Social Security Express Tablet Satisfaction Survey

Tablet Survey
1. Why did you come to the office today? (Please check all that apply)
 Obtain a Benefit Verification Letter
 Obtain a Social Security Statement
 Request a Replacement Medicare Card
 To change my address or direct deposit
 Request a Social Security Number Replacement Card
 To file a claim for benefits
 Other (please specify)
________________________________________________________________
____________________

2. What transactions did you complete using the tablet? (Please check all
that apply)
 Created a mySocialSecurity account (No Account Activation Code Used)
 Completed a mySocialSecurity account registration using an Account
Activation Code
 Printed a Benefit Verification Letter
 Printed an Online Social Security Statement
 Requested a Replacement Medicare Card
 Change of address or direct deposit
 Requested a Social Security Number Replacement Card
 Other (please specify)
________________________________________________________________
_____________________

3. Please rate your satisfaction level with the following aspects, features,
and processes during your Social Security Express Tablet experience:
Low
Overall
satisfaction
Appearance of
the
screens/pages
Ease of using
the tablet
Time to complete
your
transaction(s)
Availability of
assistance
Wait time to use
the tablet
mySocialSecurity
registration
Other online
services
Printed
Documentation

Average



Below
Average


High

N/A



Above
Average
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4. What did you like best about using the tablet?
________________________________________________________________
___________________________________

5. Please tell us about any problems you had using the tablet. (Please
check all that apply)
 I did not encounter any problems
 It took too long to complete my business
 The language was difficult to understand
 The screen was difficult to read
 The check boxes or text boxes were difficult to use
 Other (please specify)
________________________________________________________________
_____________________
(End of Page 1)

6. Were you able to take care of your business using the tablet?
 Yes
 No

7. Would you recommend the Social Security Express Tablet to others?
 Yes
 No
 Not sure

8. Do you have easy access to the Internet?
 Yes
 No

9. Do you have any other comments related to your experience with
the Social Security Express Tablet?
________________________________________________________________
____________________________________
(End of Page 2)

9. What is your age?
 18 to 24
 25 to 34
 35 to 44
 45 to 54
 55 to 64
 65 to 74
 75 or older

10. Which of the following benefits do you currently receive?
 I do not receive any benefits currently
 I am applying for benefits
 Retirement
 Disability
 Supplemental Security Income (SSI)
 Other (please specify)
________________________________________________________________
________________________________________________________

(End of Page 3)

Paperwork Reduction Act: This information collection meets the requirements
of 44 U.S.C. §3507, as amended by section 2 of the Paperwork Reduction Act of
1995. The OMB approval number is 0960-0788. You may send comments on
this 5-minute time estimate to: Social Security Administration, 6401 Security
Blvd., Baltimore, MD 21235-6401.