366 Q's for OMB 8- 366 Q's for OMB 8-25-2010 to 9-21-2010

Measures Name/Client name (CDs and Answer choices)
AARP-ContentModel
EDO05290	A	Please rate how easily you were able to locate a listing of all of your member benefits?	EDO05290A001	1=Not Easy at All		Radio button, scale, has don't know	Single	Y	Skip logic Group
			EDO05290A002	2
			EDO05290A003	3
			EDO05290A004	4
			EDO05290A005	5
			EDO05290A006	6
			EDO05290A007	7
			EDO05290A008	8
			EDO05290A009	9
			EDO05290A010	10=Very Easily to locate
EDO05291	A	Please rate how easily you were able to locate a listing of discounts and services as part of your membership?	EDO05291A001	1=Not Easy at All		Radio button, scale, has don't know	Single	Y	Skip logic Group
			EDO05291A002	2
			EDO05291A003	3
			EDO05291A004	4
			EDO05291A005	5
			EDO05291A006	6
			EDO05291A007	7
			EDO05291A008	8
			EDO05291A009	9
			EDO05291A010	10=Very Easily to locate
EDO05292	A	Please rate how easily you were able to update your membership online?	EDO05292A001	1=Not Easy at All		Radio button, scale, has don't know	Single	Y	Skip logic Group
			EDO05292A002	2
			EDO05292A003	3
			EDO05292A004	4
			EDO05292A005	5
			EDO05292A006	6
			EDO05292A007	7
			EDO05292A008	8
			EDO05292A009	9
			EDO05292A010	10=Very Easily to locate
USDA Farm Service Agency v2
SAC0085		Which of the following categories describes your age?	SAC0085A001	Under 18		Radio button, one-up vertical	Single	N	Age
			SAC0085A002	18 to 29
			SAC0085A003	20 to 39
			SAC0085A004	40 to 49
			SAC0085A005	50 to 59
			SAC0085A006	60 to 69
			SAC0085A007	70 or older
SAC0086		Do you consider your race:	SAC0086A001	White		Radio button, one-up vertical	Single	N	Race
			SAC0086A002	Black or African American
			SAC0086A003	American Indian or Alaska Native
			SAC0086A004	Native Hawaiian or other Pacific Islander
			SAC0086A005	Asian
			SAC0086A006	Other race
SAC0087		Do you consider yourself to be of Hispanic, Latino, or Spanish origin?	SAC0087A001	Yes		Radio button, one-up vertical	Single	N	Origin
			SAC0087A002	No
			SAC0087A003	Don't know
SAC0088		What is your gender?	SAC0088A001	Male		Radio button, one-up vertical	Single	N	Gender
			SAC0088A002	Female
SAC0089		What was your total income before taxes during the last calendar year?	SAC0089A001	Less than $25,000		Radio button, one-up vertical	Single	N	Income
			SAC0089A002	Between $25,000 and $49,999
			SAC0089A003	Between $50,000 and $99,999
			SAC0089A004	Between $100,000 and $249,999
			SAC0089A005	$250,000 or more
			SAC0089A006	Don't know
			SAC0089A007	I prefer not to respond
FDA Satisfaction Survey
EDO05513		Which of the following do you use as your mobile phone?	EDO05513A001	I do not use/own a mobile phone		Radio button, one-up vertical	Single	Y	Skip Logic Group	Mobile Phone
			EDO05513A002	Blackberry	L
			EDO05513A003	Iphone (Apple)	L
			EDO05513A004	Android (Google)	L
			EDO05513A005	Palm	L
			EDO05513A006	Windows Mobile	L
			EDO05513A007	Other Smartphone	L
			EDO05513A008	I own a mobile phone, but it is not a smartphone
EDO05514	L	Would you be interested in a mobile phone app that could be downloaded to your smartphone?	EDO05514A001	Yes, I would download a FDA mobile phone app if it were available		Radio button, one-up vertical				Mobile App
			EDO05514A002	No, I am not interested in a FDA mobile phone app
EDO05515	L	Do you want FDA content that is accessible in your mobile phone browser?	EDO05515A001	Yes		Radio button, one-up vertical				Mobile Content
			EDO05515A002	No
SAMHSA NMHIC
EDO05887		What area(s) of the site did you visit today?	EDO05887A001	Issues, Conditions & Disorders		Checkbox, one-up vertical	M	Y		Area Visited
			EDO05887A002	Contact Us
			EDO05887A003	En Espanol
			EDO05887A004	Location
			EDO05887A005	Most Popular
			EDO05887A006	My account
			EDO05887A007	New Products
			EDO05887A008	Professional & Research Topics
			EDO05887A009	Register Now
			EDO05887A010	Stay Connected
			EDO05887A011	Substance
			EDO05887A012	Timely
			EDO05887A013	Treatment, Prevention & Recovery
			EDO05887A014	Other
Access Washington
EDO05731	H	Why didn't use the search feature today?	EDO05731A001	Prefer other method of navigation		Drop down, select one	Single	Y
			EDO05731A002	Tried to use search before but was unsuccessful
			EDO05731A003	Did not need search, found information quickly
			EDO05731A004	Other, please specify	I
EDO05732	I	What other reason didn't you use the search feature today?				Text area, no char limit		Y
EDO05733	J	Did the descriptions in the search results provide...	EDO05733A001	Too much information		Radio button, one-up vertical	Single	Y	Skip Logic Group
			EDO05733A002	Too little information
			EDO05733A003	Information that was not specific enough
			EDO05733A004	The right amount of information
EDO05734	K	What type of organization or sorting features do you feel are most helpful when looking through search results? (Select all that apply)	EDO05734A001	Date		Checkbox, one-up vertical	Single	Y	Skip Logic Group
			EDO05734A002	Subject
			EDO05734A003	Relevance
			EDO05734A004	Ability to search within the results
			EDO05734A005	Ability to sort results
			EDO05734A006	None of the above
EDO05735		Did you use the Services Directory during your visit today?	EDO05735A001	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group
			EDO05735A002	No
			EDO05735A003	I was unable to locate the Services Directory
