Form Short Report Satis Short Report Satis Short Report Satisfaction Survey

OMB No. 0930-0197 · Expiration Date: 01/31/2011

Short Report Satisfaction Survey
OAS produces several series of Short Reports — The NSDUH Report, The DASIS Report, and The
DAWN Report. Our goal is to provide brief descriptions of analytic findings to our readers. In an effort to
ensure that these publications are meeting your needs, we ask that you take a few moments to fill out and
submit the brief survey below.
1. Please tell us how long you have been reading the OAS Short Reports. If you’re not sure, please give us your best guess.
___ number of years  OR  ___ number of months  OR  ___ this is my first issue

2. What do you usually do with the OAS Short Reports? Check all that apply.

o I refer to it/them frequently
o I refer to it/them occasionally
o I do not use it/them

o I retain it/them for possible future use
o I pass it/them on to others
o Other (please specify): ________________________________

3. In the boxes below, please check the space(s) that most nearly reflect which series you read and how often.
Series
NSDUH
DASIS
DAWN

Read
All of the Time

Read
Most of the Time

Read
Some of the Time

Don’t Read

o
o
o

o
o
o

o
o
o

o
o
o

4. How useful do you find the following features of the Short Report series?
Feature
“In Brief” box
Notes Section

Very Useful

Somewhat Useful

Not Very Useful

Never Read

o
o

o
o

o
o

o
o

5. In general, how easy to understand are the following features?
Feature
Numeric Tables
Graphs
Text

Very Easy

Somewhat Easy

Not Very Easy

o
o
o

o
o
o

o
o
o

6. In general, how satisfied are you with each of the characteristics of the short reports?
Characteristic

Very Dissatisfied

Dissatisfied

Neutral

Satisfied

Very Satisfied

Timeliness

o
o
o
o

o
o
o
o

o
o
o
o

o
o
o
o

o
o
o
o

Easy to
Understand

o

o

o

o

o

Easy-to-Find
Information

o

o

o

o

o

Relevance to Work
Accuracy
Comprehensiveness

7. What type of organization do you work for?

o Consultant/research
o Treatment provider
o Prevention service provider
o Criminal justice
o Advocacy group
o Government (circle one):

o Media/journalism
o Academia/student
o Academia/faculty, educator
o Library/reference service
o Self
o Other (please specify): _____________________

  Federal   State   County   Local

8. What additional topics would you like to see covered in short reports?

Thank you! We appreciate your comments.
Please fold the survey in half with the address
facing out. Please use tape only to secure before
placing in the mail. If you have any questions,
please call 240-276-1212.

Public Burden Statement: 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. The OMB control number for this project is 0930-0197. Public reporting
burden for this collection of information is estimated to average .083 hours per client per
year, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to SAMHSA Reports Clearance
Officer, 1 Choke Cherry Road, Room 7-1044, Rockville, Maryland, 20857.

ATTN: CUSTOMER FEEDBACK SURVEY
Office of Applied Studies SAMHSA
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Rockville MD 20850-9711
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