Customer Feedback Survey

We are redesigning our website for Temporary Disability and Family Leave Insurance. We are seeking feedback from customers like you to help us improve our services for all customers. The survey will take just a few minutes to complete. We appreciate your time.  

What type of device did you use to access the website?

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* 2. What type of device did you use to access the website?

How would you rate your experience with the current Temporary Disability and Family Leave Insurance website?

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* 3. How would you rate your experience with the current Temporary Disability and Family Leave Insurance website?

  1 (Poor) 2 (Fair) 3 (Good) 4 (Excellent)
Score
I am a(n):

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* 4. I am a(n):

Please tell us how important the following website features are to you:

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* 5. Please tell us how important the following website features are to you:

  1 (Not Important) 2 3 4 (Very Important)
Ability to file a claim online
General program information
Email support
Web chat support
Telephone support
Video tutorials and/or step-by-step guides
Printable literature/pamphlets
Frequently Asked Questions (FAQ)
Forms library (explanation of all Temporary Disability and Family Leave Insurance forms)
Translation into a language other than English (please specify language in box below)
Please describe anything additional you would like to see on the Temporary Disability and Family Leave Insurance website that is not included in the list above.

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* 6. Please describe anything additional you would like to see on the Temporary Disability and Family Leave Insurance website that is not included in the list above.

What type of specific information and/or materials would you like to see included on the website (e.g., roadmaps, visual guides, printable pamphlets, application tutorials?)

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* 7. What type of specific information and/or materials would you like to see included on the website (e.g., roadmaps, visual guides, printable pamphlets, application tutorials?)

What subject areas would you like to see covered on the Temporary Disability and Family Leave Insurance website?

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* 8. What subject areas would you like to see covered on the Temporary Disability and Family Leave Insurance website?

Would you be willing to test our new website once it is developed?

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* 9. Would you be willing to test our new website once it is developed?

(Optional) Please provide your contact information:

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* 10. (Optional) Please provide your contact information:

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