Program |
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24. Thinking about ALL aspects of your experience with your compensation benefits, please rate VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
23. Thinking about ALL aspects of your experience with your pension benefits, please rate VA overall, using a 1 to 10 scale where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
17. Thinking about ALL aspects of your experience with your education benefits, please rate VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
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Overall Experience with VA |
Overall Experience with VA |
Overall Experience with VA |
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25. Taking into consideration all of the non-medical benefits (e.g., education, compensation and pension, home loan guaranty, vocational rehabilitation and employment, insurance, etc.) you have applied for or currently receive, please rate your experience with VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
24. Taking into consideration all of the non-medical benefits (e.g., education, compensation and pension, home loan guaranty, vocational rehabilitation and employment, insurance, etc.) you have applied for or currently receive, please rate your experience with VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
18. Taking into consideration all of the non-medical benefits (e.g., education, compensation and pension, home loan guaranty, vocational rehabilitation and employment, insurance, etc.) you have applied for or currently receive, please rate your experience with VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
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26. How likely are you to inform other Veterans or beneficiaries about your experience with VA benefits or services? (Mark only one) |
25. How likely are you to inform other Veterans or beneficiaries about your experience with VA benefits or services? (Mark only one) |
19. How likely are you to inform other Veterans and beneficiaries about your experience with VA benefits or services? (Mark only one) |
a. Definitely will not |
a. Definitely will not |
a. Definitely will not |
b. Probably will not |
b. Probably will not |
b. Probably will not |
c. Probably will |
c. Probably will |
c. Probably will |
d. Definitely will |
d. Definitely will |
d. Definitely will |
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School Marketing/Recruiter |
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20. How did the marketing materials or recruiter at the school/university you are enrolled at influenced your decision to enroll in that program. (Mark only one) |
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a. Definitely did not influence my decision |
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b. Somewhat influenced my decision |
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c. Absolutely influenced my decision |
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21. To what degree was your experience consistent with what was presented to you in any marketing materials or by a recruiter? (Mark only one) |
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a. Not at all consistent |
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b. Somewhat consistent |
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c. Very consistent |
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22. Was your experience with the program you enrolled in... (Mark only one) |
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a. Harder than you expected |
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b. What you expected |
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c. Easier than you expected |
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23. Do you have any comments you would like to add regarding the marketing efforts or recruiter from the school/university you enrolled in? (Open Capture) |
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___________________________________________________ |
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Optional Questions |
Optional Questions |
Optional Questions |
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The following questions are optional. |
The following questions are optional. |
The following questions are optional. |
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28. How are you currently using your benefit payment? (Mark all that apply) |
27. How are you currently using your benefit payment? (Mark all that apply) |
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a. Rent/mortgage payment |
a. Rent/mortgage payment |
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b. Paying bills |
b. Paying bills |
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c. Paying down debt |
c. Paying down debt |
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d. Medical expenses |
d. Medical expenses |
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e. Education expenses |
e. Education expenses |
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f. Establishing savings |
f. Establishing savings |
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g. Other (Specify) ___________________ |
g. Other (Specify) ___________________ |
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h. Prefer not to answer |
h. Prefer not to answer |
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i. Don’t know or not sure |
i. Don’t know or not sure |
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29. Would you like to provide an e-mail address so VA can contact you with general information about VA benefits and services? (Mark only one) |
28. Would you like to provide an e-mail address so VA can contact you with general information about VA benefits and services? (Mark only one) |
24. Would you like to provide an e-mail address so VA can contact you with general information about VA benefits and services? (Mark only one) |
a. Yes |
a. Yes |
a. Yes |
b. No |
b. No |
b. No |
c. I do not have an e-mail address |
c. I do not have an e-mail address |
c. I do not have an e-mail address |
d. Prefer not to answer |
d. Prefer not to answer |
d. Prefer not to answer |
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(Ask Q44 if Yes in Q43) |
(Ask Q29 if Q28 is Yes) |
(Ask Q26 if Yes in Q25) |
