Requested Edits
Updated OMB Questions to Submit.doc
CDC Website and Communication Channels Usability Evaluation
Requested Edits
OMB: 0920-0735
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OMB Clearance
CDC Web site Usability Surveys (OMB NO. 0920-0735)
This
document shows
Requested
New Questions / Verbiage General
Requests
REQUESTED EDITS THROUGHOUT PACKAGE
Request approval to edit [Bracketed Text] as needed:
Need to customize [SITE], [TIME], [INFO], [ACTION], and other bracketed text in the Welcome Messages, Instructions, and Questions.
Request approval to edit Question responses as needed:
May need to edit text of multiple choice responses.
May need to remove multiple choice responses
May need to remove “Other:_________” from a list of multiple choice responses
May need to make multiple choice questions freeform or rating
Consent Forms
*Note: Option 1, Option 3, or Option 4 will be used. Option 2 and/or Option 5 and/or Option 6 will be used, if relevant.
Option 1: Online Welcome Message and Consent Form
Welcome! Thank you for agreeing to help the Centers for Disease Control and Prevention (CDC) evaluate [SITE]. Your feedback is extremely important. We anticipate that it will take approximately [TIME] to complete these questions.
We are not testing your abilities in any way; we are only testing the [SITE] to see how well it works. Please use the [SITE] in whatever manner is comfortable and normal for you.
[In some cases, we will collect keyboard responses, mouse clicks, audio and video data.] 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 CDC does not plan to share the data with anyone outside CDC.
To proceed through the survey, select your answer for each question and click [BUTTON].
Option 2: Audiotape and Videotape Consent Form
*Note: If used, this consent form will be present in conjunction with Option 1 or Option 3.*
Purpose: The purpose of this document is to obtain your consent to audiotape and videotape today’s usability testing session. We want record the session in order to analyze the information collected today, in depth, at a later time.
The tape will be used internally within CDC, and CDC does not plan to share the tape with anyone outside CDC. It will not be broadcast or used for any other purpose. No personal identifiers will be linked to the data and your signed consent form will be stored separately from the recording.
If you agree with this, please sign where indicated.
Print Name: _______________________________________
Signature: ________________________________________ Date: ____________________
Option 3: Talent and Consent Waiver
*Note: If used, this consent form will be present in conjunction with Option 1 or Option 4.*
DEPARTMENT OF HEALTH AND HUMAN SERVICES
PUBLIC HEALTH SERVICE
CENTERS FOR DISEASE CONTROL AND PREVENTION
ATLANTA, GEORGIA 30333
TALENT AND CONSENT WAIVER
TO WHOM IT MAY CONCERN:
I hereby grant full permission to the Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention (CDC), to use, reproduce, publish, distribute, and exhibit my name, picture, portrait, likeness or voice or any or all of them in or in connection with the production of a television tape or film recording, sound track recording, motion picture film, filmstrip, still photograph, or
intranet/extranet posting, in any manner for training and other purposes. I understand that portrait shots and other pictures of me will initially be posted on the CDC intranet and extranet site and that those pictures may be used in CDC's internal and external written materials, including ultimately on CDC's Internet site.
Without limitation as to time, I hereby waive all rights for compensation in connection with the use of my name, picture, portrait, likeness or voice, or any or all of them, or in connection with said television tape or film recording, sound track recording, motion picture film, filmstrip, still photograph, CDC internal and/or external written materials, or intranet/extranet/Internet posting, in whole or in edited form and any use to which the same or any material therein may be put, applied or adapted by the United States Government and others in the health field.
IN WITNESS WHEREOF I have hereunto set my hand and seal this _______
day of __________________A.D. 20____.
NAME:_____________________________________________________
(PRINT)
ADDRESS:__________________________________________________
____________________________________________________________
SIGNATURE:_______________________________________________
WITNESS:_______________________________________________
DATE:________________________________________
PROJECT NAME OR NO.________________________________
TITLE:________________________________________
Source: CDC 0.1286 (E), 8/2001, CDC Adobe Acrobat 5.0 Electronic Version, 9/2003
Option 4: Participation Consent Form
We have revised [SITE] and would like you to "try out" the new Web site. We want to know what works well for you and what does not, so that we can further improve [SITE].
During this session, we'll
1. Ask you about your background
2. Ask you to perform a series of tasks to find information on the Web site
3. Ask you to give us feedback on the new homepage
We will keep track of your interactions with the Web site, so that we can find ways to improve the system. The information that is captured only will be used to make changes to [SITE]. The whole exercise will take approximately [TIME] to complete.
When analyzing and reporting the results, no personal identifiers will be linked to the data and your signed consent form will be stored separately.
To consent to the use and release of this information, please sign your name below.
Name _______________________ Date: _______________________
Option 5: Short Participant Consent Form
Welcome! Thank you for agreeing to help the Centers for Disease Control and Prevention (CDC) evaluate [SITE]. Your feedback is extremely important. We anticipate that it will take approximately [TIME] to complete these questions.
Your responses to all questions will be kept in a secure manner. All information is used for evaluation purposes only, and CDC does not plan to share the data with anyone outside CDC.
To proceed through the survey, select your answer for each question and click [BUTTON].
Option 6: Card Sort Instructions
Introduction:
[We are conducting research that will help us gain a better understanding of how [SITE] should be organized to make it easier to use.]
Instructions:
NOTE: Will customize instructions depending on card sort software/tool used.
[Begin by reviewing the items in the left column. These items represent content on [SITE].
Start by placing all of the items that belong together into the same group. Drag the items that belong in the same category from the left column over to the right column. When you are finished adding items to a category, click the yellow box in the middle column to name each group.
If an item is unfamiliar, you may create a category called “Miscellaneous”.
There is no correct number of groups, but make sure that you think about how the items relate to each other. If you have a group with a large amount of items, consider splitting it up.
You must do the exercise in one sitting. Please do not leave the browser to go to another task - you will not be able to return.
Thank you for taking the time to participate. We appreciate your help!]
Demographic Questions
*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 gender?
Male
Female
How old are you?
18-39 years old
40-59 years old
60-75 years old
Over 75 years old
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?
High school or less
Some college
College degree
Advanced degree
Introductory Questions
*Note: Up to 15 questions will be used from this section. All questions will be either radio button, freeform, or rating scale.*
Which of the following best describes you?
Federal employee (FTE: full time employee)
Contractor or vendor
Other: Fellow, Intern, Temporary employee, etc
[enter audience]
[enter audience]
[enter audience]
What is your role at [CIO]?
