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Estimate Request
Project Name
*
Customer
*
Phone Number
Email
*
First Name
Last Name
Address
City
State
Select State
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Armed Forces Europe
Alaska
Alabama
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Notes
Please tell us about your project, how can we help?
Print Only
Direct Mail
Survey Administration
Call Center
Print Only
Please describe project?
Direct Mail
What type of print?
*
Select your option
Letter
Postcard
Mail Quantity?
Front Only or Front and Back?
Front Only
Front and Back
Color or Black and White?
Color
Black and White
Letter Size
8.5 x 11
8.5 x 14
Postcard Size
4 x 6
5.5 x 8.5
6 x 9
6 x 11
What size envelope?
#10 non-window
#10 regular window
#10 large window
6 x 10 regular window
6 x 10 large window
Do you need business reply envelope?
How many mailings?
Permit type?
First Class
Standard
Other
Other permit type?
Do you need the following service?
Mailing List
National Change of address processing
USPS Data processing
Is this a one-time mailing or multiple drops?
One Time
Multiple
SADM-Please describe your multiple drops?
Survey Administration
Is this a Regulatory Program?
Yes
No
Which regulatory program?
Please Select
ACO CAHPS
HCAHPS
HHCAHPS
Home Health CAHPS
HEDIS CAHPS
Medicare CAHPS
ICH CAHPS
HOS
CG CAHPS
PCMH CAHPS
QHP CAHPS
MIPS
OAS CAHPS
Sample size/quantity?
What languages are needed?
English
Spanish
Chinese
Other
Others Languges?
Are you using an additional language insert?
What areas would you like DG to handle for you?
Print/Mail
CATI
Scanning/Data Collection
Web
PRINT/MAIL
Permit type?
First Class
Standard
Other
Other permit type?
Do you need the following service?
Mailing List
National Change of address processing
USPS Data processing
PRE-NOTIFICATION LETTER
SAPM-Pre-notification Letter?
Is your letter Front only or Front and Back?
Front Only
Front and Back
Color or Black and White?
Color
Black and White
What type of envelope?
Please Select
#10 non window
#10 regular window
#10 large window
Other
Is the envelope Color or Black and White?
Color
Black and White
SURVEY
Are we mailing a survey?
How many waves?
What is the anticipated re-mail percentage to non-responders?
Is there a cover letter?
Is your letter Front only or Front and Back?
Front Only
Front and Back
Color or Black and White?
Color
Black and White
How many pages are in your survey?
Does the survey contain any variable information besides the ID barcode like Q1 Healthplan name or other?
Please describe
What type of envelope?
Please Select
#10 non window
#10 regular window
#10 large window
6 x 10 regular window
6 x 10 large window
Color or Black and White?
Color
Black and White
anything over 8 pages can only choose a 6 x 10 option here
REMINDER POSTCARD
Reminder Postcard?
How many waves?
Fold-over or flat?
Fold-over
flat
Size
4 x 6
5.5 x 8.5
6 x 9
Stock
Canary index
White index
Blue index
Other
Other Stock
Any variable content besides the address panel?
Please describe location of variable example
front, back or inside
CATI
What type of services are needed?
Inbound
Outbound
IVR
What languages are required?
English
Spanish
Chinese
Korean
Other
Please list other languages
What hours of operation are needed for inbound?
Please include time zone
What is the sample size for initial dialing?
What is the source of the sample?
Client provided
DGS to secure
What are the outbound dialing times and days?
How many oubound attempts are needed?
Length of survey?
What is the sample incidence?
Do you require telephone append services?
Yes
No
Any special requirements for quota management?
Yes
No
Please describe quota management and if adjustments are permitted? If there is a grid available, please upload below.
Could you provide a quick overview of the project? We're interested to understand the population and the areas we'll be dialing.
SCANNING/DATA COLLECTION SERVICES
Will DGS be designing your survey or be allowed to make design modifications to provide for accurate scanning in our software?
Yes
no
DGS uses Kofax scanning software that reads by Optical Mark Recognistion. It is very important to follow requirements or data quality and price could be impacted.
What is the anticipated response rate?
How many closed ended questions on your survey?
This is commonly referred to as bubble data questions?
Are there" Other Specify" questions that require hand key capture?
Yes
No
How many other specify?
Are there open ended questions that require capture?
Yes
No
How many open ended questons?
Would you like us to capture marginal comments?
Yes
No
Any special handling requirements for white mail?
Yes
No
Standard procedure for DGS is to review for critical alerts, collect and ship back to client at close of job
Please describe
Web Survey
Length of Survey?
How many questions?
Do you need a custom landing page other than log branding?
Yes
No
Are we using a printed invite with URL?
Yes
No
Are we using a email invite with URL?
Yes
No
How many email reminders?
Do you need email append service?
Yes
No
Would you like to use incentives for completed surveys?
Yes
No
Call Center
What type of services are needed?
Inbound
Outbound
IVR
What languages are required?
English
Spanish
Chinese
Korean
Other
Please list other languages
What hours of operation are needed for inbound?
Please include time zone
What is the sample size for initial dialing?
What is the source of the sample?
Client provided
DGS to secure
What are the outbound dialing times and days?
How many oubound attempts are needed?
Length of survey?
What is the sample incidence?
Do you require telephone append services?
Yes
No
Any special requirements for quota management?
Yes
No
Please describe quota management and if adjustments are permitted? If there is a grid available, please upload below.
Could you provide a quick overview of the project? We're interested to understand the population and the areas we'll be dialing.