Form 1020 2017 1020 DHA Admiral Functional 5.24.17

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Overview

Model Questions
Custom Questions
Types

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Sheet 1: Model Questions

Model Name		DHA Admiral Functional					Red & Strike-Through: Delete
Model ID		NEW MEASURE NEEDS MID					Underlined & Italicized: Re-order
Partitioned		No					Pink: Addition
Date		5/24/2017
Model Version		UPDATE					Blue: Reword
	Label	Element Questions		Label	Satisfaction Questions		Label	Future Behaviors

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Sheet 2: Custom Questions

Model Name	DHA Admiral Functional				Red & Strike-Through: Delete
Model ID	NEW MEASURE NEEDS MID				Underlined & Italicized: Re-order
Partitioned	No				Pink: Addition
Date	5/24/2017				Blue: Reword
QID	Skip From	Question Text	Answer Choices	Skip To	Required Y/N	Type	Special Instructions	CQ Label
		How do you prefer to get information from the DHA?	Email		Y	Radio button, one-up vertical	Skip Logic Group*	Info Channel Preference
			Launch Pad (intranet site)
			Town Hall forums
			From my supervisor
			Social media
			Printed newsletter
			Other	A
	A	Please tell us how you prefer to receive DHA information:			N	Text field, <100 char	Skip Logic Group*	Info Channel OE
		What was your overall satisfaction with the recent DHA Town Hall meeting?	1=Very Dissatisfied	B	Y	Radio button, scale, has don't know	Skip Logic Group*	Satisfaction
			2	B
			3	B
			4	B
			5	B
			6
			7
			8
			9
			10=Very Satisfied
			Don’t know
	B	Please explain why you gave the above rating:			N	Text area, no char limit	Skip Logic Group*	Low Satisfaction Reason OE
		Please select your level of agreement with the following statements: The information presented was useful to me.	1=Strongly Disagree		Y	Radio button, scale, has don't know		Info Useful
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			7
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			9
			10=Strongly Agree
			Don’t know
		The information provided was clear and easy to understand.	1=Strongly Disagree		Y	Radio button, scale, has don't know		Info Understandable
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			10=Strongly Agree
			Don’t know
		The content met my needs.	1=Strongly Disagree		Y	Radio button, scale, has don't know		Info Met Needs
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			9
			10=Strongly Agree
			Don’t know
		The length of the event or communication was appropriate.	1=Strongly Disagree		Y	Radio button, scale, has don't know		Info Length Okay
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			10=Strongly Agree
			Don’t know
		There was plenty of time for questions and answers and open discussion during the Town Hall.	1=Strongly Disagree		Y	Radio button, scale, has don't know		Enough Question Time
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			10=Strongly Agree
			Don’t know
		I felt comfortable enough to ask a question and participate in the discussion, even if I did not actually speak.	1=Strongly Disagree		Y	Radio button, scale, has don't know		Participation Comfort Level
			2
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			7
			8
			9
			10=Strongly Agree
			Don’t know
		Please select your level of agreement with the following statements about your experience in your current DHA workplace: I feel motivated to give my best efforts in the workplace.	1=Strongly Disagree		Y	Radio button, scale, has don't know		DHA Emp Motivated
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			10=Strongly Agree
			Don’t know
		I feel the DHA appropriately recognizes employee accomplishments.	1=Strongly Disagree		Y	Radio button, scale, has don't know		DHA Recognizes
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			10=Strongly Agree
			Don’t know
		I receive feedback on my performance at least once a quarter from my supervisor.	1=Strongly Disagree		Y	Radio button, scale, has don't know		DHA Performance Feedback OK
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			9
			10=Strongly Agree
			Don’t know
		I have a clear understanding of the mission and objectives of the DHA.	1=Strongly Disagree		Y	Radio button, scale, has don't know		DHA Mission Understood
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			10=Strongly Agree
			Don’t know
		I understand how my position contributes to the overall DHA mission.	1=Strongly Disagree		Y	Radio button, scale, has don't know		DHA Mission Personal Tie
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			10=Strongly Agree
			Don’t know
		I feel a strong sense of belonging to this organization.	1=Strongly Disagree		Y	Radio button, scale, has don't know		DHA Emp Belonging
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			10=Strongly Agree
			Don’t know
		I am proud to tell others that I belong to this organization.	1=Strongly Disagree		Y	Radio button, scale, has don't know		DHA Emp Pride
			2
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			10=Strongly Agree
			Don’t know
		I like my job.	1=Strongly Disagree		Y	Radio button, scale, has don't know		DHA Emp Job Liked
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			10=Strongly Agree
			Don’t know
		DHA leadership keeps me informed of personnel/administrative issues that are relevant to my job.	1=Strongly Disagree		Y	Radio button, scale, has don't know		DHA Informs Personnel
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			10=Strongly Agree
			Don’t know
		DHA leadership keeps me informed on external influencers that may impact my workplace. (Legislation, White House/OPM policy changes, etc.)	1=Strongly Disagree		Y	Radio button, scale, has don't know		DHA Informs External Influence
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			10=Strongly Agree
			Don’t know
		Discrimination is not a problem in my workplace.	1=Strongly Disagree		Y	Radio button, scale, has don't know		DHA No Discrimination
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			10=Strongly Agree
			Don’t know
		Overall, morale is high in my workplace.	1=Strongly Disagree	B	Y	Radio button, scale, has don't know	Skip Logic Group*	DHA Morale
			2	B
			3	B
			4	B
			5	B
			6
			7
			8
			9
			10=Strongly Agree
			Don’t know
	B	Please explain why you gave the above rating:			N	Text area, no char limit	Skip Logic Group*	DHA Morale OE
		Which best describes you?	Active duty or retired service member (includes all uniformed services)		Y	Radio button, one-up vertical		Role
			Family of active duty or retired service member
			National Guard or Reserve member (active, reserve or retired)
			Family of National Guard or Reserve member
			Contractor
			Other
		What is your gender?	Male		N	Radio button, one-up vertical		Demos: Gender Fed Govt
			Female
			Prefer not to respond
		Which category includes your age?	Under 25		N	Radio button, one-up vertical		Demos: Age
			25 - 34
			35 - 44
			45 - 54
			55 - 64
			65 or older
			Prefer not to respond
		We value your feedback! If you have thoughts on how to improve future DHA events or communications, please share them with us here:			N	Text area, no char limit		Improvements OE
		Finally, if there are any new topics you would like to see covered in future events or communications, please share your ideas here:			N	Text area, no char limit		New Topics OE

