Annie Text Messaging Survey Question Changes

Clearance for A-11 Section 280 Improving Customer Experience Information Collection

Annie Text Messaging Survey Wireframe_Question Update

Annie Text Messaging Survey Question Changes

OMB: 2900-0876

Document [docx]
Download: docx | pdf

OMB Number: 2900-0876

Expiration: 2/28/2026

Estimated Burden: 5 minutes

ww.va.gov/HOMELESS/.


The VA provides free, confidential support 24/7 for Veterans and their family and friends. If you are in crisis, contact the Veterans Crisis Line: Dial 988 (Press 1) or 1 (800) 273-8255 (Press 1), text 838255, or visit https://www.veteranscrisisline.net. If you are homeless or at risk of homelessness, contact the National Call Center for Homeless Veterans (NCCHV) by dialing 1 (877) 424-3838 or visiting https://w


We want to hear about your experience using Annie. By responding to this voluntary 5 minute survey, you will directly help us improve the program and provide better support to Veterans like you.


Is this the code that was provided to you? Hidden

  • Yes

  • No


[ Logic: Question used for variable and will be hidden from the respondent ]


To use Annie, you must first register with the Annie System. This includes providing your mobile phone number and time zone. How did you first register to use Annie? (select only one option) Required

  • A VHA staff person registered me

  • I self-registered

  • I am unsure


How would you rate your level of comfort with technologies such as smartphones and computers?

  • Novice: I have limited experience and require assistance to navigate technology.

  • Between Novice and Intermediate: I have some experience but still need occasional assistance.

  • Intermediate: I am comfortable with basic operations and can solve some problems on my own.

  • Between Intermediate and Advanced: I can handle most tasks and troubleshooting but still seek help for very complex issues.

  • Expert: I am very comfortable with technology and can handle almost all complex tasks and troubleshooting independently


Registering to use Annie was easy. Required

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

6 – I don’t know how I was registered


After your registration, you received messages from Annie through this subscription. A VHA staff person can assign a subscription, or you can self-subscribe to one. How did you begin to use this Annie subscription? (select only one option) Required

  • A VHA staff person assigned it to me

  • I self-subscribed

  • I am unsure


Did a VHA staff person speak with you about the subscription and what to expect before you started receiving messages from Annie? Required

  • Yes

  • No


[ Logic: Question will not appear if the respondent selects “I self-subscribed” in the previous question ]


Getting this Annie Subscription was easy. Required

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree

6 – I don’t know how I subscribed


What was your preferred means of communicating with Annie? Required

  • Text messaging

  • Annie App for Veterans (Annie web app)

  • Using the Annie App for Veterans (Annie web app) and receiving generic texts notifying me of new messages in the Annie App


Receiving and replying to Annie messages was easy. Required

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree


Annie’s messages helped me to manage my health better. Required

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree


How would you rate the number of days the subscription lasted? Required

    • Too Many

    • Somewhat Too Many

    • Just Right

    • Somewhat Too Few

    • Too Few

How would you describe the number of messages you received from Annie? Required

    • Too Many

    • Somewhat Too Many

    • Just Right

    • Somewhat Too Few

    • Too Few


I would have contacted my VA care team more if I didn’t get messages from Annie. Required

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree


I felt more connected to the VA because of Annie’s messages. Required

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree


Overall, I am satisfied with the messages I received from Annie. Required

1 - Strongly Disagree

2 - Disagree

3 - Neither Agree nor Disagree

4 - Agree

5 - Strongly Agree


If there were any Annie messages that were not helpful to you, please describe them.


Shape1

Type in your response




How can we improve your experience with Annie?


Shape2

Type in your response




Can VA contact you about your feedback?


  • Yes, VA can contact me about my experience.

  • No, I do not want VA to contact me about my experience.


[ Logic: Following Questions below will not appear if the respondent selects “No, I do not want VA to contact me about my experience.” in the previous question ]

Name____________

Email Address___________________

Phone Number_________________

By filling out this survey, you are authorizing VA database access to retrieve Veteran contact information to follow up with you accordingly for purposes of service recovery, potential crisis, or to learn more about feedback you have shared regarding your experience with VA.


VA may utilize individual Veteran survey data from this survey or other sources to ensure the final scores truly and accurately represent the experiences of Veterans.


This information is collected in accordance with section 3507 of the Paperwork Reduction Act of 1995. Title 38, United States Code, allows us to ask for this information. We estimate that you will need an average of 5 minutes to review the instructions and complete this survey. The results of this survey will be used to inform opportunities for program improvement in the quality of VA services. Participation in this survey is voluntary, and your decision not to respond will have no impact on VA benefits or services which you may currently be receiving. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB control numbers can be located on the OMB Internet Page at https://www.reginfo.gov/public/do/PRAMain. Information gathered will be kept private to the extent provided by law. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to Vets-Experience@va.gov. VA will not disclose your personal information to third parties outside VA without your consent or when immediately responding to an expressed concern or need for immediate information or resources.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSmith, Bronte [USA]
File Modified0000-00-00
File Created2025-05-19

© 2025 OMB.report | Privacy Policy