CINXE.COM

Discover My Benefits - Beta Survey

<!DOCTYPE html> <html lang="en" class="auto-scroll"> <head> <title>Discover My Benefits - Beta Survey</title> <meta charset="utf-8"> <meta name="twitter:card" content="summary_large_image"> <meta property="og:title" content="Discover My Benefits - Beta Survey" /> <meta property="og:image" content="https://www.surveymonkey.com/collect/images/default_custom_meta_image.jpg" /> <meta property="og:description" content="Take this survey powered by surveymonkey.com. Create your own surveys for free." /> <meta name="keywords" content="questionnaire, questionnaires, questionaire, questionaires, free online survey, free online surveys" /> <meta name="description" content="Web survey powered by SurveyMonkey.com. Create your own online survey now with SurveyMonkey's expert certified FREE templates." /> <link rel="image_src" href="https://prod.smassets.net/assets/responseweb/smlib.globaltemplates/15.1.2/assets/sm_logo_fb.png" /> <meta name="viewport" content="width=device-width, initial-scale=1, user-scalable=yes" /><meta http-equiv="content-language" content="en" /> <meta name="robots" content="noindex, nofollow" /> <script src="https://prod.smassets.net/assets/responseweb/smlib.metrics-client-bundle-min.4614c27e.js" ></script> <script src="https://prod.smassets.net/assets/responseweb/smlib.metrics-product-analytics-bundle-min.4b744714.js" async="async" ></script> <script> (function() { function initializeTracker() { SM.MetricsTracker.initialize({ user: { id: '1', isAuthenticated: false, }, amplitudeToken: 'beb247315464a13bc86a0940b8c9bf9f', country: 'None' }); } if (window.SM && window.SM.MetricsTracker) { initializeTracker(); } else { document.addEventListener('MetricsReady', initializeTracker); } }()); </script> <link rel="dns-prefetch" href="//www.google-analytics.com" /> <link rel="dns-prefetch" href="//fonts.gstatic.com" /> <link rel="dns-prefetch" href="//bam-cell.nr-data.net" /> <link rel="dns-prefetch" href="//cdn.signalfx.com" /> <link rel="preconnect" href="//www.google-analytics.com" /> <link rel="preconnect" href="//fonts.gstatic.com" /> <link rel="preconnect" href="//bam-cell.nr-data.net" /> <link rel="preconnect" href="//cdn.signalfx.com" /> <meta name="google-site-verification" content="T6bFSmsnquJ-zUSMV3Kku9K413VJ80KjprWnV_Bv5lw" /> <!--[if lt IE 9]> <script src="https://prod.smassets.net/assets/responseweb/smlib.ui-html5-bundle-min.bbd1e809.js" ></script> <![endif]--> <!--[if (gt IE 8)|(!IE)]><!--> <!--<![endif]--> <link type="text/css" rel="stylesheet" href="https://prod.smassets.net/assets/responseweb/responseweb-base-bundle-min.43477298.css" async="true" /> <link type="text/css" rel="stylesheet" href="https://prod.smassets.net/assets/responseweb/smlib.surveytemplates-survey_page-bundle-min.3f2c3d57.css" async="true" /> <link id="themeCssLink" rel="stylesheet" href="https://secure.surveymonkey.com/r/themes/4.15.2_10292568_palette-1_163C8882-82DA-4EE1-9D5E-54C3A991D53D.css" async /> <link rel="stylesheet" href="https://cdn.smassets.net/assets/wds/4_20_2/wds-react/wds-react.min.css"> <link type="text/css" rel="stylesheet" href="https://prod.smassets.net/assets/responseweb/responseweb-responsewebPkgs-bundle-min.614c8463.css" async="true" /> <div data-sm-is-mobile></div> <script id="versionChangedModal" type="text/html"> <div id="versionChangedModalContainer" class="dialog dialog-b version-dialog"> <div class="dialog-title-bar"> <h5> <span class="smf-icon notranslate">!</span> This survey was modified by its creator </h5> <div class="version-warning-text"> For questions on the page you鈥檙e currently on, you鈥檒l need to re-submit your answers. Your answers for previous pages are saved (you鈥檒l see them when you click OK). Survey creators usually make changes only when it鈥檚 vital to the data, so thank you for your patience. </div> </div> <div class="dialog-btn-bar clearfix"> <button class="wds-button wds-button--util dialog-close-btn wds-button--sm btn-txt-primary" id="OK-btn" href="#"> OK</button> </div> </div> </script> <script type="text/html" id="dialog-title-bar-template"> <div class="dialog-title-bar"> <h5><%title%></h5> </div> </script> <script type="text/html" id="dialog-close-btn-template"> <a class="dialog-close-btn cbmain" href="#" data-icon="D"></a> </script> <script type="text/html" id="dialog-close-btn-template-b"> <a class="dialog-close-btn cb-dialog-b smf-icon" href="#">氓</a> </script> <script type="text/html" id="dialog-overlay-template"> <div class="dialog-overlay<%#isModal%> dialog-overlay-modal<%/isModal%>"></div> </script> <script type="text/html" id="dialog-container-template"> <div class="dialog-container"></div> </script> <link type="text/css" rel="stylesheet" href="https://prod.smassets.net/assets/responseweb/responseweb-version-bundle-min.32e91683.css" async="true" /> <link rel="shortcut icon" href="/favicon1.ico" /> <script src="https://prod.smassets.net/assets/responseweb/responseweb-jquery-bundle-min.a17eeae3.js" ></script> <script src="https://prod.smassets.net/assets/responseweb/responseweb-response-bundle-min.abe3db92.js" ></script> <script> document.domain = 'surveymonkey.com'; </script> <script src="https://prod.smassets.net/assets/responseweb/smlib.surveytemplates-sm-react-bundle-min.a68d6acc.js" ></script> <script src="https://prod.smassets.net/assets/responseweb/smlib.surveytemplates-sm-polyfill-bundle-min.ef0f0b28.js" ></script> <script src="https://prod.smassets.net/assets/responseweb/responseweb-responsewebPkgs_hybrid-bundle-min.9b7e4d4f.js" ></script> <script src="https://prod.smassets.net/assets/responseweb/responseweb-ui_bundle-bundle-min.a165823c.js" ></script> <script src="https://cdn.signalfx.com/o11y-gdi-rum/latest/splunk-otel-web.js" crossorigin="anonymous"></script> <script type="text/javascript"> window.SplunkRum && window.SplunkRum.init({ beaconUrl: 'https://rum-ingest.us1.signalfx.com/v1/rum', rumAuth: 'Iwctk2QxeIqpBc6-jE4vXg', app: 'responseweb', environment: 'prod', tracer: { sampler: new SplunkRum.SessionBasedSampler({ ratio: 0.01 }) } }); </script> <link rel="canonical" href="https://www.surveymonkey.com/r/3FBKLZS" /></head> <!