Exit this survey ACCESS Nebraska Satisfaction Survey Question Title 1. What is your county of residence? Adams Antelope Arthur Banner Blaine Boone Box Butte Boyd Brown Buffalo Burt Butler Cass Cedar Chase Cherry Cheyenne Clay Colfax Cuming Custer Dakota Dawes Dawson Deuel Dixon Dodge Douglas Dundy Fillmore Franklin Frontier Furnas Gage Garden Garfield Gosper Grant Greeley Hall Hamilton Harlan Hayes Hitchcock Holt Hooker Howard Jefferson Johnson Kearney Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York Question Title 2. Where did you complete this survey? The computer at your local DHHS Office. Computer at home, at a family member or friend’s house or at work Community Agency Library Food Bank or Food Pantry Good Neighbor Center Hospital Health Care Center Public Health Agency One World Community Health Center The Ponca Children’s Medical Outreach Program Shelter/Homeless Question Title 3. Did you have another person assist you in completing the application? Yes No Question Title 4. How long did it take you to complete the application? Less than 20 minutes 20-30 minutes 31-45 minutes More than 45 minutes Question Title 5. How many times have you used this web site to complete an application? 1 or 2 3 or 4 More than 4 Question Title 6. Have you used any of the following ACCESSNebraska web site options? Yes No Do I Qualify? Do I Qualify? Yes Do I Qualify? No Report Changes Report Changes Yes Report Changes No Benefit Inquiry Benefit Inquiry Yes Benefit Inquiry No Question Title 7. Did you find the directions and navigation through the application easy to follow? Easier than most computer sites Same as most computer sites More complicated than most computer sites Question Title 8. About how many of the questions on the application did you answer? All of them Most of them Some of them Question Title 9. Did you understand what information was being asked for on the application questions? Very Understandable Neither easy or hard to understand Mostly hard to understand Question Title 10. Will you use the ACCESSNebraska web site again for services? Highly likely Likely Not likely Question Title 11. Which age group do you belong to? Under 24 24-65 Over 65 Thank you for completing the survey. Submit Survey
