Appendix 11: New Questions
NEW Demographic Questions (part of Appendix 5)
The bracketed portion of the following Demographic Questions may be changed to suit a particular evaluation scenario.
OMB No.: 0920-0735
Exp Date: March 31, 2010
Are you male or female?
○ Male
○ Female
What is your age? [Freeform Answer]
What year were you born? [Freeform Answer]
How would you describe yourself?
[Hispanic or Latino]
[Black or African American]
[White]
[Asian]
[American Indian or Alaska Native]
[Native Hawaiian or Other Pacific Islander]
[Prefer not to answer]
What is your race and ethnicity? [Freeform Answer]
Please tell me your race or ethnic background. [Are you?]
Ethnicity:
[Hispanic or Latino]
[Not Hispanic or Latino]
Race:
[White/Caucasian]
[Black or African-American]
[American Indian or Alaska Native]
[Native Hawaiian or Other Pacific Islander]
[Asian]
[Vietnamese]
[Cambodian]
[Filipino]
[Japanese]
[Korean]
[Chinese]
What is your country of residence?
[USA]
[Canada]
[Afghanistan]
[Albania]
[Algeria]
[American Samoa]
[Andorra]
[Angola]
[Argentina]
[Armenia]
[OPTION]
What is/are your [city, state, zip code]? [Freeform Answer]
Were you born in the United States?
[Yes]
[No]
What is your current occupational status? [Would you say…?]
[Employed]
[Unemployed]
[Homemaker]
[Student]
[Retired]
[Disabled
[Other:_______________]
What term would you use to describe your current profession? [Freeform Answer]
What is your marital status?
[Married]
[Living as married]
[Divorced]
[Widowed]
[Separated]
[Single, never been married]
Which of the following categories best describe your total, annual household income?
[Under $20,000/year]
[$20,001 - $30,000/year]
[$30,001 - $40,000/year]
[$40,001 - $50,000/year]
[$50,001 - $60,000/year]
[$60,001 - $80,000/year]
[$80,001 - $100,000/year]
[Over $100,000/year]
Number of children [(under age 18)] [living in the household]:
[None]
[1-2 children]
[3-4 children]
[5 or more children]
How many children do you have and what are their ages?
Infants (less than 1 year)
Toddlers (1–4 years)
Youth (5–12 years)
Teens (13–18 years)
Adults (over 18 years)
How long have you worked in your current profession?
Less than one year
1 year
2 – 5 years
6 – 10 years
More than 10 years
Do you currently rent or own your home?
[Own]
[Rent]
[Occupied without paying monetary rent]
What is your current relationship status?
[Single]
[Married to a man]
Married to a woman]
[In a relationship with a man]
[In a relationship with a woman]
[Divorced or Widowed]
Have you ever had [an HIV test]?
[Yes]
[No]
What was the result of your last [HIV test]?
[Positive]
[Negative]
[Don’t know]
When was the last time you [had an colorectal cancer screening test]? [Freeform Answer]
Are you the parent or guardian of a [boy/girl, ages INSERT range years]?
[Yes]
[No]
Are you or have you ever been [sexually active]?
[Yes]
[No]
Do you feel comfortable reading materials that require [a 7th grade reading leve]l?
[Yes]
[No]
Do you, or does any member of your household or immediate family work for:
[a market research company]
[an advertising agency or public relations firm]
[the media (TV/radio/newspapers/magazines)]
[as a healthcare professional (doctor, nurse, pharmacist, dietician, etc.)]
Have you [participated in a focus group, intercept interview, telephone survey, and/or online survey in which you were asked your opinions regarding a product, a service, or advertising within the past six months]?
[Yes]
[No]
How many of these have you attended [in the past six months]? [Freeform Answer]
What was/were the topics [discussed]?
NEW Introductory Questions (Part of Appendix 6)
The bracketed portion of the following Introductory Questions may be changed to suit a particular evaluation scenario.
OMB No.: 0920-0735
Exp Date: March 31, 2010
What is the highest level of education you have completed?
[High school or less]
[Some college]
[College degree]
[Advanced degree]
[Prefer not to answer]
Describe your work environment: [Freeform Answer]
What is your primary specialty? [Freeform Answer]
Do you have a subspecialty? [What is it?] [Freeform Answer]
Which best describes [your role at CDC]?
[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]
[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: _________________]
Are you..?
