Customer Feedback: NJ Division of Temporary Disability and Family Leave Insurance Website Survey

1.What type of device did you use to access the website?(Required.)

a mobile device (cell phone, tablet/iPad)

a desktop or laptop computer

2.How would you rate your experience with the information pages on the redesigned Temporary Disability and Family Leave Insurance website?(Required.)

1 (Poor)

2 (Fair)

3 (Good)

4 (Excellent)

Score

1 (Poor)

2 (Fair)

3 (Good)

4 (Excellent)

Please explain your answer. (optional)

3.How would you rate your experience accessing claim information or starting a new claim application from the website?(Required.)

1 (Poor)

2 (Fair)

3 (Good)

4 (Excellent)

Score

1 (Poor)

2 (Fair)

3 (Good)

4 (Excellent)

Please explain your answer. (optional)

4.How would you rate the look and feel of the new site?(Required.)

1 (Poor)

2 (Fair)

3 (Good)

4 (Excellent)

Score

1 (Poor)

2 (Fair)

3 (Good)

4 (Excellent)

Please explain your answer. (optional)

7.Choose the role that applies to you:(Required.)

Other (please specify)

8.Please describe what you liked best about the new Temporary Disability and Family Leave Insurance website.

9.Please describe anything else you would like to see on the Temporary Disability and Family Leave Insurance website.

10.(Optional) Please provide your contact information so we can follow up on your responses if needed.

Name

Email address