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[]
[]
[]
[null,null,"Questionnaire Management Guidelines"]
[]
[null,null,"Goals:"]
[null,null,"\u0098","One consolidated document to track all model and CQ changes throughout the life of the project"]
[null,null,"\u0098","Questionnaire always matches the live survey"]
[null,null,"\u0098","Easy and error-free way to submit CQ changes"]
[null,null,"\u0098","All changes tracked and reflected in one document (DOT will help)"]
[]
[null,null,"Questionnaire Resources:"]
[]
[null,null,1,null,"Questionnaire Design and Approval Process"]
[null,null,2,null,"Question Grouping Rules"]
[null,null,3,null,"OPS vs. Skip Logic Decision for \"Other, Please Specify\""]
[null,null,4,null,"Model and Custom Question Checks_ SRA"]
[null,null,5,null,"Model and Custom Question Checks_ Team LeadManager"]
[null,null,6,null,"Model and Custom Question Checks_ DOT"]
[null,null,7,null,"Foreign Language Survey Instructions"]

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["Client Name:"]
["Measure Name:"]
[]
["Custom Invitation Text?",null,"Please Select"]
["Custom Tracker Text?",null,"Please Select"]
["Custom Welcome/\nThank You Text?",null,"Please Select"]
[]
["Language(s)","If other language not listed, please specify.","Website URL","MID(s) \n(DOT FILL THIS IN)","Measure Name(s)\n(DOT WIll FILL THIS IN)","Notes:"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]
["Please Select a Language"]

{"sheet":" Custom Qsts","index":2,"n_rows":90,"n_cols":12,"rows_kept":90,"cut":false,"hidden":false,"merged":[[3,1,3,2],[5,0,5,9]],"flags":["formulas_cached_only"]}
[{"$error":"#REF!"},null,null,null,"red & strike-through:  DELETE"]
[{"$error":"#REF!"},null,null,null,"underlined & italicized: RE-ORDER"]
["MID: 4VxYMQAFQtEwVk8MQ4FApg==",null,null,null,"pink: ADDITION"]
["Date:","2010-06-21",null,null,"blue + -->: REWORDING"]
[]
[{"$error":"#REF!"}]
["QID\n(Group ID)","Skip Logic Label","Question Text","Answer IDs\n (DOT ONLY)","Answer Choices \n(limited to 50 characters)","Skip to","Type (select from list)","Single or Multi","Required\nY/N","Special Instructions","CQ Label "]
["EDO06081",null,"How often do you visit Medicare.gov?","EDO06081A001","First time",null,"Drop down,  select one","single","N",null,"Visit frequency",15]
[null,null,null,"EDO06081A002","Daily or more often"]
[null,null,null,"EDO06081A003","About once a week"]
[null,null,null,"EDO06081A004","About once a month"]
[null,null,null,"EDO06081A005","Less than once a month, but more than once a year"]
[null,null,null,"EDO06081A006","Once a year or less"]
["EDO06082",null,"What is your role in visiting Medicare.gov today?","EDO06082A001","I am a Medicare beneficiary, I receive benefits from Medicare",null,"Radio button,  one-up vertical","single","N","OPS Group","Role",4]
[null,null,null,"EDO06082A002","I am a friend or family member of someone who is a Medicare beneficiary/receives benefits from Medicare"]
[null,null,null,"EDO06082A003","I am a healthcare professional"]
[null,null,null,"EDO06082A004","I am a healthcare partner"]
[null,null,null,"EDO06082A005","I am an administrator who works with Medicare beneficiaries"]
[null,null,null,"EDO06082A006","I represent an employer"]
[null,null,null,"EDO06082A007","Other (please specify):","A"]
["EDO06083","A","Other role in visiting Medicare.gov",null,null,null,"Text field,  <100 char",null,"N","OPS Group","Other role",10]
["EDO06084",null,"How did you first find out about Medicare.gov?","EDO06084A001","Internet search",null,"Radio button,  one-up vertical","single","N","OPS Group","Site Awareness",14]
[null,null,null,"EDO06084A002","Another Web site"]
[null,null,null,"EDO06084A003","Recommended by someone I know"]
