BeTobaccoFree.gov Website Satisfaction Survey

Form Approved

OMB No. 0990-0379

Exp. Date 06/03/2014

Voice-of-Customer Surveys

for BeTobaccoFree.gov

Site-Level Survey for Visitor Feedback

Introductory Text

Questions

1. What were you looking for on BeTobaccoFree.gov today?

   • To find information on quitting

   • To find information on health effects and diseases caused by smoking and tobacco use

   • To learn about the latest research on smoking and tobacco use

   • To find resources on preventing smoking and tobacco use

   • To find out about the latest tobacco control laws and policies

   • To see the latest educational campaigns about smoking and tobacco use

   • To find out facts about smoking and tobacco use

   • I had no agenda in mind when I came to the website today.

   • Other: ______________________

2. For whom were you looking for information on BeTobaccoFree.gov?

   • Myself

   • My spouse, partner or significant other

   • My child(ren)

   • My parents

   • A relative

   • A friend

   • No one in particular

3. Were you able to find what you were looking for?

   • Yes

   • Partially

   • No

[If Q3 response is YES]

4. How long did it take to find the information?

   • Immediately

   • Few minutes

   • A long time

5. Did you find the information helpful?

   • Yes

   • Partially

   • No

[If Q5 response is YES]

6. What did you like best about the content?

7. Based on today’s visit, how would you rate the following?

   • Overall site experience

   • Site design

   • Ease of navigation

8. How can we improve BeTobaccoFree.gov?

9. Would you recommend BeTobaccoFree.gov to a family member or friend?

[If Q5 response is PARTIALLY or NO]

6. What can we do to make the information more helpful?

7. Based on today’s visit, how would you rate the following:

   1. Overall site experience

   2. Site design

   3. Ease of navigation

8. What can we do to make BeTobaccoFree.gov better?

9. Would you recommend BeTobaccoFree.gov to a family member or friend?

[If Q3 response is PARTIALLY or NO]

4. Are there questions about smoking or tobacco in general you didn’t find the answer to?

5. Based on today’s visit, how would you rate the following:

   1. Overall site experience

   2. Site design

   3. Ease of navigation

6. What can we do to make BeTobaccoFree.gov better?

7. Would you recommend BeTobaccoFree.gov to a family member or friend?

Thank You Text

Page-Level Survey

Layout

Questions

1. Was this page helpful?

   • Yes

   • No

[IF Q1 RESPONSE is YES]

2. I found this page helpful because the content on the page: (check all that apply)

   • Had the information I needed

   • Was trustworthy

   • Was up-to-date

   • Was written clearly

   • Other: ____________________________

3. What can we do to improve this page?

[IF Q1 RESPONSE is NO]

2. I did not find this page helpful because the content on the page: (check all that apply)

   1. Had too little information

   2. Had too much information

   3. Was confusing

   4. Was out-of-date

   5. Other: ____________________________

3. What can we do to improve this page?

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379 . The time required to complete this information collection is estimated to average 5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer