| Model Name | 
		ForeSee Feedback Questions | 
		
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		| Date | 
		4/2/2019 | 
		
  
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		| Question Text | 
		Answer Choices | 
		
	
		| How do you rate your experience on this page? | 
		1 Star | 
		
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		2 Stars | 
		
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		5 Stars | 
		
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		| Is this your first time using the IRS.gov Withholding Calculator? | 
		Yes | 
		
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		No  | 
		
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		Don't know | 
		
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		| Approximately how many times in the past 12 months have you used the IRS.gov Withholding Calculator? | 
		First time | 
		
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		2 times | 
		
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		3 to 5 times | 
		
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		More than 5 times | 
		
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		If you could make one improvement to the Withholding Calculator, what would it be?
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		| Did you accomplish the task you came to this site for today? | 
		Yes | 
		
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		No  | 
		
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		| Which of the following issues, if any, did you experience on this site/page today? Select all that apply. | 
		Information was not up to date | 
		
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		Information did not answer my questions | 
		
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		Language was not clear and concise | 
		
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		Wording used was confusing | 
		
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		Text was difficult to read | 
		
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		Errors or typos on the page | 
		
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		Other | 
		
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		| (IF CHOICE IS SELECTED ABOVE) Please describe what content was unclear or confusing on this site/page. | 
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		| In which region of the country are you located? | 
		Southeast | 
		
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		Southwest | 
		
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		Midwest | 
		
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		Northeast | 
		
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		West | 
		
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		Outside the U.S. | 
		
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		| What device are you using? | 
		Desktop | 
		
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		Smartphone | 
		
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		Tablet | 
		
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		Laptop | 
		
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		Other | 
		
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		| Was the language translation on this page accurate?  | 
		Yes | 
		
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		No  | 
		
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		| What content was not an accurate translation?   | 
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		| In what additional language should content be available? | 
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