306 CQs 306 CQs 3-2-10

Measures Name/Client name (CDs and Answer choices)

FCG

QID (Group ID)

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

KFB07695

Which of the following role best describes you?

Federal employee

A

Radio button, one-up vertical

Single

Y

Best Describes Role

Government Contractor (Supplier)

Government Contractor (IT Support)

Government Contractor (Management Consultant)

Government Contractor (Coach)

Government Contractor (Call Center Staff)

Private Sector (Supplier)

Private Sector (IT Support)

Private Sector (Management Consultant)

Private Sector (Coach)

Private Sector (Call Center Staff)

Military (General/Admiral)

Military (Colonel/Captain/Lt. Colonel/Commander)

Military (Major/Commander)

Academic (instructor, professor, lecturer, researcher)

General public

Media

Other, please specify

B

KFB07696

A

If you are a Federal employee, what best describes your grade level?

SES

Radio button, one-up vertical

Single

N

Best Describes_Grade

GS-14/15

GS-12/13

Other

KFB07697

B

If you are not any of these roles listed above, what other role best describes you?

Text area, no char limit

N

Best Describes Role_Other

KFB07698

What is your primary reason for visiting this site today?

To learn more about FCG

Radio button, one-up vertical

Single

Y

Primary Reason

To look for Consulting Services

To look for Coaching Services

To register for seminars

To get contact information

To register for Communities of practice

To look for ACSI information/ services

To browse/ see what's new

Other, please specify

A

KFB07699

A

Please specify the other reason you are visiting the site:

Text area, no char limit

Primary Reason_Other

KFB07700

How frequently do you visit this site?

First time

Radio button, one-up vertical

Single

Y

Frequency

More than once a day

Daily

About once a week

About once a month

Every 6 months or less

KFB07701

Which parts of the site are you primarily visiting today?

What we do part of site

Checkbox, one-up vertical

Multi

N

Parts of Site Visiting

Who we are part of site

The 'Resources' part of the site

The 'News' (events, seminars) part of the site

FAQ page

ACSI Results

Consulting Services

Coaching Services

Other

KFB07702

Did you find the information that you were looking for today?

Yes

Radio button, one-up vertical

Single

Y

Find Information

No. Please specify what you were looking for:

A

Still looking

KFB07703

A

Other information you could not find:

Text area, no char limit

N

Find Information_Other

KFB07704

How did you find out about this site?

External Search Engine (Google, Yahoo etc)

Radio button, one-up vertical

Single

Y

Find Out About Site

USA.gov or USA.gov Search

Email/ email newsletters

Federal agency colleague

Publications

Conference

FCG Seminars and/or workshops

Print Ad

Other

KFB07705

Are you a current FCG customer?

Yes

Radio button, one-up vertical

Single

Y

Current Customer

No

Plan to become a customer in the future

Do not plan to become a customer in the future

KFB07706

What improvements and/or additional information would you like to see on this site?

Text area, no char limit

N

Improvements and Information

KFB07707

How did you primarily look for information on the site today?

Top navigation bar

Radio button, one-up vertical

Single

Y

Look For Info

Left-hand side navigation bar

Links within page text

Site map

Search box

KFB07708

Please describe your site experience today.

I had no problem browsing through the site

Radio button, one-up vertical

Single

Y

Site Experience

I found the general area but could not find specific information

Links did not take me to what I was looking for

Too many links or navigational choices

I found links that did not work

Other

A

KFB07709

A

Please describe any other experience you had:

Text area, no char limit

n

Site Experience_Other

KFB07710

How would you rate your familiarity with social media on the web? Flickr

View and contribute often

Drop down, select one

Single

y

Multiple Lists Group

SM_Familiar

View often and contribute occasionally

View often but don’t contribute

View and contribute occasionally

View occasionally but don’t contribute

No familiarity

KFB07711

Facebook

View and contribute often

Drop down, select one

Single

y

Multiple Lists Group

SM_Facebook

View often and contribute occasionally

View often but don’t contribute

View and contribute occasionally

View occasionally but don’t contribute

No familiarity

KFB07712

YouTube

View and contribute often

Drop down, select one

Single

y

Multiple Lists Group

SM_YouTube

View often and contribute occasionally

View often but don’t contribute

View and contribute occasionally

View occasionally but don’t contribute

No familiarity

KFB07713

Twitter

View and contribute often

Drop down, select one

Single

y

Multiple Lists Group

SM_Twitter

View often and contribute occasionally

View often but don’t contribute

View and contribute occasionally

View occasionally but don’t contribute

No familiarity

IRS Sat Survey

CWS03941

B

What specific search term(s) did you use to find information on our site?

Open-ended

Y

VA My HealtheVet

Have you ever printed out any information from My HealtheVet?

Yes

A

Radio button, one-up vertical

Single

Y

No

A

I have printed the following from My HealtheVet: (Check all that apply)

My medication list

Checkbox, one-up vertical

Multi

Y

Information about myself that I collected at home (such as blood sugar, blood pressure, or weight)

Information I entered in my Food or Activity Journals

My health calendar

Wellness Reminders

Information about health (such as an article or information from the medical library)

Information about VA benefits

Other, please specify

B

B

What other information have you printed?

Text area, no char limit

N

Have you ever saved any information from My HealtheVet to your computer?

Yes

A

Radio button, one-up vertical

Singly

Y

No

A

I have saved the following from My HealtheVet to my computer: (Check all that apply)

My medication list

Checkbox, one-up vertical

Multi

Y

Information about myself that I collected at home (such as blood sugar, blood pressure, or weight)

Information I entered in my Food or Activity Journals

My health calendar

Wellness Reminders

Information about health (such as an article or information from the medical library)

Information about VA benefits

Other, please specify

B

B

What other information have you saved to your computer?

Have you ever sent information from My HealtheVet to another person?

Yes

A

Radio button, one-up vertical

Single

Y

No

A

I have sent the following information from My HealtheVet to another person: (Check all that apply)

My medication list

Checkbox, one-up vertical

Multi

Y

Information about myself that I collected at home (such as blood sugar, blood pressure, or weight)

Information I entered in my Food or Activity Journals

My health calendar

Wellness Reminders

Information about health (such as an article or information from the medical library)

Information about VA benefits

Other, please specify

B

B

What other information did you send to another person?

Text area, no char limit

Would you save information from your Personal Health Record to some place outside of My HealtheVet If you could?

Yes

A

Radio button, one-up vertical

Single

Y

No

Not sure

A

I would not find this useful

A

I would: (check all that apply):

Save the information to another place (for example, by copying to a file on my computer)

Checkbox, one-up vertical

Multi

Y

Give the electronic information to my non-VA provider

Share the information with a family member or friend

Put the information into another Personal Health Record

Use the information with another program (for example, to check for drug interactions)

Put the information in another website (for example, to receive customized care recommendations or to use other kinds of tools)

Other, please specify

B

B

Where else would you like to save information?

U.S. Department of State/

Travel.State Satisfaction Survey v2

Do you visit this site to learn about major events or crises abroad?”

Yes

B

Radio Button One Up Vertical

Single

Y

No

B

What is the best way for us to provide this type of information?

Text area, no char limit

N

Embassy Enterprise IIP

B

What were you looking for?

Holocaust Memorial Museum

Country of Residence

Afghanistan

Drop down, select one

Single

Y

OPS Group

Albania

Algeria

Argentina

Australia

Austria

Azerbaijan

Bahrain

Bangladesh

Belarus

Belgium

Belize

Benin

Bolivia

Bosnia/Herzegovina

Brazil

Brunei Darussalam

Bulgaria

Burkina Faso

Cameroon

Canada

Chad

Chile

China

Colombia

Comoros

Costa Rica

Côte D'Ivoire

Croatia

Cuba

Czech Republic

Denmark

Djibouti

Dominican Republic

Ecuador

Egypt

El Salvador

Equatorial Guinea

Estonia

Finland

France

Gabon

Gambia

Georgia

Germany

Greece

Guatemala

Guinea

Guinea& Bissau

Guyana

Holy See/Vatican

Honduras

Hong Kong

Hungary

Iceland

India

Indonesia

Iran

Iraq

Ireland

Israel

Italy

Japan

Jordan

Kazakstan

Korea, South

Kuwait

Kyrgyzstan

Latvia

Lebanon

Libya

Lithuania

Luxembourg

Malaysia

Maldives

Mali

Mauritania

Mauritius

Mexico

Moldova

Morocco

Mozambique

Netherlands

New Zealand

Nicaragua

Niger

Nigeria

Norway

Oman

Pakistan

Palestinian Territory

Panama

Paraguay

Peru

Philippines

Poland

Portugal

Puerto Rico

Qatar

Romania

Russian Federation

Rwanda

Saudi Arabia

Senegal

Sierra Leone

Singapore

Slovakia

Slovenia

South Africa

Spain

Sudan

Suriname

Sweden

Switzerland

Syria

Taiwan

Tajikistan

Thailand

Togo

Tunisia

Turkey

Turkmenistan

Ukraine

United Arab Emirates

United Kingdom

Uruguay

USA

Uzbekistan

Venezuela

Viet Nam

Western Sahara

Yemen

Yugoslavia

Other, (please specify)

