Social Security Field Office Inaccessibility Survey

Please provide data on instances where a claimant for whom you are advocating could not access a field office despite having a scheduled appointment or seeking assistance during regular business hours.

Please complete this survey considering only one instance of inaccessibility. You may complete the survey more than once.

Question Title

* 1. Representative name

Question Title

* 2. Representative email address

Question Title

* 3. Representative phone number

Question Title

* 4. What is the field office location? If you are unsure, please check SSA's field office locator here.

FO Name

City

State

Question Title

* 5. Please specify the date and time of the attempted or scheduled contact with the Social Security field office.

Date / Time

Date

Time

AM/PM

Question Title

* 6. What was the mode of attempted contact with the Social Security field office?

In-person

By phone

Other (please specify)

Question Title

* 7. How was the field office inaccessible?

The field office was closed when it should have been open

Attempted to make an appointment but told FO was not accepting in person appointments

An SSI application appointment was canceled or rescheduled

Walked in (no appointment) for an SSI application and scheduled for a date more than two weeks later

Did not receive a call from the FO on scheduled day and time

Attempted to call the FO but no answer or call disconnected

Attempted to call the FO and experienced an excessive wait (15 minutes or longer)

Attempted to call the FO but received a continuous busy signal

Attempted to call the FO but routed to the 1-800 number

Attempted to call the FO but routed to a different FO

Connected with a FO but received incorrect or inappropriate information

Contacted FO by email but no response received

Other (please specify)

Social Security Field Office Inaccessibility Survey

Question Title

* 1. Representative name

Question Title

* 2. Representative email address

Question Title

* 3. Representative phone number

Question Title

* 4. What is the field office location? If you are unsure, please check SSA's field office locator here.

Question Title

* 5. Please specify the date and time of the attempted or scheduled contact with the Social Security field office.

Question Title

* 6. What was the mode of attempted contact with the Social Security field office?

Question Title

* 7. How was the field office inaccessible?

Question Title

* 8. What could SSA do differently to address the issue that you experienced?