Leadership or Program-specific
Web-related: e.g. Web site manager, developer/programmer, Web site content coordinator, Web site graphics designer, usability specialist, information architect, etc.
other CDC employee: uses www.cdc.gov for a job that is NOT Leadership, Program-specific, or Web-related
What is your role at [CIO]?
Administrative or building management staff
Center, division, or branch management
Public health professional (epidemiologist, health communicator, health education, program analyst, etc.)
Healthcare provider – Doctor
Healthcare provider – Nurse, Nurse practitioner, Physician’s Assistant
Researcher, scientist, or laboratorian
Writer, editor, or library scientist
Other: _________________
Please select your organization/area:
Coordinating Office for Global Health
Coordinating Office for Terrorism Preparedness & Emergency Response
Coordinating Center for Environmental Health and Injury Prevention
Coordinating Center for Health Information and Service
Coordinating Center for Health Promotion
Coordinating Center for Infectious Diseases
National Institute for Occupational Safety and Health
Office of the Director
What Center do you work in at CDC?
What Division do you work in at CDC?
What is your role at CDC?
Administrative or building management staff
Center, division, or branch management
Public health professional (epidemiologist, health communicator, health education, program analyst, etc.)
Healthcare professional (doctor, nurse, etc)
Researcher, scientist, or laboratorian
Writer, editor, or library scientist
Web or information technologist
Other: _________________
A screenreader is software typically used by visually impaired users. The software reads aloud to the user what is being displayed on the screen. Are you using a screenreader?
Yes
No
Do you work for the Federal Government as an employee or contractor?
Yes
No
Are you an employee or contractor to the Federal government?
Full time Employee
Contractor
Which Federal government agency do you work for?
What is your job title or role?
Public Health Professional: e.g. epidemiologist, health communicator, health educator, etc
Healthcare Provider: e.g. doctor (MD, DO), nurse, nurse practitioner, physician’s assistant
General Consumer: neither a Public Health Professional nor a Healthcare Provider
What is your role?
Public health professional (epidemiologist, health communicator, health educator, program analyst, etc.)
Healthcare provider – Doctor
Healthcare provider – Nurse, Nurse practitioner, Physician’s Assistant
Researcher or scientist in the fields of health or medicine
Educator in the in the fields of health or medicine
None of the above (General Consumer)
Who do you work for?
Federal Government Employee - Centers for Disease Control and Prevention (CDC)
Federal Government Employee - NOT CDC
Contractor to the Federal Government - Centers for Disease Control and Prevention (CDC)
Contractor to the Federal Government - NOT CDC
Local or State government
Not government
International government
Not employed
What industry do you work in?
Business Owner or Operator
Architecture or Engineering
Art or Design
Entertainment, Sports, or Media
Attorney or other Legal Professional
Computer or Mathematical
[OPTION]
[OPTION]
What is your job setting and position?
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
Mining
Oil/Gas 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
Dentist
Laboratorian
Nurse/Advanced Practice Nurse/Nurse Practitioner
Pharmacist or Pharmacy Technician
Physician
Physician Assistant
Preparedness Planner
First Responder (EMS, police and fire personnel)
Psychologist or Mental Health Worker
State/Local Health Department
Veterinarian
Health Educator
Public Health
Epidemiologist
Health Communication
Health Education
Public Health
Epidemiologist
Health Communication
Health Education
Safety Professional
Industrial Hygienist
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
News Media
Response Volunteer
[OPTION]
[OPTION]
Other: __________________
Describe your work environment:
Hospital setting
Emergency room setting
Clinic setting
Office setting
Field setting
Academic setting
Research setting
Home or telecommute
[OPTION]
[OPTION]
Other:___________
On average, how much time do you spend using [ELECTRONIC] each [day/week/month]?
More than 4 hours a [day/week/month]
1 - 4 hours a [day/week/month]
Less than 1 hour a [day/week/month]
Where do you use [ELECTRONIC] 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 [ELECTRONIC]:
Noisy
Quiet
Indoor
Climate-controlled
Outdoor
[health topic specific]
[health topic specific]
[health topic specific]
Other:___________
How would you rate your [ELECTRONIC] experience?
Novice – I am new to [ELECTRONIC] and/or I only use one for a specific purpose
Low – I am somewhat new to [ELECTRONIC] and/or I am relatively comfortable with one or two [ELECTRONIC-relevant item, e.g. software applications/programs (e.g. Microsoft Word, Excel, etc.)].
Intermediate – I am comfortable with [ELECTRONIC] and/or I have learned and use [ELECTRONIC-relevant item, e.g. between three and ten different software applications/programs].
Expert – I know my way around [ELECTRONIC] and/or I am comfortable troubleshooting most of the problems that arise with [ELECTRONIC] and/or I have used many different [ELECTRONIC-relevant item, e.g. software applications and have some programming skills].
How would you rate your level of experience when it comes to finding [INFO] on [ELECTRONIC]?
Novice – I am new to finding [INFO] on [ELECTRONIC] and/or I only use [ELECTRONIC] to find one specific type of [INFO]
Low – I am somewhat new to finding [INFO] on [ELECTRONIC] and/or I am relatively comfortable with finding [INFO] on [ELECTRONIC] for [INFO amount, e.g. two or three subjects]
Intermediate – I am comfortable with finding [INFO] on [ELECTRONIC] and/or I have used [ELECTRONIC] to find [INFO amount, e.g. between three and ten different types of information]
Expert – I know my way around finding [INFO] on [ELECTRONIC] and/or I am comfortable troubleshooting most of the problems that arise when finding [INFO] on [ELECTRONIC] and/or I regularly find [INFO] on [ELECTRONIC] on a variety of topics
How would you rate your level of experience with [ELECTRONIC]?
I am fairly new to [ELECTRONIC]
I have some experience, but still have much to learn
I have moderate (about average) experience
I have much experience
I use the [ELECTRONIC] a lot, understand most of the technologies involved, and I am comfortable troubleshooting all problems that arise
In general, what are the most frequent [ELECTRONIC]-related activities you do? (check all that apply)
Email
Internet/Intranet
Software programs/applications. Please describe:
Read / Research News
Shop
Access your bank account information
Pay your bills
Chat on [ELECTRONIC, e.g. blogs, social networking sites, etc]
Read [ELECTRONIC, e.g. blogs, social networking sites, etc]
Comment on [ELECTRONIC, e.g. blogs, social networking sites, etc]
Write/create [ELECTRONIC, e.g. blogs, social networking sites, etc]
[OPTION]
[OPTION]
[OPTION]
[None of the above]
Other: _________________
What resolution is your monitor set to?
