401 CDC_New_Questi 401 CDC_New_Questionnaire_12_27_2010_FINAL3

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Overview

English Equiv Model Qsts
EnglishModel Qsts
Spanish Model Qsts
English Equiv Custom Qsts
English Custom Qsts
Spanish Custom Qsts

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Sheet 1: English Equiv Model Qsts

Model Instance Name:
CDC (Jan 2011-present)
MID:	Y9h8gZZ0ghx0VYtM1w8I8A==
Date:	1/1/2011
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Model questions utilize the ACSI methodology to determine scores and impacts
	ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION		FUTURE BEHAVIORS
	Content (1=Poor, 10=Excellent, Don't Know)		Satisfaction		Likelihood to Return (1=Very Unlikely, 10=Very Likely)
	Please rate the accuracy of information on this site.		What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)		How likely are you to return to this site?
	Please rate the quality of information on this site.		How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)		Recommend (1=Very Unlikely, 10=Very Likely)
	Please rate the freshness of content on this site.		How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)		How likely are you to recommend this site to someone else?
	Functionality (1=Poor, 10=Excellent, Don't Know)				Future Participation (1=Very Unlikely, 10=Very Likely)
	Please rate the usefulness of the features provided on this site.				How likely are you to express your thoughts or ideas to this agency in the next 90 days?
	Please rate the convenience of the features on this site.				Trust (1=Not at all Trustworthy, 10=Very Trustworthy)
	Please rate the variety of features on this site.				Please rate your level of trust in this agency.
	Look and Feel (1=Poor, 10=Excellent, Don't Know)
	Please rate the visual appeal of this site.
	Please rate the balance of graphics and text on this site.
	Please rate the readability of the pages on this site.
	Navigation (1=Poor, 10=Excellent, Don't Know)
	Please rate how well the site is organized.
	Please rate the options available for navigating this site.
	Please rate how well the site layout helps you find what you are looking for.
	Please rate the number of clicks to get where you want on this site.
	Site Performance (1=Poor, 10=Excellent, Don't Know)
	Please rate how quickly pages load on this site.
	Please rate the consistency of speed from page to page on this site.
	Please rate the ability to load pages without getting error messages on this site.
	Search (1=Poor, 10=Excellent, Don't Know)
	Please rate the relevance of search results on this site.
	Please rate the organization of search results on this site.
	Please rate how well the search results help you decide what to select.
	Please rate how well the search feature helps you to narrow the results to find what you want.
	Online Transparency (1=Poor, 10=Excellent, Don't Know)
	Please rate how thoroughly this Web site discloses information about what this agency is doing.
	Please rate how quickly agency information is made available on this Web site.
	Please rate how well information about what this agency is doing can be accessed by the public on this Web site

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Sheet 2: EnglishModel Qsts

Model Instance Name:
CDC (Jan 2011-present) - English
MID:	9U0B0ZRZoIdc1hE89hM0IA==
Date:	1/1/2011
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Model questions utilize the ACSI methodology to determine scores and impacts
	ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION		FUTURE BEHAVIORS
	Content (1=Poor, 10=Excellent, Don't Know)		Satisfaction		Likelihood to Return (1=Very Unlikely, 10=Very Likely)
	Please rate the accuracy of information on this site.		What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)		How likely are you to return to this site?
	Please rate the quality of information on this site.		How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)		Recommend (1=Very Unlikely, 10=Very Likely)
	Please rate the freshness of content on this site.		How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)		How likely are you to recommend this site to someone else?
	Functionality (1=Poor, 10=Excellent, Don't Know)				Future Participation (1=Very Unlikely, 10=Very Likely)
	Please rate the usefulness of the features provided on this site.				How likely are you to express your thoughts or ideas to this agency in the next 90 days?
	Please rate the convenience of the features on this site.				Trust (1=Not at all Trustworthy, 10=Very Trustworthy)
	Please rate the variety of features on this site.				Please rate your level of trust in this agency.
	Look and Feel (1=Poor, 10=Excellent, Don't Know)
	Please rate the visual appeal of this site.
	Please rate the balance of graphics and text on this site.
	Please rate the readability of the pages on this site.
	Navigation (1=Poor, 10=Excellent, Don't Know)
	Please rate how well the site is organized.
	Please rate the options available for navigating this site.
	Please rate how well the site layout helps you find what you are looking for.
	Please rate the number of clicks to get where you want on this site.
	Site Performance (1=Poor, 10=Excellent, Don't Know)
	Please rate how quickly pages load on this site.
	Please rate the consistency of speed from page to page on this site.
	Please rate the ability to load pages without getting error messages on this site.
	Search (1=Poor, 10=Excellent, Don't Know)
	Please rate the relevance of search results on this site.
	Please rate the organization of search results on this site.
	Please rate how well the search results help you decide what to select.
	Please rate how well the search feature helps you to narrow the results to find what you want.
	Online Transparency (1=Poor, 10=Excellent, Don't Know)
	Please rate how thoroughly this Web site discloses information about what this agency is doing.
	Please rate how quickly agency information is made available on this Web site.
	Please rate how well information about what this agency is doing can be accessed by the public on this Web site

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Sheet 3: Spanish Model Qsts

Model Instance Name:
CDC (Jan 2011-present) - Spanish
MID:	QEtRNNchocpRY99oZMsNZQ==
Date:	1/1/2011
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Model questions utilize the ACSI methodology to determine scores and impacts
	ELEMENTOS (determinantes de la satisfacción)		SATISFACCIÓN DEL CONSUMIDOR		COMPORTAMIENTOS FUTUROS
	Contenido (1=Malo, 10=Excelente, No sabe)		Satisfacción		Probabilidad de que vuelva (1=Muy poco probable, 10=Muy probable)
	Por favor evalúe la precisión de la información de este sitio.		¿Cuál es su nivel de satisfacción general con este sitio? (1=Muy insatisfecho, 10=Muy satisfecho)		¿Qué tan probable es que vuelva a visitar este sitio?
	Por favor evalúe la calidad de la información de este sitio.		¿En qué medida este sitio satisface sus expectativas? (1=Por debajo, 10=Excede)		Recomendación a otros (1=Muy poco probable, 10=Muy probable)
	Por favor evalúe la actualidad del contenido de este sitio.		¿Cómo se compara este sitio con su sitio web ideal? (1=No muy cercano, 10=Muy cercano)		¿Qué tan probable es que recomiende este sitio a alguien?
	Funcionalidad (1=Mala, 10=Excelente, No sabe)				Participación futura (1=Muy poco probable, 10=Muy probable)
	Por favor evalúe la utilidad de las herramientas que provee este sitio.				¿Qué tan probable es que exprese sus ideas u opiniones a esta agencia en los próximos 90 días?
	Por favor evalúe la conveniencia de las herramientas de este sitio.				Confianza (1=No es confiable para nada, 10=Muy confiable)
	Por favor evalúe la variedad de las herramientas de este sitio.				Por favor califique su nivel de confianza en esta agencia.
	Aspecto y presentación (1=Malos, 10=Excelente, No sabe)
	Por favor evalúe la apariencia visual de este sitio.
	Por favor evalúe el balance entre gáficas y texto de este sitio.
	Por favor evalúe cuán legibles son las páginas de este sitio.
	Navegación (1=Mala, 10=Excelente, No sabe)
	Por favor evalúe la organización de este sitio.
	Por favor evalúe las opciones de navegación de este sitio.
	Por favor evalúe cuánto le ayuda la distribución de este sitio a encontrar lo que está buscando.
	Por favor evalúe el número de clicks que debe dar para poder encontar lo que desea en este sitio Web.
	Funcionamiento del sitio (1=Malo, 10=Excelente, No sabe)
	Por favor, evalúe cuán rápido descargan las páginas de este sitio Web.
	Por favor, evalúe la consistencia de la velocidad entre página y página de este sitio Web.
	Por favor, evalúe la habilidad de descargar páginas sin recibir un mensaje de error en este sitio Web.
	Búsqueda (1=Mala, 10=Excelente, No sabe)
	Por favor evalúe la relevancia de los resultados de búsqueda en este sitio Web.
	Por favor evalúe la organización de los resultados de búsqueda en este sitio Web.
	Por favor evalúe cuánto le ayudaron los resultados de búsqueda a decidir qué seleccionar.
	Por favor evalúe cuánto le ayuda la herramienta de búsqueda a refinar los resultados a encontrar lo que desea.
	Transparencia de la información en línea (1=Mala, 10=Excelente, No sabe)
	Por favor califique en qué medida este sitio web informa en forma exhaustiva sobre las actividades que realiza esta agencia.
	Por favor califique con qué rapidez puede acceder a la información sobre la agencia en este sitio web.
	Por favor califique qué tan bien este sitio web le permite al público acceder a la información de lo que hace esta agencia.