[Individual interested in health issues]
[Patient, friend or family member of an individual interested in health issues]
[Physician]
[Nurse, physician's assistant, nurse practitioner]
[Other, please specify:]
What [industry sector] do you work in?
[Agriculture, Forestry and Fishing]
[Construction]
[Healthcare and Social Assistance]
[Manufacturing]
[Mining]
[Services]
[Transportation, Warehousing and Utilities]
[Wholesale and Retail Trade]
Where do you [work]?
[Federal government]
[State government]
[Local government]
[Academia]
What does [workplace health and safety] mean to you? [Freeform Answer]
Please tell me [what kinds of workplace safety and health procedures] you use in your [workplace]? [Freeform Answer]
Where do you currently [get your information on workplace safety and health concerns]?
[NIOSH site: Which site do you use:__________________________]
[OSHA site: Which site do you use: _________________________]
[Other workplace health and safety site(s): Please list ___________________________]
What is the size of [the facility where you work]?
[Large (500 or more employees)]
[Medium (100-499 employees]
[Small (1-99 employees)]
What do you do [in your job]? [Freeform Answer]
Which of the following best describes [the reason for your visit today]?
[Health information for myself]
[Health information for someone else (loved one, family, friend)]
[Other, please specify:]
Which of the following items do you [use on the CDC.gov website]?
[Bookmark and share (to tag content for social bookmarking sites like Digg or Del.icio.us)]
[Blogs]
[Video or CDC-TV]
[Other, please specify:]
Have you ever [viewed CDC's Web site on your mobile phone or device]?
[Yes]
[No]
How frequently do you [use the CDC.gov Web site]?
[Daily]
[Weekly]
[Monthly]
[This is my first time]
What is your current job title? [Freeform Answer]
How did you find out about [CDC-INFO]?
Was this the first time you [e-mailed the CDC]?
○ [Yes]
○ [No]
Do you consider [CDC] to be a reliable source of [information]?
[Yes]
[No]
What do you think is the best way to [get the word out about Immunizations in your community]?
Billboard 20 TV
Bus ad (outside or inside)
Can’t think of anything
Childcare/day care
Clinic News program
Community agency Commercial
Doctor/other health care professional
Storyline on existing program
Flyer
Friend/family member [Fill in name of show]:
Grocery Store 21 Nutrition Program for Women, Infants & Children (WIC)
Hospital 22 Other [Fill in]
Information line 23 Refused to answer
Internet/Website
Magazine
Newspaper
Public Event
Public Health Department
Radio
School
From your perspective, what recent improvements have you seen [at CDC to help those looking for free publications]? [Freeform Answer]
Please share highlights of a recent [call or e-mail] [where you feel you were particularly helped]. [Freeform Answer]
In [the past 12 months], [who have you contacted], when you needed [information about HIV testing]? [Freeform Answer]
NEW Core Questions (Part of Appendix 7)
The bracketed portion of the following Core Questions may be changed to suit a particular evaluation scenario.
OMB No.: 0920-0735
Exp Date: March 31, 2010
Did you find what you were looking for [on the CDC website today]?
[Yes]
[No]
[Somewhat]
[Other:___________________]
Would you like [options for interacting electronically with the website]? [Freeform Answer]
Which of the following [technologies] would you use if available [on the Web site]? [Download Podcasts or other Audio/Visual presentations]
[Making comments to blog entries]
[Listservs/RSS feeds to receive up-to-date news on….]
[Making general comments/suggestions in a forum-style manner]
[Other:___________________]
Additional comments about [SITE] or suggestions for [improving user-friendliness]? [Freeform answer]
What kinds of problems would [AUDIENCE have using SITE]? [Freeform answer]
Describe the [SITE]. [Freeform answer]
I think [SITE] is [easy to use].
What aspects of [SITE] did you [find difficult to understand]?
What was your [knowledge of the workplace safety and health issues] prior to [using this Web site]?
[Knew nothing]
[Knew a little bit.]
[Knew an average amount]
[Knew a lot]
What is your [knowledge about the workplace safety and health issues] now that you [have used the workplace safety and health resource]?
[Know nothing]
[Know a little bit.]
[Know an average amount]
[Know a lot]
What areas of [workplace safety and health] would you like [to learn more about that we could include on our site]? [Freeform answer]
Why do you [search for workplace safety and health information on our site]?
[For employees]
[For self]
[For friends]
[For colleagues]
What kind of [information are you looking for]?