[Instructions 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”]
[Instructions 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”]
[1280 x 1024]
[800 x 600]
[OPTION]
Don’t know
Other: ____________
What percentage of your [ELECTRONIC] time do you use for the following activities?
Email: _________
Web Surfing: _________
Shopping: __________
Instant Messaging: _________
Research topics: ___________
Blogs: ___________
Social networks: ___________
Image/video sharing: ___________
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:___________
What type of Internet connectivity do you have?
Dial-up
High-speed (e.g., cable, DSL, T1)
I don’t know
How much time do you spend using [ELECTRONIC] per week, including office and personal use?
Less than 1 hour
1 - 5 hours
6 - 10 hours
11 - 15 hours
More than 15 hours
How much time do you spend using [ELECTRONIC] per week, including office and personal use?
Less than 1 hour
1 - 10 hours
11 - 20 hours
21 or more hours per week
How many years have you used the [ELECTRONIC] for things other than [ELECTRONIC-related activity, e.g. other than email]?
Less than 1 year
1 to 4 years
5 to 9 years
10 years or more
Which of the following, if any, do you do most frequently on the Internet?
Read / Research News
Shop
Access your bank account information
Pay your bills
Rate on [ELECTRONIC, e.g. blogs, social networking sites, etc]
Read a [ELECTRONIC, e.g. blogs, social networking sites, etc]
Comment on [ELECTRONIC, e.g. blogs, social networking sites, etc]
Write/create a [ELECTRONIC, e.g. blogs, social networking sites, etc]
Post on [ELECTRONIC, e.g. blogs, social networking sites, etc]
[OPTION]
[OPTION]
[OPTION]
None of the above
Other: _________________
Which activities have you performed [ELECTRONIC, e.g. 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)
Participated in a social networkingWeb site, such as MySpace, Friendster, etc
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
[OPTION]
[OPTION]
Other: ____________
On the Internet, do you:
- Contribute to wikis
- Maintain a blog
- Participate in online communities / discussion forums / social networks
- Read blogs
- Subscribe to RSS feeds
- Receive newsletters / listservs
- Use personalized pages (like MyYahoo!)
- Watch videos, look at photo galleries, view slide shows
- Use mobile devices to browse the web (cellphones, pda etc...)
- [OPTION]
- [OPTION]
- Other:___________
What does [SITE] do well?
What keeps you coming back to [SITE]?
What was it about [SITE] that attracted you?
What could [SITE] do better?
Tell
me about yourself professionally or personally in [TIME].
When
you hear the words [“infectious diseases”] what first
comes to mind? What else? Explain.
What
do you do to avoid [infectious diseases]?
Tell
me several things about each of [these diseases: Tuberculosis (TB),
Human Papillomavirus (HPV), Chlamydia, and Syphilis].
What
are some online credible sources of information about [these
diseases]? Explain.
What makes a source [DESCRIPTOR, e.g.
credible]? Explain.
Would you describe yourself as someone who [ACTION; e.g. reads blogs or customer ratings/reviews]?
Yes
No
Would you describe yourself as someone who [ACTION; e.g. publishes blogs, uploads videos you created, or writes articles or stories and posts them]?
Yes
No
How would you like to interact with [SITE]?
- Listserv/RSS Feeds to receive up-to-date news on MHS-related matters
- Making comments to blog entries
- Making general comments/suggestions in a forum-style manner
- Podcasts or Other Audio/Video presentations
- [OPTION]
- [OPTION]
- Other:___________
Have you heard of the [ELECTRONIC, e.g. Podcast]?
Yes
No
Don’t know, not sure
In
your own words, how would you explain the term [ELECTRONIC, e.g.
Podcast] to a friend?
Are there other words you might use that have similar meaning to [ELECTRONIC, e.g. Podcast]?
Do you have a [ELECTRONIC, e.g. Podcast player]?
What do you call your [ELECTRONIC, e.g. Podcast player]? If you don't have one, what word or words would you use to describe [ELECTRONIC] like this?
Have you ever listened to audio or music on a Web site, or downloaded audio to a device?
Yes, on a Web site
Yes, on a Device
Yes, both
No, neither
Can you give some examples of [ELECTRONIC, e.g. Podcasts] you have listened to?
Site: ______________ [ELECTRONIC content]: ______________ Type: Web / Device / Both
Site: ______________ [ELECTRONIC content]: ______________ Type: Web / Device / Both
Site: ______________ [ELECTRONIC content]: ______________ Type: Web / Device / Both
Have you ever watched [ELECTRONIC content] on a Web site, or [ELECTRONIC content] on a device?
Yes, on a Web site
Yes, on a Device
Yes, both
No, neither
Can you give some examples of [ELECTRONIC content] you have watched?
Site: ______________ [ELECTRONIC content]: ______________ Type: Web / Device / Both
Site: ______________ [ELECTRONIC content]: ______________ Type: Web / Device / Both
Site: ______________ [ELECTRONIC content]: ______________ Type: Web / Device / Both
How often do you access music, other audio, or video from the internet?
o Several times per day
o Once every few days
o Once per week
o Once per month
o Other: _________________
How often do you access [ELECTRONIC content] on the internet?
o Several times per day
o Once every few days
o Once per week
o Once per month
o Other: _________________
In the last three months, have you done any one of the following? (Check all that apply)
Can you show me how you use your favorite [ELECTRONIC content] Web site?
What do you think about getting information to improve your health through [ELECTRONIC content]?
If you wanted to find [ELECTRONIC content] about [TOPIC] on the internet, what would you do?
What search words would you use?
In the last three months, have you done any of the following?
____ Use personalized web pages (such as My Yahoo! or
iGoogle)
____ Add a widget or gadget to your personalized web
page
____ Bookmark or tag websites (using social
bookmarking sites as Digg or Del.icio.us)
____ Read blogs or Wikis
____ Write a blog or contribute to Wikis
____ Post comments, ratings or reviews on a Web site
____ Send an e-card
____ Browse through photo galleries
____ Listen to podcasts or audio on a Web site
____ Participate in online social networks (such as
MySpace, Facebook, etc.)