--[if lt IE 7 ]> <body id="patas" class="translate survey-body ie ie6"> <![endif]--> <!--[if IE 7 ]> <body id="patas" class="translate survey-body ie ie7"> <![endif]--> <!--[if IE 8 ]> <body id="patas" class="translate survey-body ie ie8"> <![endif]--> <!--[if IE 9 ]> <body id="patas" class="translate survey-body ie ie9"> <![endif]--> <!--[if gt IE 9]> <body id="patas" class="translate survey-body ie modern-browser"> <![endif]--> <!--[if (gt IE 9)|(!IE)]><!--> <body id="patas" class="translate survey-body modern-browser"> <!--<![endif]--> <!-- Textured Paper, Seamless Paper Texture and Escheresque are from subtlepatterns.com. Made available under CC BY-SA 3.0 License: http://creativecommons.org/licenses/by-sa/3.0/legalcode. --> <!-- You cannot remove or modify any notice of copyright, trademark or other proprietary right, or any other copyright management information or metadata from wherever it is embedded in the content. --> <main class="v3theme text_center"> <article data-page-id="56141250" class="survey-page survey-page-white auto-scroll"> <header class="survey-page-header"> <div class="survey-header-controls"> <div class="toggle-items-container" tabindex="0" aria-label="Screen Reader Mode" aria-describedby="tooltip"> <span class="accessibility-icon" role="img" aria-labelledby="screen-reader-mode-icon" ><svg width="16" height="16" viewBox="0 0 16 16" fill="none" xmlns="http://www.w3.org/2000/svg"> <title id="screen-reader-mode-icon">Screen Reader Mode Icon</title> <path fill-rule="evenodd" clip-rule="evenodd" d="M11.3487 0.0947572C14.1955 1.67594 16 4.67914 16 7.99884C16 11.3204 14.1935 14.325 11.3441 15.9055C10.9805 16.1072 10.5224 15.9755 10.3209 15.6114C10.1195 15.2473 10.2509 14.7886 10.6146 14.5869C12.9898 13.2695 14.4945 10.7668 14.4945 7.99884C14.4945 5.23241 12.9915 2.73091 10.6184 1.41284C10.2549 1.21092 10.1236 0.75216 10.3253 0.388184C10.527 0.0242077 10.9852 -0.10716 11.3487 0.0947572ZM9.60113 2.72263C11.5833 3.7122 12.8633 5.74103 12.8633 7.99884C12.8633 10.2623 11.5768 12.2953 9.58697 13.2821C9.21444 13.4668 8.76288 13.3142 8.57837 12.9412C8.39386 12.5682 8.54629 12.1161 8.91882 11.9314C10.4006 11.1966 11.3578 9.68383 11.3578 7.99884C11.3578 6.31805 10.4054 4.80846 8.92932 4.07153C8.55728 3.88579 8.40607 3.43325 8.59158 3.06076C8.77709 2.68827 9.2291 2.53689 9.60113 2.72263Z"/> <path d="M4.20162 9.56261L3.12244 12.595C3.09591 12.671 3.05473 12.7408 3.00131 12.8004C2.94789 12.86 2.88331 12.9081 2.81135 12.942C2.70326 12.9935 2.58256 13.0113 2.46455 12.993C2.34653 12.9747 2.23651 12.9212 2.14844 12.8392C2.06036 12.7573 1.9982 12.6506 1.96981 12.5327C1.94143 12.4148 1.94811 12.2909 1.989 12.1769L2.74141 10.058C2.80112 9.89856 2.8483 9.73455 2.88249 9.56752C2.9129 9.39793 2.93463 9.22685 2.9476 9.05497C2.97654 8.74474 2.99704 8.40876 3.01272 8.08627C3.02839 7.76378 3.03924 7.4511 3.04768 7.19237C3.05854 6.86988 2.97292 6.84904 2.7185 6.78773L2.66545 6.77546L0.495036 6.35978C0.416976 6.34578 0.342398 6.31627 0.275569 6.27292C0.208739 6.22958 0.15097 6.17326 0.105567 6.10719C0.0381176 6.00709 0.00139149 5.8889 3.87609e-05 5.76756C-0.00131397 5.64623 0.0327677 5.52722 0.0979684 5.4256C0.163169 5.32397 0.256556 5.24431 0.366305 5.19669C0.476055 5.14908 0.597231 5.13565 0.714489 5.15811L3.04648 5.60322C3.13932 5.6118 3.22976 5.62284 3.32501 5.63387C3.61199 5.67386 3.90113 5.69557 4.19077 5.69886C4.55131 5.6917 4.91118 5.66428 5.26874 5.61671C5.37726 5.60445 5.47975 5.59096 5.58224 5.58115L7.7828 5.16179C7.93892 5.12887 8.1015 5.16017 8.23497 5.24885C8.30112 5.29437 8.35772 5.3528 8.40148 5.42075C8.44524 5.4887 8.47528 5.56482 8.48986 5.64468C8.50445 5.72454 8.50328 5.80655 8.48643 5.88595C8.46959 5.96535 8.43739 6.04055 8.39172 6.10719C8.34694 6.17368 8.2897 6.23054 8.22328 6.27451C8.15687 6.31849 8.08258 6.34871 8.00467 6.36346L5.90178 6.76565C5.83184 6.7816 5.76914 6.79263 5.71367 6.80121C5.49422 6.83923 5.3857 6.85885 5.39897 7.17643C5.40861 7.40818 5.43634 7.6853 5.47252 7.97469C5.51472 8.31434 5.57019 8.67484 5.62806 9.00469C5.66544 9.22173 5.70041 9.39585 5.74864 9.56261C5.79687 9.72938 5.8439 9.89982 5.91625 10.1046L6.65298 12.1769C6.69388 12.2909 6.70056 12.4148 6.67217 12.5327C6.64379 12.6506 6.58162 12.7573 6.49355 12.8392C6.40547 12.9212 6.29545 12.9747 6.17744 12.993C6.05942 13.0113 5.93872 12.9935 5.83064 12.942C5.75868 12.9081 5.6941 12.86 5.64068 12.8004C5.58726 12.7408 5.54608 12.671 5.51954 12.595L4.43675 9.56874L4.31617 9.34435L4.19559 9.56261H4.20162ZM4.24865 3C4.49498 2.99979 4.73377 3.08645 4.92432 3.24521C5.11487 3.40397 5.24539 3.62501 5.29364 3.87067C5.34189 4.11632 5.30488 4.37139 5.18892 4.59241C5.07296 4.81342 4.88523 4.98671 4.65771 5.08275C4.43019 5.17878 4.17697 5.19161 3.94119 5.11906C3.70541 5.04651 3.50166 4.89306 3.36467 4.68486C3.22768 4.47667 3.16591 4.2266 3.1899 3.97729C3.21389 3.72797 3.32215 3.49483 3.49624 3.31759C3.59485 3.2168 3.71211 3.13685 3.84124 3.08234C3.97037 3.02784 4.10883 2.99985 4.24865 3Z"/> </svg> </span> <div class="classic-oqaat-toggle-container"> <label for="classic-oqaat-toggle" class="oqaat-toggle-switch"> <input class="classic-oqaat-input OQAAT" role="switch" aria-label="Survey Format Toggle" aria-describedby="tooltip" id="classic-oqaat-toggle" placeholder="toggle survey format " type="checkbox" value="/r/3FBKLZS?survey_format=CLASSIC" > <span class="oqaat-slider round"></span> </label> </div> <div class="toggle-tooltip" id="tooltip" role="tooltip"> <p>Check <b>SCREEN READER MODE</b> to make this survey compatible with screen readers.