Measures Name/Client name (CDs and Answer choices) | ||||||||||||||||
FCG | ||||||||||||||||
QID (Group ID) |
Skip Logic Label | Question Text | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Special Instructions | CQ Label | |||||||
KFB07695 | Which of the following role best describes you? | Federal employee | A | Radio button, one-up vertical | Single | Y | Best Describes Role | |||||||||
Government Contractor (Supplier) | ||||||||||||||||
Government Contractor (IT Support) | ||||||||||||||||
Government Contractor (Management Consultant) | ||||||||||||||||
Government Contractor (Coach) | ||||||||||||||||
Government Contractor (Call Center Staff) | ||||||||||||||||
Private Sector (Supplier) | ||||||||||||||||
Private Sector (IT Support) | ||||||||||||||||
Private Sector (Management Consultant) | ||||||||||||||||
Private Sector (Coach) | ||||||||||||||||
Private Sector (Call Center Staff) | ||||||||||||||||
Military (General/Admiral) | ||||||||||||||||
Military (Colonel/Captain/Lt. Colonel/Commander) | ||||||||||||||||
Military (Major/Commander) | ||||||||||||||||
Academic (instructor, professor, lecturer, researcher) | ||||||||||||||||
General public | ||||||||||||||||
Media | ||||||||||||||||
Other, please specify | B | |||||||||||||||
KFB07696 | A | If you are a Federal employee, what best describes your grade level? | SES | Radio button, one-up vertical | Single | N | Best Describes_Grade | |||||||||
GS-14/15 | ||||||||||||||||
GS-12/13 | ||||||||||||||||
Other | ||||||||||||||||
KFB07697 | B | If you are not any of these roles listed above, what other role best describes you? | Text area, no char limit | N | Best Describes Role_Other | |||||||||||
KFB07698 | What is your primary reason for visiting this site today? | To learn more about FCG | Radio button, one-up vertical | Single | Y | Primary Reason | ||||||||||
To look for Consulting Services | ||||||||||||||||
To look for Coaching Services | ||||||||||||||||
To register for seminars | ||||||||||||||||
To get contact information | ||||||||||||||||
To register for Communities of practice | ||||||||||||||||
To look for ACSI information/ services | ||||||||||||||||
To browse/ see what's new | ||||||||||||||||
Other, please specify | A | |||||||||||||||
KFB07699 | A | Please specify the other reason you are visiting the site: | Text area, no char limit | Primary Reason_Other | ||||||||||||
KFB07700 | How frequently do you visit this site? | First time | Radio button, one-up vertical | Single | Y | Frequency | ||||||||||
More than once a day | ||||||||||||||||
Daily | ||||||||||||||||
About once a week | ||||||||||||||||
About once a month | ||||||||||||||||
Every 6 months or less | ||||||||||||||||
KFB07701 | Which parts of the site are you primarily visiting today? | What we do part of site | Checkbox, one-up vertical | Multi | N | Parts of Site Visiting | ||||||||||
Who we are part of site | ||||||||||||||||
The 'Resources' part of the site | ||||||||||||||||
The 'News' (events, seminars) part of the site | ||||||||||||||||
FAQ page | ||||||||||||||||
ACSI Results | ||||||||||||||||
Consulting Services | ||||||||||||||||
Coaching Services | ||||||||||||||||
Other | ||||||||||||||||
KFB07702 | Did you find the information that you were looking for today? | Yes | Radio button, one-up vertical | Single | Y | Find Information | ||||||||||
No. Please specify what you were looking for: | A | |||||||||||||||
Still looking | ||||||||||||||||
KFB07703 | A | Other information you could not find: | Text area, no char limit | N | Find Information_Other | |||||||||||
KFB07704 | How did you find out about this site? | External Search Engine (Google, Yahoo etc) | Radio button, one-up vertical | Single | Y | Find Out About Site | ||||||||||