____ Watch videos on a Web site
____ Upload videos to a Web site (such as YouTube)
____ Browse Web sites using my mobile phone / device
____ [OPTION]
____ [OPTION]
____ [OPTION]
____ [OPTION]
____ Other:
What Web sites have you used to send or receive [ELECTRONIC content]? Which did you like and dislike?
Web site:_______________________________________, ____ liked ____ disliked, ____ sent ____ receive
Web site:_______________________________________, ____ liked ____ disliked, ____ sent ____ received
Web site:_______________________________________, ____ liked ____ disliked, ____ sent ____ received
How much [ELECTRONIC content] have you sent or received?
Sent Received
A few ____ ____
Some ____ ____
Many ____ ____
When is the last time you sent or received [ELECTRONIC content]?
____ sent within last 30 days
____ received within last 30 days
____ sent within last 6 months
____ received within last 6 months
____ sent within last year
____ received within last year
Have you ever received [ELECTRONIC content]?
____ Yes
____ No
Was the topic of the [ELECTRONIC content] you received Health-related?
____ Yes
____ No
____ Don’t know / not sure
Do you use a personalized Web page, like MyYahoo or iGoogle?
* Yes
* No
* I'm not sure
Can you tell me a little about what you think [ELECTRONIC content]is?
Have you ever used [ELECTRONIC content] on a personal Web page or Web site?
* Yes
* No
* I'm not sure
What kinds of [ELECTRONIC content, e.g. Widgets] have you used before? (Check all that apply)
* Weather
* Health Information
* Pictures
* Games
* Clock
* Calendar
* To Do List
* [OPTION]
* [OPTION]
* [OPTION]
* [OPTION]
* Other: _________________
Core Questions
*Note: Up to 20 questions will be used from this section. All questions will be either radio button, freeform, or rating scale.*
How did you find [SITE]?
Search engine
Referral or links from other sites
Media/news story
Received information from my doctor
Learned about it through retail stores
Word of mouth
Site bookmarked
Health e-Cards
Widgets
Whyville
Second Life
MySpace
Podcasts
Receiving health information via mobile phone
Email subscriptions/RSS feeds
Blogs
[OPTION]
[OPTION]
Other:_________
How often do you visit [SITE]?
I have never visited [SITE] before
Less than once a month
Several times a month
Once a week
Several times a week
Once a day
Several times a day
What specific [question or challenge] brings you to [SITE] today?
Which of the following [INFO], if any, do you typically access through [SITE]?
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Other: _________________
What expectations do you have of [SITE]?
Easy to access information, content, and tools
Clear of terminology and language
Comprehensive information
Easy to read / scan information
Easy of use / navigate
Fast loading pages
Appealing color scheme
High quality photos / images
Organized layout
I have no expectations of [SITE]
[OPTION]
[OPTION]
Other: _________________
What do you think of [SITE]?
How often do you use [SITE] for work-related purposes?
Daily
Weekly
Monthly
A few times year
Never
How would you rate your overall satisfaction with [SITE]?
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
What can we do to improve your satisfaction with [SITE]?
In my job, I use [SITE] to primarily look for information on:
Birth defects
Diseases and conditions
Symptoms
Treatment
Disease prevention
Healthy lifestyles
Health promotion
Injury prevention
Environmental health
Workplace safety and health
Travelers' health
Vaccines / immunizations
Natural disasters
Emergency preparedness
[OPTION]
[OPTION]
[OPTION]
Other: _________________
What is the #1 reason you usually visit [SITE] for work-related purposes?
How do you usually find information on [SITE]?
I go to the [SITE home page]
I have the information bookmarked / I know the web page address
I use the [A-Z Index]
I use the [search engine]
I use another search engine (such as Google.com, etc.)
Other: _________________
Please rate your level of agreement with the following:
Information is easy to find.
Web pages are well organized.
Content is useful.
Information is current.
Search results are useful.
'Look and feel' is pleasing.
What are the [SITE, e.g. top 3 other (non-CDC) Web sites] you visit to find [INFO, e.g. similar information] for work-related purposes?
What features have you seen on [SITE, e.g. these Web sites] that are helpful to you or that you would like to see incorporated into [SITE]?
Please review the following audiences. Rank these audiences in order of importance for [SITE], with "1" being the MOST important audience and "10" the LEAST important. Each audience should be given a different number.
Citizens/consumers/general public
Educators or teachers
Healthcare providers
Journalists
Policymakers, legislators, or staff
Public health professionals
Scientists or researchers
Students
CDC employees
CDC partners and grantees
[OPTION]
[OPTION]
How does your program determine the information needs of the target audiences of [SITE, e.g. your Web site(s)]?
Informal discussions with audience members (e.g. at conferences or meetings)
Formal needs analysis (e.g. surveys, interviews, focus groups, etc.)
Analysis of Web site metrics (e.g. Omniture reports)
Analysis of [SITE]’s search logs
Analysis of requests from e-mails and phone calls to your program office
Input from partners
[OPTION]
[OPTION]
I don't know
Other: _________________
Who do you think is the main audience for [SITE]?
Briefly describe the #1 reason that [AUDIENCE] visit [SITE], in your opinion.
In your opinion, how effective is [SITE, e.g. current Web site] in meeting the needs of [AUDIENCE]?
Very effective
Somewhat effective
Somewhat ineffective
Very ineffective
Describe any improvements we could make to [SITE] to better meet the needs of [AUDIENCE].
Please list any additional audiences that [SITE] should be targeting:
Choose the top [INFO, e.g. 2 options] that you think will have the greatest impact on improving [SITE].
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Describe any additional enhancements we could make to improve [SITE].
Please list any [INFO, e.g. web-related topics] that you would like training in:
Which of the following best describes your role when it comes to developing and maintaining [SITE]?
Web site manager
Content coordinator
Content specialist
Subject matter expert
Graphic designer
Usability specialist
Information architect
Programmer / technical staff
Other: _________________
What [SITE, e.g. specific Web site(s)] do you work on? Please specify the URL(s), if you know them.
How much of your time do you dedicate to working on [SITE, e.g. these Web sites]?
100%
75%
50%
25% or less
Not sure
What are the biggest challenges you face in [ACTION, e.g. creating, designing, and developing] [SITE, e.g. Web sites at CDC]?
What are the biggest challenges you face [ACTION, e.g. maintaining and updating] [SITE, e.g. Web sites at CDC]?
What is the ONE thing that would help you the most to [ACTION, e.g. develop and maintain] [SITE, e.g. Web sites at CDC]?
