573 FDA Browse Survey 9-17-2012

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Overview

Current Model Qsts
Model Qsts (8-22-12)
Model Qsts 09-03-09
Current Custom Qsts
Current Custom Qsts (9-19-12)
Custom Qsts (8-29-12)
Custom Qsts (6-27-12)
Custom Qsts (1-30-12)
Custom Qsts (7-8-11)
Custom Qsts (7-1-11)
Custom Qsts (6-23-11)
Custom Qsts (6-1-11)
Custom Qsts 12-30-10
Custom Qsts 12-1-10
Custom Qsts (8-31-10)
Custom Qsts (6-15-10)
Current Custom Qsts (3-18-10)
Custom Qsts 2-17-10
Custom Qsts (2-15-10)
Custom Qsts (2-8-10)
Custom Qsts 09-03-09
Original Custom Qsts

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Sheet 1: Current Model Qsts

Model Instance Name:
FDA Satisfaction Survey
MID:	xUE4gkERpoI5QVAk1J94RQ==
Date:	7/31/2009
FDA Satisfaction Survey MODEL QUESTION LIST
Model questions utilize the ACSI methodology to determine scores and impacts
	ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION		FUTURE BEHAVIORS
	NOTE: All questions under each element are required. Element questions are partitioned among surveys.		Satisfaction questions are required. Satisfaction questions appear on all surveys.		Future behaviors may be modified based on your site's objectives. Future behavior questions appear on all surveys.
	REQUIRED ELEMENTS (common to all websites)
	Content (1=Poor, 10=Excellent, Don't Know)		Satisfaction		Likelihood to Return (1=Very Unlikely, 10=Very Likely)
1	Please rate the <strong>accuracy of information</strong> on this site.	18	What is your <strong>overall satisfaction</strong> with this site? (1=Very Dissatisfied, 10=Very Satisfied)	21	How likely are you to <strong>return to this site</strong>?
2	Please rate the <strong>quality of information</strong> on this site.	19	How well does this site <strong>meet your expectations</strong>? (1=Falls Short, 10=Exceeds)		Recommend (1=Very Unlikely, 10=Very Likely)
3	Please rate the <strong>freshness of content</strong> on this site.	20	How does this site <strong>compare to your idea of an ideal website</strong>? (1=Not Very Close, 10=Very Close)	22	How likely are you to <strong>recommend this site to someone else</strong>?
	Look and Feel (1=Poor, 10=Excellent, Don't Know)				Primary Resource (1=Very Unlikely, 10=Very Likely)
4	Please rate the <strong>visual appeal</strong> of this site.			23	How likely are you to use this site as your <strong>primary resource for obtaining information from this organization</strong>?
5	Please rate the <strong>balance of graphics and text</strong> on this site.				Trust (1=Strongly Disagree, 10=Strongly Agree)
6	Please rate the <strong>readability of the pages</strong> on this site.			24	I can count on this agency to <strong>act in my best interests</strong>.
	Navigation (1=Poor, 10=Excellent, Don't Know)			25	I consider this agency to be <strong>trustworthy</strong>.
7	Please rate <strong>how well the site is organized</strong>.			26	This agency can be trusted to <strong>do what is right</strong>.
8	Please rate the <strong>options available for navigating</strong> this site.				Future Participation (1=Very Unlikely, 10=Very Likely)
9	Please rate <strong>how well the site layout helps you find what you are looking for</strong>.			27	How likely are you to <strong>express your thoughts or ideas to this agency</strong> in the next 90 days?
10	Please rate the <strong>number of clicks to get where you want</strong> on this site.
	Online Transparency (1=Poor, 10=Excellent)
11	Please rate how <strong>thoroughly</strong> this website <strong>discloses information</strong> about what this agency is doing.
12	Please rate how <strong>quickly agency information is made available</strong> on this website.
13	Please rate how well information about this agency's actions <strong>can be accessed by the public</strong> on this website.
	Site Performance (1=Poor, 10=Excellent, Don't Know)
14	Please rate how <strong>quickly pages load</strong> on this site.
15	Please rate the <strong>consistency of speed from page to page</strong> on this site.
16	Please rate the <strong>ability to load pages without getting error messages</strong> on this site.
	Search (1=Poor, 10=Excellent, Don't Know)
17	Please rate the <strong>relevance of search results</strong> on this site.
18	Please rate the <strong>organization of search results</strong> on this site.
19	Please rate how well the search result descriptions helped you decide which one to select.
20	Please rate how well the search results provided the information needed to narrow or refocus your search.

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Sheet 2: Model Qsts (8-22-12)

Model Instance Name:
FDA Satisfaction Survey
MID:	xUE4gkERpoI5QVAk1J94RQ==
Date:	7/31/2009
FDA Satisfaction Survey MODEL QUESTION LIST
Model questions utilize the ACSI methodology to determine scores and impacts
	ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION		FUTURE BEHAVIORS
	NOTE: All questions under each element are required. Element questions are partitioned among surveys.		Satisfaction questions are required. Satisfaction questions appear on all surveys.		Future behaviors may be modified based on your site's objectives. Future behavior questions appear on all surveys.
	REQUIRED ELEMENTS (common to all websites)
	Content (1=Poor, 10=Excellent, Don't Know)		Satisfaction		Likelihood to Return (1=Very Unlikely, 10=Very Likely)
1	Please rate the <strong>accuracy of information</strong> on this site.	18	What is your <strong>overall satisfaction</strong> with this site? (1=Very Dissatisfied, 10=Very Satisfied)	21	How likely are you to <strong>return to this site</strong>?
2	Please rate the <strong>quality of information</strong> on this site.	19	How well does this site <strong>meet your expectations</strong>? (1=Falls Short, 10=Exceeds)		Recommend (1=Very Unlikely, 10=Very Likely)
3	Please rate the <strong>freshness of content</strong> on this site.	20	How does this site <strong>compare to your idea of an ideal website</strong>? (1=Not Very Close, 10=Very Close)	22	How likely are you to <strong>recommend this site to someone else</strong>?
	Look and Feel (1=Poor, 10=Excellent, Don't Know)				Primary Resource (1=Very Unlikely, 10=Very Likely)
4	Please rate the <strong>visual appeal</strong> of this site.			23	How likely are you to use this site as your <strong>primary resource for obtaining information from this organization</strong>?
5	Please rate the <strong>balance of graphics and text</strong> on this site.				Trust (1=Strongly Disagree, 10=Strongly Agree)
6	Please rate the <strong>readability of the pages</strong> on this site.			24	I can count on this agency to <strong>act in my best interests</strong>.
	Navigation (1=Poor, 10=Excellent, Don't Know)			25	I consider this agency to be <strong>trustworthy</strong>.
7	Please rate <strong>how well the site is organized</strong>.			26	This agency can be trusted to <strong>do what is right</strong>.
8	Please rate the <strong>options available for navigating</strong> this site.				Future Participation (1=Very Unlikely, 10=Very Likely)
9	Please rate <strong>how well the site layout helps you find what you are looking for</strong>.			27	How likely are you to <strong>express your thoughts or ideas to this agency</strong> in the next 90 days?
10	Please rate the <strong>number of clicks to get where you want</strong> on this site.
	Online Transparency (1=Poor, 10=Excellent)
11	Please rate how <strong>thoroughly</strong> this website <strong>discloses information</strong> about what this agency is doing.
12	Please rate how <strong>quickly agency information is made available</strong> on this website.
13	Please rate how well information about this agency's actions <strong>can be accessed by the public</strong> on this website.
	Site Performance (1=Poor, 10=Excellent, Don't Know)
14	Please rate how <strong>quickly pages load</strong> on this site.
15	Please rate the <strong>consistency of speed from page to page</strong> on this site.
16	Please rate the <strong>ability to load pages without getting error messages</strong> on this site.
	Search (1=Poor, 10=Excellent, Don't Know)
17	Please rate the <strong>relevance of search results</strong> on this site.
18	Please rate the <strong>organization of search results</strong> on this site.
19	Please rate how well the search result descriptions helped you decide which one to select.
20	Please rate how well the search results provided the information needed to narrow or refocus your search.

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Sheet 3: Model Qsts 09-03-09

Model Instance Name:
FDA Satisfaction Survey
MID:	xUE4gkERpoI5QVAk1J94RQ==
Date:	7/31/2009
FDA Satisfaction Survey MODEL QUESTION LIST
Model questions utilize the ACSI methodology to determine scores and impacts
	ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION		FUTURE BEHAVIORS
	NOTE: All questions under each element are required. Element questions are partitioned among surveys.		Satisfaction questions are required. Satisfaction questions appear on all surveys.		Future behaviors may be modified based on your site's objectives. Future behavior questions appear on all surveys.
	REQUIRED ELEMENTS (common to all websites)
	Content (1=Poor, 10=Excellent, Don't Know)		Satisfaction		Likelihood to Return (1=Very Unlikely, 10=Very Likely)
1	Please rate the <strong>accuracy of information</strong> on this site.	18	What is your <strong>overall satisfaction</strong> with this site? (1=Very Dissatisfied, 10=Very Satisfied)	21	How likely are you to <strong>return to this site</strong>?
2	Please rate the <strong>quality of information</strong> on this site.	19	How well does this site <strong>meet your expectations</strong>? (1=Falls Short, 10=Exceeds)		Recommend (1=Very Unlikely, 10=Very Likely)
3	Please rate the <strong>freshness of content</strong> on this site.	20	How does this site <strong>compare to your idea of an ideal website</strong>? (1=Not Very Close, 10=Very Close)	22	How likely are you to <strong>recommend this site to someone else</strong>?
	Look and Feel (1=Poor, 10=Excellent, Don't Know)				Primary Resource (1=Very Unlikely, 10=Very Likely)
4	Please rate the <strong>visual appeal</strong> of this site.			23	How likely are you to use this site as your <strong>primary resource for obtaining information from this organization</strong>?
5	Please rate the <strong>balance of graphics and text</strong> on this site.				Trust (1=Strongly Disagree, 10=Strongly Agree)
6	Please rate the <strong>readability of the pages</strong> on this site.			24	I can count on this agency to <strong>act in my best interests</strong>.
	Navigation (1=Poor, 10=Excellent, Don't Know)			25	I consider this agency to be <strong>trustworthy</strong>.
7	Please rate <strong>how well the site is organized</strong>.			26	This agency can be trusted to <strong>do what is right</strong>.
8	Please rate the <strong>options available for navigating</strong> this site.				Future Participation (1=Very Unlikely, 10=Very Likely)
9	Please rate <strong>how well the site layout helps you find what you are looking for</strong>.			27	How likely are you to <strong>express your thoughts or ideas to this agency</strong> in the next 90 days?
10	Please rate the <strong>number of clicks to get where you want</strong> on this site.
	Online Transparency (1=Poor, 10=Excellent)
11	Please rate how <strong>thoroughly</strong> this website <strong>discloses information</strong> about what this agency is doing.
12	Please rate how <strong>quickly agency information is made available</strong> on this website.
13	Please rate how well information about this agency's actions <strong>can be accessed by the public</strong> on this website.
	Site Performance (1=Poor, 10=Excellent, Don't Know)
14	Please rate how <strong>quickly pages load</strong> on this site.
15	Please rate the <strong>consistency of speed from page to page</strong> on this site.
16	Please rate the <strong>ability to load pages without getting error messages</strong> on this site.
	Search (1=Poor, 10=Excellent, Don't Know)
17	Please rate the <strong>relevance of search results</strong> on this site.
18	Please rate the <strong>organization of search results</strong> on this site.
19	Please rate how well the <strong>search results help you decide what to select</strong>.
20	Please rate how well the <strong>search feature helps you to narrow the results</strong> to find what you want.

