Form #6 Glossary feedback questionnaire

Eisenberg Center Voluntary Customer Survey Generic Clearance for the AHRQ

Attachment D -- Glossary feedback questionnaire

Eisenberg Center Customer Satisfaction Survey for the Effective Health Care Program

OMB: 0935-0128

Document [doc]
Download: doc | pdf


For this word that you looked up in the Glossary, please tell us what you thought about the definition that was provided for the word using the rating scale provided below.


1

No Help

2

Some Help

3

Great Help

4

No Opinion

How much did this definition help you understand the word? 

In your opinion, what could we do to improve this definition?








Please tell us what you thought of the Glossary and whether it was of value to you in understanding information that was provided in the Summary Guides or other material that you may have looked at on this Web site.


1

Strongly Disagree

2


Disagree

3


Neutral

4


Agree

5

Strongly Agree

There were definitions for every word that I did not understand.

The definitions improved my understanding of the words.

The example sentence improved my understanding of the words.

It was easy to find the words that I needed defined.

It was easy to return from the glossary to the original page that I was reading.

There were words missing from the glossary?

YES


NO

If Yes, please tell us what words you think might be added to the glossary.




In your opinion, what could we do to improve this glossary? (please provide your suggestions below)





Form Approved
OMB No. 0935-0128
Exp. Date XX/XX/20XX

Public reporting burden for this collection of information is estimated to average 5 minutes per response, the estimated time required to complete the survey. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-0128) AHRQ, 540 Gaither Road, Room # 5036, Rockville, MD 20850.



File Typeapplication/msword
File TitleFor this word that you looked up in the Glossary, please tell us what you thought about the definition that was provided for the
AuthorHP Authorized Customer
Last Modified Bywcarroll
File Modified2009-07-01
File Created2009-03-27

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