Greater access to user research
More strategic direction in developing [SITE]
Additional help in organizing your content / information
Additional help in writing your content / information
Assistance in maintaining / updating content
Help designing the 'look and feel' of your Web pages
Technical help in developing or programming your Web site
Software tools
Content management system
HTML coding
Improved search functionality
Project management
[OPTION]
[OPTION]
Other: _________________
Is [SITE, e.g. your program's Web site] currently in the "new" CDC template?
Yes
No
I don't know
Please review the list of Web-related tools and resources below. Check the tools that you (or your program) have access to or would like to have access to.
508 compliance tool
ACSI-Customer satisfaction survey
Link checking tool (e.g. to identify broken links)
Content inventory tool
Content management system
Federal guidelines
Listserv of CDC Web staff
Sample code / html
Search logs
Style guide
Usability test results
User feedback mechanisms
User survey data
Web design guidelines
Web metrics from Omniture
Web-related training courses
Web site templates
[OPTION]
[OPTION]
Are your Web site resources (staffing, budget, overall support)...
Increasing
Staying the same
Decreasing
We would like to know [INFO, e.g. the top 3 tools / features] that you would like to provide on [SITE, e.g. your program's Web site]. Please review the list of [INFO, e.g. tools] below and select your top [INFO, e.g. three].
Would like to provide on our program's Web site
Audio / video clips
Email alerts when content changes
Email inquiry box or other feedback mechanism
Message boards / chats / blogs
Online training seminars
Personalization / customization of web pages
Podcasting, RSS, text messaging
Webcasting of meetings / conference
[OPTION]
[OPTION]
Other: ________
Please list any Web-related topics that you would like training on:
Additional comments about [SITE] or suggestions for improvement:
Do you think some [AUDIENCE, e.g. people] would have problems using [SITE]?
What kinds of [AUDIENCE, e.g. people] would have problems using [SITE]?
What kinds of problems would [AUDIENCE, e.g. consumers] have using [SITE]?
What is your typical purpose when searching for [INFO] on the Web? I look for…
Specific [INFO] 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
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Other :____________
Where do you typically acquire [INFO]? Which do you use most? Which do you use 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
Blog
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Don’t consult sources
Other: _______
Do you use search engines more often than the navigation links on [SITE, e.g. a Web site]?
How do you typically access [INFO] on the Internet/Web?
Search engine (Examples: Google, Yahoo.)
Specific [SITE, e.g. Web sites/pages/applications]
Online Newsletters of Listservs
Other:________
What specific [SITE] do you visit for [INFO]?
Which [SITE] do you find useful for acquiring [INFO]?
HHS (Department of Health and Human Services)
CDC (Centers for Disease Control and Prevention)
NIH (National Institutes of Health)
WebMD
Yahoo! Health
[OPTION]
[OPTION]
Other: ________
How do you usually find and select Web sites - and specific pages on those Web sites - when researching [INFO]?
I choose specific Web sites that I am already familiar with
I choose Web sites that appear on search engines (e.g., Yahoo, Google)
I click banner ads or referring links from other Web sites
I use a health section on a portal Web site (e.g., MSN Health, Yahoo! Health)
I choose Web sites recommended by friends / colleagues / family members
I look at general health Web sites (e.g., WebMD, MayoClinic)
I look at specific drug or treatment Web sites (e.g., Advair.com, Flovent.com)
I look at disease-specific consumer advocacy Web sites (e.g., AAFA.org)
I look at disease-specific medical association Web sites (e.g., aaaai.org)
I look at government health Web sites (e.g., CDC, NIH)
I look at Web sites mentioned in TV, news, or radio reports
I look at Web sites mentioned in publications I read
Other: _________________
Have you ever visited [SITE] before?
Yes
No
I’m not sure
How often do you visit [SITE]?
Daily
Weekly
Monthly
Quarterly
Yearly
A couple of times a year
About once a year or less
Never
Is there any other way you have obtained [INFO, e.g. information from CDC] besides using [SITE, e.g. their Web site]?
What information would you like to see in [2nd Life]?
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Which [ELECTRONIC] do you use [daily]?
[OPTION]
[OPTION]
[OPTION]
[OPTION]
What do you use it for [daily]?
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Is the [amount] of information in [ELECTRONIC, e.g. 2nd Life] good?
Yes
No
Other:_________________
Is the [quality] of information in [ELECTRONIC, e.g. 2nd Life] good?
Yes
No
Other:_________________
Is the [level of detail] of information in [ELECTRONIC, e.g. 2nd Life] good?
Yes
No
Other:_________________
How did you get to the [SITE] today?
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Which of the following best describes the type of information were you looking for today [on SITE]? OR What was the reason you visited [SITE] today?
Specific [INFO] for myself
Specific [INFO] for someone else (loved one, family member, patient, client, etc.)
Disease prevention
Diseases and conditions
Birth defects
Sexually transmitted diseases (added)
Healthy lifestyles / health promotion
Injury or violence prevention
Environmental health
Workplace safety and health
Travelers' health
Vaccines / immunizations
Natural disasters
Emergency preparedness
Vaccine informationHealth communication campaigns
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)
Conferences and 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
Relevant Search engine result
Grants and Funding
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Other:______________
Does the depth of information on [SITE] provide:
Too much detail
Just the right amount of detail
Not enough detail
In your own words, what is the main purpose of [SITE]?
Describe the [SITE, e.g. CDC home page].
What [INFO] do you think [SITE] contains?
Specific [INFO] 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:____________
How do you generally use [INFO] from [SITE]?
Read online
Print for reference
Print for hand-out
Email to others
Refer others to the Web site
Other ________________
I think the [SITE or INFO] 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
Have you been affected by [INFO, e.g. insert public health emergency or health topic] in the past [TIME, e.g. 2 years]?
Yes
No
How have you been affected by [INFO, e.g. insert public health emergency or health topic] in the past [TIME, e.g. 2 years]?
I had to evacuate my home.
I had to shelter in place.
I was physically injured.
I was emotionally affected.
I was emotionally affected and sought mental health counseling.
I sustained mental trauma.
I sustained mental trauma and sought mental health counseling.
I was exposed to someone who was sick with [INFO, e.g. Salmonella].
I was exposed to someone with symptoms of [INFO, e.g. ecoli].
I became sick with [INFO, e.g. ecoli].
I have exhibited symptoms of [INFO, e.g. ecoli].
My home was damaged.
I have played a role in the response to this event (in either a professional or volunteer capacity).
I have provided shelter in my home to others affected by the event.