USA.gov or USA.gov Search | ||||||||||||||||
Email/ email newsletters | ||||||||||||||||
Federal agency colleague | ||||||||||||||||
Publications | ||||||||||||||||
Conference | ||||||||||||||||
FCG Seminars and/or workshops | ||||||||||||||||
Print Ad | ||||||||||||||||
Other | ||||||||||||||||
KFB07705 | Are you a current FCG customer? | Yes | Radio button, one-up vertical | Single | Y | Current Customer | ||||||||||
No | ||||||||||||||||
Plan to become a customer in the future | ||||||||||||||||
Do not plan to become a customer in the future | ||||||||||||||||
KFB07706 | What improvements and/or additional information would you like to see on this site? | Text area, no char limit | N | Improvements and Information | ||||||||||||
KFB07707 | How did you primarily look for information on the site today? | Top navigation bar | Radio button, one-up vertical | Single | Y | Look For Info | ||||||||||
Left-hand side navigation bar | ||||||||||||||||
Links within page text | ||||||||||||||||
Site map | ||||||||||||||||
Search box | ||||||||||||||||
KFB07708 | Please describe your site experience today. | I had no problem browsing through the site | Radio button, one-up vertical | Single | Y | Site Experience | ||||||||||
I found the general area but could not find specific information | ||||||||||||||||
Links did not take me to what I was looking for | ||||||||||||||||
Too many links or navigational choices | ||||||||||||||||
I found links that did not work | ||||||||||||||||
Other | A | |||||||||||||||
KFB07709 | A | Please describe any other experience you had: | Text area, no char limit | n | Site Experience_Other | |||||||||||
KFB07710 | How would you rate your familiarity with social media on the web? Flickr |
View and contribute often | Drop down, select one | Single | y | Multiple Lists Group | SM_Familiar | |||||||||
View often and contribute occasionally | ||||||||||||||||
View often but don’t contribute | ||||||||||||||||
View and contribute occasionally | ||||||||||||||||
View occasionally but don’t contribute | ||||||||||||||||
No familiarity | ||||||||||||||||
KFB07711 | View and contribute often | Drop down, select one | Single | y | Multiple Lists Group | SM_Facebook | ||||||||||
View often and contribute occasionally | ||||||||||||||||
View often but don’t contribute | ||||||||||||||||
View and contribute occasionally | ||||||||||||||||
View occasionally but don’t contribute | ||||||||||||||||
No familiarity | ||||||||||||||||
KFB07712 | YouTube | View and contribute often | Drop down, select one | Single | y | Multiple Lists Group | SM_YouTube | |||||||||
View often and contribute occasionally | ||||||||||||||||
View often but don’t contribute | ||||||||||||||||
View and contribute occasionally | ||||||||||||||||
View occasionally but don’t contribute | ||||||||||||||||
No familiarity | ||||||||||||||||
KFB07713 | View and contribute often | Drop down, select one | Single | y | Multiple Lists Group | SM_Twitter | ||||||||||
View often and contribute occasionally | ||||||||||||||||
View often but don’t contribute | ||||||||||||||||
View and contribute occasionally | ||||||||||||||||
View occasionally but don’t contribute | ||||||||||||||||
No familiarity | ||||||||||||||||
IRS Sat Survey | ||||||||||||||||
CWS03941 | B | What specific search term(s) did you use to find information on our site? | Open-ended | Y | ||||||||||||
VA My HealtheVet | ||||||||||||||||
Have you ever printed out any information from My HealtheVet? | Yes | A | Radio button, one-up vertical | Single | Y | |||||||||||
No | ||||||||||||||||
