Form 424 AHRQ Effective 424 AHRQ Effective 424 AHRQ Effective Health Care

Customer Satisfaction Measure of Government Websites

2011 424 AHRQ Effective Health Care.xlsx

424 AHRQ Effective Health Care, 425 FEMA Mobile Survey Final 2.28.11, 426 NIST Sat Survey v2 03-28-11 427 CQs 3-25-2011 to 4-8-2011

OMB: 1090-0008

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Date: 3/24/2011 blue + -->: REWORDING

















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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
EDO10688
How did you first learn about this site? Internet search engine (Google, Yahoo, Bing, etc.)
Radio button, one-up vertical Single Y OPS Group Learned



Link directly from AHRQ Web site









Link from a Web site other than AHRQ









Television, radio, or print advertisement









The site was recommended by a colleague or health care professional









Some other way, please specify A





EDO10689 A


Text field, <100 char




EDO10690
Which of the following best describes your role in visiting the site today? General Public or Patient
Radio button, one-up vertical
y OPS Group Role



Health Care Professional—Clinical









Health Care Professional—Non-clinical









Educator









Researcher









Policymaker









Student









Health Insurer









Other, please specify B





EDO10691 B


Text field, <100 char




EDO10692
What is your main reason for visiting the Effective Health Care site today? Get information related to a medical condition affecting me, a friend, or family member
Radio button, one-up vertical
Y OPS Group Visit Reason



Get information to treat/manage patients









Get information to teach others









Get information to assist in making policy decisions









Gain general knowledge or personal research









Submit a suggestion for research









Submit a comment on key questions, draft documents, and/or white papers









Submit scientific information packet









To learn about Comparative Effectiveness Research









To learn about AHRQ’s Effective Health Care Program









Another reason, please describe: C





EDO10693 C


Text field, <100 char




EDO10694
Did you find what you were looking for? Yes
Radio button, one-up vertical
Y Skip Logic Group Did you find?



No D





EDO10695 D What were you looking for today?

Text area, no char limit




EDO10696
Did you encounter any difficulties while navigating the site today? Yes E Radio button, one-up vertical
Y Skip Logic Group Difficulties?



No






EDO10697 E What difficulties did you encounter while navigating the site?

Text area, no char limit




EDO10698
What suggestions, if any, do you have for improving the site or the information provided on it?

Text area, no char limit
N
Suggestions











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