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Sheet 4: English Equiv Custom Qsts

Model Instance Name:			red & strike-through: DELETE
CDC (Jan 2011-present)			underlined & italicized: RE-ORDER
MID:	Y9h8gZZ0ghx0VYtM1w8I8A==		pink: ADDITION
Date:	3/1/2008		blue + -->: REWORDING
CDC (Jan 2011-present) CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
CWS06063		Which category best describes the health topic you were looking for?	Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, STDs…)	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Health Topic
			Healthy Living (food safety, bone health, physical activity, immunizations, genetics, smoking prevention…)	B
			Traveler Health (destinations, outbreaks, travel vaccinations, Yellow Book…)	C
			Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…)	D
			Injury, Violence & Safety (brain injury, child abuse, falls, fires, poisoning, suicide, youth violence…)	E
			Environmental Health (air pollution, carbon monoxide, lead, mold, water quality, climate change…)	F
			Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…)	G
			Life Stages & Populations (infant & child, men, minorities, pregnancy, seniors, women...)	H
			Global Health (Global Health Initiative, global disease detection, Field Epidemiologist Training Program, parasites, global HIV/AIDS, international emergency and refugee health, Haiti…)	I
			State, Tribal, Local or Territorial Support (funding and grants, cooperative agreements, strategy and planning, policy, training, best practices …)	J
			Other, please specify:	K
CWS06064	K	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Other Health Topic
CWS06065	A	More specifically, what topic were you looking for?	ADHD		Radio button, one-up vertical	Single	N	Skip Logic Group	DiseaseCond
			Arthritis
			Asthma
			Autism
			Birth defects
			Cancer
			Diabetes
			Epilepsy
			Fetal alcohol syndrome
			Flu (influenza)
			Heart disease
			Hepatitis
			HIV/AIDS
			Meningitis
			MRSA (Methicillin Resistant Staphylococcus Aureus)
			Obesity
			Salmonella
			Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)
			Stroke
			Tuberculosis
			Water-related diseases
			Other, please specify:	L
CWS06066	L	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth diseascond
CWS06067	B	More specifically, what topic were you looking for?	Aging		Radio button, one-up vertical	Single	N		Healthy Living
			Birth defects
			BMI (Body Mass Index)
			Bone health
			Breastfeeding
			Child development
			Excessive alcohol use
			Food safety
			Genetics and genomics
			Mental health
			Nutrition
			Physical activity and exercise
			Reproductive health
			Sexual health
			Sleep and sleep disorders
			Smoking and tobacco use
			Vaccines and immunizations
			Other, please specify:	M
CWS06068	M	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group
CWS06069	C	More specifically, what topic were you looking for?	2010 Yellow Book		Radio button, one-up vertical	Single	N	Skip Logic Group	Travelers Health
			Destinations
			Diseases related to travel (including malaria and yellow fever)
			Illness & injury abroad (what to do if you become sick while traveling)
			Preparing for your trip
			Staying healthy & safe (insect protection, safe food & water, survival guide)
			Vaccinations
			Other, please specify:	N
CWS06070	N	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Other Travelers
CWS06071	D	More specifically, what topic were you looking for?	Bioterrorism (anthrax, plague, smallpox)		Radio button, one-up vertical	Single	N	Skip Logic Group	Emerg Prepare
			Chemical emergencies (ricin, chlorine, nerve agents)
			Coping with a disaster
			Mass casualties (explosions, blasts, injuries)
			Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)
			Preparation & planning for hazards
			Radiation emergencies (dirty bombs, nuclear blasts)
			Recent outbreaks & incidents (salmonella, melamine)
			Surveillance
			Other, please specify:	O
CWS06072	O	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Other Emerg
CWS06073	E	More specifically, what topic were you looking for?	Acute care (injury response)		Radio button, one-up vertical	Single	N		Injury
			Adolescent injuries
			Child abuse / maltreatment
			Choking
			Concussion / brain injuries
			Dog bites
			Drowning
			Elder maltreatment
			Explosion and blast injuries
			Falls among older adults
			Fire-related injuries
			Fireworks
			Intimate partner violence
			Mass casualties
			Motor vehicle injuries
			Poisoning
			Preventing injury & violence
			Sexual violence
			Suicide
			Violence
			Other, please specify:	P
CWS06074	P	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth Injury
CWS06075	F	More specifically, what topic were you looking for?	Air quality		Radio button, one-up vertical	Single	N		Enviro
			Asbestos
			Asthma
			Biomonitoring
			Carbon monoxide poisoning
			Childhood lead poisoning prevention
			Climate change
			Cruise ship health
			Extreme weather conditions
			Mold
			Natural disasters
			Protect yourself from the sun
			Radiation studies
			Rodent control
			Smoking and tobacco use
			Water
			Other, please specify:	Q
CWS06076	Q	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth Enviro
CWS06077	G	More specifically, what topic were you looking for?	Asbestos		Radio button, one-up vertical	Single	N	Skip Logic Group	Workplace
			Carpal tunnel syndrome
			Chemical safety
			Construction
			Electrical safety
			Emergency responders
			Ergonomics
			Eye safety
			Hearing loss
			Heat stress
			Laboratory safety
			Lead
			Machine safety
			Mining
			Motor vehicle safety
			Noise
			Office environments
			Protective clothing
			Respirators
			Stress
			Violence
			Workplace safety & prevention
			Other, please specify:	R
CWS06078	R	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth Workplace
CWS06079	H	More specifically, what topic were you looking for?	Adolescents & teens		Radio button, one-up vertical	Single	N		Life
			Children
			Family
			Infants & toddlers
			Men
			Older adults & seniors
			Parents
			Pregnancy
			Women
			Young adults
			Other, please specify:	H
CWS06080	S	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth Life
CWS06081	I	More specifically, what topic were you looking for?	Field Epidemiologist Training Program		Radio button, one-up vertical	Single	N		Global
			Global disease detection
			Global health initiatives
			Global HIV/AIDS
			Global immunizations
			Haiti
			International emergency and refugee health
			Parasites
			Other, please specify:	T
CWS06082	T	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth Global
CWS06083	J	More specifically, what topic were you looking for?	Best practices		Radio button, one-up vertical	Single	N	Skip Logic Group	State Tribal
			Cooperative agreements
			Funding and grants
			Policy
			Strategy and planning
			Training
			Other, please specify:	U
CWS06084	U	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth State Tribal
CWS06085		Which of the following best describes the type of information you were looking for?	General information about the health topic selected		Radio button, one-up vertical	Single		OPS Group	Type of Info
			General information about symptoms, causes, risk factors, tests, or treatment
			Data and statistics
			Scientific research, articles, publications, and journals
			Guidelines and recommendations for healthcare providers
			Professional training for healthcare providers, researchers, public health professionals, etc.
			Educational materials
			Campaigns and initiatives
			Grants and funding opportunities
			Tools, software applications, systems, and other resources
			Print materials (fact sheets, brochures, posters, etc.)
			Multimedia products (podcasts, videos, widgets, etc.)
			Jobs and careers
			Other, please specify:	A
CWS06086	A	Please list the other type of information you were looking for:			Text area, no char limit			OPS Group	Other Info
CWS06087		Were you able to find what you were looking for?	Yes		Radio button, one-up vertical			Skip Logic Group	Find Info
			Partially	A
			No, I'm still looking	A
CWS06088	A	What were you looking for?			Text area, no char limit			Skip Logic Group	Unable to Find
CWS06089		Who will use the information you are looking for today?	I will use it myself.	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Info Usage
			I’m looking for a friend or family member.
			I’m looking for a patient or client.
			I’m looking for a public health agency.
			Other, please specify:	B
CWS06090	B	Who will use the information:			Text area, no char limit			Skip Logic Group	Info Usage Other
CWS06091	A	Based on the information you found, how likely are you to make changes to your lifestyle to improve your health?	Very Unlikely	C	Radio button, one-up vertical	Single	N	Skip Logic Group	Change
			Unlikely	C
			Likely	E
			Very Likely	E
CWS06092	C	Why are you unlikely to make a change to improve your health?	I need more information (need to do more research).		Radio button, one-up vertical	Single	N	Skip Logic Group	Unlikely Change
			I’m not ready to make a change yet.
			I’m already following the recommendations / living a healthy lifestyle.
			Other, please specify:	D
CWS06093	D	Why are you unlikely to make a change:			Text area, no char limit			Skip Logic Group	Open Unlikely Change
CWS06094	E	What change are you planning to make?			Text area, no char limit			Skip Logic Group	Open Change
CWS06095		In the last year, which of the following activities have you done?  [Please select all that apply]:	Listened to audio or podcasts on CDC.gov		Checkbox, one-up vertical	Multi	Y		SM CDC Activities
			Watched a video on CDC.gov or CDC’s YouTube Page
			Visited or “liked” CDC’s Facebook page
			Followed one of CDC’s Twitter profiles
			Signed up for email updates on CDC.gov
			Sent a CDC eCard to someone
			Used CDC’s mobile Web site (m.cdc.gov) or a CDC mobile application (“app”)
			Subscribed to CDC’s text messaging program
			Read one of the blogs on CDC.gov
			Used one of CDC’s widgets
			Used CDC’s Public Health Image Library (PHIL)
			Downloaded one of CDC’s buttons or badges
			Participated in a contest or challenge CDC is sponsoring
			None of the above