30. Please enter your preferred e-mail address where you would like to be contacted: (Open Capture) |
29. Please enter your preferred e-mail address where you would like to be contacted: (Open Capture) |
25. Please enter your preferred e-mail address where you would like to be contacted: (Open Capture) |
a. E-mail: |
a. E-mail: |
a. E-mail: |
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27. Do you have any other comments or concerns about your experience? (Open Capture) |
26. Do you have any other comments or concerns about your experience? (Open Capture) |
60. Do you have any other comments or concerns about your experience? (Open Capture) |
Compensation Servicing items |
Question # |
Question |
Source |
Purpose of item |
Rationale |
|
Benefit Information |
|
This Section enables the determination if Veteran experience differs based on informational needs and usage patterns during the ongoing servicing of a benefit |
Satisfaction with the servicing experience may be higher or lower dependent upon Veterans' informational needs and usage patterns after their benefit has been awarded. The informational needs and usage patterns will be determined in this section. These questions will help us differentiate Veteran satisfaction based on benefit informational needs and usage, identify areas where improvements to the process can occur and prioritize them based on the impact of the Benefit Information factor to overall Veteran satisfaction. |
1 |
How did you FIRST learn about VA benefit programs? (Mark only one) If you are unsure, please indicate the first way you remember learning about VA benefit programs. |
Outreach Requirement |
Identify usage of available information sources |
This will be used to assess Veteran point-of-entry and most frequent source for finding information about VA benefits and to evaluate usage patterns. This information will be used in the context of overall satisfaction with benefit information, including ease of accessing, availability, usefulness, and clarity of information and identifying information sources where any of these attributes has the potential for improvement. |
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a. VA website |
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b. VetSuccess.gov |
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c. eBenefits.va.gov |
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d. Mail (from VA) |
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e. VA phone number (800-827-1000) |
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f. Transition Assistance Program/Disabled Transition Assistance Program briefings |
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g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
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h. VA medical center |
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i. VA Vet center |
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j. In person at a Regional Office |
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k. Social media websites (e.g., Facebook, Twitter, etc.) |
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l. Visit from a VA employee |
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m. Other Veterans |
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n. Internet (excluding VA and social media sites) |
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o. Friends or family |
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p. Other publications (e.g., Army Times, local newspaper, etc.) |
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q. Other (Specify) ___________________ |
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r. Don’t know or not sure |
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2 |
What method(s) do you MOST FREQUENTLY use to obtain general information about VA benefits or services? (Mark all that apply) |
Outreach Requirement |
Identify most preferred communication channel for benefits information |
This question will assess the optimal channel of communications to help maintain an optimal communication strategy for outreach to Veterans about their benefits. |
|
a. Phone |
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b. Mail |
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c. E-mail |
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d. In person at a Regional Office |
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e. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
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f. Disabled Veterans’ Outreach Program |
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g. VA website |
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h. VetSuccess.gov |
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i. eBenefits.va.gov |
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j. Social media websites (e.g., Facebook, Twitter, etc.) |
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k. Other websites (excluding VA or social media sites) |
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l. VA medical center |
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m. VA Vet center |
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n. Friends or family |
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o. Other publications (e.g., Army Times, local newspaper, etc.) |
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p. Other (Specify) ___________________ |
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q. Don’t know or not sure |
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r. None of the above |
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3 |
How frequently would you like to receive communications (e.g., e-mails, letters, newsletters, etc.) about VA benefits or services? (Mark only one) |
Outreach Requirement |
Measures the frequency of communications received from VA about their benefits |
This question will assess the optimal frequency of communications, in addition to the number of communications, to help maintain an optimal communication strategy for outreach to Veterans about their benefits. |
|
a. Weekly |
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b. Monthly |
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c. Quarterly (every 3 months) |
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d. Semi-annually (twice per year) |
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e. Annually (once per year) |
