Purchase or Previous Service Survey Question Title * 1. The State Retirement Agency's Request to Purchase Previous Service (Form 26) was easy to understand. Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree Not Applicable Question Title * 2. The Request to Purchase Previous Service (Form 26) was easy to complete. Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree Not Applicable Question Title * 3. After submitting the form, I received my Notice of Cost to Purchase within a reasonable amount of time. Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree Not Applicable Question Title * 4. The Notice of Cost to Purchase was easy to understand. Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree Not Applicable Question Title * 5. The Notice of Cost to Purchase clearly indicates the total cost, period of purchase, payment due date, and/or reason for denial of purchase. Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree Not Applicable Question Title * 6. In the event I contacted a retirement counselor regarding my purchase, he or she was knowledgeable in answering my questions. Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree Not Applicable Question Title * 7. In the event I applied for a full cost purchase, I received an Estimate of Retirement Benefits within a reasonable amount of time. Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree Not Applicable Question Title * 8. In the event I applied for a full cost purchase, the Estimate Notice I received was helpful in deciding whether to make the purchase. Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree Not Applicable Question Title * 9. Overall, I am completely satisfied with the purchase or previous service process. Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree Not Applicable Question Title * 10. How can the State Retirement Agency provide you with better service? Please explain below. Question Title * 11. Optional Name Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number Done