CWS06096		In the last three months, which of the following general activities have you done online?  [Please select all that apply]:	Participated in online social networks (Facebook, MySpace, etc.)		Checkbox, one-up vertical	Multi	Y		SM Activities
			Used micro-blogging sites (Twitter, Tumblr, Jaiku, etc.)
			Browsed through online photo galleries
			Watched videos on a Web site
			Uploaded videos to a Web site (YouTube)
			Listened to podcasts or audio on a Web site
			Signed up to receive email updates from a Web site
			Subscribed to RSS feeds
			Used personalized Web pages (My Yahoo!, iGoogle, etc.)
			Added a widget, button, or badge to your personalized Web page
			Read blogs or Wikis
			Wrote a blog or contributed to Wikis
			Posted comments, ratings, or reviews on a Web site
			Sent an eCard to someone
			Bookmarked or tagged Web sites (using social bookmarking sites as Digg)
			Participated in virtual worlds (Second Life, Whyville, etc.)
			None of the above
CWS06097		In the last three months, which of the following activities have you done using your mobile phone or device?  [Please select all that apply]:	Sent or received text messages		Checkbox, one-up vertical	Multi	Y		SM Mobile Activities
			Browsed Web sites
			Sent or received email
			Downloaded an application (“app”)
			Watched videos
			Recorded videos
			Took pictures
			Played a game
			Listened to music
			None of the above
CWS06098		How frequently do you use the CDC.gov Web site?	Daily		Radio button, one-up vertical	Single	Y		Frequency
			Weekly
			Monthly
			A couple times a year
			About once a year
			This is my first time
CWS06099		Which best describes the primary role that brought you to the CDC.gov Web site today?	Individual interested in health		Radio button, one-up vertical	Single	Y	Skip Logic Group	Role
			Traveler
			Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider)	B, C
			Public health agency employee or public health professional	D, E
			Scientist or researcher
			Educator or teacher
			Student
			Safety advisor
			Business manager
			Journalist or member of the media
			Emergency responder
			Law enforcement
			Policymaker, legislator, or staff
			Grantee
			CDC Employee, staff, or contractor
			Other, please specify:	A
CWS06100	A	Please list the other reason you are on the site:			Text area, no char limit		N	Skip Logic Group	Provider role
CWS06101	B	Which of the following best describes you?	Physician, actively seeing patients at least 2 days a week		Radio button, one-up vertical	Single	N
			Physician, primarily conducting research projects
			Nurse or nurse practitioner
			Physician’s assistant
			Pharmacist or pharmaceutical assistant
			Other type of healthcare provider, please specify:	F
CWS06102	G	Please list your role:			Text area, no char limit		N	Skip Logic Group	Other Provider
CWS06103	C	Which of the following best describes where you work?	Hospital		Radio button, one-up vertical	Single			Provider Location
			Large medical practice
			Small medical practice
			Not-for-profit
			Research institution
			Other, please specify:	G
CWS06104	G	Please list where you work:			Text area, no char limit		N	Skip Logic Group	Other Prov Location
CWS06105	D	Which of the following best describes you?	Public health advocate		Radio button, one-up vertical	Single
			Health educator
			Health communicator
			Management
			Research scientist
			Administrative staff
			Other, please specify:	H
CWS06106	H	Please list your role:			Text area, no char limit		N	Skip Logic Group	Other Public
CWS06107	E	Which of the following best describes where you work?	Public or commercial sector		Radio button, one-up vertical	Single	N
			Not-for-profit
			Federal public health agency
			State public health agency
			Local public health agency
			Territorial public health agency
			Tribal public health agency
			Other, please specify:	I
CWS06108	I	Please list where you work:			Text area, no char limit		N	Skip Logic Group	Other Pub Location
CWS06109		Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important) Rank 1 (Required)	Message directly from CDC on Facebook, MySpace, or Twitter		Drop down, select one	Single	Y	Rank Group	SV - Rank 1
			Message or recommendation from a friend on Facebook, MySpace, or Twitter
			Video I saw on CDC's YouTube Page
			A blog or discussion forum					Adjust Template/Style Sheet
			Advertisement on Facebook, MySpace, or Twitter					Randomize
			Mobile phone text messages or alerts
			Instant Message from someone
			Familiarity with site/agency
			Email updates from the agency
			Website is bookmarked
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Advertisement on another Website
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS06110		Rank 2 (Optional)	Message directly from CDC on Facebook, MySpace, or Twitter		Drop down, select one	Single	N	Rank Group	SV - Rank 2
			Message or recommendation from a friend on Facebook, MySpace, or Twitter
			Video I saw on CDC's YouTube Page					Adjust Template/Style Sheet
			A blog or discussion forum					Randomize
			Advertisement on Facebook, MySpace, or Twitter
			Mobile phone text messages or alerts
			Instant Message from someone
			Familiarity with site/agency
			Email updates from the agency
			Website is bookmarked
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Advertisement on another Website
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS06111		Rank 3 (Optional)	Message directly from CDC on Facebook, MySpace, or Twitter		Drop down, select one	Single	N	Rank Group	SV - Rank 3
			Message or recommendation from a friend on Facebook, MySpace, or Twitter
			Video I saw on CDC's YouTube Page					Adjust Template/Style Sheet
			A blog or discussion forum					Randomize
			Advertisement on Facebook, MySpace, or Twitter
			Mobile phone text messages or alerts
			Instant Message from someone
			Familiarity with site/agency
			Email updates from the agency
			Website is bookmarked
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Advertisement on another Website
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS06112		If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)			Text area, no char limit		N		SV - Other Social Network
CWS06113		How old are you?	19 or under		Radio button, one-up vertical	Single	N		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
CWS06114		How would you describe yourself?	White		Checkbox, one-up vertical	Multi	N		Ethnicity
			Hispanic or Latino
			Asian
			Black or African American
			American Indian or Alaska Native
			Native Hawaiian or other Pacific Islander
			Prefer not to answer
CWS06115		What is the highest level of education you have completed?	High school or less		Radio button, one-up vertical	Single	N		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
CWS06116		What is your gender?	Female		Radio button, one-up vertical	Single	N		Gender
			Male
			Prefer not to answer
CWS06117		What is your country of residence?	USA						Country
			Afghanistan
			Albania
			Algeria
			American Samoa
			Andorra
			Angola
			Anguilla
			Antarctica
			Antigua and Barbuda
			Argentina
			Armenia
			Aruba
			Australia
			Austria
			Azerbaijan
			Bahamas
			Bahrain
			Bangladesh
			Barbados
			Belarus
			Belgium
			Belize
			Benin
			Bermuda
			Bhutan
			Bolivia
			Bosnia/Herzegovina
			Botswana
			Bouvet Island
			Brazil
			British Indian Ocean
			Brunei Darussalam
			Bulgaria
			Burkina Faso
			Burundi
			Cambodia
			Cameroon
			Canada
			Cape Verde
			Cayman Islands
			Central African Rep.
			Chad
			Chile
			China
			Christmas Island
			Cocos Islands
			Colombia
			Comoros
			Congo
			Congo, Democratic Rep.
			Cook Islands
			Costa Rica
			Côte D'Ivoire
			Croatia
			Cuba
			Cyprus
			Czech Republic
			Denmark
			Djibouti
			Dominica
			Dominican Republic
			East Timor
			Ecuador
			Egypt
			El Salvador
			Equatorial Guinea
			Eritrea
			Estonia
			Ethiopia
			Falkland Islands
			Faroe Islands
			Fiji
			Finland
			France
			French Guiana
			French Polynesia
			French Southern Terr.
			Gabon
			Gambia
			Georgia
			Germany
			Ghana
			Gibraltar
			Greece
			Greenland
			Grenada
			Guadeloupe
			Guam
			Guatemala
			Guinea
			Guinea& Bissau
			Guyana
			Haiti
			Heard/McDonald Isls.
			Holy See/Vatican
			Honduras
			Hong Kong
			Hungary
			Iceland
			India
			Indonesia
			Iran
			Iraq
			Ireland
			Israel
			Italy
			Jamaica
			Japan
			Jordan
			Kazakhstan
			Kenya
			Kiribati
			Korea, North
			Korea, South
			Kuwait
			Kyrgyzstan
			Laos
			Latvia
			Lebanon
			Lesotho
			Liberia
			Libya
			Liechtenstein
			Lithuania
			Luxembourg
			Macao
			Macedonia
			Madagascar
			Malawi
			Malaysia
			Maldives
			Mali
			Malta
			Marshall Islands
			Martinique
			Mauritania
			Mauritius
			Mayotte
			Mexico
			Micronesia
			Moldova
			Monaco
			Mongolia
			Montserrat
			Morocco
			Mozambique
			Myanmar
			Namibia
			Nauru
			Nepal
			Netherlands
			Netherlands Antilles
			New Caledonia
			New Zealand
			Nicaragua
			Niger
			Nigeria
			Niue
			Norfolk Island
			Northern Mariana Isls
			Norway
			Oman
			Pakistan
			Palau
			Palestinian Territory
			Panama
			Papua New Guinea
			Paraguay
			Peru
			Philippines
			Pitcairn
			Poland
			Portugal
			Puerto Rico
			Qatar
			Réunion
			Romania
			Russian Federation
			Rwanda
			Saint Helena
			Saint Kitts/Nevis
			Saint Lucia
			Saint Pierre/Miquelon
			Saint Vincent/Grenadines
			Samoa
			San Marino
			Sao Tome/Principe
			Saudi Arabia
			Senegal
			Seychelles
			Sierra Leone
			Singapore
			Slovakia
			Slovenia
			Solomon Islands
			Somalia
			South Africa
			S. Georgia/S. Sand. Isls
			Spain
			Sri Lanka
			Sudan
			Suriname
			Svalbard/Jan Mayen
			Swaziland
			Sweden
			Switzerland
			Syria
			Taiwan
			Tajikistan
			Tanzania
			Thailand
			Togo
			Tokelau
			Tonga
			Trinidad and Tobago
			Tunisia
			Turkey
			Turkmenistan
			Turks and Caicos Isls
			Tuvalu
			Uganda
			Ukraine
			United Arab Emirates
			United Kingdom
			US Minor Outlying Isls
			Uruguay
			Uzbekistan
			Vanuatu
			Venezuela
			Viet Nam
			Virgin Islands, British
			Virgin Islands, U.S.
			Wallis and Futuna
			Western Sahara
			Yemen
			Yugoslavia
			Zambia
			Zimbabwe
CWS06118		If you could suggest one change to improve the CDC Web site, what recommendation would you make?			Text area, no char limit		N		One Improvement