I do not live in the affected area but my friends/family live in the affected area.
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Other:______________
Which of the following, if any, do you associate with [INFO]?
Credible
Current / up-to-date information
Easy to use
Friendly
Helpful
Informative
Insightful
Interesting
Relevant
Trustworthy
Entertaining
Good use of my time
Other: _________________
CDC is going to launch [INFO]. Which name would you prefer for [INFO]?
Why do you prefer this name for [INFO]?
Besides [INFO, e.g. the existing Fact Sheets], what other [INFO, e.g. downloadable materials] would be interesting and useful to you and your loved ones?
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Have you viewed [INFO]?
What were your first impressions of [SITE or INFO]?
What aspects of [SITE or INFO] did you find [DESCRIPTOR]?
Why did [SITE or INFO, e.g. the Salmonella Fact Sheet] have the best [INFO or DESCRIPTOR, e.g. suggestions for preventing infection]?
Why did [SITE or INFO, e.g. the Rabies Fact Sheet] have the worst [INFO or DESCRIPTOR, e.g. suggestions for treatment]?
Why do you not have a preference? What did you like / dislike about each version of [SITE or INFO]?
If [SITE] were to implement your preferred version, how much more or less likely would you be to visit [SITE] in the future?
Significantly more likely
Somewhat more likely
Equally as likely
Somewhat less likely
Significantly less likely
Which of the following [INFO, e.g. features], if any, did you notice and/or use on [SITE]?
[OPTION]
[OPTION]
[OPTION]
[OPTION]
If [SITE] were to implement your preferred [INFO], how much more or less likely would you be to visit [SITE] in the future?
Significantly more likely
Somewhat more likely
Equally as likely
Somewhat less likely
Significantly less likely
What drew your attention to [SITE or INFO]?
Overall, how satisfied were you with [SITE] after exploring the [SITE]'s [INFO, e.g. design, content, and features]?
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Satisfied
Very Satisfied
How likely is it that you will still be using [SITE] [TIME] from now?
Definitely will still be using [TIME] from now
Probably will still be using [TIME] from now
Might or might not be using [TIME] from now
Probably will NOT be using [TIME] from now
Definitely will NOT be using [TIME] from now
What [INFO], if any, would you like added to [SITE]?
Now we would like your feedback on [SITE or INFO]. Without clicking anywhere, please spend as much time as you would in real life learning about all the different [INFO] that [SITE] offers. When you have a good understanding of [INFO] that [SITE] offers, please press '[BUTTON]'
How would you rate [INFO] on [SITE]?
Very [DESCRIPTOR]
Somewhat [DESCRIPTOR]
Neutral
Somewhat [DESCRIPTOR]
Very [DESCRIPTOR]
What content or information, if any, do feel is missing from [SITE or INFO]?
How likely are you to [ACTION]?
Very Likely
Somewhat Likely
Neutral
Somewhat Likely
Very Likely
Which of the following best describes what you attempted to do on [SITE] today?
Learn about [SITE]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
None of the above
Other: _________________
How [DESCRIPTOR, e.g. helpful] was the information provided about [SITE or INFO]?
Which of the following, if any, problems or frustrations did you experience while [ACTION, using] [SITE or INFO]?
Navigating from page to page was difficult
Pages would not load / Technical Issues
Site was slow
Too many categories or sections
Too few categories or sections
Product and service categories were not useful
Organization of the site was confusing
Labels / content used were unclear
I could not find the product / service / information I was looking for
I got lost on the site
I did not encounter any problems or frustrations
Other: _________________
What [INFO] were you looking for that you could not find?
What [INFO] could be [DESCRIPTOR, e.g. more clear]?
How [DESCRIPTOR, e.g. easy] was it for you to [ACTION, e.g. determine] [INFO]?
Extremely [DESCRIPTOR]
Somewhat [DESCRIPTOR]
Neutral
Somewhat [opposite of DESCRIPTOR]
Extremely [opposite of DESCRIPTOR]
What would make it easier for you to [ACTION, e.g. find] [INFO]?
How [DESCRIPTOR] did you find [INFO]?
Extremely [DESCRIPTOR]
Somewhat [DESCRIPTOR]
Neutral
Somewhat [opposite of DESCRIPTOR]
Extremely [opposite of DESCRIPTOR]
How could the information provided about [INFO] be more [DESCRIPTOR]?
What [INFO], if any, do you feel was missing?
How would you rate the [DESCRIPTOR] of the information about [INFO]?
Very [DESCRIPTOR]
Somewhat [DESCRIPTOR]
Neutral
Somewhat [opposite of DESCRIPTOR]
Very [opposite of DESCRIPTOR]
After reviewing [SITE], what additional questions, if any, do you still have about [SITE]?
Please indicate how likely you are, if at all, to do the following
Definitely would [ACTION]
Probably would [ACTION]
Probably would not [ACTION]
Definitely would not [ACTION]
Based on your experience today, how [DESCRIPTOR] were you with your [ACTION, e.g. ability to find] [INFO] you needed?
Not at all [DESCRIPTOR]
Neutral
Extremely [DESCRIPTOR]
Based on your experience today, how [DESCRIPTOR were you while using [SITE]?
Not at all [DESCRIPTOR]
Neutral
Extremely [DESCRIPTOR]
Based on your experience, how [DESCRIPTOR] was it to use [SITE]?
Extremely [DESCRIPTOR]
Neutral
Extremely [DESCRIPTOR]
Based on your experience today, how would you rate the [ASPECT, e.g. organization] of [SITE]?
Very [ASPECT-related term, e.g. disorganized]
Somewhat [ASPECT-related term, e.g. disorganized]
Neutral
Somewhat [ASPECT-related term, e.g. organized]
Very [ASPECT-related term, e.g. organized]
Based on your experience today, how likely are you, if at all, to do any of the following in the next [TIME]?
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Based on your experience today, what is your image of [SITE]?
Completely negative
Extremely negative
More negative than positive
More positive than negative
Extremely positive
Completely positive
Which of the following best describes how you navigate while [ACTION][SITE or INFO] online?
I have never [ACTION][SITE or INFO] online before
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Other: _________________
Which of the following tools do you frequently use when [ACTION][SITE or INFO]?
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Other: _________________
How often do you [ACTION][SITE or INFO] online?
I have never [ACTION][SITE or INFO] online before
Once per year or less
A few times per year
Once per month
A few times per month
Once per week or more often
How likely are you to do the following within [TIME]?
