349 CQs 349 CQs 8-9-10

American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Surveys

2010 349 CQs for OMB 8-9-2010 to 8-25-2010.xlsx

Previously Cleared ICs from prior Generic ICR

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf
Measures Name/Client name (CDs and Answer choices)









USDA FSA Intranet









EDO04985 H What search terms did you use on this website today?


Text area, no char limit
Y Skip Logic Group Search Keyword
EDO04986
Do you consider your race: EDO04986A001 White
Radio button, one-up vertical Single N
Race



EDO04986A002 Black or African American








EDO04986A003 American Indian or Alaska Native








EDO04986A004 Native Hawaiian or other Pacific Islander








EDO04986A005 Asian








EDO04986A006 Other race





EDO04987
Do you consider yourself to be of Hispanic, Latino, or Spanish origin? EDO04987A001 Yes
Radio button, one-up vertical Single N
Origin



EDO04987A002 No








EDO04987A003 Don't know





EDO04988
What is your gender? EDO04988A001 Yes
Radio button, one-up vertical Single N
Gender



EDO04988A002 No





EDO04989
Do you have any suggestions for ways to improve the FSA Intranet site?


Text area, no char limit
N
Improvements











MedlinePlus After 5-12-2004




















EDO05099
What is your primary reason you are visiting the MedlinePlus site today? EDO05099A001 Find info on alternative treatments, herbals, or vitamins
Radio button, one-up vertical S Y Randomize Reason for Visit



EDO05099A002 To look for drugs and supplements








EDO05099A003 Keep up with breaking health news



Skip Logic Group



EDO05099A004 Search for health care products or services








EDO05099A005 Find general health and wellness info








EDO05099A006 Find info on a specific disease, condition, diagnosis, or treatment








EDO05099A007 Find info on medicines or prescription drugs








EDO05099A008 Search for health care provider (physician/dentist/hospital/etc.)








EDO05099A009 Other ,please specify A


Anchor Answer Choice
EDO05100 A Other Reason for visit:


Text area, no char limit S N Skip Logic Group Other reason for visit
EDO05101
What area of the site did you look for your information? (select all that apply) EDO05101A001 Videos and Cool Tools
Checkbox, one-up vertical M Y Randomize



EDO05101A002 Drugs and Supplements



Skip Logic Group



EDO05101A003 Health Topics








EDO05101A004 Medical Dictionary








EDO05101A005 Medical Encyclopedia








EDO05101A006 Health News








EDO05101A007 Other, please specify: A


Anchor Answer Choice
EDO05102 A Other area of site to look for information:


Text area, no char limit S N Skip Logic Group Other areas of the site
EDO05103 A What type of health care provider? EDO05103A001 Physician, primary care
Radio button, one-up vertical S Y Skip Logic Group Health Care Provider Type



EDO05103A002 Physician, specialist (e.g., cardiologist, neurologist)








EDO05103A003 Dentist








EDO05103A004 Physician Assistant (dietician, physical therapist, dental hygienist)








EDO05103A005 Psychologist








EDO05103A006 Social Worker








EDO05103A007 Other ,please specify B




EDO05104 B Other Health Care Provider


Text area, no char limit S N Skip Logic Group Other Health Care Provider
EDO05105
In the last three months, have you done any of the following: [Please select all that apply]: EDO05105A001 Watch videos on a Web site
Checkbox, one-up vertical M Y Skip Logic Group Social Media last 3 months



EDO05105A002 Receive/send text messages using my mobile phone / device








EDO05105A003 Sign up for email updates from a website








EDO05105A004 Participate in Facebook








EDO05105A005 Participate in Twitter








EDO05105A006 Use personalized web pages (such as iGoogle or My Yahoo!)








EDO05105A007 Listen to podcasts or audio on a Web site








EDO05105A008 Browse Web sites using my mobile phone / device








EDO05105A009 Bookmark or tag websites (using social bookmarking sites as Digg or Del.icio.us)








EDO05105A010 Other, please specify A




EDO05106 A Other social media participation


Text area, no char limit S N Skip Logic Group Other Social Media
EDO05107
Which of the following items do you use from MedlinePlus? [Please select all that apply]: EDO05107A001 Email updates from MedlinePlus
Checkbox, one-up vertical M Y Skip Logic Group MedinePlus Participation



EDO05107A002 Share (Bookmark and share via Facebook, Digg, email, etc.)