---

Sheet 5: English Custom Qsts

Model Instance Name:			red & strike-through: DELETE
CDC (Jan 2011-present) - English			underlined & italicized: RE-ORDER
MID:	9U0B0ZRZoIdc1hE89hM0IA==		pink: ADDITION
Date:	3/1/2008		blue + -->: REWORDING
CDC (Jan 2011-present) - English CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
ENCWS06063		Which category best describes the health topic you were looking for?	Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, STDs…)	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Health Topic
			Healthy Living (food safety, bone health, physical activity, immunizations, genetics, smoking prevention…)	B
			Traveler Health (destinations, outbreaks, travel vaccinations, Yellow Book…)	C
			Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…)	D
			Injury, Violence & Safety (brain injury, child abuse, falls, fires, poisoning, suicide, youth violence…)	E
			Environmental Health (air pollution, carbon monoxide, lead, mold, water quality, climate change…)	F
			Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…)	G
			Life Stages & Populations (infant & child, men, minorities, pregnancy, seniors, women...)	H
			Global Health (Global Health Initiative, global disease detection, Field Epidemiologist Training Program, parasites, global HIV/AIDS, international emergency and refugee health, Haiti…)	I
			State, Tribal, Local or Territorial Support (funding and grants, cooperative agreements, strategy and planning, policy, training, best practices …)	J
			Other, please specify:	K
ENCWS06064	K	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Other Health Topic
ENCWS06065	A	More specifically, what topic were you looking for?	ADHD		Radio button, one-up vertical	Single	N	Skip Logic Group	DiseaseCond
			Arthritis
			Asthma
			Autism
			Birth defects
			Cancer
			Diabetes
			Epilepsy
			Fetal alcohol syndrome
			Flu (influenza)
			Heart disease
			Hepatitis
			HIV/AIDS
			Meningitis
			MRSA (Methicillin Resistant Staphylococcus Aureus)
			Obesity
			Salmonella
			Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)
			Stroke
			Tuberculosis
			Water-related diseases
			Other, please specify:	L
ENCWS06066	L	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth diseascond
ENCWS06067	B	More specifically, what topic were you looking for?	Aging		Radio button, one-up vertical	Single	N		Healthy Living
			Birth defects
			BMI (Body Mass Index)
			Bone health
			Breastfeeding
			Child development
			Excessive alcohol use
			Food safety
			Genetics and genomics
			Mental health
			Nutrition
			Physical activity and exercise
			Reproductive health
			Sexual health
			Sleep and sleep disorders
			Smoking and tobacco use
			Vaccines and immunizations
			Other, please specify:	M
ENCWS06068	M	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group
ENCWS06069	C	More specifically, what topic were you looking for?	2010 Yellow Book		Radio button, one-up vertical	Single	N	Skip Logic Group	Travelers Health
			Destinations
			Diseases related to travel (including malaria and yellow fever)
			Illness & injury abroad (what to do if you become sick while traveling)
			Preparing for your trip
			Staying healthy & safe (insect protection, safe food & water, survival guide)
			Vaccinations
			Other, please specify:	N
ENCWS06070	N	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Other Travelers
ENCWS06071	D	More specifically, what topic were you looking for?	Bioterrorism (anthrax, plague, smallpox)		Radio button, one-up vertical	Single	N	Skip Logic Group	Emerg Prepare
			Chemical emergencies (ricin, chlorine, nerve agents)
			Coping with a disaster
			Mass casualties (explosions, blasts, injuries)
			Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)
			Preparation & planning for hazards
			Radiation emergencies (dirty bombs, nuclear blasts)
			Recent outbreaks & incidents (salmonella, melamine)
			Surveillance
			Other, please specify:	O
ENCWS06072	O	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Other Emerg
ENCWS06073	E	More specifically, what topic were you looking for?	Acute care (injury response)		Radio button, one-up vertical	Single	N		Injury
			Adolescent injuries
			Child abuse / maltreatment
			Choking
			Concussion / brain injuries
			Dog bites
			Drowning
			Elder maltreatment
			Explosion and blast injuries
			Falls among older adults
			Fire-related injuries
			Fireworks
			Intimate partner violence
			Mass casualties
			Motor vehicle injuries
			Poisoning
			Preventing injury & violence
			Sexual violence
			Suicide
			Violence
			Other, please specify:	P
ENCWS06074	P	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth Injury
ENCWS06075	F	More specifically, what topic were you looking for?	Air quality		Radio button, one-up vertical	Single	N		Enviro
			Asbestos
			Asthma
			Biomonitoring
			Carbon monoxide poisoning
			Childhood lead poisoning prevention
			Climate change
			Cruise ship health
			Extreme weather conditions
			Mold
			Natural disasters
			Protect yourself from the sun
			Radiation studies
			Rodent control
			Smoking and tobacco use
			Water
			Other, please specify:	Q
ENCWS06076	Q	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth Enviro
ENCWS06077	G	More specifically, what topic were you looking for?	Asbestos		Radio button, one-up vertical	Single	N	Skip Logic Group	Workplace
			Carpal tunnel syndrome
			Chemical safety
			Construction
			Electrical safety
			Emergency responders
			Ergonomics
			Eye safety
			Hearing loss
			Heat stress
			Laboratory safety
			Lead
			Machine safety
			Mining
			Motor vehicle safety
			Noise
			Office environments
			Protective clothing
			Respirators
			Stress
			Violence
			Workplace safety & prevention
			Other, please specify:	R
ENCWS06078	R	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth Workplace
ENCWS06079	H	More specifically, what topic were you looking for?	Adolescents & teens		Radio button, one-up vertical	Single	N		Life
			Children
			Family
			Infants & toddlers
			Men
			Older adults & seniors
			Parents
			Pregnancy
			Women
			Young adults
			Other, please specify:	H
ENCWS06080	S	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth Life
ENCWS06081	I	More specifically, what topic were you looking for?	Field Epidemiologist Training Program		Radio button, one-up vertical	Single	N		Global
			Global disease detection
			Global health initiatives
			Global HIV/AIDS
			Global immunizations
			Haiti
			International emergency and refugee health
			Parasites
			Other, please specify:	T
ENCWS06082	T	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth Global
ENCWS06083	J	More specifically, what topic were you looking for?	Best practices		Radio button, one-up vertical	Single	N	Skip Logic Group	State Tribal
			Cooperative agreements
			Funding and grants
			Policy
			Strategy and planning
			Training
			Other, please specify:	U
ENCWS06084	U	Please list the other topic you were looking for:			Text area, no char limit			Skip Logic Group	Oth State Tribal
ENCWS06085		Which of the following best describes the type of information you were looking for?	General information about the health topic selected		Radio button, one-up vertical	Single		OPS Group	Type of Info
			General information about symptoms, causes, risk factors, tests, or treatment
			Data and statistics
			Scientific research, articles, publications, and journals
			Guidelines and recommendations for healthcare providers
			Professional training for healthcare providers, researchers, public health professionals, etc.
			Educational materials
			Campaigns and initiatives
			Grants and funding opportunities
			Tools, software applications, systems, and other resources
			Print materials (fact sheets, brochures, posters, etc.)
			Multimedia products (podcasts, videos, widgets, etc.)
			Jobs and careers
			Other, please specify:	A
ENCWS06086	A	Please list the other type of information you were looking for:			Text area, no char limit			OPS Group	Other Info
ENCWS06087		Were you able to find what you were looking for?	Yes		Radio button, one-up vertical			Skip Logic Group	Find Info
			Partially	A
			No, I'm still looking	A
ENCWS06088	A	What were you looking for?			Text area, no char limit			Skip Logic Group	Unable to Find
ENCWS06089		Who will use the information you are looking for today?	I will use it myself.	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Info Usage
			I’m looking for a friend or family member.
			I’m looking for a patient or client.
			I’m looking for a public health agency.
			Other, please specify:	B
ENCWS06090	B	Who will use the information:			Text area, no char limit			Skip Logic Group	Info Usage Other
ENCWS06091	A	Based on the information you found, how likely are you to make changes to your lifestyle to improve your health?	Very Unlikely	C	Radio button, one-up vertical	Single	N	Skip Logic Group	Change
			Unlikely	C
			Likely	E
			Very Likely	E
ENCWS06092	C	Why are you unlikely to make a change to improve your health?	I need more information (need to do more research).		Radio button, one-up vertical	Single	N	Skip Logic Group	Unlikely Change
			I’m not ready to make a change yet.
			I’m already following the recommendations / living a healthy lifestyle.
			Other, please specify:	D
ENCWS06093	D	Why are you unlikely to make a change:			Text area, no char limit			Skip Logic Group	Open Unlikely Change
ENCWS06094	E	What change are you planning to make?			Text area, no char limit			Skip Logic Group	Open Change
ENCWS06095		In the last year, which of the following activities have you done?  [Please select all that apply]:	Listened to audio or podcasts on CDC.gov		Checkbox, one-up vertical	Multi	Y		SM CDC Activities
			Watched a video on CDC.gov or CDC’s YouTube Page
			Visited or “liked” CDC’s Facebook page
			Followed one of CDC’s Twitter profiles
			Signed up for email updates on CDC.gov
			Sent a CDC eCard to someone
			Used CDC’s mobile Web site (m.cdc.gov) or a CDC mobile application (“app”)
			Subscribed to CDC’s text messaging program
			Read one of the blogs on CDC.gov
			Used one of CDC’s widgets
			Used CDC’s Public Health Image Library (PHIL)
			Downloaded one of CDC’s buttons or badges
			Participated in a contest or challenge CDC is sponsoring
			None of the above