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Sheet 3: Types

Types	Instructions	Custom Text	Benchmark Meta Tags
Checkbox, one-up vertical	Anchor Answer Choice	Yes	Accomplish
Checkbox, two-up vertical	EPP	No	Acquisition Source
Checkbox, three-up vertical	Multiple Lists Group*	Unsure	Approached
Drop down, select one	Mutually Exclusive		Associate: Available
Radio button, one-up vertical	OPS Group*		Associate: Courteous
Radio button, two-up vertical	Randomize		Associate: Help
Radio button, three-up vertical	Rank Group*		Associate: Inform Promos
Radio button, scale, has don't know	Skip Logic Group*		Associate: Invite Back
Radio button, scale, no don't know	True Conversion		Associate: Recommend
Text area, no char limit			Banking Activities
Text field, <100 char			Call Resolution
			Checkout
			Checkout: Found all Items
			Checkout: Problems
			Checkout: Thank You
			Contact Center Purchase Frequency
			Contact Center: First Call
			Current Customer - Product
			Current Customer - Service
			Customer Service
			Demographics: Age
			Demographics: Gender
			Demographics: Income
			Do Next
			Do Next: Healthcare
			Do Next: Insurance
			Donate Today
			Done Any Following
			Greeted
			Inquiry: First Call
			Inquiry: Times Called
			Items Meet Expectations
			Location
			Log In Success
			Mobile Deposit
			OE_Accomplish
			OE_Improve Experience
			Order Arrived on Time
			Order Process
			Previous Channel Visited
			Primary Financial Provider
			Primary Reason
			Primary Reason: Associations
			Primary Reason: Associations Non-profit
			Primary Reason: B2B
			Primary Reason: Federal Government or Informational Non-Profit
			Primary Reason: Product Manufacturers (Non ecommerce)
			Primary Reason: Retail
			Primary Reason: Telecom
			Primary Reason: Travel
			Primary Reason: Banking
			Primary Reason: Healthcare
			Primary Reason: Insurance
			Products Purchased
			Products Sought
			Purchase
			Purchase Channel Preference
			Purchase Everything
			Purchase Frequency
			Purchased
			Receive All Items
			Research Process for Purchase
			Return
			Role
			Role: Healthcare
			Role: Insurance
			Times Visited Prior Purchase
			Track Delivery
			Visit Frequency
			Website Contribution
			Where Purchased
			Why No Purchase
			Why Not Purch Everything