OMB No.: 0920-0735
Exp Date: 3/31/2010
*Note: Up to 4 questions will be used from this section. All questions will be either radio button, freeform, or rating scale.*
Male
Female
How old are you?
17 years old or younger
18-24 years old
25-34 years old
35-49 years old
50-64 years old
65 years old or older
What is your ethnicity?
Hispanic or Latino
Not Hispanic or Latino
What is your race? Check all that apply.
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
What is your highest level of education?
GED
High school diploma
Associates degree
4-year degree
Bachelors
Masters
Graduate degree
Post-graduate degree
Doctoral degree
Other: _________
Public reporting burden of this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. 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 CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0735)
In what country were you born?
What is(are) your primary language(s)?
In what country, state, county, and city do you currently live?
Would you describe the area in which you live as rural or urban?
Rural
Urban
I don’t know
*Note: Up to 6 questions will be used from this section. All questions will be either radio button, freeform, or rating scale.*
What is your job title and role?
Mother
Father
Stay-at-home parent
Primary Caregiver
General public
Retired
Self Employed
Non-Health Care Related
Non-Health Related Business/Industry
Office and Administrative Support
Manager
Business Owner or Operator
International
Architecture or Engineering
Arts, Design, Entertainment, Sports, or Media
Attorney or other Legal Professional
Building and Grounds Cleaning and Maintenance
Computer and Mathematical
Construction and Extraction
Correctional Institution
Food Preparation and Serving Related
Installation, Maintenance, and Repair
Insurance Company
Life, Physical, and Social Science
Protective Service and Safety Professional (Firefighter, EMT)
Sales and Related
Transportation and Material Moving
Farming, Fishing, Forestry, Ranching, or Agriculture
Government
Law Enforcement/Criminal Justice
Policy maker or their staff
Military
Federal Agency (not military)
Centers for Disease Control and Prevention (CDC)
FTE
Full-time Contractor
Part-time Vendor
Fellow
Grantee
Partner
Program
Research Grantees
Local or State government agency besides health department
State/Local Health Department
Health
Nursing Home
Clinic
Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner)
Healthcare Support
Hospital
Medical or Allied Health School or Library
Medical or Scientific researcher
Medicine
Staff at Hospital or Clinic
Nurse/Advanced Practice Nurse
Pharmacy, Physician Assistant
National Model [insert health topic] Center
Public Health
Epidemiologist
Health Communication
Health Education
Community/Patient Advocacy
Non-profit Organization
Community and Social Services
Community Based Organization (CBO)
Homeless Shelter
Education
Student
Student (Medicine and Allied Health Professions)
School District
Student (non-Medicine and non-Allied Health Professions)
Teacher/Educator
Librarian/Information Specialist
Other: __________________
How many children do you have and what are their ages?
Infants (less than 1 year)
Toddlers (1–4 years)
Youth (5–12 years)
Teens (13–18 years)
Adults (over 18 years)
How long have you worked in your current profession?
Less than one year
1 year
2 – 5 years
6 – 10 years
More than 10 years
What personal technology devices to you regularly use?
PDAs
iPod
Cell phone
Blackberry or Treo
Other: ______
On average, how much time do you spend using a computer each day?
More than 4 hours a day
1 – 4 hours a day
Less than 1 hour a day
Where do you use your computer most often?
At Home
At Work
At School
At Friend’s/Relative’s
At Library
Other: _______
Please tell us about the environment in which you typically use a computer/the Internet:
Noisy
Quiet
Indoor
Climate-controlled
Outdoor
[health topic specific]
[health topic specific]
[health topic specific]
Other:___________
How would you rate your computer experience?
Novice – I am new to computers and/or I only use one for a specific purpose
Low – I am somewhat new to computers and/or I am relatively comfortable with one or two software applications/programs (e.g. Microsoft Word, Excel, etc.).
Intermediate – I am comfortable with computers and/or I have learned and use between three and ten different software applications/programs.
Expert – I know my way around computers and/or I am comfortable troubleshooting most of the problems that arise with computers and/or I have used many different software applications and have some programming skills.