[null,null,null,"EDO06084A004","In a printed article (newspaper, magazine, newsletter)"]
[null,null,null,"EDO06084A005","At a meeting or conference I attended"]
[null,null,null,"EDO06084A006","Read about Medicare.gov in a blog"]
[null,null,null,"EDO06084A007","Twitter"]
[null,null,null,"EDO06084A008","LinkedIn page"]
[null,null,null,"EDO06084A009","RSS Feed"]
[null,null,null,"EDO06084A010","Bookmarking site"]
[null,null,null,"EDO06084A011","Poster or pamphlet"]
[null,null,null,"EDO06084A012","YouTube"]
[null,null,null,"EDO06084A013","Don't recall/ Don't know"]
[null,null,null,"EDO06084A014","Other (please specify):","A"]
["EDO06085","A","Other (please specify source)",null,null,null,"Text field,  <100 char",null,"N","OPS Group","Other awareness",15]
["EDO06086",null,"What was your primary reason for visiting Medicare.gov?","EDO06086A001","Find basic information about Medicare",null,"Radio button,  one-up vertical","single","N","OPS Group","Visit Reason",12]
[null,null,null,"EDO06086A002","Apply for Medicare benefits"]
[null,null,null,"EDO06086A003","Review, manage or change my Medicare plan choice(s)"]
[null,null,null,"EDO06086A004","Check for Medicare eligibility"]
[null,null,null,"EDO06086A005","Locate a resource (Drug Plans, Health Plans, Physicians, Compare Hospitals and Nursing Home)"]
[null,null,null,"EDO06086A006","Find contact information"]
[null,null,null,"EDO06086A007","Order a new Medicare card"]
[null,null,null,"EDO06086A008","Change of address"]
[null,null,null,"EDO06086A009","Download a database"]
[null,null,null,"EDO06086A010","File a complaint or grievance"]
[null,null,null,"EDO06086A011","Other (please specify):","A"]
["EDO06087","A","Other (please specify reason)",null,null,null,"Text field,  <100 char",null,"N","OPS Group","Other Visit Reason",18]
["EDO06088",null,"What sections of Medicare.gov did you visit today? (please select all that apply.) ","EDO06088A001","New to Medicare",null,"Checkbox,  one-up vertical","multi","N","Skip Logic Group"," Site sections visited",22]
[null,null,null,"EDO06088A002","Health & Drug Plans"]
[null,null,null,"EDO06088A003","Facilities & Doctors"]
[null,null,null,"EDO06088A004","MyMedicare.gov"]
[null,null,null,"EDO06088A005","Manage your Health"]
[null,null,null,"EDO06088A006","Medicare Basics"]
[null,null,null,"EDO06088A007","Resource Locator","A"]
[null,null,null,"EDO06088A008","Help & Support"]
[null,null,null,"EDO06088A009","Don't know"]
["EDO06089","A","Did you find the Resource Locator drop down menu useful?","EDO06089A001","Yes",null,"Drop down,  select one","single","N","Skip Logic Group","Tools Useful",12]
[null,null,null,"EDO06089A002","No"]
[null,null,null,"EDO06089A003","Not Sure"]
["EDO06090",null,"Did you accomplish what you wanted on Medicare.gov today? ","EDO06090A001","Yes",null,"Drop down,  select one","single","N","Skip Logic Group","Accomplish goal",15]
[null,null,null,"EDO06090A002","No","A"]
["EDO06091","A","Please describe in detail what you were trying to do or find.",null,null,null,"Text area,  no char limit",null,"N","Skip Logic Group","What was goal",13]
["EDO06092","A","What would you like to do or accomplish next? ","EDO06092A001","Come back to Medicare.gov later",null,"Radio button,  one-up vertical","single","N","Skip Logic Group"," Do next",8]
[null,null,null,"EDO06092A002","Look at other Web sites for Medicare information"]
[null,null,null,"EDO06092A003","Look other places online"]
[null,null,null,"EDO06092A004","E-mail Medicare.gov"]
[null,null,null,"EDO06092A005","Call 1-800-Medicare for information"]
[null,null,null,"EDO06092A006","Call your State Health Insurance Assistance Program (SHIP) for information"]
[null,null,null,"EDO06092A007","Give up"]
[null,null,null,"EDO06092A008","Other (please specify):","B"]