EDO05736	A	What was the primary difficulty, if any that you encountered with the Services Directory?	EDO05736A001	I did not encounter any difficulty with the Services Directory		Radio button, one-up vertical	Single	Y	Skip Logic Group
			EDO05736A002	The Services Directory is cumbersome to use
			EDO05736A003	I was not sure what words to look up to find what I was looking for
			EDO05736A004	The Services Directory did not have a link to the information I was looking for
			EDO05736A005	Other, please specify	BB
EDO05737	B	What other difficulty did you experience with the Services Directory?				Text area, no char limit	Single	Y	Skip Logic Group
CMS - NGS DME MAC B
EDO06347		Did you use the search feature on this site?	EDO06347A001	Yes	H	Skip Logic Group	Radio buttons	Yes	Single
			EDO06347A002	No
EDO06348	H	Please describe your experience with the search feature.	EDO06348A001	I had no difficulty using the search feature on this site		Skip Logic Group	Radio buttons	No	Single
			EDO06348A002	The search feature was difficult to find
			EDO06348A003	The search feature was difficult to use
			EDO06348A004	Returned no results/received an error message
			EDO06348A005	Could not tell where the search results would take me
			EDO06348A006	Too many results
			EDO06348A007	Too few results
			EDO06348A008	Results were not related to what I was looking for
			EDO06348A009	Could not sort the results
			EDO06348A010	Could not refine the results
			EDO06348A011	Other
EDO06349	H	What Keywords did you use?				Skip Logic Group	Text box	No	Single
EDO06350	H	Please indicate how helpful you feel the search feature was in finding the information you were looking for.	EDO06350A001	Very helpful		Skip Logic Group	Radio buttons	No
			EDO06350A002	Somewhat helpful	I
			EDO06350A003	Not at all helpful	I, J
EDO06351	J	Why do you feel the search feature was not at all helpful?				Skip Logic Group	Unlimited text field	No	Single
EDO06352	I	What would make the search feature more helpful?				Skip Logic Group	Unlimited text field	No	Single
CMS NGS J13 MAC
EDO06353		Did you use the search feature on this site?	EDO06353A001	Yes	H	Skip Logic Group	Radio buttons	Yes	Single
			EDO06353A002	No
EDO06354	H	Please describe your experience with the search feature.	EDO06354A001	I had no difficulty using the search feature on this site		Skip Logic Group	Radio buttons	No	Single
			EDO06354A002	The search feature was difficult to find
			EDO06354A003	The search feature was difficult to use
			EDO06354A004	Returned no results/received an error message
			EDO06354A005	Could not tell where the search results would take me
			EDO06354A006	Too many results
			EDO06354A007	Too few results
			EDO06354A008	Results were not related to what I was looking for
			EDO06354A009	Could not sort the results
			EDO06354A010	Could not refine the results
			EDO06354A011	Other
EDO06355	H	What Keywords did you use?				Skip Logic Group	Text box	No	Single
EDO06356	H	Please indicate how helpful you feel the search feature was in finding the information you were looking for.	EDO06356A001	Very helpful		Skip Logic Group	Radio buttons	No
			EDO06356A002	Somewhat helpful	I
			EDO06356A003	Not at all helpful	I, J
EDO06357	J	Why do you feel the search feature was not at all helpful?				Skip Logic Group	Unlimited text field	No	Single
EDO06358	I	What would make the search feature more helpful?				Skip Logic Group	Unlimited text field	No	Single
CMS NGS Title XVIII
EDO06359		Did you use the search feature on this site?	EDO06359A001	Yes	H	Skip Logic Group	Radio buttons	Yes	Single
			EDO06359A002	No
EDO06360	H	Please describe your experience with the search feature.	EDO06360A001	I had no difficulty using the search feature on this site		Skip Logic Group	Radio buttons	No	Single
			EDO06360A002	The search feature was difficult to find
			EDO06360A003	The search feature was difficult to use
			EDO06360A004	Returned no results/received an error message
			EDO06360A005	Could not tell where the search results would take me
			EDO06360A006	Too many results
			EDO06360A007	Too few results
			EDO06360A008	Results were not related to what I was looking for
			EDO06360A009	Could not sort the results
			EDO06360A010	Could not refine the results
			EDO06360A011	Other
EDO06361	H	What Keywords did you use?				Skip Logic Group	Text box	No	Single
EDO06362	H	Please indicate how helpful you feel the search feature was in finding the information you were looking for.	EDO06362A001	Very helpful		Skip Logic Group	Radio buttons	No
			EDO06362A002	Somewhat helpful	I
			EDO06362A003	Not at all helpful	I, J
EDO06363	J	Why do you feel the search feature was not at all helpful?				Skip Logic Group	Unlimited text field	No	Single
EDO06364	I	What would make the search feature more helpful?				Skip Logic Group	Unlimited text field	No	Single
CPSC.gov Browse
ACQOsl0001838		What other activities did you perform on CPSC.gov today? Please select all that apply.		Learn about CPSC or locate contact information		Checkbox, one-up vertical	Multi	N		Other activities
				Obtain product recall information
				Report a product-related injury or an unsafe product
				Locate product safety information or publications
				Obtain Business/Regulatory information
				Obtain information on CPSIA-Consumer Product Safety Improvement Act
				Register for product safety information updates (e-mail, RSS)
				Other