In general, what are the most frequent computer-related activities you do? (check all that apply)
Internet/Intranet
Software programs/applications. Please describe:
Other: __________
What resolution is your monitor set to?
To determine your resolution on a PC: 1. Minimize or close all applications; 2. Right-click on the background of your desktop, select Properties from the menu, select the Settings tab; 3. look for the Screen Area box. Resolution will be shown as “# by # pixels”
To determine your resolution on a Mac: 1. Click the Apple menu, select Control Panels and choose Monitors & Sound; 2. Click the Monitor icon; 3. Resolution should be displayed as “# by # pixels”
What percentage of your Internet time do you use for the following activities?
Email: _________
Web Surfing: _________
Shopping: __________
Instant Messaging: _________
Other: ________
What type of Internet connectivity do you have?
Dial-up
Cable modem
T1
Wireless
DSL (Digital Subscriber Line)
ISDN (Integrated Services Digital Network)
I don’t know
Other:___________
How much time do you spend using the World Wide Web/Internet per week (including office and personal use)?
Less than 1 hour
1 – 5 hours
6 – 10 hours
11 – 15 hours
More than 15 hours
Which activities have you performed online?
Ordered a product/service from a business, government or educational entity by filling out a form on the Web
Made a purchase online for more than $100
Created a Web page
Customized a Web page for yourself (e.g. MyYahoo, CNN Custom News)
Changed your browser's "startup" or "home" page
Changed your "cookie" preferences
Participated in an online chat or discussion (not including email)
Listened to a radio broadcast online
Made a telephone call online
Used a nationwide online directory to find an address or telephone number
Taken a seminar or class about the Web or Internet
Bought a book to learn more about the Web or Internet
Used Online Help
Download audio / video files
Subscribe to email alerts when content changes
Participate in message boards / chats / blogs
Attend online training seminars
Personalize / customize web pages
Download podcasts
Subscribe to RSS feeds
Text message others
Other: ____________
How often do you usually connect to the Internet via a wireless connection?
Daily
Weekly
Monthly
Almost never
I don’t know
How would you rate your level of experience when it comes to finding information on the Internet?
Novice – I am new to finding information on the Internet and/or I only use the Internet to find one specific type of information
Low – I am somewhat new to finding information on the Internet and/or I am relatively comfortable with finding information on the Internet for one or two subjects
Intermediate – I am comfortable with finding information on the Internet and/or I have used the Internet to find between three and ten different types of Information
Expert – I know my way around finding information on the Internet and/or I am comfortable troubleshooting most of the problems that arise when finding information on the Internet and/or I regularly find information on the Internet on a variety of topics
Core Questions
*Note: Up to 15 questions will be used from this section. All questions will be either radio button, freeform, or rating scale.*
Specific [insert health topic] information for someone else (loved one, family member, patient, client, etc.)
Vaccination information
Professional training/education materials
Patient education materials
Clinical information/resources
Hospitals, doctors offices, or clinics located near me
Symptoms
Treatment
Prevention
Data or statistics
Registries and Surveillance
Fact Sheets
Partners (e.g. Public Health collaborators, Research collaborators, etc)
Events
Training
Outbreak information
Publications
Health Disparities
Legislation
Diagnostic tools/aids
Information in other languages
Program information
Research activities (e.g. intramural, extramural)
News
Funding opportunities (e.g. grant, cooperative agreement)
Recommendations/Guidelines
Meeting/Conference information
Caregiver resources
Partner/Other Organization opportunities and resources
Best Practices/Success Stories
General Health Information including prevention and/or treatment
Other (please specify): ______________________________
Where do you typically acquire [insert health topic] information? Which do you use most? Least?
Internet/Web
Radio
T.V.
Journal articles
Textbooks
Library
Brochures, Pamphlets
Healthcare provider (Doctor, Nurse, etc.)
Friend
Family
Online library
Online journals
Listservs
Newsletters
Magazines
Newspapers
Don’t consult sources
Other: _______
Search engine (Examples: Google, Yahoo.)
Specific websites/pages/applications
Online Newsletters of Listservs
Other (please specify): ______________________________
Which website/page/applications do you find useful for acquiring health-related information?
