| Model Name | 
		ForeSee Feedback Questions | 
		
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		| Date | 
		11/17/2016 | 
		
  
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		| Question Text | 
		Answer Choices | 
		
	
		| How do you rate your experience on this page?  | 
		1 Star | 
		
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		2 Stars | 
		
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		3 Stars | 
		
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		4 Stars | 
		
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		5 Stars | 
		
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		| What is your feedback related to? | 
		Website content/information | 
		
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		Report a technical problem | 
		
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		Experience looking for information | 
		
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		Suggestion | 
		
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		Compliment | 
		
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		Other | 
		
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		| Please describe your experience.  | 
		
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		| Is this your first visit to this site?  | 
		Yes | 
		
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		No | 
		
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		| If you could make one improvement to the site, what would it be? | 
		
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		| Please describe the improvements you would like made to this page/site.  | 
		
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		| Did you accomplish the task you came to this site for today?  | 
		Yes | 
		
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		No | 
		
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		Not Yet | 
		
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		| What task were you trying to accomplish on this site today?  | 
		
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		| Did you find what you were looking for?  | 
		Yes | 
		
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		No | 
		
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		Still looking | 
		
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		| What were you looking for?  | 
		
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		| What additional topics or subjects would you like to see added to this site? | 
		
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		| Which of the following issues, if any, did you experience on this site/page today? Select all that apply.  | 
		Information was not up to date | 
		
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		Information did not answer my questions | 
		
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		Language was not clear and concise | 
		
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		Wording used was confusing | 
		
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		Text was difficult to read | 
		
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		Errors or typos on the page | 
		
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		Other | 
		
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		| Please describe what content was unclear or confusing on this page/site.  | 
		
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		| What information were you looking for that you could not find? | 
		
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		| Did the search tool provide you with relevant results?  | 
		Yes | 
		
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		No | 
		
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		| How can we improve your experience with the search tool?  Please share your suggestions.  | 
		
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		| Did you utilize any of the filters/refinement options on the search results page?  | 
		Yes | 
		
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		No | 
		
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		| Did the filters/refinement options on the search page meet your needs?  | 
		Yes | 
		
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		No | 
		
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		| Please describe your experience using the search filters/refinement options.  | 
		
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		| Are there any additional search filters/refinement options you want added to our search tool?  | 
		
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		| Is there enough information provided with each search result to decide which to select?  | 
		Yes | 
		
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		No | 
		
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		| Please describe how we can improve the search results page.  | 
		
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		| Please tell us about your experience with the site's search feature today. (Please select all that apply) | 
		I had issues with the basic search process (how to use it, terms to enter) | 
		
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		I had issues with the visual display of the search results (text size, images) | 
		
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		I had issues with search results I received | 
		
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		I had issues with sorting, filtering, advanced search, or lack of these options | 
		
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		I had technical issues with the search feature | 
		
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		The search feature met my needs today | 
		
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		I had an issue with the search feature not listed | 
		
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		| Did the search feature help you to locate what you were looking for today? | 
		Yes | 
		
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		Partially | 
		
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		No | 
		
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		| Which of the following did you primarily use when looking for information on the site?  | 
		Top Navigation | 
		
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		Left Navigation | 
		
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		Search Tool on Site | 
		
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		Links in the Center | 
		
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		External Search Tool (Google, Bing, Yahoo, etc.) | 
		
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		Bookmarks | 
		
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		Other | 
		
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		| What type of difficulty, if any, did you encounter with the navigation process on this site?  | 
		Too many links to choose from | 
		
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		Links did not take me where I expected | 
		
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		Links labels were difficult to understand | 
		
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		Search tool was not helpful | 
		
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		Technical difficulties (e.g. broken links, error messages) | 
		
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		Other | 
		
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		| Please describe any links or labels that did not take you where you expected to go. | 
		
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		| What additional information should be included on this page? | 
		
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		| What additional information can we provide to you on this page?  | 
		
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		| Did you click on a link that gave you an error message (broken link) during your visit?  | 
		Yes | 
		
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		No | 
		
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		| Please provide us with an explanation of what you were clicking on and trying to locate.  | 
		
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		| What type of site performance issue(s) or technical error(s) did you encounter? (Select all that apply) | 
		Pages were loading slowly or not at all | 
		
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		I could not log into My Account | 
		
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		Error messages that could not be resolved | 
		
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		Broken Links | 
		
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		The information I wanted was unavailable | 
		
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		Other | 
		
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		| Please describe the issue you experienced.  Please provide as much detail as possible. | 
		
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		| Did you login to the site today? | 
		Yes | 
		
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		No, I tried but was unsuccessful | 
		
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		No, I did not try to login | 
		
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		| Please describe the issue you experienced logging in to the site. | 
		
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		| In which region of the country are you located?  | 
		Southeast | 
		
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		Southwest | 
		
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		Midwest | 
		
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		Northeast | 
		
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		West | 
		
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		Outside the U.S. | 
		
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		| Was the language translation on this page accurate?  | 
		Yes | 
		
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		No | 
		
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		| What content was not an accurate translation?  | 
		
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		| In what additional language should content be available? | 
		
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		| What device are you using?  | 
		Desktop | 
		
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		Smartphone | 
		
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		Tablet | 
		
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		Laptop | 
		
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		Other | 
		
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