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g. Don’t know or not sure |
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4 |
How would you like to receive information from VA about benefits or services? (Mark all that apply) |
Outreach Requirement |
Assess Veterans' preferred communication methods |
This question will help to assess the most desired methods of communication about VA benefits or services and help guide the strategy for information outreach to Veterans. |
|
a. Phone |
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b. Mail |
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c. E-mail |
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d. VA website |
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e. Social media websites (e.g., Facebook, Twitter, etc.) |
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f. In person at a Regional Office |
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|
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g. Veterans Service Organizations, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. (Specify) ___________________ |
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h. Other (Specify) ___________________ |
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|
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j. Don’t know or not sure |
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|
The following question asks you to rate various aspects of your experience with benefits, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
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5 |
When thinking about your most frequently used methods of communication, please rate your experience in obtaining information about your benefit on the following items: (Mark only one per row) |
|
These items will be used in the development of the index model, which will determine the factors that have the largest impact on the overall Veteran experience with the Servicing of their benefit. |
Satisfaction with the benefit information represents one of the main elements of Veterans' experience with the ongoing servicing of their benefit. These items represent key attributes in the ongoing servicing process and will be compared to other factors to determine the areas of improvement with the greatest overall impact. These metrics will also allow us to compare the experience of Veterans with different information usage patterns and informational needs during the ongoing servicing of their benefit. |
|
a. Ease of accessing information |
VBA Performance Metric |
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|
b. Availability of information |
VBA Performance Metric |
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c. Clarity of information |
VBA Performance Metric |
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d. Usefulness of information |
VBA Performance Metric |
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e. Frequency of information provided by VA |
VBA Performance Metric |
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f. Overall rating of information |
VBA Performance Metric |
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Factor 2 |
Contact with VA |
|
Determine if Veteran experience differs based on the level of contact and issue resolution during the ongoing benefit servicing |
Satisfaction with the servicing experience may be higher or lower dependent upon Veterans' level of contact and issue resolution after their benefit has been awarded. The level of contact will be determined in this section. These questions will help us differentiate Veteran satisfaction based on level of contact and issue resolution, identify areas where improvements to the process can occur and prioritize them based on the impact of the Contact factor to overall Veteran satisfaction. |
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|
6 |
During the past 6 months, did you contact anyone from VA about your benefit? (Mark only one) |
Contact/Resolution Assessment |
Assess whether or not contact occurred |
This question allows us to assess whether or not someone has had a contact with VA about their benefit recently enough to evaluate their experience with the contact. Individuals who have had recent contact with VA about their benefit may exhibit different levels of satisfaction than those who have not had recent contact. This question allows us to assess the variation between these two groups. |
|
a. Yes |
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b. No |
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(Ask Q7-Q12 if Q6 is yes, otherwise go to Q13) |
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7 |
Which of the following best describes the reason for your most recent contact? (Mark only one) |
Contact/Resolution Assessment |
Evaluate the reason for the call |
The reason for calling may contribute to the satisfaction related to the call experience. It is important to understand how satisfaction varies based on the type of call. This information will be used in conjunction with the VBA Call Center Satisfaction Research to analyze methods of contact/resolution. |
|
a. Resolve a problem |
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b. Ask a question |
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c. Request a change to your records/provide information |
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8 |
Can you briefly describe the nature of your most recent contact? (Mark all that apply) |
Contact/Resolution Assessment |
Assess the nature of the call |
Understand the specific reason for the call to help identify potential needs of various groups of Veterans and the ability of VA to respond to those needs. This information may assist in developing actionable recommendations for training, information communication, etc. This information will be used in conjunction with the VBA Call Center Satisfaction Research to analyze methods of contact/resolution. |
|
a. Update your dependency status |
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b. Change your address or direct deposit information |
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c. Report the death of an individual who received VA benefits |
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d. Report that you did not receive your VA check or direct deposit |