[Workplace safety information]
[Workplace health information]
[Funding information]
[Prevention]
[Fact Sheets]
[NIOSH numbered publications]
[Where to get more information]
[Standards]
[Recommendations]
[Best practices]
[Other]
What is your [preferred resource for occupational safety and health information]?
[TV]
[Radio]
[Newspaper]
[Newsletter]
[Social Network]
[Twitter]
[YouTube]
How do you [access workplace safety and health information on the web]?
[NIOSH Website]
[Printed materials]
[Science Blog]
[Twitter]
[Facebook or MySpace]
[Other______]
How could we [improve our workplace safety and health resource]? [Freeform Answer]
Do you think [workplace safety and health resource] is [useful for making workplace safety and health decisions]?
[Strongly disagree]
[Disagree]
[Neither agree or disagree]
[Agree]
[Strongly agree]
Do you think you will [use the workplace safety and health information you have learned from this resource in your workplace]?
[Strongly disagree]
[Disagree]
[Neither agree or disagree]
[Agree]
What changes would [improve the site]?
What do you like [least] about [this workplace safety and health resource]? [Freeform Answer]
If we made the changes you have mentioned would you be [more or less likely to use it]?
[Much more]
[Maybe a little more]
[About the same]
[Less likely]
Please rate [the accuracy of information on this site]. [Freeform Answer]
What is your overall satisfaction [with this site]? [Freeform Answer]
How well does [this site meet your expectations]? [Freeform Answer]
How does [this site compare to your idea of an ideal website]? [Freeform Answer]
How likely are you [to return to this site]? [Freeform Answer]
How did you [find this site]?
[Search engine]
[Referral or links from other sites]
[Media/news story]
[Other, please specify:]
Do you have any accessibility concerns with this site, [such as small font sizes, color or contrast, or issues with your screen reader]? [Freeform Answer]
What other [Web sites] do you use to find health information]? [Freeform Answer]
What do you [like about other Web sites] that you would [like to see on CDC.gov]? [Freeform Answer]
Is t[he Siebel system] similar to [the system used in your previous job]? [Freeform Answer]
What did you like better about [that system]? [Freeform Answer]
Please describe [a typical day in your job]. [Freeform Answer]
What is the [most enjoyable part? What tasks feel the most efficient or effective?] [Freeform Answer]
Describe an experience you had [on the job where you did not feel adequately trained]. [Freeform Answer]
Please describe [the most common workarounds you use in your job. How often do you use them?] [Freeform Answer]
What tasks [do you feel rushed on]? [Freeform Answer]
What features [do you feel rushed using]? [Freeform Answer]
What part of [this process] [works well for you]? [Freeform Answer]
How would you redesign [the Web site]? [Freeform Answer]
How would you [find a Prepared Response on the site]? [Freeform Answer]
What tips / tricks do you use when [entering search terms]? [Which work well?] [Freeform Answer]
Please show me how you [keep you’re a – Z list up-to-date.] [Freeform Answer]
Have you used [“Help”] before? [Freeform Answer]
When is the last time you used [“Help”]? [Freeform Answer]
Did they know there is [“Help”]? [Freeform Answer]
What you would do if[ the Intranet Web site web down]? [Freeform Answer]
If you were [designing a help manual for you and your teammates to use], [what items would you include in it]? [Freeform Answer]
What aspects of [the Siebel application] did not [seem logical to you when you started using it]? [And now?] [Freeform Answer]
Is [the Siebel application] labeled and organized in a way that made sense to you when you first started using it? [And now?] [Freeform Answer]
Is there anything else you’d like to tell me about what you like and don’t like about [the systems you use to complete your job tasks]? [Freeform Answer]
Where did you find out about [this text messaging program]? [Freeform Answer]
How
would you rate [your level of satisfaction with this pilot]?
[Freeform Answer]
Was
[this text messaging pilot] what you expected? [Freeform Answer]
How did [it] fall short or exceed your expectations? [Freeform Answer]
Was [the signup process] consistent with [other text messaging programs you’ve participated in]? [Freeform Answer]
Was [the timing of] [BLANK] ideal? [Freeform Answer]
Was it [easy or hard] to [TASK read texts, re-read / save, respond]? [Freeform Answer]
Did you need help [to participate in this pilot]? [Freeform Answer]
Was
[using the CDC mobile Web site to find information] the [correct
level of complexity]? [Freeform Answer]
How complex was [using your phone to get the information you needed]? [Freeform Answer]
How many hours a day do you [have your mobile phone with you / turned on]? [Freeform Answer]
Do you get [other health content on your phone]? [Freeform Answer]
Would you be interested in [future health-related text messages from CDC]? [Freeform Answer]
What other [health topics] would you like to [receive text messages about from CDC]? [Freeform Answer]
Would
you / Do you like getting [health information via your mobile phone]?
