OMB: 2900-0770
Expiration:
09/30/2020
Respondent Burden: 1 minute
We are asking for this
information so that you can provide compliments, comments, or
concerns to VA. Title 38, United States Code, allows us to ask for
this information. We estimate that you will need an average of 1
minute to review the instructions and complete this form. VA cannot
conduct or sponsor a collection of information unless a valid OMB
control number is displayed. You are not required to respond to a
collection of information if this number is not displayed. Valid OMB
control numbers can be located on the OMB Internet Page at
www.reginfo.gov/public/do/PRAMain. If desired, you can call
1-844-MyVA311 (1-844-698-2311) to get information on where to send
comments or suggestions about this form.
White
House Hotline Online Survey
Closed-Case:
Email survey sent after a case has been closed
Resolving my case, from beginning to end, was easy. (Ease)
My case was resolved in a reasonable amount of time. (Ease)
VA showed concern and interest in resolving my case. (Emotion)
I was satisfied with how I was notified about my case being resolved. (Emotion)
I understand the resolution for my case. (Effectiveness).
I feel better about my situation after contacting VA. (Emotion)
I trust VA to meet my needs. (Trust)
Open
Text Question (not available for Phone Survey)
Would
you like to provide additional feedback about the experience of
resolving your case? Please select from one of the following
options. Please
do not include any personally identifiable information, Social
Security Number, Veteran ID, or medical information, but do provide
details about your experience.
[Drop down of feedback types]
Compliment
Concern
Recommendation
Will not provide feedback
<Multi-line text box is optional>
White
House Hotline Phone Survey
Post-Call: Dispatch phone survey sent upon completion of a call
It was easy to speak to the White House VA Hotline agent. (Ease)
The White House VA Hotline agent was responsive to my needs. (Emotion)
It felt as if the White House VA Hotline agent I spoke with cared about my needs. (Emotion)
I feel better about my situation after contacting the White House VA Hotline. (Emotion)
I trust the White House VA Hotline to meet my needs. (Trust)
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | John J. Payne |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |