Family Benefits Application Feedback
Help us improve the family benefits application process by sharing your experience and suggestions.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Which of the following best describes your relationship to the application?
*
Applicant
Family member assisting with application
Other (please specify)
How did you submit your family benefits application?
*
Online portal
In-person at an office
By mail
With assistance from a representative
Other
Please rate the following aspects of the application process:
*
Rows
Clarity of instructions
Ease of completing the application
Availability of support/help
Processing time
Very Poor
1
2
3
4
Poor
5
6
7
8
Average
9
10
11
12
Good
13
14
15
16
Excellent
17
18
19
20
Overall, how satisfied are you with your experience applying for family benefits?
*
1
2
3
4
5
Did you encounter any difficulties during the application process?
*
Yes
No
If you answered 'Yes', please describe the difficulties you encountered. If not, you may skip this question.
What suggestions do you have to improve the family benefits application process?
How many people are in your household?
*
Submit Feedback
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