ENCWS06096		In the last three months, which of the following general activities have you done online?  [Please select all that apply]:	Participated in online social networks (Facebook, MySpace, etc.)		Checkbox, one-up vertical	Multi	Y		SM Activities
			Used micro-blogging sites (Twitter, Tumblr, Jaiku, etc.)
			Browsed through online photo galleries
			Watched videos on a Web site
			Uploaded videos to a Web site (YouTube)
			Listened to podcasts or audio on a Web site
			Signed up to receive email updates from a Web site
			Subscribed to RSS feeds
			Used personalized Web pages (My Yahoo!, iGoogle, etc.)
			Added a widget, button, or badge to your personalized Web page
			Read blogs or Wikis
			Wrote a blog or contributed to Wikis
			Posted comments, ratings, or reviews on a Web site
			Sent an eCard to someone
			Bookmarked or tagged Web sites (using social bookmarking sites as Digg)
			Participated in virtual worlds (Second Life, Whyville, etc.)
			None of the above
ENCWS06097		In the last three months, which of the following activities have you done using your mobile phone or device?  [Please select all that apply]:	Sent or received text messages		Checkbox, one-up vertical	Multi	Y		SM Mobile Activities
			Browsed Web sites
			Sent or received email
			Downloaded an application (“app”)
			Watched videos
			Recorded videos
			Took pictures
			Played a game
			Listened to music
			None of the above
ENCWS06098		How frequently do you use the CDC.gov Web site?	Daily		Radio button, one-up vertical	Single	Y		Frequency
			Weekly
			Monthly
			A couple times a year
			About once a year
			This is my first time
ENCWS06099		Which best describes the primary role that brought you to the CDC.gov Web site today?	Individual interested in health		Radio button, one-up vertical	Single	Y	Skip Logic Group	Role
			Traveler
			Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider)	B, C
			Public health agency employee or public health professional	D, E
			Scientist or researcher
			Educator or teacher
			Student
			Safety advisor
			Business manager
			Journalist or member of the media
			Emergency responder
			Law enforcement
			Policymaker, legislator, or staff
			Grantee
			CDC Employee, staff, or contractor
			Other, please specify:	A
ENCWS06100	A	Please list the other reason you are on the site:			Text area, no char limit		N	Skip Logic Group	Provider role
ENCWS06101	B	Which of the following best describes you?	Physician, actively seeing patients at least 2 days a week		Radio button, one-up vertical	Single	N
			Physician, primarily conducting research projects
			Nurse or nurse practitioner
			Physician’s assistant
			Pharmacist or pharmaceutical assistant
			Other type of healthcare provider, please specify:	F
ENCWS06102	G	Please list your role:			Text area, no char limit		N	Skip Logic Group	Other Provider
ENCWS06103	C	Which of the following best describes where you work?	Hospital		Radio button, one-up vertical	Single			Provider Location
			Large medical practice
			Small medical practice
			Not-for-profit
			Research institution
			Other, please specify:	G
ENCWS06104	G	Please list where you work:			Text area, no char limit		N	Skip Logic Group	Other Prov Location
ENCWS06105	D	Which of the following best describes you?	Public health advocate		Radio button, one-up vertical	Single
			Health educator
			Health communicator
			Management
			Research scientist
			Administrative staff
			Other, please specify:	H
ENCWS06106	H	Please list your role:			Text area, no char limit		N	Skip Logic Group	Other Public
ENCWS06107	E	Which of the following best describes where you work?	Public or commercial sector		Radio button, one-up vertical	Single	N
			Not-for-profit
			Federal public health agency
			State public health agency
			Local public health agency
			Territorial public health agency
			Tribal public health agency
			Other, please specify:	I
ENCWS06108	I	Please list where you work:			Text area, no char limit		N	Skip Logic Group	Other Pub Location
ENCWS06109		Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important) Rank 1 (Required)	Message directly from CDC on Facebook, MySpace, or Twitter		Drop down, select one	Single	Y	Rank Group	SV - Rank 1
			Message or recommendation from a friend on Facebook, MySpace, or Twitter
			Video I saw on CDC's YouTube Page
			A blog or discussion forum					Adjust Template/Style Sheet
			Advertisement on Facebook, MySpace, or Twitter					Randomize
			Mobile phone text messages or alerts
			Instant Message from someone
			Familiarity with site/agency
			Email updates from the agency
			Website is bookmarked
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Advertisement on another Website
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
ENCWS06110		Rank 2 (Optional)	Message directly from CDC on Facebook, MySpace, or Twitter		Drop down, select one	Single	N	Rank Group	SV - Rank 2
			Message or recommendation from a friend on Facebook, MySpace, or Twitter
			Video I saw on CDC's YouTube Page					Adjust Template/Style Sheet
			A blog or discussion forum					Randomize
			Advertisement on Facebook, MySpace, or Twitter
			Mobile phone text messages or alerts
			Instant Message from someone
			Familiarity with site/agency
			Email updates from the agency
			Website is bookmarked
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Advertisement on another Website
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
ENCWS06111		Rank 3 (Optional)	Message directly from CDC on Facebook, MySpace, or Twitter		Drop down, select one	Single	N	Rank Group	SV - Rank 3
			Message or recommendation from a friend on Facebook, MySpace, or Twitter
			Video I saw on CDC's YouTube Page					Adjust Template/Style Sheet
			A blog or discussion forum					Randomize
			Advertisement on Facebook, MySpace, or Twitter
			Mobile phone text messages or alerts
			Instant Message from someone
			Familiarity with site/agency
			Email updates from the agency
			Website is bookmarked
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Advertisement on another Website
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
ENCWS06112		If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)			Text area, no char limit		N		SV - Other Social Network
ENCWS06113		How old are you?	19 or under		Radio button, one-up vertical	Single	N		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
ENCWS06114		How would you describe yourself?	White		Checkbox, one-up vertical	Multi	N		Ethnicity
			Hispanic or Latino
			Asian
			Black or African American
			American Indian or Alaska Native
			Native Hawaiian or other Pacific Islander
			Prefer not to answer
ENCWS06115		What is the highest level of education you have completed?	High school or less		Radio button, one-up vertical	Single	N		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
ENCWS06116		What is your gender?	Female		Radio button, one-up vertical	Single	N		Gender
			Male
			Prefer not to answer
ENCWS06117		What is your country of residence?	USA						Country
			Afghanistan
			Albania
			Algeria
			American Samoa
			Andorra
			Angola
			Anguilla
			Antarctica
			Antigua and Barbuda
			Argentina
			Armenia
			Aruba
			Australia
			Austria
			Azerbaijan
			Bahamas
			Bahrain
			Bangladesh
			Barbados
			Belarus
			Belgium
			Belize
			Benin
			Bermuda
			Bhutan
			Bolivia
			Bosnia/Herzegovina
			Botswana
			Bouvet Island
			Brazil
			British Indian Ocean
			Brunei Darussalam
			Bulgaria
			Burkina Faso
			Burundi
			Cambodia
			Cameroon
			Canada
			Cape Verde
			Cayman Islands
			Central African Rep.
			Chad
			Chile
			China
			Christmas Island
			Cocos Islands
			Colombia
			Comoros
			Congo
			Congo, Democratic Rep.
			Cook Islands
			Costa Rica
			Côte D'Ivoire
			Croatia
			Cuba
			Cyprus
			Czech Republic
			Denmark
			Djibouti
			Dominica
			Dominican Republic
			East Timor
			Ecuador
			Egypt
			El Salvador
			Equatorial Guinea
			Eritrea
			Estonia
			Ethiopia
			Falkland Islands
			Faroe Islands
			Fiji
			Finland
			France
			French Guiana
			French Polynesia
			French Southern Terr.
			Gabon
			Gambia
			Georgia
			Germany
			Ghana
			Gibraltar
			Greece
			Greenland
			Grenada
			Guadeloupe
			Guam
			Guatemala
			Guinea
			Guinea& Bissau
			Guyana
			Haiti
			Heard/McDonald Isls.
			Holy See/Vatican
			Honduras
			Hong Kong
			Hungary
			Iceland
			India
			Indonesia
			Iran
			Iraq
			Ireland
			Israel
			Italy
			Jamaica
			Japan
			Jordan
			Kazakhstan
			Kenya
			Kiribati
			Korea, North
			Korea, South
			Kuwait
			Kyrgyzstan
			Laos
			Latvia
			Lebanon
			Lesotho
			Liberia
			Libya
			Liechtenstein
			Lithuania
			Luxembourg
			Macao
			Macedonia
			Madagascar
			Malawi
			Malaysia
			Maldives
			Mali
			Malta
			Marshall Islands
			Martinique
			Mauritania
			Mauritius
			Mayotte
			Mexico
			Micronesia
			Moldova
			Monaco
			Mongolia
			Montserrat
			Morocco
			Mozambique
			Myanmar
			Namibia
			Nauru
			Nepal
			Netherlands
			Netherlands Antilles
			New Caledonia
			New Zealand
			Nicaragua
			Niger
			Nigeria
			Niue
			Norfolk Island
			Northern Mariana Isls
			Norway
			Oman
			Pakistan
			Palau
			Palestinian Territory
			Panama
			Papua New Guinea
			Paraguay
			Peru
			Philippines
			Pitcairn
			Poland
			Portugal
			Puerto Rico
			Qatar
			Réunion
			Romania
			Russian Federation
			Rwanda
			Saint Helena
			Saint Kitts/Nevis
			Saint Lucia
			Saint Pierre/Miquelon
			Saint Vincent/Grenadines
			Samoa
			San Marino
			Sao Tome/Principe
			Saudi Arabia
			Senegal
			Seychelles
			Sierra Leone
			Singapore
			Slovakia
			Slovenia
			Solomon Islands
			Somalia
			South Africa
			S. Georgia/S. Sand. Isls
			Spain
			Sri Lanka
			Sudan
			Suriname
			Svalbard/Jan Mayen
			Swaziland
			Sweden
			Switzerland
			Syria
			Taiwan
			Tajikistan
			Tanzania
			Thailand
			Togo
			Tokelau
			Tonga
			Trinidad and Tobago
			Tunisia
			Turkey
			Turkmenistan
			Turks and Caicos Isls
			Tuvalu
			Uganda
			Ukraine
			United Arab Emirates
			United Kingdom
			US Minor Outlying Isls
			Uruguay
			Uzbekistan
			Vanuatu
			Venezuela
			Viet Nam
			Virgin Islands, British
			Virgin Islands, U.S.
			Wallis and Futuna
			Western Sahara
			Yemen
			Yugoslavia
			Zambia
			Zimbabwe
ENCWS06118		If you could suggest one change to improve the CDC Web site, what recommendation would you make?			Text area, no char limit		N		One Improvement