HHS (Department of Health and Human Services)
CDC (Centers for Disease Control and Prevention)
NIH (National Institutes of Health)
WebMD
Yahoo! Health
[insert health topic] specific partner’s website
[insert health topic] specific partner’s website
[insert health topic] specific website
[insert health topic] specific website
Other: ________
How do you usually find and select websites - and specific pages on those websites - when researching [insert health topic] information? [Check all that apply.]
I choose specific websites that I am already familiar with
I choose websites that appear on search engines (e.g., Yahoo, Google)
I click banner ads or referring links from other websites
I use a health section on a portal website (e.g., MSN Health, Yahoo! Health)
I choose websites recommended by friends / colleagues / family members
I look at general health websites (e.g., WebMD, MayoClinic)
I look at specific drug or treatment websites (e.g., Advair.com, Flovent.com)
I look at disease-specific consumer advocacy websites (e.g., AAFA.org)
I look at disease-specific medical association websites (e.g., aaaai.org)
I look at government health websites (e.g., CDC, NIH)
I look at websites mentioned in TV, news, or radio reports
I look at websites mentioned in publications I read
Other: _________________
Have you ever visited the CDC website before?
Yes
No
I’m not sure
Who do you think is the main audience for the CDC website?
Is there any other way you have obtained information from CDC besides using their website?
Have you ever visited the CDC [insert health topic] website/page/application before?
Yes
No
I’m not sure
If yes, how often do you visit the CDC [insert health topic] website/page/application?
Yearly
Monthly
Weekly
Daily
What was the reason you visited the CDC [insert health topic] website/page/application today? How did you get here?
Specific [insert health topic] information for myself
Specific [insert health topic] information for someone else (loved one, family member, patient, client, etc.)
Vaccination information
Professional training/education materials
Patient education materials
Clinical information/resources
Hospitals, doctors offices, or clinics located near me
Symptoms
Treatment
Prevention
Data or statistics
Registries and Surveillance
Fact Sheets
Partners (e.g. Public Health collaborators, Research collaborators, etc)
Events
Training
Outbreak information
Publications
Health Disparities
Legislation
Diagnostic tools/aids
Information in other languages
Program information
Research activities (e.g. intramural, extramural)
News
Funding opportunities (e.g. grant, cooperative agreement)
Recommendations/Guidelines
Meeting/Conference information
Caregiver resources
Partner/Other Organization opportunities and resources
Best Practices/Success Stories
Public Health program specific resources
General Health Information including prevention and/or treatment
Other (please specify): ______________________________
Were you able to find what you were looking for?
Yes
No
Partially
Still looking
Does the depth of information on this website provide:
Too much detail
Just the right amount of detail
Not enough detail
In your own words, what is the main purpose of the CDC [insert health topic] website?
Describe the CDC [insert health topic] website/page/application home page.
Specific [insert health topic] information for someone else (loved one, family member, patient, client, etc.)
Vaccination information
Professional training/education materials
Patient education materials
Clinical information/resources
Hospitals, doctors offices, or clinics located near me
Symptoms
Treatment
Prevention
Data or statistics
Registries and Surveillance
Fact Sheets
Partners (e.g. Public Health collaborators, Research collaborators, etc)
Events
Training
Outbreak information
Publications
Health Disparities
Legislation
Diagnostic tools/aids
Information in other languages
Program information
Research activities (intramural and extramural)
News
Funding opportunities
Meeting/Conference information
Caregiver resources
Partner/Other Organization opportunities and resources
Best Practices/Success Stories
Recommendations/Guidelines
Public Health program specific resources
General Health Information including prevention and/or treatment
A means to provide questions, feedback or comments
Press Releases
Forms
Other (please specify): ____________________
How do you generally use the information from the [insert health topic] website/page/application?
Read online
Print for reference
Print for hand-out
Email to others
Refer others to the website
Other ________________
I think the CDC [insert health topic] website/page/application is:
Credible
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Scientific
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Up-to-date
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Relevant to current events
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Research-based
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Easy to understand
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Useful for researching
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Useful for making health decisions
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Related to my profession
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Action-oriented
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
*There will be no more than 10 activity questions relevant to the specific website/page/application. Respondents will be asked to click through the specific website/page/application to complete the activities. For each activity question, there will be a series of follow up questions to evaluate the participant’s ease or difficulty in finding the answer to the question. An example of a task question and follow up questions is shown below. All questions will be either radio button, freeform, or rating scale.*
Now we are going to ask you to perform some tasks on the website. For each task, the page presented will be reset to the CDC [insert health topic] website/page/application Home page. Please start your task from this page. Click “Next” to proceed to the first task.