A | I have printed the following from My HealtheVet: (Check all that apply) | My medication list | Checkbox, one-up vertical | Multi | Y | |||||||||||
Information about myself that I collected at home (such as blood sugar, blood pressure, or weight) | ||||||||||||||||
Information I entered in my Food or Activity Journals | ||||||||||||||||
My health calendar | ||||||||||||||||
Wellness Reminders | ||||||||||||||||
Information about health (such as an article or information from the medical library) | ||||||||||||||||
Information about VA benefits | ||||||||||||||||
Other, please specify | B | |||||||||||||||
B | What other information have you printed? | Text area, no char limit | N | |||||||||||||
Have you ever saved any information from My HealtheVet to your computer? | Yes | A | Radio button, one-up vertical | Singly | Y | |||||||||||
No | ||||||||||||||||
A | I have saved the following from My HealtheVet to my computer: (Check all that apply) | My medication list | Checkbox, one-up vertical | Multi | Y | |||||||||||
Information about myself that I collected at home (such as blood sugar, blood pressure, or weight) | ||||||||||||||||
Information I entered in my Food or Activity Journals | ||||||||||||||||
My health calendar | ||||||||||||||||
Wellness Reminders | ||||||||||||||||
Information about health (such as an article or information from the medical library) | ||||||||||||||||
Information about VA benefits | ||||||||||||||||
Other, please specify | B | |||||||||||||||
B | What other information have you saved to your computer? | |||||||||||||||
Have you ever sent information from My HealtheVet to another person? | Yes | A | Radio button, one-up vertical | Single | Y | |||||||||||
No | ||||||||||||||||
A | I have sent the following information from My HealtheVet to another person: (Check all that apply) | My medication list | Checkbox, one-up vertical | Multi | Y | |||||||||||
Information about myself that I collected at home (such as blood sugar, blood pressure, or weight) | ||||||||||||||||
Information I entered in my Food or Activity Journals | ||||||||||||||||
My health calendar | ||||||||||||||||
Wellness Reminders | ||||||||||||||||
Information about health (such as an article or information from the medical library) | ||||||||||||||||
Information about VA benefits | ||||||||||||||||
Other, please specify | B | |||||||||||||||
B | What other information did you send to another person? | Text area, no char limit | ||||||||||||||
Would you save information from your Personal Health Record to some place outside of My HealtheVet If you could? | Yes | A | Radio button, one-up vertical | Single | Y | |||||||||||
No | ||||||||||||||||
Not sure | A | |||||||||||||||
I would not find this useful | ||||||||||||||||
A | I would: (check all that apply): | Save the information to another place (for example, by copying to a file on my computer) | Checkbox, one-up vertical | Multi | Y | |||||||||||
Give the electronic information to my non-VA provider | ||||||||||||||||
Share the information with a family member or friend | ||||||||||||||||
Put the information into another Personal Health Record | ||||||||||||||||
Use the information with another program (for example, to check for drug interactions) | ||||||||||||||||
Put the information in another website (for example, to receive customized care recommendations or to use other kinds of tools) | ||||||||||||||||
Other, please specify | B | |||||||||||||||
B | Where else would you like to save information? | |||||||||||||||
U.S. Department of State/ | Travel.State Satisfaction Survey v2 | |||||||||||||||
Do you visit this site to learn about major events or crises abroad?” | Yes | B | Radio Button One Up Vertical | Single | Y | |||||||||||