---

Sheet 6: Spanish Custom Qsts

Model Instance Name:			red & strike-through: DELETE
CDC (Jan 2011-present) - Spanish			underlined & italicized: RE-ORDER
MID:	QEtRNNchocpRY99oZMsNZQ==		pink: ADDITION
Date:	3/1/2008		blue + -->: REWORDING
CDC (Jan 2011-present) - Spanish CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
SPCWS06063		¿Qué categoría describe mejor el tema de salud que está buscando?	Enfermedades y afecciones (TDAH, defectos de nacimiento, cáncer, diabetes, síndrome alcohólico fetal, influenza o gripe, VIH/sida, ETS...)	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Health Topic
			Vida saludable (seguridad de los alimentos, salud de los huesos, actividad física, vacunas, genética, prevención del tabaquismo...)	B
			Salud del viajero (destinos, brotes, vacunas para viajeros, el libro Amarillo o Yellow Book…)	C
			Preparación y respuesta para casos de emergencias (bioterrorismo, emergencias por sustancias químicas y radiación, mal tiempo…)	D
			Lesiones, violencia y seguridad (lesiones cerebrales, abuso infantil, caídas, incendios, envenenamientos e intoxicaciones, suicidio, violencia juvenil...)	E
			Salud ambiental (contaminación del aire, monóxido de carbono, plomo, moho, calidad del agua, cambio climático…)	F
			Salud ocupacional (asbesto, seguridad de sustancias químicas, construcción, minería, entornos de oficinas, respiradores…)	G
			Etapas de la vida y poblaciones (bebés y niños, hombres, minorías, embarazos, ancianos, mujeres...)	H
			Salud global (Iniciativa de salud global, detección de enfermedades globales, Programa de Capacitación de Epidemiólogos de Campo, parásitos, VIH/sida en el mundo, Programa internacional de emergencia y salud de los refugiados, Haití…)	I
			Apoyo a nivel estatal, tribal, local o territorial (financiamiento y subvenciones, acuerdos de cooperación, estrategia y planificación, políticas, capacitación, mejores prácticas…)	J
			Otro, por favor especifique:	K
SPCWS06064	K	Indique el otro tema que está buscando:			Text area, no char limit			Skip Logic Group	Other Health Topic
SPCWS06065	A	¿Qué tema buscaba en específico?	TDAH		Radio button, one-up vertical	Single	N	Skip Logic Group	DiseaseCond
			Artritis
			Asma
			Autismo
			Defectos de nacimiento o congénitos
			Cáncer
			Diabetes
			Epilepsia
			Síndrome alcohólico fetal
			Influenza (gripe)
			Enfermedades cardiacas
			Hepatitis
			VIH/Sida
			Meningitis
			SARM (Staphylococcus Aureus resistente a la meticilina)
			Obesidad
			Salmonella
			Enfermedades transmitidas sexualmente (VPH, clamidia, gonorrea, etc.)
			Accidentes cerebrovasculares
			Tuberculosis
			Enfermedades relacionadas con el agua
			Otro, por favor especifique:	L
SPCWS06066	L	Indique el otro tema que está buscando:			Text area, no char limit			Skip Logic Group	Oth diseascond
SPCWS06067	B	¿Qué tema buscaba en específico?	Envejecimiento		Radio button, one-up vertical	Single	N		Healthy Living
			Defectos de nacimiento o congénitos
			IMC (Índice de masa corporal)
			Salud de los huesos
			Lactancia materna
			Desarrollo infantil
			Consumo excesivo del alcohol
			Higiene de los alimentos
			Genética y genómica
			Salud mental
			Nutrición
			Actividad física y ejercicio
			Salud reproductiva
			Salud sexual
			Sueño y trastornos del sueño
			Tabaquismo
			Vacunas e inmunización
			Otro, por favor especifique:	M
SPCWS06068	M	Indique el otro tema que está buscando:			Text area, no char limit			Skip Logic Group
SPCWS06069	C	¿Qué tema buscaba en específico?	Guía amarilla del viajero o Yellow Book del 2010		Radio button, one-up vertical	Single	N	Skip Logic Group	Travelers Health
			Destinos
			Enfermedades relacionadas con los viajes (como paludismo o malaria y fiebre amarilla)
			Enfermedades y lesiones en el extranjero (qué hacer si se enferma durante su viaje)
			Preparación para un viaje
			Cómo mantenerse seguro y saludable (protección contra insectos, agua y alimentos seguros y guía de supervivencia)
			Vacunas
			Otro, por favor especifique:	N
SPCWS06070	N	Indique el otro tema que está buscando:			Text area, no char limit			Skip Logic Group	Other Travelers
SPCWS06071	D	¿Qué tema buscaba en específico?	Bioterrorismo (carbunco o anthrax, peste, viruela)		Radio button, one-up vertical	Single	N	Skip Logic Group	Emerg Prepare
			Emergencias con sustancias químicas (ricina, cloro, agentes nerviosos)
			Cómo hacerle frente a un desastre
			Víctimas masivas (explosiones, ondas expansivas, lesiones)
			Desastres naturales y mal tiempo (terremotos, huracanes, volcanes, ola invernal)
			Preparación y planificación de riesgos
			Emergencias por radiación ("bombas sucias", explosiones nucleares)
			Brotes e incidentes recientes (salmonella, melamina)
			Vigilancia epidemiológica
			Otro, por favor especifique:	O
SPCWS06072	O	Indique el otro tema que está buscando:			Text area, no char limit			Skip Logic Group	Other Emerg
SPCWS06073	E	¿Qué tema buscaba en específico?	Cuidados agudos (respuesta a lesiones)		Radio button, one-up vertical	Single	N		Injury
			Lesiones en adolescentes
			Abuso o maltrato infantil
			Asfixia
			Conmociones o lesiones cerebrales
			Mordeduras de perro
			Ahogamientos
			Maltrato de ancianos
			Lesiones por explosiones y onda expansiva
			Caídas en adultos de edad avanzada
			Lesiones producidas por el fuego
			Fuegos artificiales
			Violencia de pareja
			Victimas masivas
			Lesiones relacionadas con vehículos automotores
			Intoxicación y envenenamiento
			Prevención de lesiones y violencia
			Violencia sexual
			Suicidio
			Violencia
			Otro, por favor especifique:	P
SPCWS06074	P	Indique el otro tema que está buscando:			Text area, no char limit			Skip Logic Group	Oth Injury
SPCWS06075	F	¿Qué tema buscaba en específico?	Calidad del aire		Radio button, one-up vertical	Single	N		Enviro
			Asbesto
			Asma
			Biomonitorización
			Envenamiento con monóxido de carbono
			Prevención del envenenamiento infantil por plomo
			Cambio climático
			Salud en los cruceros
			Condiciones climáticas extremas
			Moho
			Desastres naturales
			Protección contra el sol
			Estudios sobre la radiación
			Control de roedores
			Tabaquismo
			Agua
			Otro, por favor especifique:	Q
SPCWS06076	Q	Indique el otro tema que está buscando:			Text area, no char limit			Skip Logic Group	Oth Enviro
SPCWS06077	G	¿Qué tema buscaba en específico?	Asbesto		Radio button, one-up vertical	Single	N	Skip Logic Group	Workplace
			Síndrome del túnel carpiano
			Seguridad de las sustancias químicas
			Construcción
			Seguridad con la electricidad
			Personal de respuesta a emergencias
			Ergonomía
			Protección de los ojos
			Pérdida de la audición
			Estrés por calor
			Seguridad en el laboratorio
			Plomo
			Seguridad con las maquinarias
			Minería
			Seguridad en vehículos automotores
			Ruido
			Entornos de oficina
			Ropas protectoras
			Respiradores
			Tensión o estrés
			Violencia
			Seguridad y prevención en el lugar de trabajo
			Otro, por favor especifique:	R
SPCWS06078	R	Indique el otro tema que está buscando:			Text area, no char limit			Skip Logic Group	Oth Workplace
SPCWS06079	H	¿Qué tema buscaba en específico?	Adolescentes		Radio button, one-up vertical	Single	N		Life
			Niños
			Familias
			Bebés y niños pequeños
			Hombres
			Adultos mayores o y ancianos
			Padres
			Embarazo
			Mujeres
			Adultos jóvenes
			Otro, por favor especifique:	H
SPCWS06080	S	Indique el otro tema que está buscando:			Text area, no char limit			Skip Logic Group	Oth Life
SPCWS06081	I	¿Qué tema buscaba en específico?	Programa de capacitación de epidemiólogos de campo		Radio button, one-up vertical	Single	N		Global
			Detección global de enfermedades
			Iniciativas de salud global
			VIH/sida en el mundo
			Vacunación global
			Haití
			Programa Internacional de Emergencia y Salud de los Refugiados
			Parásitos
			Otro, por favor especifique:	T
SPCWS06082	T	Indique el otro tema que está buscando:			Text area, no char limit			Skip Logic Group	Oth Global
SPCWS06083	J	¿Qué tema buscaba en específico?	Mejores prácticas		Radio button, one-up vertical	Single	N	Skip Logic Group	State Tribal
			Acuerdos de cooperación
			Financiamiento y subvenciones
			Políticas
			Estrategias y planeación
			Capacitación
			Otro, por favor especifique:	U
SPCWS06084	U	Indique el otro tema que está buscando:			Text area, no char limit			Skip Logic Group	Oth State Tribal
SPCWS06085		¿Cuál de los siguientes describe mejor el tipo de información que buscaba?	Información general del tema de salud seleccionado		Radio button, one-up vertical	Single		OPS Group	Type of Info
			Información general sobre síntomas, causas, factores de riesgo, pruebas o tratamientos
			Datos y estadísticas
			Investigaciones científicas, artículos, publicaciones y revistas
			Directrices y recomendaciones para personal de atención médica
			Capacitación profesional para personal de atención médica, investigadores, profesionales de salud pública, etc.
			Materiales educativos
			Campañas e iniciativas
			Subvenciones y oportunidades de financiamiento
			Herramientas, programas informáticos, sistemas y otros recursos
			Materiales impresos (hojas informativas, folletos, afiches, etc.)
			Materiales de multimedia (podcasts, videos, widgets, etc.)
			Empleos y desarrollo profesional
			Otro, por favor especifique:	A
SPCWS06086	A	Indique el otro tipo de información que buscaba:			Text area, no char limit			OPS Group	Other Info
SPCWS06087		¿Pudo encontrar lo que buscaba?	Sí		Radio button, one-up vertical			Skip Logic Group	Find Info
			Parcialmente	A
			No, todavía sigo buscando.	A
SPCWS06088	A	¿Qué información estaba buscando?			Text area, no char limit			Skip Logic Group	Unable to Find
SPCWS06089		¿Quién usará la información que está buscando hoy?	Es para mi uso personal.	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Info Usage
			La estoy buscando para un amigo o familiar.
			La estoy buscando para un paciente o cliente.
			La estoy buscando para una agencia de salud pública.
			Otro usuario, por favor especifique:	B
SPCWS06090	B	¿Quién usará la información?			Text area, no char limit			Skip Logic Group	Info Usage Other
SPCWS06091	A	Con base en la información que encontró, ¿qué probabilidad tiene de hacer cambios en su estilo de vida para mejorar su salud?	Muy poco probable	C	Radio button, one-up vertical	Single	N	Skip Logic Group	Change
			Probablemente no	C
			Probablemente sí	E
			Muy probable	E
SPCWS06092	C	¿Por qué es muy poco probable que haga algún cambio para mejorar su salud?	Necesito más información (necesito averiguar más).		Radio button, one-up vertical	Single	N	Skip Logic Group	Unlikely Change
			No estoy listo para hacer el cambio todavía.
			Ya estoy siguiendo las recomendaciones / tengo un estilo de vida saludable.
			Otro, por favor especifique:	D
SPCWS06093	D	¿Por qué razón es probable que no haga ningún cambio?:			Text area, no char limit			Skip Logic Group	Open Unlikely Change
SPCWS06094	E	¿Qué cambio planea hacer?			Text area, no char limit			Skip Logic Group	Open Change
SPCWS06095		En el último año, ¿cuál de las siguientes actividades ha realizado? [Seleccione todas las que aplican]:	Escuchó un podcast o una emisión en CDC.gov		Checkbox, one-up vertical	Multi	Y		SM CDC Activities
			Vio un video en CDC.gov o la página de los CDC en YouTube
			Visitó o "le gustó" la página de los CDC en Facebook
			Siguió uno de los perfiles sociales de los CDC en Twitter
			Se suscribió para recibir actualizaciones de CDC.gov por correo electrónico
			Envió a alguien una tarjeta electrónica de los CDC
			Usó el sitio web móvil de los CDC (m.cdc.gov) o una aplicación móvil de los CDC ("app")
			Se suscribió a un programa de mensajes de texto de los CDC
			Leyó uno de los blogs en CDC.gov
			Usó uno de los widgets de CDC
			Usó la Biblioteca de Imágenes de Salud Pública (PHIL) de los CDC
			Descargó uno de los botones o letreros de los CDC
			Participó en un concurso o en una competencia patrocinada por los CDC
			Nada de lo anterior
SPCWS06096		En los últimos tres meses, ¿cuál de las siguientes actividades generales ha realizado en Internet? [Seleccione todas las que aplican]:	Participó en sitios de interacción social en línea (Facebook, MySpace, etc.)		Checkbox, one-up vertical	Multi	Y		SM Activities
			Usó sitios de "microblogging"(Twitter, Tumblr, Jaiku, etc.)
			Exploró galerías de fotos en línea
			Vio videos en un sitio web
			Cargó videos en un sitio web (YouTube)
			Escuchó podcasts o emisiones de audio en un sitio web
			Se suscribió para recibir actualizaciones de un sitio web por correo electrónico
			Se suscribió a canales RSS
			Usó páginas de Internet personalizadas (My Yahoo!, iGoogle, etc.)
			Añadió un widget o un gadget a su página web personalizada
			Leyó blogs o wikis
			Escribió un blog o colaboró en wikis
			Publicó comentarios, calificaciones o reseñas en un sitio web
			Envió una tarjeta electrónica a alguien:
			Marcó como favoritos o etiquetó sitios de web (usando sitios sociales para clasificar como Digg)
			Participó en mundos virtuales (Second Life, Whyville, etc.)
			Nada de lo anterior
SPCWS06097		En los últimos tres meses, ¿cuál de las siguientes actividades generales ha realizado con su teléfono celular o aparato móvil? [Seleccione todas las que aplican]:	Envió o recibió mensajes de texto		Checkbox, one-up vertical	Multi	Y		SM Mobile Activities
			Exploró sitios web
			Envió o recibió correos electrónicos
			Descargó una aplicación ("app")
			Vio videos
			Grabó videos
			Tomó fotos
			Jugó un juego en línea
			Escuchó música
			Nada de lo anterior
SPCWS06098		¿Con qué frecuencia utiliza usted el sitio web CDC en Español ?	Diariamente		Radio button, one-up vertical	Single	Y		Frequency
			Semanalmente
			Mensualmente
			Un par de veces al año
			Alrededor de una vez al año
			Esta es mi primera vez
SPCWS06099		¿Cuál describe mejor la razón principal para visitar hoy el sitio web CDC.gov?	Persona interesada en temas de salud		Radio button, one-up vertical	Single	Y	Skip Logic Group	Role
			Viajero
			Profesional de atención médica (doctor, enfermera, asistente médico, personal de enfermería especializado, farmaceuta u otro prestador de atención médica)	B, C
			Empleado de una agencia de salud pública o profesional de salud pública	D, E
			Científico o investigador
			Educador o maestro
			Estudiante
			Asesor de temas de seguridad
			Gerente de empresa
			Periodista o miembro de los medios de comunicación
			Personal de respuesta a emergencias
			Personal de seguridad pública
			Funcionario oficial, legislador o miembro de su personal
			Becario/beneficiario de subvención
			Empleado, contratista o personal de los CDC
			Otro, por favor especifique:	A
SPCWS06100	A	Indique la otra razón por la cual está en el sitio web:			Text area, no char limit		N	Skip Logic Group	Provider role
SPCWS06101	B	¿Cuál de las siguientes opciones le describe mejor?	Médico que da consultas por lo menos 2 días a la semana		Radio button, one-up vertical	Single	N
			Médico, principalmente realizando investigaciones
			Personal de enfermería
			Asistente médico
			Farmaceuta o asistente de farmaceuta
			Otro tipo de profesional de atención médica, por favor especifique:	F
SPCWS06102	G	Indique su función:			Text area, no char limit		N	Skip Logic Group	Other Provider
SPCWS06103	C	¿Cuál de las siguientes opciones describe mejor su sitio de trabajo?	Hospital		Radio button, one-up vertical	Single			Provider Location
			Consultorio médico grande
			Consultorio médico pequeño
			Organización sin ánimo de lucro
			Institución que realiza investigaciones
			Otro, por favor especifique:	G
SPCWS06104	G	Indique dónde trabaja:			Text area, no char limit		N	Skip Logic Group	Other Prov Location
SPCWS06105	D	¿Cuál de las siguientes opciones le describe mejor?	Promotor de salud pública		Radio button, one-up vertical	Single
			Educador de temas de salud
			Comunicador de temas de salud
