Form 2900-0876-Q2 VA.Gov A-11 Survey Questions

Clearance for A-11 Section 280 Improving Customer Experience Information Collection

Medallia VA Comment Card Questions (004).xlsx

VA.gov A-11 Survey

OMB: 2900-0876

Document [xlsx]
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VA.Gov Trust A-11 Survey

Date: July, 2020






Question Text Answer Choices

How do you rate your experience on this page? Strongly Agree

Agree

Neutral/Unsure

Disagree

Strongly Disagree

Don't Know
What are you trying to do on VA.gov today?
Apply for a new benefit

Check the status of my application or claim

Manage my health care or benefits

Find information about my VA medical center

Get a job at VA

Something else (Ask follow up)
Which VA service is this for? Health Care

Disability

Education and Training

Careers and Employment

Pension

Housing Assistance

Life Insurance

Burials and Memorials

Records

Something Else (Ask follow up)

What were you looking for today?




Did you find what you were looking for today? Yes


No

What task were you trying to do today?




Were you able to do your task today? Yes


No

Please tell us whether you agree or disagree with the following statement: Strongly Agree

I was able to easily do my task. Agree


Neutral/Unsure


Disagree


Strongly Disagree


Don't Know

Please tell us what would make your task easier to complete.

Please tell us why your task was easy to complete on VA.gov.

Please tell us whether you agree or disagree with the following statement: Strongly Agree

I was confident in completing my task. Agree


Neutral/Unsure


Disagree


Strongly Disagree


Don't Know

Please tell us what would increase your confidence in completing your task.

Please tell us why you were confident in completing your task.

Would you recommend this site to another Veteran? Yes


No
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