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Sheet 4: Current Custom Qsts

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Recalls	L, N, O
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products	A,B,C,D
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
ACQSto0005572	A	Which best describes the primary role that brought you to the FDA website to look for tobacco information?	Retailer who sells tobacco products		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Role
			Cashier or employee at a retail establishment
			Manufacturer of tobacco products
			Employee of a tobacco manufacturing company
			Tobacco retailer association
			Public health professional
			State/local government agency employee
			Tobacco cessation or tobacco control organization employee
			Person who uses tobacco products
			General consumer
			Other, please specify:	G
ACQSto0005554	G	Please describe the role that brought you to the FDA website today to look for tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	Other Tobacco Role
ACQSto0005574	B	Which of the following best describes the information you were looking for today?	Family Smoking Prevention and Tobacco Control Act		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Information
			Guidance, compliance and regulatory information
			Warning labels (low, light and mild descriptions and smokeless tobacco warning labels)
			Information about how to submit new tobacco products for FDA approval
			Current news and events from Center for Tobacco Products (CTP)
			Resources on how to quit smoking
			Resources on how to prevent youth smoking
			Public dockets for comment
			Break the Chain of Tobacco Addiction campaign materials
			Tobacco Products Advisory Committee
			Information about the Center for Tobacco Products (CTP)
			Other, please specify:	I
ACQSto0005580	I	Please describe the information you came to the site for:			Text area, no char limit	Single	N	Skip Logic Group	OE Tobacco Info
ACQSto0005576	C	Which of the following best describes the type of information you were looking for?	General information about the tobacco regulations and guidance		Radio Button One Up Vertical	Single		Skip Logic Group	Type of Tobac Info
			Guidelines and recommendations for retailers and tobacco manufacturers
			Professional training for retailers and tobacco manufacturers
			Information about preventing smoking or quitting smoking
			Educational materials
			Campaigns and initiatives
			Print materials (fact sheets, brochures, posters, etc.)
			Multimedia products (podcasts, videos, widgets, etc.)
			Data and statistics about tobacco use
			Scientific research, articles, publications, and journals
			Tools, software applications, systems, and other resources
			Grants and funding opportunities
			Jobs and careers
			Other, please specify:	J
ACQSto0005582	J	Please describe the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
ACQSto0005577	D	How are you primarily planning to use the information you were looking for today?	For a trade association who deals with tobacco		Radio Button One Up Vertical	Single		Skip Logic Group	Use Tobacco Info
			For a retailer who sells tobacco products
			For a manufacturer who produces tobacco products
			For a business / workplace
			For a public health agency
			For a research institution
			For an educational institution or teaching purposes
			For a school / class project
			For my own health
			For my family member or friend
			Other, please specify	K
ACQSto0005583	K	Please describe how you are going to use the tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
ACQCol0010516	L	Did you view a photo of a recalled product on the FDA website today?	Yes	M	Radio Button One Up Vertical	Single	Y		Recall Photo on FDA
			No
			Not Sure
ACQCol0010487	M	Was viewing the photo helpful?	Yes		Radio Button One Up Vertical	Single	Y		Photo Helpful
			No
ACQCol0010488	N	FDA also provides photos of recalled products on the FDA Flickr page. Have you ever visited the FDA Flickr page?	Yes		Radio Button One Up Vertical	Single	Y		Recall Photo on Flickr
			No
			Not Sure
ACQCol0010489	O	Which of the following ways would you prefer to see photos of recalled products: (Select one)	On the FDA website		Radio Button One Up Vertical	Single	Y		Photo Preference
			On the FDA Flickr page
			No preference
			I do not view photos of recalled products
			Other	P
ACQCol0010490	P	Please specify how you prefer to see photos of recalled products:			Text field, <100 char	Single	N		OE_Photo Preference
EDO03237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry	A	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Role
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	C