["EDO06093","B","Other do next",null,null,null,"Text field,  <100 char",null,"N","Skip Logic Group","Other do next",13]
["EDO06094",null,"Did you use the \"search\" box to search for anything on Medicare.gov today?","EDO06094A001","Yes","A","Drop down,  select one","single","N","Skip Logic Group","Use of search",13]
[null,null,null,"EDO06094A002","No"]
[null,null,null,"EDO06094A003","Don't know"]
["EDO06095","A","Please describe your experience with the Medicare.gov search engine. ","EDO06095A001","Too many results",null,"Checkbox,  one-up vertical","multi","N","Skip Logic Group","Search experience",17]
[null,null,null,"EDO06095A002","Too few results"]
[null,null,null,"EDO06095A003","Returned no results"]
[null,null,null,"EDO06095A004","Received an error message"]
[null,null,null,"EDO06095A005","Results were not what I was looking for"]
[null,null,null,"EDO06095A006","Other search issue (please specify):","B"]
[null,null,null,"EDO06095A007","I had no difficulty searching on this site"]
["EDO06096","B","Other search issue",null,null,null,"Text field,  <100 char",null,"N","Skip Logic Group","Other search issue",18]
["EDO06097",null,"Do you currently subscribe to Medicare.gov RSS news service?","EDO06097A001","Yes","A","Drop down,  select one","single","N","Skip Logic Group","Subscriptions",13]
[null,null,null,"EDO06097A002","No"]
[null,null,null,"EDO06097A003","Don't know"]
["EDO06098","A","Do you find Medicare.gov's RSS news service updates helpful?","EDO06098A001","Yes",null,"Drop down,  select one","single","N","Skip Logic Group","EmailUpdates",12]
[null,null,null,"EDO06098A002","No"]
["EDO06099",null,"Do you have any suggestions for ways to improve Medicare.gov?",null,null,null,"Text area,  no char limit",null,"N",null,"Improvement Suggestions",23]
["EDO06100",null,"We're working to improve Medicare.gov. Please consider providing your email address for us to contact you for either one of the following reasons:\nTo discuss specific details about your current experience using our website\nTo request your comments on proposed future changes to our website.",null,null,null,"Text field,  <100 char",null,"N",null,"Opt-in E-mail",13]

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["Types",null,"Instructions"]
["Text field,  <100 char",null,"Randomize"]
["Text area,  no char limit",null,"Shared"]
["Drop down,  select one",null,"OPS Group"]
["Radio button,  one-up vertical",null,"Matrix Group"]
["Radio button,  two-up vertical",null,"Rank Group"]
["Radio button,  three-up vertical",null,"Comparative Matrix Group"]
["Radio button,  scale, has don't know",null,"Skip Logic Group"]
["Radio button,  scale, no don't know",null,"Multiple Lists Group"]
["Checkbox,  one-up vertical",null,"Anchor Answer Choice"]
["Checkbox,  two-up vertical",null,"Partitioned"]
["Checkbox,  three-up vertical",null,"Adjust Template/Style Sheet"]
[]
[]
["Please Select a Language",null,"Please Select"]
["Arabic - AR",null,"Yes"]
["Australia - AU",null,"No"]
["Belgium - BG",null,"Unsure (PLEASE SEE DOT)"]
["Brazil Portuguese - BP"]
["China - CH"]
["Chinese Traditional - CT"]
["Colombian - CO"]
["Croatian - CR"]
["Czech Republic - CZ"]
["Danish - DN"]
["Dutch - DU"]
["English - EN"]
["Farsi - FS"]
["French - FR"]
["French Canadian - FC"]
["Germany - GR"]
["Global English - GE"]
["Greek - GK"]
["Hungary - HU"]
["Italian - IT"]
["Japan - JP"]
["Korean - KR"]
["Malaysian English - MA"]
["Mandarin - MD"]
["Norwegian - NW"]
["Persian - PN"]
["Poland - PL"]
["Portuguese - PO"]
["Russia - RU"]
["South Africa - SA"]
["South Korean - SK"]
["Spanish - SP"]
["Spanish Original - SO"]
["Spanish Traditional - ST"]
["Swedish - SW"]
["Turkey - TR"]
["United Kingdom - UK"]
["Vietnamese - VT"]
["OTHER LANGUAGE (PLEASE SEE DOT)"]