[Example Activity 1 of 10] Use the CDC website to determine [e.g. the current phase of an influenza pandemic].
I was able to complete the task by using the website.
I was able to complete the task by recalling prior knowledge or using another website.
I was not able to complete the task.
I think I was able to complete the task but I’m not sure.
[Follow up question 1] Regardless of whether you think you completed the task correctly, what is the title of the last Web page you visited?
[insert health topic] specific Web page title
[insert health topic] specific Web page title
[insert health topic] specific Web page title
[insert health topic] specific Web page title
Other: _________
[Example Follow up question 2] What is [e.g. the current phase of an influenza pandemic]?
Phase 1
Phase 2
Phase 3
Other: __________
[Follow up question 3] Please rate the USEFULNESS of the information on this Web page scale of 1 to 10.
Strongly disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree
[Follow up question 4] Please rate the EASE OF FINDING of the information on this Web page scale of 1 to 10.
Strongly disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree
[Follow up question 5] What difficulties and frustrations, if any, did you encounter in completing this task?
Link labels were unclear
Information was unclear
I was lost on the website
The task took too long to complete
There were too many link choices
Links did not go where I expected them to go
The information was not where I thought it would be
I could not find the information
The search function was difficult to use
The information was available but not complete
Information on a topic was located in more than one place on the website
I had no difficulties or frustrations in completing this task
The link was broken
The Web page was outdated
Other (please specify): _______________________
[Follow up question 6] Which link labels were unclear? What alternate names would be better?
[Continue with up to 9 more activity questions and follow up questions.]
*Note: Up to 10 questions will be used from this section. All questions will be either radio button, freeform, or rating scale.*
What is the main purpose of the CDC [insert health topic] website?
Did you learn anything new from visiting the CDC [insert health topic] website/page/application?
After viewing this website/page/application, do you plan to change your practices regarding [insert health topic] screening? Why or why not?
Please describe any difficulties you encountered when trying to complete tasks on this website/page/application.
Overall what did you like MOST about the website?
Overall what did you like LEAST about the website?
How useful is the [insert health topic] website/page/application to you as
A repository of [insert health topic] information
A tool for doing your work for the [insert health topic] program
A tool for collaborating with other [insert health topic] grantees
A resource for your staff
A resource for your partners (e.g. Public Health collaborators, Research collaborators, etc)
A tool for school
A way to understand [insert health topic]
A resource for your family and friends
A resource for yourself
With which grantees do you regularly interact?
CDC grantees
NIH grantees
All Federal government grantees
[insert health topic specific]
[insert health topic specific]
Other: ______
Would you recommend the CDC [insert health topic website/page/application] to anyone? Who? Why?
Who do you think would find this website/page/application most useful?
Mother
Father
Stay-at-home parent
Primary Caregiver
General public
Retired
Self Employed
Non-Health Care Related
Non-Health Related Business/Industry
Office and Administrative Support
Manager
Business Owner or Operator
International
Architecture or Engineering
Arts, Design, Entertainment, Sports, or Media
Attorney or other Legal Professional
Building and Grounds Cleaning and Maintenance
Computer and Mathematical
Construction and Extraction
Correctional Institution
Food Preparation and Serving Related
Installation, Maintenance, and Repair
Insurance Company
Life, Physical, and Social Science
Protective Service and Safety Professional (Firefighter, EMT)
Sales and Related
Transportation and Material Moving
Farming, Fishing, Forestry, Ranching, or Agriculture
Government
Law Enforcement/Criminal Justice
Policy maker or their staff
Military
Federal Agency (not military)
Centers for Disease Control and Prevention (CDC)
FTE
Full-time Contractor
Part-time Vendor
Fellow
Grantee
Partner
Program
Research Grantees
Local or State government agency besides health department
State/Local Health Department
Health
Nursing Home
Clinic
Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner)
Healthcare Support
Hospital
Medical or Allied Health School or Library
Medical or Scientific researcher
Medicine
Staff at Hospital or Clinic
Nurse/Advanced Practice Nurse
Pharmacy, Physician Assistant
National Model [insert health topic] Center
Public Health
Epidemiologist
Health Communication
Health Education
Community/Patient Advocacy
Non-profit Organization
Community and Social Services
Community Based Organization (CBO)
Homeless Shelter
Education
Student
Student (Medicine and Allied Health Professions)
School District
Student (non-Medicine and non-Allied Health Professions)
Teacher/Educator
Librarian/Information Specialist
Other: __________________
Is the information on this website/page/application up to date? Please explain your answer.