EDO03238	A	Which of the following best describes your company/organization?	Manufacturer	B				Skip Logic Group	Org
			Distributor	B
			Importer	B
			Other	B
EDO03239	B	Which of the following industry categories is your company/organization a part of? (Please select all that apply)	Drugs & Biologics (Human)					Skip Logic Group	Industry
			Drugs & Biologics (Animal)
			Medical Devices
			Food
			Dietary Supplements
			Cosmetics
			Tobacco
AKR5238	C	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	Skip Logic Group	OE_role
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y		Visit Frequency
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Ability to Find
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group	OE_Unable to Find
ACQinh0015068		In addition to visiting the FDA site, what other sites might you visit to find the information you are looking for?			Text area, no char limit	Single	N		Additional Sites
ACQHul0006055		Did you use the main search feature on the FDA site today?	Yes	A, B	Radio button, one-up vertical	Single	Y	Skip Logic Group	Use Search
			No
ACQHul0006056	A	Were you able to find relevant results for what you were looking for on our site?	Yes, results were relevant to my search		Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Relevance
			Somewhat, results were partially relevant to my search	E
			No, I did not find any useful information	E
ACQwil0013849	E	What were you searching for that you couldn't find?			Text area, no char limit	Single	N	Skip Logic Group	OE_SearchUnabletoFind
ACQHul0006057	B	Which of the following topic areas was your search related to? (select all that apply)	Food		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Topic
			Drugs
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal & Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Recalls
			Warning Letters
			None of the above
ACQHul0006027		Did you use the Advanced Search feature today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Use Adv Search
			No
			Don't Know
ACQHul0006028	A	Which of the following advanced search options did you use? (select all that apply)	Find results (with all of the words, with the exact phrase, with at least one of the words, without the words)		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Adv Search Options
			Sections (such as Advisory Committees, Animal and Veterinary, Consumers, etc.)
ACQwil0013821		On a scale of 1 to 5, with 1=Strongly Disagree and 5=Strongly Agree, please select your level of agreement with the following statements:	1= Strongly Disagree		Radio button, scale, no don't know	Single	Y		Navigation Experience
		Links took me where I wanted to go on the site	2
			3
			4
			Strongly Agree = 5
ACQwil0013822		Section titles clearly describe the content	1= Strongly Disagree		Radio button, scale, no don't know	Single	Y		Navigation Experience
			2
			3
			4
			Strongly Agree = 5
ACQwil0013863		Links and labels are easy to understand	1= Strongly Disagree		Radio button, scale, no don't know	Single	Y		Navigation Experience
			2
			3
			4
			Strongly Agree = 5
ACQwil0013850		The way the information is organized makes sense to me	1= Strongly Disagree		Radio button, scale, no don't know	Single	Y		Navigation Experience
			2
			3
			4
			Strongly Agree = 5
EDO0711		Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
AED11047		In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Florida
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington D.C.
			Washington
			West Virginia
			Wisconsin
			Wyoming
			None of the above/Outside of the United States
EDO03243		If you could make one improvement to the site what would that be?			Text area, no char limit	Open	N		One Improvement
		If this website had a mobile version, would you access it from your mobile device?	Yes	A, B	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Mobile Site Use
			No, I don't have a mobile device that allows me to access the web
			No, I would not use my mobile device to access this website
	A	What content would you like to be able to view from your mobile device?	MedWatch		Radio Button One Up Vertical	Single	N	Skip Logic Group	Mobile Content
			Drug Safety
			Recalls
			FDA News
			Consumer Updates
			Other, please specify:	C
	C	Please specify the content you want to view on your mobile device:			Text area, no char limit	Single	N	Skip Logic Group	Other Mobile Content
	B	What type of mobile device do you use?	Android		Radio Button One Up Vertical	Single	N	Skip Logic Group	Mobile Device
			iPhone
			Blackberry
			Other, please specify:	D
	D	Other mobile device:			Text area, no char limit	Single	N	Skip Logic Group	Other Mobile Device