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e. Resolve a problem with your benefits |
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f. Find out about a late benefit payment |
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g. Report a problem with a VA customer service representative |
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|
|
h. Ask a general question |
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i. Obtain information about submitting/re-opening a claim |
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j. Other (Specify) ___________________ |
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|
9 |
Thinking about your most recent contact, how did you contact VA? (Mark only one) |
Contact/Resolution Assessment |
Allows us to measure the satisfaction with various methods of communication |
Veterans' experiences with contacting VA may differ based on the method they use for contact. This may highlight contact methods that are used most frequently by Veterans and help identify processes VA can use to optimize those communication channels. |
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a. Phone |
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b. Fax |
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c. Website |
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d. E-mail |
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e. Mail |
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f. In person |
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10 |
Was your most recent issue resolved? (Mark only one) |
Contact/Resolution Assessment |
Allows us to measure issue resolution |
Veterans who have their issue resolved upon contacting VA may have different levels of satisfaction than those who do not have their issue resolved. This will allow us to set benchmarks for issue resolution and identify areas where contact can be improved based on the reason or nature of the call. This information will be used in conjunction with the VBA Call Center Satisfaction Research to analyze methods of contact/resolution. |
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a. Yes |
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b. No |
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Ask Q11 if Q10 is No, otherwise go to Q13 |
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11 |
Why wasn’t your most recent issue resolved? (Mark all that apply) |
Contact/Resolution Assessment |
Allows us to identify the reasons why issues were not resolved |
This is important because it allows us to evaluate the reasons why there may be different levels of resolution depending on the nature and or reason for the call and assist in developing actionable courses of action based on study results. |
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a. Did not receive all of the information required |
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b. Received incorrect information |
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c. Was referred to the incorrect office/person |
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d. Waiting for follow-up from VA |
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e. Other (Specify) _____________ |
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f. Don't know or not sure |
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12 |
Thinking of your most recent contact with the VA, how would you rate your overall customer service experience with the VA or VA representatives using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
VBA Performance Metric |
These items will be used in the development of the index model, which will determine the factors that have the largest impact on the overall Veteran experience with the Servicing of their benefit. |
Satisfaction with Contacting VA represents one of the main elements of Veterans' experience with the ongoing servicing of their benefit. These items represent key attributes in the ongoing servicing process and will be compared to other factors to determine the areas of improvement with the greatest overall impact. These metrics will also allow us to compare the experience of Veterans with different levels of contact during the ongoing servicing of their benefit. |
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Factor 3 |
Benefit Entitlement |
|
Determine if Veteran experience differs based on the level of engagement with VBA after the beneficiary is in receipt of a claim |
Satisfaction with the servicing experience may be higher or lower dependent upon the level of interaction a Veteran has with VBA after their benefit has been awarded. The level of interaction will be determined based on the various experiences a Veteran might have after they are in receipt of a claim. Questions focused on these various experiences will help us differentiate Veteran satisfaction based on the various touch points related to their benefit entitlement, identify areas where improvements to the process can occur and prioritize them based on the impact of the Benefit Entitlement factor to overall Veteran satisfaction. |
13 |
Have you submitted a claim for an increase in your benefit in the past 6 months? (Mark only one) |
Benefit Experience Requirement |
Measure the level of engagement with VBA during the ongoing servicing of a benefit |
Veteran satisfaction with the benefit servicing experience may differ based on whether or not they submitted a claim for an increase in benefits. This question will be used to determine variation in the Veteran experience. |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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14 |
What is your preferred method to submit a claim? (Mark only one) |
Contact Assessment |
Measure the effectiveness of various methods of submitting a claim |
Among those who submitted a claim, Veteran satisfaction may differ based on the method they used to submit the claim. This will help to identify areas where Veterans are experiencing difficulty with the process and potential opportunities for improvement. |
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a. Mail |
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b. In person at a Regional Office |
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c. In person at a Veterans Service Organization, e.g., Disabled American Veterans, Veterans of Foreign Wars, Paralyzed Veterans of America, etc. |