No | ||||||||||||||||
B | What is the best way for us to provide this type of information? | Text area, no char limit | N | |||||||||||||
Embassy Enterprise IIP | ||||||||||||||||
B | What were you looking for? | |||||||||||||||
Holocaust Memorial Museum | ||||||||||||||||
Country of Residence | Afghanistan | Drop down, select one | Single | Y | OPS Group | |||||||||||
Albania | ||||||||||||||||
Algeria | ||||||||||||||||
Argentina | ||||||||||||||||
Australia | ||||||||||||||||
Austria | ||||||||||||||||
Azerbaijan | ||||||||||||||||
Bahrain | ||||||||||||||||
Bangladesh | ||||||||||||||||
Belarus | ||||||||||||||||
Belgium | ||||||||||||||||
Belize | ||||||||||||||||
Benin | ||||||||||||||||
Bolivia | ||||||||||||||||
Bosnia/Herzegovina | ||||||||||||||||
Brazil | ||||||||||||||||
Brunei Darussalam | ||||||||||||||||
Bulgaria | ||||||||||||||||
Burkina Faso | ||||||||||||||||
Cameroon | ||||||||||||||||
Canada | ||||||||||||||||
Chad | ||||||||||||||||
Chile | ||||||||||||||||
China | ||||||||||||||||
Colombia | ||||||||||||||||
Comoros | ||||||||||||||||
Costa Rica | ||||||||||||||||
Côte D'Ivoire | ||||||||||||||||
Croatia | ||||||||||||||||
Cuba | ||||||||||||||||
Czech Republic | ||||||||||||||||
Denmark | ||||||||||||||||
Djibouti | ||||||||||||||||
Dominican Republic | ||||||||||||||||
Ecuador | ||||||||||||||||
Egypt | ||||||||||||||||
El Salvador | ||||||||||||||||
Equatorial Guinea | ||||||||||||||||
Estonia | ||||||||||||||||
Finland | ||||||||||||||||
France | ||||||||||||||||
Gabon | ||||||||||||||||
Gambia | ||||||||||||||||
Georgia | ||||||||||||||||
Germany | ||||||||||||||||
Greece | ||||||||||||||||
Guatemala | ||||||||||||||||
Guinea | ||||||||||||||||
Guinea& Bissau | ||||||||||||||||
Guyana | ||||||||||||||||
Holy See/Vatican | ||||||||||||||||
Honduras | ||||||||||||||||
Hong Kong | ||||||||||||||||
Hungary | ||||||||||||||||
Iceland | ||||||||||||||||
India | ||||||||||||||||
Indonesia | ||||||||||||||||
Iran | ||||||||||||||||
Iraq | ||||||||||||||||
Ireland | ||||||||||||||||
Israel | ||||||||||||||||
Italy | ||||||||||||||||
Japan | ||||||||||||||||
Jordan | ||||||||||||||||
Kazakstan | ||||||||||||||||
Korea, South | ||||||||||||||||
Kuwait | ||||||||||||||||
Kyrgyzstan | ||||||||||||||||
Latvia | ||||||||||||||||
Lebanon | ||||||||||||||||
Libya | ||||||||||||||||
Lithuania | ||||||||||||||||
Luxembourg | ||||||||||||||||
Malaysia | ||||||||||||||||
Maldives | ||||||||||||||||
Mali | ||||||||||||||||
Mauritania | ||||||||||||||||
Mauritius | ||||||||||||||||
Mexico | ||||||||||||||||
Moldova | ||||||||||||||||
Morocco | ||||||||||||||||
Mozambique | ||||||||||||||||
Netherlands | ||||||||||||||||
New Zealand | ||||||||||||||||
Nicaragua | ||||||||||||||||
Niger | ||||||||||||||||
Nigeria | ||||||||||||||||
Norway | ||||||||||||||||
Oman | ||||||||||||||||
Pakistan | ||||||||||||||||
Palestinian Territory | ||||||||||||||||
Panama | ||||||||||||||||
Paraguay | ||||||||||||||||
Peru | ||||||||||||||||
Philippines | ||||||||||||||||
Poland | ||||||||||||||||
Portugal | ||||||||||||||||
Puerto Rico | ||||||||||||||||
Qatar | ||||||||||||||||
Romania | ||||||||||||||||
Russian Federation | ||||||||||||||||
Rwanda | ||||||||||||||||
Saudi Arabia | ||||||||||||||||
Senegal | ||||||||||||||||
Sierra Leone | ||||||||||||||||
Singapore | ||||||||||||||||
Slovakia | ||||||||||||||||
Slovenia | ||||||||||||||||
South Africa | ||||||||||||||||
Spain | ||||||||||||||||
Sudan | ||||||||||||||||
Suriname | ||||||||||||||||
Sweden | ||||||||||||||||
Switzerland | ||||||||||||||||
Syria | ||||||||||||||||
Taiwan | ||||||||||||||||
Tajikistan | ||||||||||||||||