[Freeform Answer]
Would you prefer [mobile, web, email, phone call, or something else]? [Freeform Answer]
Would you describe yourself as someone [who stays current on technology]? [Freeform Answer]
Did
you get [these messages from any other sources, as well]? [Freeform
Answer]
Which do you like or dislike about [BLANK]?
[OPTION]
[OPTION]
[OPTION]
What unanswered questions do you still have about [H1N1]? [Freeform Answer]
Who else do you think would benefit from [health-related text messages]? [Freeform Answer]
What would you change about [this text messaging pilot]? [Freeform Answer]
The most recent time you [looked for information on your mobile device] was it for
[Yourself]
[Someone else you care for or take care of, such as a spouse/partner, child, parent, relative, or friend]
[Both?]
In general, how much would you trust [information about health or medical topics from a doctor or health care professional]?
[A lot]
[Some]
[A little]
[Not at all]
Some [newspapers or general magazines publish a special section that focuses on health]. In the past 12 months, have you [read health sections of the newspaper or of a general magazine]?
[Yes]
[No]
Some people notice [information about health on the Internet], even when they are not trying to find [out about a health concern they have or someone in the family may have]. [Have you read such health information on the Internet in the past 12 months?]
[Yes]
[No]
About how often do you use [the Internet]?
[Every few weeks]
[Less often]
[Never]
[Don’t know/refused]
As I read the following list of items, please tell me if you, personally, happen to have each one, or not.
[A desktop computer]
[A laptop computer]
[A cell phone]
[A personal digital device, like a Sidekick, Palm Pilot or Blackberry]
[An iPod or other MP3 player]
Have you heard about [health topic/campaign]? [Freeform Answer]
What can you tell me about [health topic/campaign]? [Freeform Answer]
Do you like the idea of having [material to take with you into a doctor's appointment or to take home]? [Freeform Answer]
How do you prefer to see [health information presented]? [In what form (probe: posters, brochures, fliers)?] [Freeform Answer]
What kinds of promotional items would you use? [Freeform Answer]
What are some of the ways you have gotten information about [health behavior] prior to today? [Freeform Answer]
When it comes to [INSERT health topic or behavior], are there any organizations that you would really trust as a reliable source [of information]? [What makes them a trusted source of health topic information?] [Freeform Answer]
How would you rank your level of knowledge and understanding of [information you have received from CDC]?
[knowledge is extensive]
[above average]
[average]
[have some knowledge]
[no knowledge]
Do any [companies or organizations say] something like this now? Which ones? [Freeform Answer]
Do you think one is [more appealing] than the others? [Which? Why/why not?] [Freeform Answer]
Now that you’ve seen [all of these concepts], which one [catches your attention the most]? [Freeform Answer]
What is the most [motivational] format for [this information]? [Freeform Answer]
How relevant is this concept for [parents of teens (or children) who [are worried about smoking]? [Freeform Answer]
What resources do [parents need when they feel alone and unsupported in raising their teens]? [Freeform Answer]
Looking at the image, would you say it [fits in with what they are trying to convey]? [Freeform Answer]
What is the main message of [this illustration]? [What does it tell you?] [Freeform Answer]
Picturing this image on [a poster, brochure, print ad, or other material,] how likely is it [that an image like this will help draw your attention and curiosity]? [Freeform Answer]
Are there other [images] that might [convey this idea better]? [Freeform Answer]
How do you feel about [the images] used in this concept? [Are they helpful/engaging? Why/why not]? [Freeform Answer]
Is the color [appropriate]? [Freeform Answer]
What do you think about the [length of the content on the Web page]? [Freeform Answer]
Would you change anything about your current routine after [seeing this]? [Freeform Answer]
Before [being contacted for this study], had you ever heard of the [INSERT organization name]?
