286 Hhs Onc 286 Hhs Onc

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

286 HHS ONC_Questions_FINAL 12-4-09.xls

Previously Cleared ICs from prior Generic ICR

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

NEW_Custom Qsts
Types


Sheet 1: NEW_Custom Qsts

#REF!

red & strike-through: DELETE





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underlined & italicized: RE-ORDER





#REF!

pink: ADDITION





Date: Nov. 23, 2009 blue + -->: REWORDING















#REF!
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


Which of the following best describes you? Academic/Researcher
Radio - one up vertical single Y Skip Logic Group Best describes you



General Public








Government employee (State & Local)








Government employee (Federal)








Clinician/Healthcare Provider








Health IT Professional








Commercial Vendor








Media








Other, please specify: A





A Other role

Text area, no char limit single No



What is your primary reason for visiting this site today? Find funding opportunities
Radio - one up vertical single Y Skip Logic Group Reason for visit



Find FACA meeting materials








Learn about Meaningful Use








Join the NHIN








Read use cases








Learn about Health IT








Read Dr. Blumenthal's updates








Just browsing








Contact ONC (I would move this to the end)








Other, please specify: A





A Other reason for visiting site:


single No
Other reason for visit


Did you find what you were looking for ? I wasn’t looking for anything in particular
Radio - one up vertical single Y
Did you find it



Yes








No







How often do you visit this site ? First time
Radio - one up vertical single Y
Frequency of visits



Daily








About once a week








About once a month








Every six months or less







How do you currently receive Health IT information from sources other than ONC? (Please select all that apply) Social networks (i.e., Facebook, LinkedIn)
Checkbox, one-up vertical multi y Skip Logic Group Receive other HealthIT info via



Reading blogs








Following a microblog (i.e., Twitter)







Contributing to wikis








Receiving newsletters/email updates/RSS feeds








Listening/Viewing Podcasts or Vodcasts








None








Other, please specify: A





A Other, I currently receive Health IT information via:

Text area, no char limit
n
Other, receive healthIT info via


Are you interested in participating in usability testing for our site? No
Radio - one up vertical single Y OPS Group Interest in usability testing



Yes, my email address is









A





A Email addresses for visitors interested in participating in usability testing

Text field, <100 char single N
Email for usability testing


If you could change one thing about the site, what would it be?

Text area, no char limit single N
Change one thing





































































































































































































































































Sheet 2: Types

Types
Instructions
Text field, <100 char
Randomize
Text area, no char limit
Shared
Drop down, select one
OPS Group
Radio button, one-up vertical
Matrix Group
Radio button, two-up vertical
Rank Group
Radio button, three-up vertical
Comparative Matrix Group
Radio button, scale, has don't know
Skip Logic Group
Radio button, scale, no don't know
Multiple Lists Group
Checkbox, one-up vertical
Anchor Answer Choice
Checkbox, two-up vertical
Partitioned
Checkbox, three-up vertical
Adjust Template/Style Sheet
File Typeapplication/vnd.ms-excel
File TitleQuestionnaire Production Guidelines_Template
AuthorProfessional Services
Last Modified Bysgrow
File Modified2009-12-04
File Created2001-08-03

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