			Administrador
			Científico investigador
			Personal administrativo
			Otro, por favor especifique:	H
SPCWS06106	H	Indique su función:			Text area, no char limit		N	Skip Logic Group	Other Public
SPCWS06107	E	¿Cuál de los siguientes describe el lugar donde trabaja?	Sector público o comercial		Radio button, one-up vertical	Single	N
			Organización sin ánimo de lucro
			Agencia de salud pública federal
			Agencia de salud pública estatal
			Agencia de salud pública local
			Agencia de salud pública territorial
			Agencia de salud pública tribal
			Otro, por favor especifique:	I
SPCWS06108	I	Indique dónde trabaja:			Text area, no char limit		N	Skip Logic Group	Other Pub Location
SPCWS06109		¿Cuál de las siguientes fuentes le motivó a visitar hoy este sitio web? (Designe los 3 principales, asignando el número 1 al más importante) Primer lugar: 1 (requerido)	Mensaje directo de los CDC en Facebook, MySpace o Twitter		Drop down, select one	Single	Y	Rank Group	SV - Rank 1
			Mensaje o recomendación de un amigo en Facebook, MySpace o Twitter
			Video que vi en la página de los CDC en YouTube
			Un blog o foro de discusión					Adjust Template/Style Sheet
			Anuncio en Facebook, MySpace o Twitter					Randomize
			Mensajes de texto o alertas en el teléfono celular
			Mensaje instantáneo IM de alguien
			Conozco la agencia o su sitio web
			Actualizaciones por correo electrónico de la agencia
			Sitio web marcado como favorito
			Resultados de búsqueda en Internet
			Alguien que conozco me lo recomendó
			Anuncio en radio, televisión, periódico o revista
			Anuncio en otro sitio web
			No sé					Anchor Answer Choice
			Otro					Anchor Answer Choice
SPCWS06110		Segundo lugar: 2 (opcional)	Mensaje directo de los CDC en Facebook, MySpace o Twitter		Drop down, select one	Single	N	Rank Group	SV - Rank 2
			Mensaje o recomendación de un amigo en Facebook, MySpace o Twitter
			Video que vi en la página de los CDC en YouTube					Adjust Template/Style Sheet
			Un blog o foro de discusión					Randomize
			Anuncio en Facebook, MySpace o Twitter
			Mensajes de texto o alertas en el teléfono celular
			Mensaje instantáneo IM de alguien
			Conozco la agencia o su sitio web
			Actualizaciones por correo electrónico de la agencia
			Sitio web marcado como favorito
			Resultados de búsqueda en Internet
			Alguien que conozco me lo recomendó
			Anuncio en radio, televisión, periódico o revista
			Anuncio en otro sitio web
			No sé					Anchor Answer Choice
			Otro					Anchor Answer Choice
SPCWS06111		Tercer lugar: 2 (opcional)	Mensaje directo de los CDC en Facebook, MySpace o Twitter		Drop down, select one	Single	N	Rank Group	SV - Rank 3
			Mensaje o recomendación de un amigo en Facebook, MySpace o Twitter
			Video que vi en la página de los CDC en YouTube					Adjust Template/Style Sheet
			Un blog o foro de discusión					Randomize
			Anuncio en Facebook, MySpace o Twitter
			Mensajes de texto o alertas en el teléfono celular
			Mensaje instantáneo IM de alguien
			Conozco la agencia o su sitio web
			Actualizaciones por correo electrónico de la agencia
			Sitio web marcado como favorito
			Resultados de búsqueda en Internet
			Alguien que conozco me lo recomendó
			Anuncio en radio, televisión, periódico o revista
			Anuncio en otro sitio web
			No sé					Anchor Answer Choice
			Otro					Anchor Answer Choice
SPCWS06112		Si escuchó sobre este sitio web en una de las redes sociales, especifique el sitio (p. ej., Facebook, Twitter)			Text area, no char limit		N		SV - Other Social Network
SPCWS06113		¿Qué edad tiene?	19 años o menos		Radio button, one-up vertical	Single	N		Age
			20-34 años de edad
			35-49 años de edad
			50-64 años de edad
			65 años o más
			Prefiero no contestar
SPCWS06114		¿Cómo se describiría usted?	Blanco		Checkbox, one-up vertical	Multi	N		Ethnicity
			Hispano o latino
			Asiático
			Negro o afroamericano
			Indoamericano o nativo de Alaska
			Nativo de Hawái o de otras islas del Pacífico
			Prefiero no contestar
SPCWS06115		¿Cuál es el nivel más alto de estudios que ha completado?	Escuela secundaria superior (high school) o menos		Radio button, one-up vertical	Single	N		Education
			Algunos estudios universitarios
			Graduado universitario
			Posgrado
			Prefiero no contestar
SPCWS06116		¿Cuál es su sexo?	Femenino		Radio button, one-up vertical	Single	N		Gender
			Masculino
			Prefiero no contestar
SPCWS06117		¿En qué país reside?	Estados Unidos						Country
			Afganistán
			Albania
			Alemania
			Andorra
			Angola
			Anguilla
			Antártida
			Antigua y Barbuda
			Antillas Holandesas
			Arabia Saudita
			Argelia
			Argentina
			Armenia
			Aruba
			Australia
			Austria
			Azerbaiyán
			Bahamas
			Bahrein
			Bangladesh
			Barbados
			Bélgica
			Belice
			Benín
			Bielorrusia
			Bolivia
			Bosnia-Herzegovina
			Botswana
			Brasil
			Brunei Darussalam
			Bulgaria
			Burkina Faso
			Burundi
			Bután
			Cabo Verde
			Camboya
			Camerún
			Canadá
			Chad
			Chile
			China
			Chipre
			Colombia
			Comoras
			Congo
			Corea del Norte
			Corea del Sur
			Costa de Marfil
			Costa Rica
			Croacia
			Cuba
			Dinamarca
			Djibouti
			Dominica
			Ecuador
			Egipto
			El Salvador
			Emiratos Árabes Unidos
			Eritrea
			Eslovaquia
			Eslovenia
			España
			Estonia
			Etiopía
			Federación Rusa
			Fiji
			Filipinas
			Finlandia
			Francia
			Gabón
			Gambia
			Georgia
			Ghana
			Gibraltar
			Grecia
			Grenada
			Groenlandia
			Guadeloupe
			Guam
			Guatemala
			Guayana francesa
			Guinea
			Guinea Ecuatorial
			Guinea-Bissau
			Guyana
			Haití
			Holanda
			Honduras
			Hong Kong
			Hungría
			India
			Indonesia
			Irán
			Iraq
			Irlanda
			Isla Bouvet
			Isla Navidad
			Isla Norfolk
			Islandia
			Islas Bermudas
			Islas Caimán
			Islas Cocos
			Islas Cook
			Islas Faroe
			Islas Heard/McDonald
			Islas Malvinas o Falkland
			Islas Marianas del Norte
			Islas Marshall
			Islas Solomón
			Islas Turcas y Caicos
			Islas Ultramarinas de Estados Unidos
			Islas Vírgenes, británicas
			Islas Vírgenes, de EE. UU.
			Israel
			Italia
			Jamaica
			Japón
			Jordania
			Kazajstán
			Kenya
			Kirguistán
			Kiribati
			Kuwait
			Laos
			Latvia
			Lesotho
			Líbano
			Liberia
			Libia
			Liechtenstein
			Lituania
			Luxemburgo
			Macao
			Macedonia
			Madagascar
			Malasia
			Malawi
			Maldivas
			Mali
			Malta
			Marruecos
			Martinica
			Mauricio
			Mauritania
			Mayotte
			México
			Micronesia
			Moldova
			Mónaco
			Mongolia
			Montserrat
			Mozambique
			Myanmar
			Namibia
			Nauru
			Nepal
			Nicaragua
			Níger
			Nigeria
			Niue
			Noruega
			Nueva Caledonia
			Nueva Zelandia
			Omán
			Pakistán
			Palau
			Panamá
			Papua Nueva Guinea
			Paraguay
			Perú
			Pitcairn
			Polinesia Francesa
			Polonia
			Portugal
			Puerto Rico
			Qatar
			Reino Unido
			República Centroafricana
			República Checa
			República Democrática del Congo
			República Dominicana
			Réunion
			Ruanda
			Rumania
			S. Islas Georgia del sur y Sándwich del Sur
			Sahara Occidental
			Saint Kitts/Nevis
			Saint Pierre/Miquelon
			Samoa
			Samoa Americana
			San Marino
			San Vicente y las Granadinas
			Santa Elena
			Santa Lucía
			Santa Sede/Ciudad del Vaticano
			Santo Tomé y Príncipe
			Senegal
			Seychelles
			Sierra Leona
			Singapur
			Siria
			Somalia
			Sri Lanka
			Sudáfrica
			Sudán
			Suecia
			Suiza
			Suriname
			Islas Svalbard y Jan Mayen
			Swazilandia
			Tailandia
			Taiwán
			Tanzania
			Tayikistán
			Territorio británico del Océano Índico
			Territorios Franceses del Sur
			Territorios palestinos
			Timor Oriental
			Togo
			Tokelau
			Tonga
			Trinidad y Tobago
			Túnez
			Turkmenistán
			Turquía
			Tuvalu
			Ucrania
			Uganda
			Uruguay
			Uzbekistán
			Vanuatu
			Venezuela
			Vietnam
			Wallis y Futuna
			Yemen
			Yugoslavia
			Zambia
			Zimbabwe
SPCWS06118		Si pudiera sugerir un cambio para mejorar el sitio web de los CDC, ¿cuál sería su recomendación?			Text area, no char limit		N		One Improvement