Yes
No
I don’t know
What information did you expect to find on the CDC [insert health topic] website/page/application but did not?
What information and/or functions would you like to see included or highlighted on this website/page/application?
Specific [insert health topic] information for myself
Specific [insert health topic] information for someone else (loved one, family member, patient, client, etc.)
Vaccination information
Professional training/education materials
Patient education materials
Clinical information/resources
Hospitals, doctors offices, or clinics located near me
Symptoms
Treatment
Prevention
Data or statistics
Registries and Surveillance
Fact Sheets
Partners (e.g. Public Health collaborators, Research collaborators, etc)
Events
Training
Outbreak information
Publications
Health Disparities
Legislation
Diagnostic tools/aids
Information in other languages
Program information
Research activities (intramural and extramural)
News
Funding opportunities
Meeting/Conference information
Caregiver resources
Partner/Other Organization opportunities and resources
Best Practices/Success Stories
Recommendations/Guidelines
Public Health program specific resources
General Health Information including prevention and/or treatment
Other (please specify): ____________
Did the link labels on this website seem intuitive and appropriate? Which ones did not? Please explain your answer.
Was the website organized in a way that made it easy for you to find information? Please explain your answer.
Please rate the following statements.
Overall, I found the website was easy to use
I found the link labels and terms used in the website clear.
The health information on this website/page/application was presented in a manner that I could understand.
It was easy to find the information I was looking for on this website.
This website was aesthetically pleasing.
The website contained useful information.
I would use this website as my primary source for [insert health topic] information.
The organization of information within the categories (e.g. Basic Information, Data & Statistics, etc.) were appropriate.
The browsing conditions during the test were optimal.
I trust the information I found on this website.
Which version of the [insert health topic] website/application did you prefer?
Version 1
Version 2
Version 3
Version 4
No Preference
Which version of the [insert health topic] website/application was easier to use?
Version 1
Version 2
Version 3
Version 4
No Preference
Which version of the [insert health topic] website/application was more visually appealing?
Version 1
Version 2
Version 3
Version 4
No Preference
Did using this website/application/pages require any new skills or challenges? If Yes, please explain.
Yes
No
Were you able to concentrate and avoid disruption while using this website/application/pages?
Yes
No
When completing the tasks did you feel in control of finding the information?
Yes
No
Describe your experience finding the information.
Would you describe finding the information as fast or slow?
Fast
Slow
Were there any factors that may have slowed down your progress?
Small font
Bad mouse
Slow browser
Confusing terminology
Other (please specify)
Did you find the information correct or incorrect?
Correct
Incorrect
Did the website/application provide adequate on-screen help?
Did you always know where you were within the website/application?
Yes
No
Did it take a long or short time to find the information?
Long
Short
How do you prefer to navigate this website?
Search
Menu structure
Text links
Combination
Other: ________
No preference
Did you encounter difficulties navigating the website, and if so, what was the primary issue?
I did not encounter any difficulties navigating the website
Could not determine the best link on most pages
Links did not take me where I expected
Difficulty finding related information
Technical difficulties (e.g., broken links, error messages, etc.)
Too many links or navigational choices
Links/icons/labels are difficult to understand
Navigated to the general area but could not find the specific content I needed
Other: ________
Did you encounter difficulties with the Search feature, and if so, what was the primary issue?