A

A

Other (please specify): country of residence

Text field, <100 char

N

OPS Group

MEDC Michigan Advantage

How would you most like to interact with this site? (Please select all that apply)

Bookmark or tag pages (i.e. Digg or Del.icio.us)

Checkbox, one-up vertical

Multi

N

OPS Group

SM_Preferred

In social networks

In virtual worlds

By adding comments, ratings, or reviews

Reading blogs

Contributing to wikis

Receiving newsletters/email updates

Subscribing to RSS feeds

Listening to Podcasts or audio

Watching video

Adding a widget or gadget to my personalized page

Following a microblog

Other (please specify)

A

A

Other social media interaction

Text field, <100 char

Single

N

OPS Group

OE_Preferred SM

Which of the following MichiganAdvantage features/services have you interacted with?

The MichiganAdvantage Facebook page

Checkbox, one-up vertical

Multi

N

SM Interaction

The Michigan Upper Hand YouTube videos

The Michigan Economic Development Corporation presence or MEDC staff on LinkedIn

MIAdvantage on Twitter

MichiganAdvantage RSS feeds

The Michigan Upper Hand blog

MichiganAdvantage photos on Flickr

None of the above

A

NWHIC

How would you rate your familiarity with the following?

S

Y

Matrix Group

Facebook

View and contribute often

Drop down, select one

S

Y

Matrix Group

Facebook Familiarity

View often and contribute occasionally

View often but don't contribute

View and contribute occasionally

View occasionally but don't contribute

No familiarity

Twitter

View and contribute often

Drop down, select one

S

Y

Matrix Group

Twitter Familiarity

View often and contribute occasionally

View often but don't contribute

View and contribute occasionally

View occasionally but don't contribute

No familiarity

Flickr

View and contribute often

Drop down, select one

S

Y

Matrix Group

Flckr Familiarity

View often and contribute occasionally

View often but don't contribute

View and contribute occasionally

View occasionally but don't contribute

No familiarity

MySpace

View and contribute often

Drop down, select one

S

Y

Matrix Group

MySpace Familiarity

View often and contribute occasionally

View often but don't contribute

View and contribute occasionally

View occasionally but don't contribute

No familiarity

YouTube

View and contribute often

Drop down, select one

S

Y

Matrix Group

YouTube Familiarity

View often and contribute occasionally

View often but don't contribute

View and contribute occasionally

View occasionally but don't contribute

No familiarity

Del.icio.us

View and contribute often

Drop down, select one

S

Y

Matrix Group

Del.icio.us Familiarity

View often and contribute occasionally

View often but don't contribute

View and contribute occasionally

View occasionally but don't contribute

No familiarity

How would you most like to interact with this site? (Please select all that apply)

Bookmark or tag pages

Checkbox, one-up vertical

M

Y

OPS Group

Interaction Preference

In social networks

In virtual worlds

By adding comments, ratings, or reviews

Reading blogs

Contributing to wikis

Receiving newsletters/email updates

Subscribing to RSS feeds

Listening to Podcasts or audio

Watching Vodcasts or video

Adding a widget or gadget to my personalized page

Following a microblog

None

Other (please specify)

A

A

Other form of interacting

Text area, no char limit

open

N

Other Form of Interacting

FDA Browse

Would you like to see content on the FDA site translated into another language?

Yes

A

Radio button, one-up vertical

Single

Y

Skip Logic Group

Site Translated

No

Don't Know

A

In which of the following languages would you like to view content on the FDA site?

Spanish

Checkbox One Up Vertical

Single

N

Skip Logic Group

Language

French

Chinese

German

Japanese

Korean

Other (please specify)

B

B

Other languages you would like to view content on the FDA site:

Text area, no char limit

Single

N

Skip Logic Group

Other Language

FBI satisfaction survey

EDO01220

A

What specific crime statistics information were you looking for?

Text field, <100 char

Single

N

Skip Logic

EDO01221

Did you use the search feature today?

Yes

C

Drop down, select one

Single

Y

Skip Logic

Search

No

EDO01222

C

Please describe your search experience

I had no difficulty using the search feature on this site

Drop down, select one

Single

N

Skip Logic

The search feature was difficult to find

The search feature was difficult to use

Returned no results/received an error message

Could not tell where the search results would take me

Too many results

Too few results

Results were not related to what I was looking for

Could not sort the results

Could not refine the results

Other

B

EDO01223

B

Other: Search Experience

Text field, <100 char

Single

N

Skip Logic