398 VA CQs for OMB 398 VA CQs for OMB 12-14-2010 to 1-11-2011

Measures Name/Client name (CDs and Answer choices)
VA eBenefits
ACQOsl0002979	B	What will you do next?	ACQOsl0002979A01	Nothing, although I did not find/complete what I wanted		Radio button, one-up vertical	Single	Y	Skip Logic Group
			ACQOsl0002979A02	Call the eBenefits call center
			ACQOsl0002979A03	Return to the eBenefits site later and try again
			ACQOsl0002979A04	Send an email
			ACQOsl0002979A05	Other (please specify)	C
ACQOsl0002980	C	What else would you do next?				Text area, no char limit		Y	Skip Logic Group
ACQOsl0002981		How did you primarily look for information on the site today?	ACQOsl0002981A01	Chose a main menu item e.g. My eBenefits, Benefits Links etc.		Radio button, one-up vertical	Single	Y	OPS Group
			ACQOsl0002981A02	Clicked a link on the homepage
			ACQOsl0002981A03	Used the search box
			ACQOsl0002981A04	Narrowed choices by using the checkboxes on a Benefits Links page
			ACQOsl0002981A05	Other, please specify	A
ACQOsl0002982	A	How else did you look for information on the site?				Text area, no char limit		Y	OPS Group
ACQOsl0002983		Did you register for this site today?	ACQOsl0002983A01	Yes	A, B	Radio button, one-up vertical	Single	Y	OPS Group
			ACQOsl0002983A02	No, I have already registered	B
			ACQOsl0002983A03	No, I am not registered for this site.
ACQOsl0002984	A	Is there any additional information that would be helpful in the registration process?
ACQOsl0002985	B	Did you try to log in on this site today?	ACQOsl0002985A01	Yes	C	Radio button, one-up vertical	Single	Y	Skip Logic Group
			ACQOsl0002985A02	No
ACQOsl0002986	C	Were you able to log in successfully?	ACQOsl0002986A01	Yes, the first time I tried	D	Radio button, one-up vertical	Single	Y	Skip Logic Group
			ACQOsl0002986A02	Yes, after more than one try	D
			ACQOsl0002986A03	No, I was unable to log in	CC,D
ACQOsl0002987	CC	Why were you unable to log in?				Text area, no char limit		Y	Skip Logic Group
ACQOsl0002988	D	What, if anything, would you like improved about the log in process?				Text area, no char limit		N	Skip Logic Group
American Cancer Society v2
ACQOsl0003065		How frequently do you visit this site?	ACQOsl0003065A01	This is my first time		Radio button, one-up vertical	Single	y		Visit Frequency
			ACQOsl0003065A02	Daily
			ACQOsl0003065A03	Weekly
			ACQOsl0003065A04	Monthly
			ACQOsl0003065A05	Several times a year or less
ACQOsl0003065	DD	What type of donation did you make?	ACQOsl0003065A01	Memorial Gift		Radio button, one-up vertical	Single	Y	Skip Logic Group	Donation Type
			ACQOsl0003065A02	Honor Gift
			ACQOsl0003065A03	General Gift
NCI Spanish 2009
ENACQOsl0003210	Z2	I am looking for information about the treatment of:	ENACQOsl0003210A01	A child or teenager with cancer		Radio buttons	Single	Optional	Skip Logic Group	Treatment Of
			ENACQOsl0003210A02	An adult with cancer
ENACQOsl0003211	Z3	I am looking for information about clinical trials for:	ENACQOsl0003211A01	A child or teenager with cancer		Radio buttons	Single	Optional	Skip Logic Group	Clinical Trials Info
			ENACQOsl0003211A02	An adult with cancer
ENACQOsl0003212		Did you notice that certain information is available in both patient and health professional versions?	ENACQOsl0003212A01	Yes	Z1	Radio buttons	single	Required	Skip Logic Group	Versions
			ENACQOsl0003212A02	No
			ENACQOsl0003212A03	Not sure
ENACQOsl0003213	Z1	Did you look at:	ENACQOsl0003213A01	Patient		Radio buttons	single	Optional	Skip Logic Group	Look At Version
			ENACQOsl0003213A02	Health professional
			ENACQOsl0003213A03	Both versions
			ENACQOsl0003213A04	Neither version
			ENACQOsl0003213A05	Not sure
ENACQOsl0003214	C1A	Are you involved in clinical research?	ENACQOsl0003214A01	Yes		Radio buttons	Single	optional due to skip	Skip Logic Group	Clinical Research
			ENACQOsl0003214A02	No
U.S. NRC Satisfaction Survey v2
ACQOsl0003235	B	Were you able to find the specific report/document you came to the NRC site for today:	ACQOsl0003235A01	Yes		Radio Button One Up Vertical	Single	Y
			ACQOsl0003235A02	No	C, D
			ACQOsl0003235A03	Partially
ACQOsl0003236	C	Which of the following best describes the reason why you were unable to obtain the report/document:	ACQOsl0003236A01	The report/document I am looking for is not yet posted on the site (The document is not posted quickly enough)		Radio Button One Up Vertical
			ACQOsl0003236A02	I was not sure where the report/document is located on the site
			ACQOsl0003236A03	I had a technical issue when trying to access the report/document (ie. File would not open, pages to access document would not load, etc.)
