542 Alzheimers AOA

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

2012 542 AOA Alzheimers.gov Rev10.1-12.xlsx

541 Alzheimer's Questionnaire - 561 VA-eBenefits Questionnaire

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

Welcome and Thank You Text
Proposed Model Qsts
Proposed Current CQs


Sheet 1: Welcome and Thank You Text

Model Instance Name:








http://www.alzheimers.gov/







MID: QFY5chZENEA1k8Z1RAVdNg==






Date: 7/30/2012








Welcome and Thank You Text













Directions:










This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom. This is a good place to mention the site/company/agency name so the visitor knows whom they are taking the survey for. Feel free to modify the standard Welcome text shown in the box below.









Examples


Welcome Text Example































Welcome Text









Thank you for visiting our site.Please help us improve alzheimers.gov.  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.



























































































Thank You Text Example


















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.


























































































































































































































Sheet 2: Proposed Model Qsts

Model Instance Name:







http://www.alzheimers.gov/







MID:
QFY5chZENEA1k8Z1RAVdNg==




Partitioned (Y/N)? Yes
NO





NOTE: All non-partitioned surveys will NOT be imputed and the elements will be rotated as a default unless otherwise specified and approved by Research.




Date:
4/18/2012




http://www.alzheimers.gov/
Model questions utilize the ACSI methodology to determine scores and impacts


ELEMENTS (drivers of satisfaction)

CUSTOMER SATISFACTION

FUTURE BEHAVIORS

MQ Label

MQ Label

MQ Label


Alzheimer's Information (1=Poor, 10=Excellent, Don't Know)

Satisfaction
Return Return (1=Very Unlikely, 10=Very Likely)

Thoroughness Please rate the thoroughness of information you viewed on this site today.

Satisfaction - Overall What is your overall satisfaction with Alzheimers.gov?
(1=Very Dissatisfied, 10=Very Satisfied)


How likely are you to return to this site?

understandable Please rate how understandable the information you viewed today was.

Satisfaction - Expectations How well does Alzheimers.gov meet your expectations?
(1=Falls Short, 10=Exceeds)

Recommend Recommend (1=Very Unlikely, 10=Very Likely)

Provided Answers Please rate how well the information viewed today provided answers to your questions.

Satisfaction - Ideal How does Alzheimers.gov compare to your idea of an ideal website?
(1=Not Very Close, 10=Very Close)


How likely are you to recommend this site to someone else?


Look and Feel (1=Poor, 10=Excellent, Don't Know)



Share Information Share Information (1=Very Unlikely, 10=Very Likely)

Look and Feel - Appeal Please rate the visual appeal of this site.




How likely are you to share information from this site with a family member, friend or health care professional?

Look and Feel - Balance Please rate the balance of graphics and text on this site.






Look and Feel - Readability Please rate the readability of the pages on this site.







Navigation (1=Poor, 10=Excellent, Don't Know)



Navigation - Organized Please rate how well the site is organized.


Navigation - Options Please rate the options available for navigating this site.


Navigation - Layout Please rate how well the site layout helps you find what you are looking for.







Plain Language (1=Poor, 10=Excellent, Don't Know)






Plain Language - Clear Please rate the clarity of the wording on this site.






Plain Language - Understandable Please rate how well you understand the wording on this site.






Plain Language - Concise Please rate this site on its use of short, clear sentences.







Site Performance (1=Poor, 10=Excellent, Don't Know)






Site Performance - Loading Please rate how quickly pages load on this site.






Site Performance - Consistency Please rate the consistency of speed from page to page on this site.






Site Performance - Errors Please rate the ability to load pages without getting error messages on this site.





































































































































Sheet 3: Proposed Current CQs

#REF!

red & strike-through: DELETE






http://www.alzheimers.gov/

underlined & italicized: RE-ORDER






MID: QFY5chZENEA1k8Z1RAVdNg==

pink: ADDITION






Date: 4/18/2012 blue + -->: REWORDING

















http://www.alzheimers.gov/ CUSTOM QUESTION LIST
QID bharati.hulbanni: there should be NO MORE THAN ONE LETTER IN HERE 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
LNH0059
How frequently do you visit this site? This is my first visit
Drop down, select one Single Y
Frequency



Every few months or less often









Monthly









Weekly









Several times a week









Daily/more than once a day






LNH0060
What is your role in visiting the site today? I am caring for someone with Alzheimer's disease
Radio button, one-up vertical Single Y OPS Group* Role



I am caring for someone without Alzheimer's disease









I am a friend or family member of someone with Alzheimer's disease









I am a heath care professional









I am an advocate for patients diagnosed with Alzheimer's disease









I suspect I or someone I know has Alzheimer's disease









Other A





LNH0061 A My role in visiting today was as a: open-ended


N
OE_Role
LNH0062
What is your primary reason for visiting this site today? Obtain general information on Alzheimer's disease
Radio button, one-up vertical Single Y OPS Group* Primary Reason



Find out about treatments or clinical trial for persons with Alzheimer's disease









Find out how to be diagnosed for Alzheimer's disease









Find Alzheimer's paid providers in my area









Find Alzheimer's support programs or services for families/friends/caregivers









Just browsing









Other A





LNH0063 A The reason I visited the site today was: open-ended


N
OE_Reason
LNH0064
What sections of the site did you visit today? (Please select all that apply.) Alzheimer's is…
Checkbox One Up Vertical Multi Y OPS Group* Section Visited



Treatment Options









How to Pay & Plan









Caring for someone









Help with Alzheimer's









Fighting Alzheimer's









A section not listed here (please specify): A





LNH0065 A What other sections did you visit today?



N
OE_Section
LNH0066
Did you find what you were looking for on the site today? Yes 
Radio button, one-up vertical Single
OPS Group* Ability to Find



No






LNH0067
How did you find out about this site? A friend or family member
Checkbox One Up Vertical Multi Y OPS Group* Learn about Site



A health care professional









A general web search (e.g., Google, Bing, etc)









A TV commercial









A newspaper or magazine article









An online ad









A newspaper or magazine ad









A news broadcast









Other (please specify): A





LNH0068 A How did you learn about the Alzheimers.gov site?

Text area, no char limit
N
OE_Learn about Site
LNH0069
Did you watch any of the videos featured on
the Alzheimers.gov site?
Yes A Radio button, one-up vertical Single Y skip logic group Watch Videos



No B





LNH0070 A What did you think of the online videos you viewed on the Alzheimers.gov site? open-ended
Text area, no char limit
N
OE_Videos Yes
LNH0071 B Why didn’t you watch any of the online videos featured on the Alzheimers.gov site? open-ended
Text area, no char limit
N
OE_Videos No
LNH0073
What additional information would you like to have available on this site? Open-ended
Text area, no char limit
N
OE_Additonal Info
LNH0074
If you could make one improvement to the site what would it be? open-ended
Text area, no char limit
N
OE_Improvement
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