</p> <div class="tooltip-close-btn" role="button"></div> <span class="tip"></span> </div> </div> <div class="exit-button-container"> <a data-exit-survey-btn role="button" class="exit-survey user-generated notranslate " href="https://www.surveymonkey.com/survey-thanks/?sm=YeRiww_2BMQJZ7H0hqfRWdnVMSJ5aNfFzGf5NXsdghVh4YCI8l37lzJDkYwEJ9mx1ZOVhKq2aS5MFJFle_2BFZozfjZs7AzgZ4S6hbQEhc_2Bc4tQ_3D" > EXIT </a> </div> </div> <span id="version-changed" style="visibility: hidden" version-changed=False></span> </header> <section class="survey-page-body "> <div id="new-commenting-sheet" data-survey-id="519199268" data-mentioned-comment-id='None' data-language-code='en' data-sm-comment-sheet > </div> <div class="survey-title-container clearfix survey-title-align-left has-survey-title "> <div class="survey-title-table-wrapper"> <table role="presentation" class="survey-title-table table-reset"> <tbody> <tr> <td class="survey-title-cell"> <h1 class="survey-title user-generated notranslate"> <span class="title-text"> <strong>Discover My Benefits - Beta Survey</strong> </span> </h1> </td> </tr> </tbody> </table> </div> </div> <form name="surveyForm" action="" method="post" enctype="multipart/form-data" novalidate data-survey-page-form > <div class="questions clearfix"> <div class="question-click-shield" tabindex="-1"></div><div class="question-row clearfix overlay " tabindex="-1" ><div data-question-type="single_choice_menu" data-rq-question-type="dropdown" class="question-container "> <div id="question-field-199721548" data-qnumber="1" data-qdispnumber="1" data-question-id="199721548" class=" question-single-choice-select qn question menu question-required" > <h3 class="screenreader-only">Question Title</h3><fieldset class=" question-fieldset" > <legend class="question-legend"> <h4 id="question-title-199721548" class=" question-title-container "> <span class="required-asterisk notranslate"> * </span> <span class="question-number notranslate"> 1<span class="question-dot">.</span> </span> <span class="user-generated notranslate "> <strong>What did you visit the site for?</strong></span> </h4> </legend> <div class="question-body clearfix notranslate "> <select id="199721548" name="199721548" aria-labelledby="question-title-199721548" class="select no-touch" data-sm-select> <option value=""></option> <option value="1437128524" class="user-generated" > to get more information on a specific benefit </option> <option value="1437128525" class="user-generated" > to find out more about the offer of benefits in general </option> <option value="1437128526" class="user-generated" > to check my eligibility for specific benefit(s) </option> <option value="1437128527" class="user-generated" > to see the impact of a change in circumstances </option> <option value="1437130683" class="user-generated" data-other-answer > other (please specify) </option> </select> <div class="other-answer-container other-answer-option-container" data-answer-id=1437130683> <input id="199721548_other" name="199721548_other" type="text" class="text other-answer-text" maxlength=20000 size="50" aria-label="other (please specify)" data-other-text /> </div> </div> </fieldset> </div> </div> <button id="199721548-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button> </div><div class="question-click-shield" tabindex="-1"></div><div class="question-row clearfix overlay " tabindex="-1" ><div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container "> <div id="question-field-199724845" data-qnumber="2" data-qdispnumber="2" data-question-id="199724845" class=" question-single-choice-radio qn question vertical question-required" > <h3 class="screenreader-only">Question Title</h3><fieldset class=" question-fieldset" data-radio-button-group > <legend class="question-legend"> <h4 id="question-title-199724845" class=" question-title-container "> <span class="required-asterisk notranslate"> * </span> <span class="question-number notranslate"> 2<span class="question-dot">.</span> </span> <span class="user-generated notranslate "> <strong>Did you find the information you were looking for?