			ACQOsl0003236A04	Other, please specify:
ACQOsl0003189	D	Please describe in detail which report/document you were unable to find on the site.				Open-ended
ACQOsl0003250		Did you use the search feature during your visit today?	ACQOsl0003250A01	Yes	K	Radio Button, one-up vertical	Single	Y	Skip Logic Group	Search Usage
			ACQOsl0003250A02	No
			ACQOsl0003250A03	Don't recall
ACQOsl0003251	K	Please tell us about your experience with the site's search feature today. (Please select all that apply.)	ACQOsl0003251A01	The search feature met my needs today.		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Experience
			ACQOsl0003251A02	I had issues with the basic search process (how to use it, terms to enter).	A
			ACQOsl0003251A03	I had issues with the visual display of the search results (text size, images).	B
			ACQOsl0003251A04	I had issues with the search results I received.	C
			ACQOsl0003251A05	I had issues with sorting, filtering, advanced search, or lack of these options.	D
			ACQOsl0003251A06	I had technical issues with the search feature.	E
			ACQOsl0003251A07	None of these
ACQOsl0003252	A	What were your issues with the basic search process? (Please select all that apply.)	ACQOsl0003252A01	It was not clear to me how to use the search feature		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues basic Search
			ACQOsl0003252A02	I did not know what terms to use to get the results I wanted
			ACQOsl0003252A03	There were too many steps or refinements to get to what I wanted
			ACQOsl0003252A04	I had a different issue with the basic search process:	F
ACQOsl0003253	F	My issue was:		Open-ended		Text area, no char limit				Other basic issue
ACQOsl0003254	B	What were your issues with the visual display of the search results? (Please select all that apply.)	ACQOsl0003254A01	I could not see enough of the description to decide which link to choose		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues visual display
			ACQOsl0003254A02	The text was too small
			ACQOsl0003254A03	The page was too crowded
			ACQOsl0003254A04	I could not see much difference between the listings/items
			ACQOsl0003254A05	I had a different issue with the visual display of results:	G
ACQOsl0003255	G	My issue was:		Open-ended		Text area, no char limit				Other visual issue
ACQOsl0003237	C	What were your issues with the search results? (Please select all that apply.)	ACQOsl0003237A01	Results were not relevant/not what I wanted		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues Search results
			ACQOsl0003237A02	There were not enough results
			ACQOsl0003237A03	There were NO results
			ACQOsl0003237A04	There was too little information in the results to decide what to choose
			ACQOsl0003237A05	Many of the search results looked the same
			ACQOsl0003237A06	I had a different issue with the search results:	H
ACQOsl0003238	H	My issue was:		Open-ended		Text area, no char limit				Other results issue
ACQOsl0003239	D	What were your issues with sorting, filtering, or advanced search? (Please select all that apply.)	ACQOsl0003239A01	The results were not sorted in a helpful way		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues sorting
			ACQOsl0003239A02	I want advanced search options
			ACQOsl0003239A03	I want more sorting/filtering/advanced search options	K
			ACQOsl0003239A04	I had a different sorting/filtering issue:	I
ACQOsl0003240	I	My issue was:		Open-ended		Text area, no char limit				Other sorting issue
ACQOsl0003241	K	The sorting/filtering/advanced search options I would like are:		Open-ended		Text area, no char limit				Other sorting issue
ACQOsl0003242	E	The technical issue I had with search was:	ACQOsl0003242A01	Search speed was too slow		Radio button, two-up vertical	Single	Y
			ACQOsl0003242A02	I had the following technical issue:	J
ACQOsl0003243	J	My issue was:		Open-ended		Text area, no char limit				Other technical issue
NIDDK Survey
ACQOsl0003310	A	Which health information topics did you primarily visit today?	ACQOsl0003310A01	Diabetes		Radio button, one-up vertical	Single	Y
			ACQOsl0003310A02	Digestive diseases
			ACQOsl0003310A03	Liver disease
			ACQOsl0003310A04	Kidney disease
			ACQOsl0003310A05	Urologic disease
			ACQOsl0003310A06	Nutrition
			ACQOsl0003310A07	Weight Control Information Network
			ACQOsl0003310A08	Other, please specify:	AA
ACQOsl0003311	AA	Which other health topic did you visit?
ACQOsl0003312	B	Which health education areas did you primarily visit today?	ACQOsl0003312A01	National Diabetes Education Program		Radio button, one-up vertical	Single	Y
			ACQOsl0003312A02	National Kidney Disease Education Program
			ACQOsl0003312A03	Weight Control Information Network
			ACQOsl0003312A04	Celiac Disease Awareness Campaign
			ACQOsl0003312A05	National Diabetes Information Clearinghouse
			ACQOsl0003312A06	National Digestive Diseases Information Clearinghouse
			ACQOsl0003312A07	National Kidney and Urologic Diseases Information Clearinghouse
			ACQOsl0003312A08	Other, please specify:	BB
ACQOsl0003313	BB	Which other health education area did you visit?				Text field no limit
ACQOsl0003314	C	What other area of the site did you visit?				Text field no limit
ACQOsl0003315	A	What is your role?
ACQOsl0003316		How will you use the information you find on this site?	ACQOsl0003316A01	To share and discuss with my health care provider		Radio button, one-up vertical	Single	Y	SHARED	How Use Info
			ACQOsl0003316A02	To address personal health issues
			ACQOsl0003316A03	To aid others who have health concerns
			ACQOsl0003316A04	To pursue a career as a medical researcher
			ACQOsl0003316A05	To support new or current research projects
			ACQOsl0003316A06	To explore or support business opportunities
			ACQOsl0003316A07	Other, please specify:	A
ACQOsl0003317	A	How else will you use the information?