498 NHLBI 498 NHLBI Qnaire
American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Surveys
2012 498 NHLBI_Qnaire.xlsx
488 USGS Gap Analysis - 515 SSA Electronic Access
OMB: 1090-0008
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1090-0008 can be found here:
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Model Qsts
Custom Qsts
Overview
Welcome and Thank You TextModel Qsts
Custom Qsts
Sheet 1: Welcome and Thank You Text
| Welcome and Thank You Text | 
|
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| Welcome Text | |||||||
| Thank you for visiting our site. You've been randomly chosen to take part in a brief survey to let us know what we're doing well and where we can improve. Please take a few minutes to share your opinions, which are essential in helping us provide the best online experience possible. |
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| Thank You Text | |||||||
| Thank you for taking our survey - and for helping us serve you better. Please note you will not receive a response from us based on your survey comments. If you would like us to contact you about your feedback, please visit the Contact Us section of our website. |
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Sheet 2: Model Qsts
| Model Instance Name: | |||||
| NHLBI | 
|
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| MID: | ZMAMIJhp9UxRxFlplEEUsw== | ||||
| Partitioned | Yes | ||||
| Date: | 12/20/2011 | ||||
| Content (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Primary Resource (1=Very Unlikely, 10=Very Likely) | |||
| Please rate the accuracy of information on this site. | What is your overall satisfaction with this site? |
How likely are you to use this site as your primary resource for heart, lung, blood and sleep information? | |||
| Please rate the quality of information on this site. | How well does this site meet your expectations? |
Recommend (1=Very Unlikely, 10=Very Likely) | |||
| Please rate the freshness of content on this site. | How does this site compare to your idea of an ideal website? |
How likely are you to recommend this site to someone else? | |||
| Functionality (1=Poor, 10=Excellent, Don't Know) | Return (1=Very Unlikely, 10=Very Likely) | ||||
| Please rate the usefulness of the features provided on this site. | How likely are you to return to this site? | ||||
| Please rate the convenience of the features on this site. | Future Participation (1=Very Unlikely, 10=Very Likely) | ||||
| Please rate the variety of features on this site. | How likely are you to express your thoughts or ideas to this Institute in the next 90 days? | ||||
| Look and Feel (1=Poor, 10=Excellent, Don't Know) | Trust (1=Strongly Disagree, 10=Strongly Agree) | ||||
| Please rate the visual appeal of this site. | I can count on this Institute to act in my best interests. | ||||
| Please rate the balance of graphics and text on this site. | I consider this Institute to be trustworthy. | ||||
| Please rate the readability of the pages on this site. | This Institute can be trusted to do what is right. | ||||
| Navigation (1=Poor, 10=Excellent, Don't Know) | |||||
| Please rate how well the site is organized. | |||||
| Please rate the options available for navigating this site. | |||||
| Please rate how well the site layout helps you find what you are looking for. | |||||
| Please rate the number of clicks to get where you want on this site. | |||||
| Site Performance (1=Poor, 10=Excellent, Don't Know) | |||||
| Please rate how quickly pages load on this site. | |||||
| Please rate the consistency of speed from page to page on this site. | |||||
| Please rate the ability to load pages without getting error messages on this site. | |||||
| Online Transparency (1=Poor, 10=Excellent, Don't Know) | |||||
| Please rate how thoroughly this site discloses information about what this Institute is doing. | |||||
| Please rate how quickly Institute information is made available on this site. | |||||
| Please rate how well information about this Institute's actions can be accessed by the public on this site. | |||||
Sheet 3: Custom Qsts
| NHLBI | ||||||||||
| MID: ZMAMIJhp9UxRxFlplEEUsw== | ||||||||||
| Date: | 12/20/2011 | |||||||||
| CQID | Skip Logic Label | Question Text | Answer ID | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Special Instructions | CQ Label |