Thailand | ||||||||||||||||
Togo | ||||||||||||||||
Tunisia | ||||||||||||||||
Turkey | ||||||||||||||||
Turkmenistan | ||||||||||||||||
Ukraine | ||||||||||||||||
United Arab Emirates | ||||||||||||||||
United Kingdom | ||||||||||||||||
Uruguay | ||||||||||||||||
USA | ||||||||||||||||
Uzbekistan | ||||||||||||||||
Venezuela | ||||||||||||||||
Viet Nam | ||||||||||||||||
Western Sahara | ||||||||||||||||
Yemen | ||||||||||||||||
Yugoslavia | ||||||||||||||||
Other, (please specify) | A | |||||||||||||||
A | Other (please specify): country of residence | Text field, <100 char | N | OPS Group | ||||||||||||
MEDC Michigan Advantage | ||||||||||||||||
How would you most like to interact with this site? (Please select all that apply) | Bookmark or tag pages (i.e. Digg or Del.icio.us) | Checkbox, one-up vertical | Multi | N | OPS Group | SM_Preferred | ||||||||||
In social networks | ||||||||||||||||
In virtual worlds | ||||||||||||||||
By adding comments, ratings, or reviews | ||||||||||||||||
Reading blogs | ||||||||||||||||
Contributing to wikis | ||||||||||||||||
Receiving newsletters/email updates | ||||||||||||||||
Subscribing to RSS feeds | ||||||||||||||||
Listening to Podcasts or audio | ||||||||||||||||
Watching video | ||||||||||||||||
Adding a widget or gadget to my personalized page | ||||||||||||||||
Following a microblog | ||||||||||||||||
Other (please specify) | A | |||||||||||||||
A | Other social media interaction | Text field, <100 char | Single | N | OPS Group | OE_Preferred SM | ||||||||||
Which of the following MichiganAdvantage features/services have you interacted with? | The MichiganAdvantage Facebook page | Checkbox, one-up vertical | Multi | N | SM Interaction | |||||||||||
The Michigan Upper Hand YouTube videos | ||||||||||||||||
The Michigan Economic Development Corporation presence or MEDC staff on LinkedIn | ||||||||||||||||
MIAdvantage on Twitter | ||||||||||||||||
MichiganAdvantage RSS feeds | ||||||||||||||||
The Michigan Upper Hand blog | ||||||||||||||||
MichiganAdvantage photos on Flickr | ||||||||||||||||
None of the above | A | |||||||||||||||
NWHIC | ||||||||||||||||
How would you rate your familiarity with the following? | S | Y | Matrix Group | |||||||||||||
View and contribute often | Drop down, select one | S | Y | Matrix Group | Facebook Familiarity | |||||||||||
View often and contribute occasionally | ||||||||||||||||
View often but don't contribute | ||||||||||||||||
View and contribute occasionally | ||||||||||||||||
View occasionally but don't contribute | ||||||||||||||||
No familiarity | ||||||||||||||||
View and contribute often | Drop down, select one | S | Y | Matrix Group | Twitter Familiarity | |||||||||||
View often and contribute occasionally | ||||||||||||||||
View often but don't contribute | ||||||||||||||||
View and contribute occasionally | ||||||||||||||||
View occasionally but don't contribute | ||||||||||||||||
No familiarity | ||||||||||||||||
Flickr | View and contribute often | Drop down, select one | S | Y | Matrix Group | Flckr Familiarity | ||||||||||
View often and contribute occasionally | ||||||||||||||||
View often but don't contribute | ||||||||||||||||
View and contribute occasionally | ||||||||||||||||
View occasionally but don't contribute | ||||||||||||||||
No familiarity | ||||||||||||||||
MySpace | View and contribute often | Drop down, select one | S | Y | Matrix Group | MySpace Familiarity | ||||||||||
View often and contribute occasionally | ||||||||||||||||
View often but don't contribute | ||||||||||||||||
View and contribute occasionally | ||||||||||||||||
View occasionally but don't contribute | ||||||||||||||||
No familiarity | ||||||||||||||||