I did not encounter any difficulties with the search functionality
Too many results
I was not sure what words to use in my search
The descriptions/abstracts were not helpful
The results were not relevant to my search terms
The search returned no results
The results were not relevant to my needs
Search speed was too slow
Other: ________
What is the primary way you get information about [insert health topic] to use for your job? (Examples: textbook, curriculum, colleagues, searching online)
In general, what information or resources do you need to do an effective job? What are the primary tools and/or software you use to do your job?
Can you describe a time when you went to a website to acquire [insert health topic] resources? Specifically why did you go to the website? What were you hoping to find there? What did you like or not like about the experience?
What is the best way to inform other [user type] that this website/application exists?
In what aspect of your job do you find the [insert health topic] website/application assists you? Please explain.
I want to understand how information flows through your group in order for you to do your job. Who are the primary people you interact with and how/why?
Explain to me the steps involved in completing [a specific task]. What do you need before you begin? Where or from whom do you get that information?
Based on what you saw today, how would you describe the [insert health topic] website/page/application to someone else?
In what situations (if at all) would you find this website useful?
OMB No.: 0920-0735
Expiration Date: 3/31/2010
Example Survey
Welcome Screen
Welcome! Thank you for agreeing to help The Centers for Disease Control and Prevention (CDC) evaluate their website. Your feedback is extremely important. We anticipate that it will take approximately 30 minutes to complete this questionnaire.
The first few questions will be about your purpose for using the CDC website. Then we will ask you to perform some tasks on the website. We are not testing your abilities in any way; we are only testing the CDC website to see how well it works. Please use the website/page/application in whatever manner is comfortable and normal for you.
Your responses to all questions will be kept in a secure manner. No personal identifiers will be recorded. All information is used for evaluation purposes only and does not involve sales of any kind. CDC does not plan to share the data with anyone outside CDC.
Click “Continue” to begin. To proceed through the survey, select your answer for each question and click “Next.”
Survey Questions
Demographic and Introductory Questions
We would like to start by asking you some introductory questions. After these questions you may be asked to do a few tasks on the CDC website.
We would like to get some demographic information about you. This information is for evaluation purposes only, and all responses will be kept in a secure manner. No personal identifiers will be stored with or linked to this information.
Are you male or female?
Male
Female
How old are you?
17 years old or younger
18-24 years old
25-34 years old
35-49 years old
50-64 years old
65 years old or older
What is your profession?
Mother
Father
Government
Policy maker or their staff
State/Local Health Department
Health
Nursing Home
Clinic
Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner)
Hospital
Public Health
Epidemiologist
Health Communication
Health Education
Other
On average, how much time do you spend using a computer each day?
More than 4 hours a day
1 – 4 hours a day
Less than 1 hour a day
In general, what are the most frequent computer-related activities you do? (check all that apply)
Internet/Intranet
Software programs/applications. Please describe:
Other: __________
Core Questions
Professional training/education materials
Patient education materials
Partners (e.g. Public Health collaborators, Research collaborators, etc)
Events
Training
Legislation
News
Meeting/Conference information
Partner/Other Organization opportunities and resources
Other (please specify): ______________________________
Which websites do you find useful for acquiring health-related information in the Internet?
HHS (Department of Health and Human Services)
CDC (Centers for Disease Control and Prevention)
NIH (National Institutes of Health)
WebMD
Yahoo! Health
[insert health topic] specific partner’s website
[insert health topic] specific partner’s website
[insert health topic] specific website
[insert health topic] specific website
Other: ________
Have you ever visited the CDC website before?
Yes
No
I’m not sure
Activity/Task Questions
Now we are going to ask you to perform three tasks on the website. For each task, the page presented will be reset to the CDC website Home page. Please start your task from this page. Click “Next” to proceed to the first task.
Activity 1: Use the CDC website to find information on Diabetes.
I was able to complete the task by using the website.
I was able to complete the task by recalling prior knowledge or using another website.
I was not able to complete the task.
I think I was able to complete the task but I’m not sure.
What are some things you can do to prevent diabetes?
Please rate the USEFULNESS of the information on this Web page scale of 1 to 10.