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
What about [SITE or INFO], made a lasting impression on you?
How would you have contacted the CDC to [ACTION, e.g. ask your question or obtain the information you were looking for]?
- Send an email
- Browse the Website
- Call CDC's 800 number
- Write a letter to CDC
- Would not have contacted CDC
- Other:____________
If you plan on following up with CDC to clarify the answer you received during this site visit, how do you intend to contact CDC?
- Send an email
- Call CDC’s 800 number
- Write a letter to CDC
- Return to the Website at a later time
- Other:____________
Did you call the Call Center?
Yes
No
Was your problem or question resolved?
If you were dissatisfied with Call Center's resolution of your problem or question, what was the reason?
- Nothing was unsatisfactory
- On hold too long
- Took too long to receive e-mail response
- Staff was not knowledgeable about my question/problem
- Did not receive a return e-mail or follow-up call
- Problem cannot be resolved at this time
- [OPTION]
- [OPTION]
- Other:____________
How satisfied were you with the availability of on-site help?
In the last [TIME, e.g. 30 days] how many times have visited [SITE, e.g. the CDC’s Web site] instead of calling the call center?
Please rate the degree to which the Call Center representative(s) spoke clearly?
Activity/Task Questions
*There will be no more than 10 activity questions relevant to the specific Web site/page/application. Respondents will be asked to click through the specific Web site/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.*
Instructions
Example Activity 1 of 10
If you live in an area where a hurricane is expected to make landfall in approximately 12 hours, and you have not been asked to evacuate, what steps would you take?
Example Activity 2 of 10
If you have to go outside during extremely cold weather, should you wear mittens or gloves?
[Continue with up to 9 more activity questions and follow up questions.]
FIRST-CLICK TESTING
Instructions
example 1: For the following question, please make [insert number] click(s) in an attempt to find
the answer. You do not need to find the actual answer to the question.
example 2: For the following question, please visit [insert number] page(s) in an attempt to find
the answer. You do not need to find the actual answer to the question.
Task
example 1: Where would you find information about ______?
Were would you find information about visiting the CDC museum?
example 2: Where would you find _______?
Where would you find a journal that CDC develops called the MMWR?
CARD SORTS
Instructions
example: We are conducting research that will help us gain a better understanding of how our
Web site should be organized and make it easier to use.
Task
example:
Review the items in the left column. These items represent content on our current Web site.
Place all of the items that belong together into the same group. Drag the items that belong in the same category from the left column over to the right column. When you are finished adding items to a category, click the yellow box in the middle column to name each group.
If an item is unfamiliar, you may create a category called “Miscellaneous”.
There is no correct number of groups, but make sure that you think about how the items relate to each other. If you have a group with a large amount of items, consider splitting it up.
You must do the exercise in one sitting. Please do not leave the browser to go to another task - you will not be able to return.
Follow up Questions
*Note: Up to 15 questions will be used from this section. All questions will be either radio button, freeform, or rating scale.*
What is the main purpose of [SITE]?
Did you learn anything new from visiting [SITE]?
After viewing this [SITE or INFO], do you plan to change your practices regarding [INFO]? Why or why not?
Do you plan to [ACTION] as a result of your visit to [SITE or INFO]?
Yes
No
Please describe the steps you plan to take [ACTION] as a result of your visit to [SITE].
If there were a/an [INFO, e.g. public health emergency], what [SITE] would you visit to find more [INFO]?
What Web site would you visit to find [INFO, e.g. Fact Sheets] specific to [INFO, e.g. Malaria]?
How well does SITE or INFO] provide you with the amount of information you and your family need about [INFO, e.g. Hurricane clean-up]?
It provides the right amount of information.
It provides too much information.
It provides too little information.
Is the information on [SITE] [DESCRIPTOR]?
Yes
No
Please explain your answer
Does the information on [SITE] explain who is most at risk?
Yes
No
Is information on [SITE] presented in an appealing format?
Yes
No
Would the information on [SITE] convince you to take action if you were at risk or potentially at risk?
Yes
No
After reading the information on [SITE], would you be able to make [an informed decision OR better decisions] during an emergency?
Yes
No
Would you use information on [SITE] [during OR to prepare for OR to recover from] an emergency?
Yes
No
Please describe any difficulties you encountered when trying to complete tasks on [SITE].
Prior to using the Web site, what is your overall impression?
What are your initial impressions of the [insert health topic] home page?
Now that you have used the Web site, how would you rate it when compared with other Web sites?
Excellent
Good
About Average
Fair
Poor
Now that you have used the Web site, what is your overall impression?
Pick 3 words to describe [SITE]:
Pick three of the following words that best describe the look and feel of [SITE].
Attractive
Busy
Clean
Cluttered
Modern
Overwhelming
Organized
Out-of-date
Sophisticated
Unfriendly
Warm (or Welcoming)
Wordy
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Overall what did you like MOST about [SITE]?
Overall what did you like LEAST about [SITE]?
How useful is the [SITE] to you as
A repository of [INFO] information
A tool for doing your work for the [CIO] program
A tool for collaborating with other [CIO, e.g. Cancer] 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 [CIO, e.g. Prostate Cancer]
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
[OPTION]
[OPTION]
Other: ______
Would you recommend [SITE] to anyone? Who? Why?
Who do you think would find this [SITE] 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 [SITE] up to date?
Yes
No
I don’t know
What information did you expect to find on [SITE] but did not?
What [INFO] would you like to see included or highlighted on [SITE]?
Specific [INFO] for myself
Specific [INFO] 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:____________
Did the link labels on [SITE] seem [DESCRIPTOR, e.g. intuitive and appropriate]? Which ones did not?
Was [SITE] organized in a way that made it easy for you to find information?
Please rate the following statements.
Overall, I found [SITE] was easy to use
I found the link labels and terms used in [SITE] clear.
The health information on [SITE] was presented in a manner that I could understand.
It was easy to find the information I was looking for on [SITE].
This [SITE] was aesthetically pleasing.
The [SITE] contained useful information.
I would use [SITE] as my primary source for [INFO].
The organization of information within the categories [e.g. Basic Information, Data & Statistics, etc] was appropriate.
The browsing conditions during the test were optimal.
I trust the [INFO] I found on [SITE].
Which version of [SITE] did you prefer?
Version 1
Version 2
Version 3
Version 4
No Preference
Which version of [SITE] was easier to use?
Version 1
Version 2
Version 3
Version 4
No Preference
Which version of [SITE] was more visually appealing?