YouTube | View and contribute often | Drop down, select one | S | Y | Matrix Group | YouTube Familiarity | ||||||||||
View often and contribute occasionally | ||||||||||||||||
View often but don't contribute | ||||||||||||||||
View and contribute occasionally | ||||||||||||||||
View occasionally but don't contribute | ||||||||||||||||
No familiarity | ||||||||||||||||
Del.icio.us | View and contribute often | Drop down, select one | S | Y | Matrix Group | Del.icio.us Familiarity | ||||||||||
View often and contribute occasionally | ||||||||||||||||
View often but don't contribute | ||||||||||||||||
View and contribute occasionally | ||||||||||||||||
View occasionally but don't contribute | ||||||||||||||||
No familiarity | ||||||||||||||||
How would you most like to interact with this site? (Please select all that apply) | Bookmark or tag pages | Checkbox, one-up vertical | M | Y | OPS Group | Interaction Preference | ||||||||||
In social networks | ||||||||||||||||
In virtual worlds | ||||||||||||||||
By adding comments, ratings, or reviews | ||||||||||||||||
Reading blogs | ||||||||||||||||
Contributing to wikis | ||||||||||||||||
Receiving newsletters/email updates | ||||||||||||||||
Subscribing to RSS feeds | ||||||||||||||||
Listening to Podcasts or audio | ||||||||||||||||
Watching Vodcasts or video | ||||||||||||||||
Adding a widget or gadget to my personalized page | ||||||||||||||||
Following a microblog | ||||||||||||||||
None | ||||||||||||||||
Other (please specify) | A | |||||||||||||||
A | Other form of interacting | Text area, no char limit | open | N | Other Form of Interacting | |||||||||||
FDA Browse | ||||||||||||||||
Would you like to see content on the FDA site translated into another language? | Yes | A | Radio button, one-up vertical | Single | Y | Skip Logic Group | Site Translated | |||||||||
No | ||||||||||||||||
Don't Know | ||||||||||||||||
A | In which of the following languages would you like to view content on the FDA site? | Spanish | Checkbox One Up Vertical | Single | N | Skip Logic Group | Language | |||||||||
French | ||||||||||||||||
Chinese | ||||||||||||||||
German | ||||||||||||||||
Japanese | ||||||||||||||||
Korean | ||||||||||||||||
Other (please specify) | B | |||||||||||||||
B | Other languages you would like to view content on the FDA site: | Text area, no char limit | Single | N | Skip Logic Group | Other Language | ||||||||||
FBI satisfaction survey | ||||||||||||||||
EDO01220 | A | What specific crime statistics information were you looking for? | Text field, <100 char | Single | N | Skip Logic | ||||||||||
EDO01221 | Did you use the search feature today? | Yes | C | Drop down, select one | Single | Y | Skip Logic | Search | ||||||||
No | ||||||||||||||||
EDO01222 | C | Please describe your search experience | I had no difficulty using the search feature on this site | Drop down, select one | Single | N | Skip Logic | |||||||||
The search feature was difficult to find | ||||||||||||||||
The search feature was difficult to use | ||||||||||||||||
Returned no results/received an error message | ||||||||||||||||
Could not tell where the search results would take me | ||||||||||||||||
Too many results | ||||||||||||||||
Too few results | ||||||||||||||||
Results were not related to what I was looking for | ||||||||||||||||
Could not sort the results | ||||||||||||||||
Could not refine the results | ||||||||||||||||
Other | B | |||||||||||||||
EDO01223 | B | Other: Search Experience | Text field, <100 char | Single | N | Skip Logic |
File Type | application/vnd.ms-excel |
Author | silvina diaz |
Last Modified By | sgrow |
File Modified | 2010-03-29 |
File Created | 2009-11-17 |