Not useful 1 2 3 4 5 6 7 8 9 10 Extremely Useful
Please rate the EASE OF FINDING of the information on this Web page scale of 1 to 10.
Not easy 1 2 3 4 5 6 7 8 9 10 Extremely Easy
What difficulties and frustrations, if any, did you encounter in completing this task?
Link labels were unclear
Information was unclear
I was lost on the website
The task took too long too complete
There were too many link choices
Links did not go where I expected them to go
The information was not where I thought it would be
I could not find the information
The search function was difficult to use
The information was available but not complete
Information on a topic was located in more than one place on the website
I had no difficulties or frustrations in completing this task
Other (please specify): _______________________
Activity 2: Use the CDC website to find out how many women in Maryland died from lung cancer in 2002.
I was able to complete the task by using the website.
I was able to complete the task by recalling prior knowledge or using another website.
I was not able to complete the task.
I think I was able to complete the task but I’m not sure.
How many women in Maryland died from lung cancer in 2002?
247
1090
1333
10,660
Please rate the USEFULNESS of the information on this Web page scale of 1 to 10.
Strongly disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree
Please rate the EASE OF FINDING of the information on this Web page scale of 1 to 10.
Strongly disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree
What difficulties and frustrations, if any, did you encounter in completing this task?
Link labels were unclear
Information was unclear
I was lost on the website
The task took too long too complete
There were too many link choices
Links did not go where I expected them to go
The information was not where I thought it would be
I could not find the information
The search function was difficult to use
The information was available but not complete
Information on a topic was located in more than one place on the website
I had no difficulties or frustrations in completing this task
Other (please specify): _______________________
Activity 3: Use the CDC website to determine whether you need a Yellow Fever vaccination if you are traveling to Chile.
I was able to complete the task by using the website.
I was able to complete the task by recalling prior knowledge or using another website.
I was not able to complete the task.
I think I was able to complete the task but I’m not sure.
Do you need a vaccination for Yellow Fever vaccination if you are traveling to Chile?
Yes
No
Please rate the USEFULNESS of the information on this Web page scale of 1 to 10.
Strongly disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree
Please rate the EASE OF FINDING of the information on this Web page scale of 1 to 10.
Strongly disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree
What difficulties and frustrations, if any, did you encounter in completing this task?
Link labels were unclear
Information was unclear
There were too many link choices
Links did not go where I expected them to go
The information was not where I thought it would be
Information on a topic was located in more than one place on the website
I had no difficulties or frustrations in completing this task
Other (please specify): _______________________
Follow up Questions
We'd like to conclude the survey by asking about the experience you just had on the website.
Did you learn anything new from visiting the CDC [insert health topic] website/page/application?
Overall what did you like MOST about the website?
Overall what did you like LEAST about the website?
What information and/or functions would you like to see included or highlighted on this website/page/application?
D
Please rate the following statements on a scale of 1 to 10.
Strongly disagree 1 2 3 4 5 6 7 8 9 10 Strongly Agree
The health information on this website/page/application was presented in a manner that I could understand. _____
It was easy to find the information I was looking for on this website. _____
This website was aesthetically pleasing. _____
The website contained useful information. _____
I would use this website as my primary source for [insert health topic] information. _____
I trust the information I found on this website. _____
Did you encounter difficulties with the Search feature, and if so, what was the primary issue?
I did not encounter any difficulties with the search functionality
Too many results
I was not sure what words to use in my search
The descriptions/abstracts were not helpful
The results were not relevant to my search terms
The search returned no results
The results were not relevant to my needs
Search speed was too slow
Other: ________
Please share any additional comments you have about this website/page/application.
Thank you Message
Thank you! You have completed the survey. We appreciate your participation in this evaluation. We value your input and look forward to using your feedback to help us in our ongoing effort to improve our website/page/application.
Example Screen Shot of a Welcome Screen
Example Screen Shot of a Survey Question
During the survey, participants read the task question on the left side of the screen, click through the live website on the right side of the screen, and then select their answer from the choices on the left side of the screen.
File Type | application/msword |
Author | PHPPO_User |
Last Modified By | shari steinberg |
File Modified | 2008-12-01 |
File Created | 2008-12-01 |