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["TRICARE Custom Questions"]
[]
["How frequently do you visit our site?","First time "]
[null,"Every 6 months or less "]
[null,"About once a month "]
[null,"About once a week "]
[null,"Daily "]
[null,"More than once a day "]
[]
["Which of the following best describes your role in visiting our site today?","TRICARE beneficiary"]
[null,"Family, friend or caregiver of TRICARE beneficiary"]
[null,"Future TRICARE beneficiary"]
[null,"TRICARE Network Provider or Provider Staff"]
[null,"TRICARE Non-Network Provider or Provider Staff"]
[null,"Prospective TRICARE Provider or Provider Staff"]
[null,"Military Treatment Facility Clinical Staff"]
[null,"TRICARE Beneficiary Advisors and Customer Service Staff"]
[null,"All other Military Health System/TRICARE staff (Including government and supporting contractors)"]
[null,"Media/Researcher"]
[null,"Other"]
[]
["For TRICARE beneficiaries only- which best describes your status?","Active Duty Sponsor"]
[null,"Active Duty Family Member"]
[null,"Retired Sponsor"]
[null,"Family Member of Retired Sponsor"]
[null,"National Guard or Reserve"]
[null,"Family Member of National Guard or Reserve"]
[null,"Other Beneficiary"]
[null,"Not Applicable"]
[]
["Which of the following best describes your main reason for visiting our Web site today?","Find out what’s covered"]
[null,"Look up costs"]
[null,"Find a civilian/network provider "]
[null,"Find a military provider "]
[null,"Make an appointment"]
[null,"Look up a toll free phone number "]
[null,"File a claim"]
[null,"Check the status of a claim"]
[null,"Problem with a claim"]
[null,"Enroll"]
[null,"Pay Enrollment Fees"]
[null,"Check eligibility "]
[null,"Update personal information"]
[null,"Learn about the plans / options "]
[null,"Look up health information / medical advice"]
[null,"Other (please explain)"]
[]
["Where did you first go to find this information?","This web site was the first place I went"]
[null,"I went to a different Web site"]
[null,"I called a toll-free number"]
[null,"I read a TRICARE brochure or handbook"]
[null,"I visited a TRICARE Service Center"]
[null,"I visited a Military Treatment Facility"]
[null,"Other (please explain)"]
[]
["If you did not find what you were looking for, what will you do now?","Try a different Web site"]
[null,"Call a toll-free number"]
[null,"Read a TRICARE brochure or handbook"]
[null,"Visit a TRICARE Service Center"]
[null,"Visit a Military Treatment Facility"]
[null,"Other (please explain)"]
[null,"Not applicable"]
[]
["If you did not find what you were looking for on our Web site, what was it?"]
[]
["For TRICARE beneficiaries only: which of the following best describes your TRICARE enrollment option?","Sponsor is active duty (no premium paid)"]
[null,"Sponsor is active duty and family member has disenrolled from Prime to use TRICARE Standard"]
[null,"Sponsor is retired and we pay either $230/individual or $460/family per year"]
[null,"Sponsor is retired and we pay the Medicare Part B premium;  TRICARE for Life"]
[null,"Sponsor is retired (and we do NOT pay either a TRICARE or Medicare Part B premium; TRICARE Standard)"]
[null,"Not applicable"]
[]
["For TRICARE beneficiaries only- do you receive most of your care from:","A military clinic or hospital"]
[null,"A civilian clinic or hospital"]
[null,"Not applicable"]
[]
["What method are you using to locate the information you are looking for? ","Search Bar"]
[null,"Clicking buttons"]
[null,"By entering Zip Code"]
[null,"By clicking on Map"]
[null,"By \"Jump To\" or “A to Z”"]
[null,"TRICARE Factsheets"]
[null,"Site Map"]
[null,"Other"]
[]
["How did you get to our Web site today?","Referred by TRICARE brochure or handbook"]
[null,"Referred by TRICARE customer service representative"]
[null,"Typed in the address"]
[null,"Search engine (such as Google or Yahoo)"]
[null,"Bookmarks or Favorites"]
[null,"Link from another Web site"]
[null,"Other "]
[]
["If you could make one improvement to the site what would that be?  "]
[]
["What is your gender?","Male"]
[null,"Female"]
[]
["What is your age?","Less than 18"]
[null,"18 to 24"]
[null,"25 to 34"]
[null,"35 to 44"]
[null,"45 to 64"]
[null,"65 and better"]
[]
["Where are you located?","US (Continental)"]
[null,"Alaska"]
[null,"Hawaii"]
[null,"Pacific"]
[null,"Latin America"]
[null,"Canada"]
[null,"Europe"]
[null,"Puerto Rico/Virgin Islands"]
[null,"Other Overseas"]
[]
["Have you done any of the following activities in the past 90 days?","Applied for a job online"]
[null,"Listed an item to sell in an online auction or online classified ad"]
[null,"Made a purchase online"]
[null,"Managed personal finances online"]
[null,"Researched a major purchase item online"]
[null,"None of these"]