Skip survey header

CA DB101 User Experience Survey

Thank you for using Disability Benefits 101 (DB101). Please share your experience in this short survey.

1. Please let us know which applies to you. *This question is required.
As a professional what best applies to you? Please check the following: *This question is required.
What brought you here today? I want to: *This question is required.
What brought you here today? I want to: *This question is required.
Did DB101 provide value in helping your client? *This question is required.
Did DB101 help you find what you were looking for? *This question is required.
What are the next steps as a result of using DB101? I am going to:
Did DB101 help regarding your client’s employment decision? *This question is required.
What are your next steps as a result of using DB101? I am going to: *This question is required.
Did DB101 help you in your employment decision? *This question is required.
2. How would you rate your overall experience using DB101? *This question is required.
5, outstanding4, very good3, fair2, needs improvement1, poor
Do we have your permission to share your story? Your name will not be used. *This question is required.