| MMW1026 | How frequently do you visit this site (NHLBI)? | MMW1026A01 | First time | Radio button, one-up vertical | Single | Y | Visit Frequency | |||
| MMW1026A02 | More than once a day | |||||||||
| MMW1026A03 | Daily | |||||||||
| MMW1026A04 | About once a week | |||||||||
| MMW1026A05 | About once a month | |||||||||
| MMW1026A06 | Every 6 months or less | |||||||||
| MMW1027 | <b>For this visit</b>, which best describes you? <b>"I am a…"</b> | MMW1027A01 | Patient with a specific disease or condition | Radio button, one-up vertical | Single | Y | Role | |||
| MMW1027A02 | Family or friend of patient | |||||||||
| MMW1027A03 | General health consumer | |||||||||
| MMW1027A04 | Health professional | |||||||||
| MMW1027A05 | College or graduate student | |||||||||
| MMW1027A06 | Elementary or secondary student (grades 1-12) | |||||||||
| MMW1027A07 | Educator | |||||||||
| MMW1027A08 | Researcher or scientist | |||||||||
| MMW1027A09 | Health care administrator | |||||||||
| MMW1027A10 | Librarian or information professional | |||||||||
| MMW1027A11 | News reporter or media person | |||||||||
| MMW1027A12 | Advocacy group member | |||||||||
| MMW1027A13 | NHLBI staff | |||||||||
| MMW1027A14 | Other | |||||||||
| MMW1028 | What were you looking for on the NHLBI site today? Information about: | MMW1028A01 | Disease or condition | Radio button, one-up vertical | Single | Y | Information About | |||
| MMW1028A02 | Weight control | |||||||||
| MMW1028A03 | Clinical trials | |||||||||
| MMW1028A04 | Grant policies | |||||||||
| MMW1028A05 | Research results (how they affect me) | |||||||||
| MMW1028A06 | Research funding | |||||||||
| MMW1028A07 | Research at the NHLBI labs | |||||||||
| MMW1028A08 | Meetings | |||||||||
| MMW1028A09 | Training programs and grants | |||||||||
| MMW1028A10 | Press releases | |||||||||
| MMW1028A11 | Job vacancies | |||||||||
| MMW1028A12 | Nothing specific, just browsing | |||||||||
| MMW1028A13 | Other | |||||||||
| MMW1029 | How did you find out about us? | MMW1029A01 | Search engine | Radio button, one-up vertical | Single | Y | Skip Logic Group | How Find Out | ||
| MMW1029A02 | Doctor, nurse, or other healthcare professional | |||||||||
| MMW1029A03 | Family or friend | |||||||||
| MMW1029A04 | Social media (Facebook, Twitter, Four Square, etc.) | |||||||||
| MMW1029A05 | Educational campaign | |||||||||
| MMW1029A06 | News report | |||||||||
| MMW1029A07 | Another website | |||||||||
| MMW1029A08 | Other | A | ||||||||
| MMW1030 | A | Please explain | Text field | N | Skip Logic Group | OPS_How Find Out | ||||
| MMW1031 | Once you were on NHLBI's site, how did you navigate around the site? | MMW1031A01 | The tabs across the top and/or the links down the left side | Radio button, one-up vertical | Single | Y | Skip Logic Group | Nav Method | ||
| MMW1031A02 | The site index | B | ||||||||
| MMW1031A03 | The NHBLI search box | C | ||||||||
| MMW1031A04 | An external web search engine put me directly on the right page | |||||||||
| MMW1031A05 | Someone sent me a bookmark or a link | |||||||||
| MMW1031A06 | Other | |||||||||
| MMW1032 | B | What index did you use? | MMW1032A01 | Main site index | Radio button, one-up vertical | Single | Y | Skip Logic Group | What Index | |
| MMW1032A02 | A-Z list of diseases and conditions | |||||||||
| MMW1032A03 | List of health information topics | |||||||||
| MMW1032A04 | List of publications | |||||||||
| MMW1032A05 | List of meetings and workshops | |||||||||
| MMW1032A06 | List of grants and contracts | |||||||||
| MMW1032A07 | Other list | |||||||||
| MMW1033 | C | If you used the NHLBI search box, did the top results answer your questions? | MMW1033A01 | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | Search Answer | |
| MMW1033A02 | No | |||||||||
| MMW1034 | Did you find the information you were looking for? | MMW1034A01 | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | Did You Find | ||
| MMW1034A02 | No | D | ||||||||
| MMW1034A03 | Still looking | D | ||||||||
| MMW1035 | D | Please tell us what you were looking for. | Text field | N | Skip Logic Group | Looking For | ||||
| MMW1036 | How do you plan to use the information you found on the NHLBI site today? | MMW1036A01 | For myself, a family member or friend to discuss with a doctor | Radio button, one-up vertical | Single | Y | Plan To Use | |||
| MMW1036A02 | To decide if I need to see a doctor. | |||||||||