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d. Veterans Online Application |
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e. Other (Specify) ___________________ |
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f. Don’t know or not sure |
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(Ask Q3 if Q1 is yes, otherwise go to Q14) |
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15 |
After you submitted your claim, did you receive a letter from VA notifying you that your claim was received? (Mark only one) |
Benefit Experience Requirement |
Measure Veterans' receipt of the letter that is sent to upon claim submittal |
This question will be used to document receipt of the letter that is sent upon claim submittal and evaluate how receipt of the document may tie to the Veteran experience. |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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(Ask Q16 if Q15 is Yes, otherwise go to Q21) |
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16 |
Thinking about the letter, was it clear and easy to understand? (Mark only one) |
Benefit Experience Requirement |
Allows us to measure the efficacy of the letter in terms of the letter's usability |
Veteran satisfaction may differ based on whether they had difficulty understanding the information provided in the standard form letter. Since information in the letter is intended to assist Veterans, this information will also help us understand if the letter is serving the intended purpose. |
|
a. Not at all clear |
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b. Somewhat clear |
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c. Completely clear |
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17 |
Did you contact VA to obtain clarification about the letter? |
Contact Assessment |
Allows us to determine if the Veteran had an additional level of engagement with VBA related to the letter |
Veterans who felt the letter was not completely clear may reach out to VBA for clarification. This question will be evaluated based on the Veterans' level of satisfaction to determine whether or not the additional level of contact impacts the Veterans' experience positively or negatively. |
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a. Yes |
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b. No |
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c. Don’t know or not sure |
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18 |
Did VA require you to provide additional medical evidence beyond the information you provided in your original claim? (Mark only one) |
Benefit Experience Requirement |
Allow us to determine if the Veteran had an additional level of engagement with VBA related to having to provide additional or duplicate information |
Veteran satisfaction may differ based on whether or not they have to provide additional information as a supplement to their original claim. This will help us identify an area of potential improvement based on a comparison of levels of satisfaction between those who did have to submit additional information versus those who did not. |
|
a. Yes |
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b. No |
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c. Don’t know or not sure |
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(Ask Q19 if Q18 is yes, otherwise go to Q21) |
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19 |
After you submitted your claim, did VA schedule a medical examination for you to be re-evaluated? (Mark only one) |
2004 C&P Satisfaction Study |
Allows us to determine if the Veteran had an additional level of engagement as a result of having to schedule a medical examination |
Veteran satisfaction may differ based on whether or not there were additional requirements that had to be completed in order to process the claim. |
|
a. Yes |
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b. No |
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c. Don’t know or not sure |
|
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d. Not applicable |
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(Ask Q20 if Q19 is Yes, otherwise go to Q21) |
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20 |
Did the exam seem appropriate and/or address your claimed condition(s)? |
2004 C&P Satisfaction Study |
Measures Veteran perception of the relevance of the exam |
Veteran satisfaction may differ based on whether they perceive the exam to be appropriate to address the claimed condition(s). Current need from the line of business to understand perception of the exam as related to CPAP. |
|
a. Yes |
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b. No |
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c. Don’t know or not sure |
|
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21 |
Have there been any interruptions to your benefit payments in the past 6 months? (Mark only one) |
Benefit Experience Requirement |
Measures receipt of benefit payments |
This question is used to determine if there is variation in Veteran satisfaction based on whether or not interruptions to benefit payments occur. |
|
a. Yes |
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b. No |
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c. Don’t know or not sure |
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(Q22 if ‘Yes’ to Q21, otherwise go to Q23) |
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22 |
Did you receive a letter notifying you as to the reason why your benefit payment was interrupted and/or terminated? (Mark only one) |
Benefit Experience Requirement |
Measures receipt of information related to interruptions or termination of benefit payments |
This questions is used to determine if satisfaction is different between those who receive information about interruptions/termination of benefit payments versus those who do not receive information. This may be an area where a best practice and or benchmarks related to payment interruptions can be identified. |
|
a. Yes |
|
|
|
|
b. No |
|
|
|
|
c. Don’t know or not sure |
|
|
|
|
The following question asks you to rate various aspects of your experience with benefits, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. |
|
|
|
|
|
|
|
|
23 |
Please rate your compensation benefit on the following items: (Mark only one per row) |
|