Version 1
Version 2
Version 3
Version 4
No Preference
Did using [SITE] require any new skills or challenges?
Yes
No
Were you able to concentrate and avoid disruption while using [SITE]?
Yes
No
When completing the tasks did you feel in control of finding [INFO]?
Yes
No
Describe your experience finding [INFO].
Would you describe finding [INFO] 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:____________
Did you find [INFO] correct or incorrect?
Correct
Incorrect
Did [SITE] provide adequate on-screen help?
Did you always know where you were within [SITE]?
Yes
No
Did it take a long or short time to find [INFO]?
Long
Short
How do you prefer to navigate [SITE]?
Search
Menu structure
Text links
Combination
Other: ________
No preference
Did you encounter difficulties navigating [SITE], and if so, what was the primary issue?
I did not encounter any difficulties navigating the Web site
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: ________
SUS: SYSTEM USABILITY SCALE
I would recommend that others use this Web site.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I found the Web site unnecessarily complex.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I thought the Web site was easy to use.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I think I would need help sometimes to be able to effectively use this Web site.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I found that the various functions in this Web site were well integrated.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I thought there was too much inconsistency in this Web site.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I would imagine that most people would learn to use this Web site very quickly.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I found this Web site very cumbersome to use.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I felt using this Web site.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I will need to learn a lot about this Web site before I could effectively use it.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
What is your reaction to the process of [interaction with ELECTRONIC] on your page?
What is your overall impression of this page?
What do you think about the layout of [ELECTRONIC CONTENT]?
Which title do you like best for [ELECTRONIC CONTENT]?
* "Public Health Data & Statistics" (current heading)
* "Health Data & Statistics"
* "Data & Statistics"
* Other: _________________
How would you describe [ELECTRONIC CONTENT]?
Select the radio button on the scale next to the word that best describes [ELECTRONIC CONTENT].
Attractive or Unattractive
Boring or Interesting
Credible or Not Credible
Dated or Modern
Clean or Busy
Unimaginative or Imaginative
Warm or Cold
Poorly Designed or Well Designed
Trustworthy or Not Trustworthy
Out of Date or Up to Date
Are you familiar with social networking sites like MySpace or Facebook?
Yes
No
I'm not sure
Do you have an account or use MySpace, Facebook, or some other similar site? If so, which sites do you use? (Check all that apply)
MySpace
Bebo
Friendster
[OPTION]
[OPTION]
[OPTION]
[OPTION]
I don't use a site like these
Other:
Which [ELECTRONIC] is your favorite? Why?
How often do you make use of your favorite social networking site?
Several times per day
Once every few days
Once per week
Once per month
Other:
What kinds of things do you like to do on that site? (Check all that apply)
post / view pictures
add a widget or gagdet
send / receive messages
chat with friends
post / watch videos
post / read a blog or message board
play games
learn about a specific topic
network / stay in touch with friends, colleagues
Other: _________________
Which of these social networking sites are you familiar with? (Check all that apply)
Daily Strength
Caring Bridge
Patients Like Me
Healia
Eons
Sermo
I am not familiar with any of the above sites
Without clicking anything on this page, what is your initial impression?
Without clicking anything on this page, who do you think this page is for? (Check all that apply)
Teenagers
College Students
Parents
Adults
Health professionals
Other: _________________
Without clicking anything on this page, what types of information do you think you can find here?
Based on the information on this page, what do you think a "badge" is?
Please describe the steps you would take to add a "badge" from this page to your MySpace page to promote testing for HIV?
What other types of badges would you be interested in seeing or do you expect to see on this page?
What is your overall impression of this page?
What other types of information would you like to see on this page?
Have you ever [interaction with ELECTRONIC]?
____ Yes
____ No
Was the [interaction with ELECTRONIC] Health-related?
____ Yes
____ No
____ Don’t know / not sure
Would you like to send information to improve one's health through [ELECTRONIC]?
____ would like to send [ELECTRONIC] about ANY health topic
____ would like to send [ELECTRONIC] about certain health topics only
____ would not like to send [ELECTRONIC]
Would you like to receive information to improve one's health through [ELECTRONIC]?
____ would like to receive Health eCards about ANY health topic
____ would like to recv Health eCards about certain health topics only
____ would not like to receive Health eCards
What health topics would you like to send or receive [ELECTRONIC] about?
Is [ELECTRONIC] similar or different than your previous experience(s)?
___ Similar to previous experience(s)
___ Different from previous experience(s)
In what ways is [ELECTRONIC] different from previous experiences?
Are there any health topics would you like to receive or send [ELECTRONIC] for?
Can you think of anyone who might want to use [ELECTRONIC]?
____ parent
____ sibling
____ child
____ co-worker
____ friend
____ healthcare provider
____ public health professional
____ no one
____ other:
Can you think of anyone who might want to receive [ELECTRONIC]?
____ parent
____ sibling
____ child
____ co-worker
____ friend
____ patient
____ no one
____ other:
What did you like and dislike about [ELECTRONIC]?
[OPTION]
[OPTION]
[OPTION]
[OPTION]
[OPTION]
Do you have any additional comments or final thoughts?
What is your overall impression of [ELECTRONIC]?
What do you think of the process of [interaction with ELECTRONIC] on particular topics?
What would you tell someone else about [ELECTRONIC]?
What do you think about [ELECTRONIC]s as a way to get information about health?
Any other ideas or thoughts about [ELECTRONIC]?
Please take a minute or two and read this page about [ELECTRONIC].
Now without referring back to the page, how would you describe [ELECTRONIC] to a friend?
PROBES
We plan to ask respondents “probes” like the questions below after they have completed the survey. A probe is a question largely based upon answers to the survey questions and issues that seem worth pursuing-- for example, when noticing that a respondent seems confused or spent additional time answering something.
Because the probe depends on the individual participant’s actions, it would be difficult to completely script them. We might or might not ask the exact probes listed below. The survey/investigation requires some flexibility.
Please share any additional comments you have about this Web site/page/application.
Could you tell me what the term “prevention” means to you?
Why did you answer that way?
In your own words, could you tell me what you think this question is asking?
Was this question easy or hard to answer? Why?
How sure are you about your answer?
How did you decide where to look for health information?
How difficult was it for you to figure out where to go next from this point?
Why did you search where you did?
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Page
| File Type | application/msword |
| Author | PHPPO_User |
| Last Modified By | shari steinberg |
| File Modified | 2008-12-03 |
| File Created | 2008-11-04 |
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