| MMW1036A03 | Find out how to manage or improve my health | |||||||||
| MMW1036A04 | To learn the latest health research results | |||||||||
| MMW1036A05 | To find the current guidelines or standards of care for a disease or condition | |||||||||
| MMW1036A06 | To learn about research funding opportunities | |||||||||
| MMW1036A07 | To find out about clinical trials | |||||||||
| MMW1036A08 | To obtain information for a report for school or work | |||||||||
| MMW1037 | What additional information or resources would you like to see included on our site? | Text area | N | Additional Info | ||||||
| MMW1038 | If you could make one improvement to our website, what would it be? | Text area | N | Improvement | ||||||
| MMW1039 | What is your gender? | MMW1039A01 | Female | Radio button, one-up vertical | Single | Y | Gender | |||
| MMW1039A02 | Male | |||||||||
| MMW1039A03 | Prefer not to answer | |||||||||
| MMW1040 | How old are you? | MMW1040A01 | 17 or younger | Radio button, one-up vertical | Single | Y | Age | |||
| MMW1040A02 | 18 to 25 | |||||||||
| MMW1040A03 | 26 to 35 | |||||||||
| MMW1040A04 | 36 to 45 | |||||||||
| MMW1040A05 | 46 to 55 | |||||||||
| MMW1040A06 | 56 to 65 | |||||||||
| MMW1040A07 | 66 or older | |||||||||
| MMW1040A08 | Prefer not to answer | |||||||||
| MMW1041 | Please indicate your level of education. | MMW1041A01 | Current middle or high school student | Radio button, one-up vertical | Single | Y | Education | |||
| MMW1041A02 | Did not complete high school | |||||||||
| MMW1041A03 | High school graduate | |||||||||
| MMW1041A04 | Some college or vocational school | |||||||||
| MMW1041A05 | College graduate | |||||||||
| MMW1041A06 | Some postgraduate school | |||||||||
| MMW1041A07 | Graduate or professional degree | |||||||||
| MMW1041A08 | Prefer not to answer | |||||||||
| MMW1042 | How do you describe your race? | MMW1042A01 | White | Check Boxes, one-up vertical | MULTI | Y | Race | |||
| MMW1042A02 | African American or Black | |||||||||
| MMW1042A03 | Asian | |||||||||
| MMW1042A04 | American Indian or Alaska Native | |||||||||
| MMW1042A05 | Native Hawaiian or Pacific Islander | |||||||||
| MMW1042A06 | Other | |||||||||
| MMW1042A07 | Prefer not to answer | |||||||||
| MMW1043 | How do you describe your ethnicity? | MMW1043A01 | Hispanic | Radio button, one-up vertical | Single | Y | Ethnicity | |||
| MMW1043A02 | Non-Hispanic | |||||||||
| MMW1043A03 | Prefer not to answer | |||||||||
| MMW1044 | Do you use assistive technology (something other than a keyboard and a mouse): | MMW1044A01 | Yes | E | Radio button, one-up vertical | Single | Y | Skip Logic Group | Assist Tech | |
| MMW1044A02 | No | |||||||||
| MMW1045 | E | What technology do you use? | MMW1045A01 | Screen reader | Single | Y | Skip Logic Group | What Tech | ||
| MMW1045A02 | Screen magnifier | Radio button, one-up vertical | ||||||||
| MMW1045A03 | Voice-to-text | |||||||||
| MMW1045A04 | Joy stick | |||||||||
| MMW1045A05 | Other | F | ||||||||
| MMW1046 | F | Please describe your assistive technology. | Text field | N | Skip Logic Group | OPS_What Tech | ||||
| MMW1047 | Do you use a mobile device to access the Web? | MMW1047A01 | Yes | G | Radio button, one-up vertical | Single | Y | Skip Logic Group | Mobile Device | |
| MMW1047A02 | No | |||||||||
| MMW1048 | G | What type of mobile device do you use? | MMW1048A01 | iPhone | Radio button, one-up vertical | Single | Y | Skip Logic Group | Type Mobile | |
| MMW1048A02 | Android phone | |||||||||
| MMW1048A03 | iPad | |||||||||
| MMW1048A04 | iPod Touch | |||||||||
| MMW1048A05 | Blackberry | |||||||||
| MMW1048A06 | Android Tablet | |||||||||
| MMW1048A07 | Windows Tablet | |||||||||
| MMW1048A08 | WebOS (HP Touchpad) | |||||||||
| MMW1048A09 | Blackberry Tablet | |||||||||
| MMW1048A10 | Kindle | |||||||||
| MMW1048A11 | Nook | |||||||||
| MMW1048A12 | Other | H | ||||||||
| MMW1049 | H | Please specify what mobile device you use to access the Web | Text field | N | Skip Logic Group | OPS_Type Mobile | ||||
| MMW1050 | G | Would you prefer using a mobile version of this site from your mobile device? | MMW1050A01 | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | Mobile Version | |
| MMW1050A02 | No | |||||||||
| MMW1050A03 | Don't care | |||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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