These items will be used in the development of the index model, which will determine the factors that have the largest impact on the overall Veteran experience with the Servicing of their benefit. |
Satisfaction with the benefit entitlement represents one of the main elements of Veterans' experience with the ongoing servicing of their benefit. These items represent key attributes in the ongoing servicing process and will be compared to other factors to determine the areas of improvement with the greatest overall impact. These metrics will also allow us to compare the experience of Veterans with different levels of engagement with VBA during the ongoing servicing of their benefit. |
|
a. Combined disability evaluation rating percentage (eg. 10% disabled) |
VBA Performance Metric |
|
|
|
b. Timeliness of receiving benefit payment |
VBA Performance Metric |
|
|
|
c. Clarity of your disability rating |
VBA Performance Metric |
|
|
|
d. Overall rating of benefit payment |
VBA Performance Metric |
|
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Overall Experience with Benefit Program |
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24 |
Thinking about ALL aspects of your experience with your compensation benefits, please rate VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
VBA Performance Metric |
This item will be used in the development of the index model and will assist in creating an overall satisfaction score at the benefit servicing level. |
All factors will be assessed in the context of the overall satisfaction score to understand the relative importance of each factor on Veterans' overall satisfaction. |
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Overall Experience with VA |
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25 |
Taking into consideration all of the non-medical benefits (e.g., education, compensation and pension, home loan guaranty, vocational rehabilitation and employment, insurance, etc.) you have applied for or currently receive, please rate your experience with VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (Mark only one) |
VBA Performance Metric |
This item will be used in the development of an index model for VBA overall across benefit lines and benefit status types (enrollment and servicing). |
Overall satisfaction with each benefit line at the enrollment and servicing level will be evaluated in the context of the overall experience with VA to understand the relative impact of different experiences across benefit lines. |
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26 |
How likely are you to inform other Veterans or beneficiaries about your experience with VA benefits or services? (Mark only one) |
VBA Performance Metric |
Assess Veteran advocacy of VA benefits or services |
Veterans with a more positive experience with the benefit line and VA overall may be more likely to positively advocate VA to their peers. This question will help identify changes in advocacy based on changes in the level of satisfaction over time. |
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a. Definitely will not |
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b. Probably will not |
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c. Probably will |
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d. Definitely will |
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27 |
Do you have any other comments or concerns about your experience? (Open Capture) |
Benefit Experience Requirement |
Allow Veterans' the opportunity to provide additional information related to their experience |
Veterans' may have additional information related to their experience that will help understand and interpret their overall experience. This may include elements of the experience that are not easily captured in quantitative form. |
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Optional Respondent Questions |
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The following questions are optional. |
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28 |
How are you currently using your benefit payment? (Mark all that apply) |
Socio-Economic Differentiator for Congress/VA Leadership |
Assess the usage of the benefit payment |
Veterans who have different experiences in the ongoing services of their benefit may have different levels of satisfaction or exhibit different needs based on how they are using their benefit payment. For example, someone who is using their benefit payment for savings may be less impacted than someone who is using it for a rent/mortgage payment. This helps assess Veterans' needs. |
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a. Rent/mortgage payment |
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b. Paying bills |
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c. Paying down debt |
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d. Medical expenses |
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e. Education expenses |
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f. Establishing savings |
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g. Other (Specify) ___________________ |
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h. Prefer not to state |
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i. Don’t know or not sure |
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29 |
Would you like to provide an e-mail address so VA can contact you with general information about VA benefits and services? (Mark only one) |
Contact Assessment |
Opt-in for future contact by VA |
Consent to contact respondent with more information on benefits and programs |
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a. Yes |
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b. No |
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c. I do not have an e-mail address |
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d. Prefer not to answer |
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(Ask Q30 if Yes in Q29) |
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30 |
Please enter your preferred e-mail address where you would like to be contacted: (Open Capture) |
Contact Assessment |
Email contact information |
Send additional information from VA to veterans - i.e. eBenefits information |
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a. E-mail: |
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