</strong></span> </h4> </legend> <div class="question-body clearfix notranslate "> <div class="" > <div class="answer-option-cell" data-answer-id=1437149639> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199724845"> <input id="199724845_1437149639" aria-labelledby="199724845_1437149639_label" name="199724845" type="radio" role="radio" class="radio-button-input " value="1437149639" aria-checked="{}" /> <label data-sm-radio-button-label id="199724845_1437149639_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199724845_1437149639"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> Yes </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1437149640> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199724845"> <input id="199724845_1437149640" aria-labelledby="199724845_1437149640_label" name="199724845" type="radio" role="radio" class="radio-button-input " value="1437149640" aria-checked="{}" /> <label data-sm-radio-button-label id="199724845_1437149640_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199724845_1437149640"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> No </span> </label> </div> </div> </div> <div class="other-answer-container other-answer-option-container" data-answer-id=1437149641> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199724845"> <input id="199724845_1437149641" aria-labelledby="199724845_1437149641_label" name="199724845" type="radio" role="radio" class="radio-button-input " value="1437149641" aria-checked="{}" data-other-answer /> <label data-sm-radio-button-label id="199724845_1437149641_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199724845_1437149641"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> if No (What were you looking for and did not find?) </span> </label> </div> <input id="199724845_other" name="199724845_other" type="text" class="text other-answer-text" maxlength=20000 size="50" aria-label="if No (What were you looking for and did not find?)" data-other-text /> </div> </div> </fieldset> </div> </div> <button id="199724845-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button> </div><div class="question-click-shield" tabindex="-1"></div><div class="question-row clearfix overlay " tabindex="-1" ><div data-question-type="single_choice_vertical_two_col" data-rq-question-type="single_choice_vertical_two_col" class="question-container "> <div id="question-field-205246838" data-qnumber="3" data-qdispnumber="3" data-question-id="205246838" class=" question-single-choice-radio qn question vertical_two_col" > <h3 class="screenreader-only">Question Title</h3><fieldset class=" question-fieldset" data-radio-button-group > <legend class="question-legend"> <h4 id="question-title-205246838" class=" question-title-container "> <span class="required-asterisk notranslate"> * </span> <span class="question-number notranslate"> 3<span class="question-dot">.</span> </span> <span class="user-generated notranslate "> <strong>Please rate how much do you trust the information on the site?</strong></span> </h4> </legend> <div class="question-body clearfix notranslate "> <div class="answer-option-col answer-option-col-2" > <div class="answer-option-cell" data-answer-id=1473668897> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-205246838"> <input id="205246838_1473668897" aria-labelledby="205246838_1473668897_label" name="205246838" type="radio" role="radio" class="radio-button-input " value="1473668897" aria-checked="{}" /> <label data-sm-radio-button-label id="205246838_1473668897_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="205246838_1473668897"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> A great deal </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1473668898> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-205246838"> <input id="205246838_1473668898" aria-labelledby="205246838_1473668898_label" name="205246838" type="radio" role="radio" class="radio-button-input " value="1473668898" aria-checked="{}" /> <label data-sm-radio-button-label id="205246838_1473668898_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="205246838_1473668898"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> A lot </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1473668899> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-205246838"> <input id="205246838_1473668899" aria-labelledby="205246838_1473668899_label" name="205246838" type="radio" role="radio" class="radio-button-input " value="1473668899" aria-checked="{}" /> <label data-sm-radio-button-label id="205246838_1473668899_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="205246838_1473668899"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> A moderate amount </span> </label> </div> </div> </div> <div class="answer-option-col answer-option-col-2" > <div class="answer-option-cell" data-answer-id=1473668900> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-205246838"> <input id="205246838_1473668900" aria-labelledby="205246838_1473668900_label" name="205246838" type="radio" role="radio" class="radio-button-input " value="1473668900" aria-checked="{}" /> <label data-sm-radio-button-label id="205246838_1473668900_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="205246838_1473668900"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> A little </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1473668901> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-205246838"> <input id="205246838_1473668901" aria-labelledby="205246838_1473668901_label" name="205246838" type="radio" role="radio" class="radio-button-input " value="1473668901" aria-checked="{}" /> <label data-sm-radio-button-label id="205246838_1473668901_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="205246838_1473668901"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> None at all </span> </label> </div> </div> </div> </div> </fieldset> </div> </div> <button id="205246838-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button> </div><div class="question-click-shield" tabindex="-1"></div><div class="question-row clearfix overlay " tabindex="-1" ><div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container "> <div id="question-field-199725099" data-qnumber="4" data-qdispnumber="4" data-question-id="199725099" class=" question-single-choice-radio qn question vertical question-required" > <h3 class="screenreader-only">Question Title</h3><fieldset class=" question-fieldset" data-radio-button-group > <legend class="question-legend"> <h4 id="question-title-199725099" class=" question-title-container "> <span class="required-asterisk notranslate"> * </span> <span class="question-number notranslate"> 4<span class="question-dot">.