[Yes]
[No]
NEW Activity / Task Questions (Part of Appendix 8)
Respondents may be asked to click through the specific Web site, social media, mobile-based or other electronic communication channels to complete an activity / task. For each activity question, there may be a series of followup questions to evaluate the participant’s ease or difficulty in finding the answer to the question. Examples of activity / task questions and follow up questions are shown below. The actual activity / tasks used for each usability evaluation will be created to suit a particular evaluation scenario.
OMB No.: 0920-0735
Exp Date: March 31, 2010
Example Activity 3
[Where would you find information about visiting the CDC museum?]
Example Activity 4
[Where would you find a journal that CDC develops called the MMWR?]
Example Activity 5
[Please group this list of items from the Web site into categories that make sense to you.
Example Followup Question to Activity 5
[Please give each category you create a label.]
Example Activity 6
[What is the main idea that this Web page is trying to get across, in your own words?
Example Followup Question to Activity 6
[Does this page make sense to you?]
NEW Followup Questions (Part of Appendix 9)
“GENERAL” QUESTIONS
The bracketed portion of the following “General” Follow up Questions may be changed to suit a particular evaluation scenario.
OMB No.: 0920-0735
Exp Date: March 31, 2010
How well do you think the main ideas come across [in this page/content]? [Freeform answer]
How could this [page/content] be improved? [Freeform answer]
After using [the CDC website today], how likely are you to do one of the following activities:
Talk to a friend or family member about the topic
Email the information to a friend or family member
Print the information and share it
Bookmark this page for later use
Do additional research online
Order a publication from CDC.gov
How satisfied are you with [the services CDC provided]? [Freeform Answer]
What did you learn from your [call visit to CDC] that you did not know before? [Freeform Answer]
Did what you learned make you want to [change any behaviors]?
[Yes]
[No]
Please tell me more about [what changes you are thinking about.] [Freeform Answer]
Have you actually [changed any behaviors]?
[Yes]
[No]
Overall, how satisfied are you [with the quality of the health information provided by CDC]? [Freeform Answer]
Thinking about [your entire call experience], how satisfied are you [with CDC’s electronic communication channels]? [Freeform Answer]
How well did the information provided [by CDC] [answer your questions]?
○ [Very well]
○ [Fairly well]
○ [Not very well]
○ [Not at all well]
Did the [response] you received from [CDC] [show that they]:
○ [Clearly understood your needs]
○ [Somewhat understood your needs]
○ [Did not understand your needs very well]
○ [Did not understand your needs at all]
How quickly was [CDC] able to [respond to your questions]?
○ [Within 24 hours]
○ [Within 2-3 days]
○ [Up to a week]
○ [More than a week]
How satisfied are you with [the services CDC provided]?
○ [Very satisfied]
○ [More satisfied than dissatisfied]
○ [More dissatisfied than satisfied]
○ [Very dissatisfied]
What is the reason you [were not satisfied]? [Freeform Answer]
Will you distribute [the materials] to [school children]?
[Yes]
[No]
Did you get [the information] you [asked for]?
[Yes]
[No]
Did [CDC’s mobile web site] provide [the information you needed]?
[Yes]
[Somewhat]
[No]
Di d the information you received] make you want [to change your behavior]?
[Yes]
[No]
Thinking about your overall experience ordering a publication, how satisfied are you?
[Very satisfied]
[More satisfied than dissatisfied]
[More dissatisfied than satisfied]
[Very dissatisfied]
What did you learn from [your call to CDC-INFO] that you did not know before? [Freeform Answer]
Who are you looking for [information] for? [Freeform Answer]
Where are you getting [information about this event] for? [Freeform Answer]
Has the information that you have received so far [been easy to understand]? [Freeform Answer]
What [information] do you still need? [Freeform Answer]
Please rate the following statements [Strongly agree], [Agree], [Neutral], [Disagree], or [Strongly disagree]:
I would recommend this site to others.
I found the website unnecessarily complex.
I thought the website was easy to use.
I think I would need help sometimes to be able to effectively use this website.
I found that the various functions in this website were well integrated.
I thought there was too much inconsistency in this website.
I would imagine that most people would learn to use this website very quickly.
I found this website very awkward to use.
I felt very confident using this website.
I will need to learn a lot about this website before I could effectively use
| File Type | application/msword |
| Author | Patricia L. Nelson |
| Last Modified By | cqj0 |
| File Modified | 2010-02-09 |
| File Created | 2010-02-09 |