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DI Website Survey

Thank you for taking the time to respond to this brief survey. Your responses will help us improve Disability Insurance and Paid Family Leave webpages. 

If you'd like to complete this survey in Spanish, please change the language in the upper right hand corner. Si desea completar esta encuesta en Español, por favor cambie el idioma en la esquina superior derecha.

IMPORTANT:  This survey is not monitored for specific customer claim issues.  Do NOT include information such as your name, social security number, claim number, phone numbers, or addresses.

To complete this survey:
  • Enter your responses in the boxes or select the appropriate response.
  • Do NOT use your “Enter” key to advance the survey. This action will take you out of the survey.
  • Select “Next” and “Back” at the bottom of the page to navigate through the survey, or if you are on a mobile device please use the arrows.