</span> </span> <span class="user-generated notranslate "> <strong>Did you have any problems using this site?</strong></span> </h4> </legend> <div class="question-body clearfix notranslate "> <div class="" > <div class="answer-option-cell" data-answer-id=1437151409> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199725099"> <input id="199725099_1437151409" aria-labelledby="199725099_1437151409_label" name="199725099" type="radio" role="radio" class="radio-button-input " value="1437151409" aria-checked="{}" /> <label data-sm-radio-button-label id="199725099_1437151409_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199725099_1437151409"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> No </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1437151408> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199725099"> <input id="199725099_1437151408" aria-labelledby="199725099_1437151408_label" name="199725099" type="radio" role="radio" class="radio-button-input " value="1437151408" aria-checked="{}" /> <label data-sm-radio-button-label id="199725099_1437151408_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199725099_1437151408"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> Yes </span> </label> </div> </div> </div> </div> </fieldset> </div> </div> <button id="199725099-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button> </div><div class="question-click-shield" tabindex="-1"></div><div class="question-row clearfix overlay " tabindex="-1" ><div data-question-type="open_ended_essay" data-rq-question-type="open_ended" class="question-container "> <div id="question-field-199725427" data-qnumber="5" data-qdispnumber="5" data-question-id="199725427" class=" question-essay qn question essay" > <h3 class="screenreader-only">Question Title</h3><div class=" question-fieldset question-legend" > <h4 id="question-title-199725427" class=" question-title-container "> <span class="required-asterisk notranslate"> * </span> <span class="question-number notranslate"> 5<span class="question-dot">.</span> </span> <span class="user-generated notranslate "> <strong>Have you got any suggestions for improving the site? (Please write them below)</strong></span> </h4> <div class="question-body clearfix notranslate "> <div class="textarea-container"> <textarea aria-labelledby="question-title-199725427" id="199725427" name="199725427" class="textarea" spellcheck="true" rows="3" cols="50" data-sm-textarea maxlength=20000 ></textarea> </div> </div> </div> </div> </div> <button id="199725427-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button> </div><div class="question-click-shield" tabindex="-1"></div><div class="question-row clearfix overlay " tabindex="-1" ><div data-question-type="single_choice_vertical_two_col" data-rq-question-type="single_choice_vertical_two_col" class="question-container "> <div id="question-field-199725944" data-qnumber="6" data-qdispnumber="6" data-question-id="199725944" class=" question-single-choice-radio qn question vertical_two_col question-required" > <h3 class="screenreader-only">Question Title</h3><fieldset class=" question-fieldset" data-radio-button-group > <legend class="question-legend"> <h4 id="question-title-199725944" class=" question-title-container "> <span class="required-asterisk notranslate"> * </span> <span class="question-number notranslate"> 6<span class="question-dot">.</span> </span> <span class="user-generated notranslate "> <strong>How old are you?</strong></span> </h4> </legend> <div class="question-body clearfix notranslate "> <div class="answer-option-col answer-option-col-2" > <div class="answer-option-cell" data-answer-id=1437156127> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199725944"> <input id="199725944_1437156127" aria-labelledby="199725944_1437156127_label" name="199725944" type="radio" role="radio" class="radio-button-input " value="1437156127" aria-checked="{}" /> <label data-sm-radio-button-label id="199725944_1437156127_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199725944_1437156127"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> Under 18 </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1437156128> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199725944"> <input id="199725944_1437156128" aria-labelledby="199725944_1437156128_label" name="199725944" type="radio" role="radio" class="radio-button-input " value="1437156128" aria-checked="{}" /> <label data-sm-radio-button-label id="199725944_1437156128_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199725944_1437156128"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> 18-24 </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1437156129> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199725944"> <input id="199725944_1437156129" aria-labelledby="199725944_1437156129_label" name="199725944" type="radio" role="radio" class="radio-button-input " value="1437156129" aria-checked="{}" /> <label data-sm-radio-button-label id="199725944_1437156129_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199725944_1437156129"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> 25-34 </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1437156130> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199725944"> <input id="199725944_1437156130" aria-labelledby="199725944_1437156130_label" name="199725944" type="radio" role="radio" class="radio-button-input " value="1437156130" aria-checked="{}" /> <label data-sm-radio-button-label id="199725944_1437156130_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199725944_1437156130"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> 35-44 </span> </label> </div> </div> </div> <div class="answer-option-col answer-option-col-2" > <div class="answer-option-cell" data-answer-id=1437156131> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199725944"> <input id="199725944_1437156131" aria-labelledby="199725944_1437156131_label" name="199725944" type="radio" role="radio" class="radio-button-input " value="1437156131" aria-checked="{}" /> <label data-sm-radio-button-label id="199725944_1437156131_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199725944_1437156131"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> 45-54 </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1437156132> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199725944"> <input id="199725944_1437156132" aria-labelledby="199725944_1437156132_label" name="199725944" type="radio" role="radio" class="radio-button-input " value="1437156132" aria-checked="{}" /> <label data-sm-radio-button-label id="199725944_1437156132_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199725944_1437156132"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> 55-64 </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1437156133> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199725944"> <input id="199725944_1437156133" aria-labelledby="199725944_1437156133_label" name="199725944" type="radio" role="radio" class="radio-button-input " value="1437156133" aria-checked="{}" /> <label data-sm-radio-button-label id="199725944_1437156133_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199725944_1437156133"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> 65+ </span> </label> </div> </div> </div> </div> </fieldset> </div> </div> <button id="199725944-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button> </div><div class="question-click-shield" tabindex="-1"></div><div class="question-row clearfix overlay " tabindex="-1" ><div data-question-type="single_choice_vertical" data-rq-question-type="single_choice_vertical" class="question-container "> <div id="question-field-199726352" data-qnumber="7" data-qdispnumber="7" data-question-id="199726352" class=" question-single-choice-radio qn question vertical question-required" > <h3 class="screenreader-only">Question Title</h3><fieldset class=" question-fieldset" data-radio-button-group > <legend class="question-legend"> <h4 id="question-title-199726352" class=" question-title-container "> <span class="required-asterisk notranslate"> * </span> <span class="question-number notranslate"> 7<span class="question-dot">.</span> </span> <span class="user-generated notranslate "> <strong>What type of Service Person are you?</strong></span> </h4> </legend> <div class="question-body clearfix notranslate "> <div class="" > <div class="answer-option-cell" data-answer-id=1437158784> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199726352"> <input id="199726352_1437158784" aria-labelledby="199726352_1437158784_label" name="199726352" type="radio" role="radio" class="radio-button-input " value="1437158784" aria-checked="{}" /> <label data-sm-radio-button-label id="199726352_1437158784_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199726352_1437158784"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> Full-Time Serving </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1437158785> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199726352"> <input id="199726352_1437158785" aria-labelledby="199726352_1437158785_label" name="199726352" type="radio" role="radio" class="radio-button-input " value="1437158785" aria-checked="{}" /> <label data-sm-radio-button-label id="199726352_1437158785_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199726352_1437158785"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> Reserve </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1473644401> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199726352"> <input id="199726352_1473644401" aria-labelledby="199726352_1473644401_label" name="199726352" type="radio" role="radio" class="radio-button-input " value="1473644401" aria-checked="{}" /> <label data-sm-radio-button-label id="199726352_1473644401_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199726352_1473644401"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> MOD Civilian </span> </label> </div> </div> </div> <div class="other-answer-container other-answer-option-container" data-answer-id=1437158786> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199726352"> <input