EDO05107A003 Videos








EDO05107A004 Podcasts








EDO05107A005 RSS feeds








EDO05107A006 MedlinePlus4You twitter feed








EDO05107A007 Search cloud widget








EDO05107A008 Mobile MedlinePlus (http://m.medlineplus.gov)








EDO05107A009 Other, please specify A


Skip Logic Group
EDO05108 A Other social media participation on MedlinePlus


Text area, no char limit S N Skip Logic Group Other MedlinePlus Participation
EDO05109
Did you use the search box to find something on this Web site during your visit today? EDO05109A001 Yes A,B,C Radio button, one-up vertical S Y Skip Logic Group Used Search



EDO05109A002 No








EDO05109A003 Unsure





EDO05110 A Please describe your experience with Search EDO05110A001 I had no problems
Drop down, select one S Y Skip Logic Group Search Experience



EDO05110A002 Returned too many results








EDO05110A003 Returned not enough (or zero) results








EDO05110A004 Results were not relevant to my search








EDO05110A005 Other, please specify A1




EDO05111 A1 Other search experience


Text area, no char limit S N Skip Logic Group Other Search Experience
EDO05112 B Did the top results answer your question? EDO05112A001 Yes
Drop down, select one S Y Skip Logic Group Top Results



EDO05112A002 No








EDO05112A003 Unsure





EDO05113 C Did you use the “Refine by” links to the left of the search results to narrow your results? EDO05113A001 Yes
Drop down, select one S Y Randomize Refine by Links



EDO05113A002 No








EDO05113A003 Unsure





EDO05114
Did you find what you were looking for? EDO05114A001 Yes
Radio button, one-up vertical S Y
Found Info



EDO05114A002 No A







EDO05114A003 Partially A




EDO05115 A What specific information were you looking for?


Text area, no char limit S N
Specific Info Seeking
EDO05116
How could we improve MedlinePlus?


Text area, no char limit S N
Improvements











CMS - Cahaba J10 MAC




















EDO05180
In addition to the currently used communication tools (example: Internet, email lists), would you be interested in receiving Cahaba Medicare Services related information through the following Social Media outlets: (Please select all that apply) EDO05180A001 Facebook
Radio button, one-up vertical Multi Y




EDO05180A002 Twitter








EDO05180A003 YouTube








EDO05180A004 RSS Feed








EDO05180A005 Podcast








EDO05180A006 LinkedIn








EDO05180A007 None








EDO05180A008 Other (please specify) J




EDO05181 J Please list the other social media outlet:


Text area, no char limit



EDO05182
Does your place of business allow you to access social media outlets for work-related information during work hours? (i.e. Facebook, YouTube etc.) EDO05182A001 Yes
Radio button, one-up vertical Single Y




EDO05182A002 No K




EDO05183 K Would you access Cahaba Medicare Services social media outlets for information during off/non-business hours? EDO05183A001 Yes
Radio button, one-up vertical Single Y




EDO05183A002 No
















FEMA Main v2 Survey




















EDO05190 A If you've visited the homepage before, what do you think of the new layout?
EDO05190A001 Better
Radio button, one-up vertical Single N Skip Logic Group Redesign



EDO05190A002 The Same








EDO05190A003 Worse B







EDO05190A004 Don't Know





EDO05191 B Please explain why you feel the new homepage design is worse.


Text field, <100 char
N Skip Logic Group Redesign Worse











UNICOR Satisfaction Survey




















EDO05193 Z Did you make a purchase on UNICOR.gov today? EDO05193A001 Yes
Radio button, one-up vertical Single Yes Skip Logic Group



EDO05193A002 No AA




EDO05194 AA Why didn't you make a purchase during your visit today? EDO05194A001 Couldn't find the item I was looking for
Radio button, one-up vertical Single No Skip Logic Group



EDO05194A002 Didn't have exact style or size I needed








EDO05194A003 Didn't like the colors or materials available








EDO05194A004 Item was too expensive








EDO05194A005 Chose to purchase the item offline CC, DD







EDO05194A006 Chose to purchase from another site FF







EDO05194A007 I didn't plan on making a purchase








EDO05194A008 Other BB




EDO05195 BB Please explain briefly why you didn't make a purchase during your visit today.


Text area, no char limit Single No Skip Logic Group
EDO05196 CC Where do you plan on making your offline purchase?


Text area, no char limit Single No Skip Logic Group
EDO05197 DD Why do you prefer to purchase offline? EDO05197A001 I want to see the item before I purchase it
Radio button, one-up vertical Single No Skip Logic Group



EDO05197A002 I did not want to pay shipping costs








EDO05197A003 I can find the best price offline








EDO05197A004 I know it will be easier to return the product if I purchase it in a store








EDO05197A005 More flexible delivery options








EDO05197A006 Other EE




EDO05198 EE Please explain briefly why you prefer to purchase offline.


Text area, no char limit Single No Skip Logic Group
EDO05199 FF Where do you plan on making your online purchase?


Text area, no char limit Single No Skip Logic Group
EDO05200 Q What will you do next? EDO05200A001 Call the customer service center
Radio button, one-up vertical Single Yes Skip Logic Group



EDO05200A002 Call a sales representative








EDO05200A003 Return to the website later and try again








EDO05200A004 Try another website








EDO05200A005 Nothing, although I did not find what I wanted








EDO05200A006 Other R




EDO05201 R Please briefly explain what you will do next.


Text area, no char limit Single No Skip Logic Group
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File Modified0000-00-00
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