| Survey: VA MOVE! Patient Experience Survey |
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IA#: 20321 A0
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| Date: 9/27/18 |
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| SURVEY TYPE: Relationship (tab 4) |
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| Survey Q# |
Type# |
Type Topic |
| Q1 |
Custom |
Respondent Background/Experience |
| Q2 |
Custom |
Respondent Background/Experience |
| Q3 |
Custom |
Respondent Background/Experience |
| Q4 |
Custom |
Respondent Background/Experience |
| Q5 |
Custom |
Respondent Background/Experience |
| Q6 |
Custom |
Respondent Background/Experience |
| Q7 |
Custom |
Respondent Background/Experience |
| Q8 |
3 |
Website |
| Q9 |
Custom |
Respondent Background/Experience |
| Q10 |
5 |
Product/Information/Service Provided |
| Q11 |
5 |
Product/Information/Service Provided |
| Q12 |
5 |
Product/Information/Service Provided |
| Q13 |
5 |
Product/Information/Service Provided |
| Q14 |
Custom |
Respondent Background/Experience |
| Q15 |
5 |
Product/Information/Service Provided |
| Q16 |
Custom |
Product/Information/Service Provided |
| Q17 |
5 |
Product/Information/Service Provided |
| Q18 |
5 |
Product/Information/Service Provided |
| Q19 |
5 |
Product/Information/Service Provided |
| Q20 |
Custom |
Respondent Background/Experience |
| Q21 |
2 |
Customer Service |
| Q22 |
2 |
Customer Service |
| Q23 |
2 |
Customer Service |
| Q24 |
2 |
Customer Service |
| Q25 |
2 |
Customer Service |
| Q26 |
2 |
Customer Service |
| Q27 |
5 |
Product/Information/Service Provided |
| Q28 |
5 |
Product/Information/Service Provided |
| Q29 |
5 |
Product/Information/Service Provided |
| Q30 |
5 |
Product/Information/Service Provided |
| Q31 |
5 |
Product/Information/Service Provided |
| Q32 |
5 |
Product/Information/Service Provided |
| Q33 |
5 |
Product/Information/Service Provided |
| Q34 |
5 |
Product/Information/Service Provided |
| Q35 |
Custom |
Customer Service |
| Q36 |
Custom |
Customer Service |
| Q37 |
7 |
Satisfaction (ACSI Index) |
| Q38 |
7 |
Satisfaction (ACSI Index) |
| Q39 |
7 |
Satisfaction (ACSI Index) |
| Q40 |
8 |
Future Behaviors |
| Q41 |
8 |
Future Behaviors |
| Q42 |
Custom |
Product/Information/Service Provided |
| Q43 |
Custom |
Product/Information/Service Provided |
| Q44 |
Custom |
Suggested Improvements |
| Q45 |
Custom |
Demographics |
| Q46 |
Custom |
Demographics |
| Q47 |
Custom |
Demographics |
| Q48 |
Custom |
Demographics |
| Q49 |
Custom |
Demographics |
| Q50 |
Custom |
Demographics |