id="199726352_1437158786" aria-labelledby="199726352_1437158786_label" name="199726352" type="radio" role="radio" class="radio-button-input " value="1437158786" aria-checked="{}" data-other-answer /> <label data-sm-radio-button-label id="199726352_1437158786_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199726352_1437158786"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> Not Serving (Please specify) </span> </label> </div> <input id="199726352_other" name="199726352_other" type="text" class="text other-answer-text" maxlength=20000 size="50" aria-label="Not Serving (Please specify)" data-other-text /> </div> </div> </fieldset> </div> </div> <button id="199726352-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button> </div><div class="question-click-shield" tabindex="-1"></div><div class="question-row clearfix overlay " tabindex="-1" ><div data-question-type="single_choice_vertical_two_col" data-rq-question-type="single_choice_vertical_two_col" class="question-container "> <div id="question-field-199726951" data-qnumber="8" data-qdispnumber="8" data-question-id="199726951" class=" question-single-choice-radio qn question vertical_two_col question-required" > <h3 class="screenreader-only">Question Title</h3><fieldset class=" question-fieldset" data-radio-button-group > <legend class="question-legend"> <h4 id="question-title-199726951" class=" question-title-container "> <span class="required-asterisk notranslate"> * </span> <span class="question-number notranslate"> 8<span class="question-dot">.</span> </span> <span class="user-generated notranslate "> <strong>What is your Service?</strong></span> </h4> </legend> <div class="question-body clearfix notranslate "> <div class="answer-option-col answer-option-col-2" > <div class="answer-option-cell" data-answer-id=1437162386> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199726951"> <input id="199726951_1437162386" aria-labelledby="199726951_1437162386_label" name="199726951" type="radio" role="radio" class="radio-button-input " value="1437162386" aria-checked="{}" /> <label data-sm-radio-button-label id="199726951_1437162386_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199726951_1437162386"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> Royal Navy </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1437162387> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199726951"> <input id="199726951_1437162387" aria-labelledby="199726951_1437162387_label" name="199726951" type="radio" role="radio" class="radio-button-input " value="1437162387" aria-checked="{}" /> <label data-sm-radio-button-label id="199726951_1437162387_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199726951_1437162387"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> Royal Marines </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1437162388> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199726951"> <input id="199726951_1437162388" aria-labelledby="199726951_1437162388_label" name="199726951" type="radio" role="radio" class="radio-button-input " value="1437162388" aria-checked="{}" /> <label data-sm-radio-button-label id="199726951_1437162388_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199726951_1437162388"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> British Army </span> </label> </div> </div> </div> <div class="answer-option-col answer-option-col-2" > <div class="answer-option-cell" data-answer-id=1437162389> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199726951"> <input id="199726951_1437162389" aria-labelledby="199726951_1437162389_label" name="199726951" type="radio" role="radio" class="radio-button-input " value="1437162389" aria-checked="{}" /> <label data-sm-radio-button-label id="199726951_1437162389_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199726951_1437162389"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> Royal Air Force </span> </label> </div> </div> <div class="answer-option-cell" data-answer-id=1473644943> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199726951"> <input id="199726951_1473644943" aria-labelledby="199726951_1473644943_label" name="199726951" type="radio" role="radio" class="radio-button-input " value="1473644943" aria-checked="{}" /> <label data-sm-radio-button-label id="199726951_1473644943_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199726951_1473644943"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> MOD Civilian </span> </label> </div> </div> </div> <div class="nota-row-container answer-option-col answer-option-col-2" > <div class="answer-option-cell" data-answer-id=1469313438> <div data-sm-radio-button class="radio-button-container " aria-labelledby="question-title-199726951"> <input id="199726951_1469313438" aria-labelledby="199726951_1469313438_label" name="199726951" type="radio" role="radio" class="radio-button-input " value="1469313438" aria-checked="{}" /> <label data-sm-radio-button-label id="199726951_1469313438_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix " for="199726951_1469313438"> <span class="radio-button-display " > </span> <span class="radio-button-label-text question-body-font-theme user-generated "> None of the above </span> </label> </div> </div> </div> </div> </fieldset> </div> </div> <button id="199726951-ok" class="new-button ok-button user-generated notranslate hide" type="submit"> OK </button> </div> </div> <div class="survey-submit-actions center-text clearfix"> <button type="submit" data-submit-page-button class="btn small done-button survey-page-button user-generated notranslate"> DONE </button> </div> <input type="hidden" id="survey_data" name="survey_data" value="c0BEbA7iDy16YeLYMbA3PBT5bPbYsOiR0T2zG9ClbUwFCKJB3738Z_2Frw8PT_2Fxz0LxibKeAaddafQKsXbHvQFqVOfWQEWHOh50P4KXXqAIQ9U9tKfCs9by2MaNdl1F_2B4ZKfTduqd1_2FjKA_2Fv6y3n2GLXp0Mc50TXkoFWpt1_2Bknh3rWPLSYjjHrIdm899lRuFAO_2F1QiUG_2FOhTkFTzVOrDQdIK7nD1Xum_2FmAczS72YOfPoVMbWgUBoj2skn0wbm_2BT_2BBK4ryeleQJv8zlhUb0e_2Fqf9Lq5FEpBUBuTuwQKFYHWH6uXttEs_2BLjlH1qwPBuQU9mEs25mvFhJvqnEiTMx008jB0xcU9SIPCGNdIHcXZG9uc5sexvPpD_2BK_2BsrfdE0DlsjIXWTmdRC_2B_2Bf9CPoXBC267YgLq_2FkGJf3kk93P57nMXHFBpXoVrRUn_2F8x8or8hDirxw4_2F_2F137cTs2dZle1z10SLMo8Id1KEyp0_2BObkBkXZKCvlxIDqglQc0Dcp_2BEZEEyZ373kXJd2IP8NP_2BtCNA3IRSscAAKSdfiWg4T4tq05_2BlVGg4Cs_2FCjgeyISgEQXWcoVsm06v28DXvmErRNInQ3FWC1iTLCJ_2F8_2BqJEiTf3RXKmBx8_3D" /> <input type="hidden" data-response-quality id="response_quality_data" name="response_quality_data" value="{}" /> <input type="hidden" id="is_previous" name="is_previous" value="false" /> <input type="hidden" id="is_changing_format" name="is_changing_format" value="" /> <input type="hidden" id="survey_format_value" name="survey_format_value" value="OQAAT" /> <input type="hidden" id="disable_survey_buttons_on_submit" name="disable_survey_buttons_on_submit" value=""/> </form> </section> <footer class="survey-footer bottom"> <div class="standard-footer notranslate"> <p class="survey-footer-title "> Powered by <a target="_blank" href="https://www.surveymonkey.co.uk/r/3FBKLZS/metrics?redirect=footer-powered-by" class="footer-brand-name survey-footer-link"><img src="https://prod.smassets.net/assets/responseweb/smlib.surveytemplates/4.15.2/assets/sm_logo_footer.svg" alt="SurveyMonkey" class="responsive-logo"/></a> </p> See how easy it is to <a target="_blank" class="survey-footer-link create-a-survey" href="https://www.surveymonkey.co.uk/r/3FBKLZS/metrics?redirect=footer-create-survey">create surveys and forms</a>. </div> <div class="survey-footer-privacy-link-container"> <a target="_blank" class="survey-footer-link survey-footer-privacy-link" href="https://www.surveymonkey.co.uk/mp/legal/privacy/?ut_source=survey_pp">Privacy</a><span class="survey-footer-privacy-text"> & </span><a target="_blank" class="survey-footer-link survey-footer-privacy-link" href="https://www.surveymonkey.co.uk/mp/legal/cookies/?ut_source=survey_pp">Cookie Notice</a> </div> </footer> <footer class="persistent-progress-bar"> <div class="sm-progressbar"> <div class="sm-progress-container "> <div id="progress-bar-text" class="sm-progress notranslate" tabindex="0"> <span data-response-count="0">0</span> of <span data-question-count="8">8</span> answered </div> <div role="progressbar" aria-valuenow="0" aria-valuemin="0" aria-valuemax="100" aria-labelledby="progress-bar-text" class="bar"><div style="width: 0%">&nbsp;</div></div> </div> </div> </footer> </article> <div class="privacy-policy-icon-super-container"> </div> </main> <div class="survey-under-footer-ie-buffer"></div> <script type="text/html" id="a11y-kb-shortcuts"> <div id="a11y-kb-shortcuts-container" class="dialog dialog-b a11y--dialog"> <section class="kb-shortcuts--container"> <h1>Keyboard Shortcuts</h1> <table> <tbody> <tr> <th>Date Picker</th> <th></th> </tr> <tr> <td class="kb-command"> <span>&lt;Esc&gt;</span> : </td> <td>Open/Close date picker</td> </tr> <tr> <td class="kb-command"> <span>&lt;Left&gt; or &lt;Right&gt;</span> : </td> <td>Move date back or forward by one day</td> </tr> <tr> <td class="kb-command"> <span>&lt;Up&gt; or &lt;Down&gt;</span> : </td> <td>Move date back or forward by one week</td> </tr> <tr> <td class="kb-command"> <span>&lt;Shift&gt;</span> <span>+</span> <span>&lt;Up&gt;</span> : </td> <td>Move date back by one month</td> </tr> <tr> <td class="kb-command"> <span>&lt;Shift&gt;</span> <span>+</span> <span>&lt;Down&gt;</span> : </td> <td>Move date forward by one month</td> </tr> <tr> <td class="kb-command"> <span>&lt;Ctrl&gt;</span> <span>+</span> <span>&lt;Shift&gt;</span> <span>+</span> <span>&lt;Up&gt;</span> : </td> <td>Move date back by one year</td> </tr> <tr> <td class="kb-command"> <span>&lt;Ctrl&gt;</span> <span>+</span> <span>&lt;Shift&gt;</span> <span>+</span> <span>&lt;Down&gt;</span> : </td> <td>Move date forward by one year</td> </tr> </tbody> </table> </section> </div> </script> <script type="text/html" id="dialog-title-bar-template"> <div class="dialog-title-bar"> <h5><%title%></h5> </div> </script> <script type="text/html" id="dialog-close-btn-template"> <a class="dialog-close-btn cbmain" href="#" data-icon="D"></a> </script> <script type="text/html" id="dialog-close-btn-template-b"> <a class="dialog-close-btn cb-dialog-b smf-icon" href="#">氓</a> </script> <script type="text/html" id="dialog-overlay-template"> <div class="dialog-overlay<%#isModal%> dialog-overlay-modal<%/isModal%>"></div> </script> <script type="text/html" id="dialog-container-template"> <div class="dialog-container"></div> </script> <p id='hcmtest' class='screen-reader-text high-contrast-test'>T</p> <noscript><style type="text/css" media="all">form {display:none;} </style><div style="text-align:center;">Javascript is required for this site to function, please enable.</div></noscript> </body> </html>

Pages: 1 2 3 4 5 6 7 8 9 10