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Sheet 5: Current Custom Qsts (9-19-12)

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Recalls	L, N, O
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products	A,B,C,D
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
ACQSto0005572	A	Which best describes the primary role that brought you to the FDA website to look for tobacco information?	Retailer who sells tobacco products		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Role
			Cashier or employee at a retail establishment
			Manufacturer of tobacco products
			Employee of a tobacco manufacturing company
			Tobacco retailer association
			Public health professional
			State/local government agency employee
			Tobacco cessation or tobacco control organization employee
			Person who uses tobacco products
			General consumer
			Other, please specify:	G
ACQSto0005554	G	Please describe the role that brought you to the FDA website today to look for tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	Other Tobacco Role
ACQSto0005574	B	Which of the following best describes the information you were looking for today?	Family Smoking Prevention and Tobacco Control Act		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Information
			Guidance, compliance and regulatory information
			Warning labels (low, light and mild descriptions and smokeless tobacco warning labels)
			Information about how to submit new tobacco products for FDA approval
			Current news and events from Center for Tobacco Products (CTP)
			Resources on how to quit smoking
			Resources on how to prevent youth smoking
			Public dockets for comment
			Break the Chain of Tobacco Addiction campaign materials
			Tobacco Products Advisory Committee
			Information about the Center for Tobacco Products (CTP)
			Other, please specify:	I
ACQSto0005580	I	Please describe the information you came to the site for:			Text area, no char limit	Single	N	Skip Logic Group	OE Tobacco Info
ACQSto0005576	C	Which of the following best describes the type of information you were looking for?	General information about the tobacco regulations and guidance		Radio Button One Up Vertical	Single		Skip Logic Group	Type of Tobac Info
			Guidelines and recommendations for retailers and tobacco manufacturers
			Professional training for retailers and tobacco manufacturers
			Information about preventing smoking or quitting smoking
			Educational materials
			Campaigns and initiatives
			Print materials (fact sheets, brochures, posters, etc.)
			Multimedia products (podcasts, videos, widgets, etc.)
			Data and statistics about tobacco use
			Scientific research, articles, publications, and journals
			Tools, software applications, systems, and other resources
			Grants and funding opportunities
			Jobs and careers
			Other, please specify:	J
ACQSto0005582	J	Please describe the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
ACQSto0005577	D	How are you primarily planning to use the information you were looking for today?	For a trade association who deals with tobacco		Radio Button One Up Vertical	Single		Skip Logic Group	Use Tobacco Info
			For a retailer who sells tobacco products
			For a manufacturer who produces tobacco products
			For a business / workplace
			For a public health agency
			For a research institution
			For an educational institution or teaching purposes
			For a school / class project
			For my own health
			For my family member or friend
			Other, please specify	K
ACQSto0005583	K	Please describe how you are going to use the tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
ACQCol0010516	L	Did you view a photo of a recalled product on the FDA website today?	Yes	M	Radio Button One Up Vertical	Single	Y		Recall Photo on FDA
			No
			Not Sure
ACQCol0010487	M	Was viewing the photo helpful?	Yes		Radio Button One Up Vertical	Single	Y		Photo Helpful
			No
ACQCol0010488	N	FDA also provides photos of recalled products on the FDA Flickr page. Have you ever visited the FDA Flickr page?	Yes		Radio Button One Up Vertical	Single	Y		Recall Photo on Flickr
			No
			Not Sure
ACQCol0010489	O	Which of the following ways would you prefer to see photos of recalled products: (Select one)	On the FDA website		Radio Button One Up Vertical	Single	Y		Photo Preference
			On the FDA Flickr page
			No preference
			I do not view photos of recalled products
			Other	P
ACQCol0010490	P	Please specify how you prefer to see photos of recalled products:			Text field, <100 char	Single	N		OE_Photo Preference
EDO03237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry	A	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Role
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	C
EDO03238	A	Which of the following best describes your company/organization?	Manufacturer	B				Skip Logic Group	Org
			Distributor	B
			Importer	B
			Other	B
EDO03239	B	Which of the following industry categories is your company/organization a part of? (Please select all that apply)	Drugs & Biologics (Human)					Skip Logic Group	Industry
			Drugs & Biologics (Animal)
			Medical Devices
			Food
			Dietary Supplements
			Cosmetics
			Tobacco
AKR5238	C	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	Skip Logic Group	OE_role
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y		Visit Frequency
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Ability to Find
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group	OE_Unable to Find
ACQinh0015068		In addition to visiting the FDA site, what other sites might you visit to find the information you are looking for?			Text area, no char limit	Single	N		Additional Sites
ACQHul0006055		Did you use the main search feature on the FDA site today?	Yes	A, B	Radio button, one-up vertical	Single	Y	Skip Logic Group	Use Search
			No
ACQHul0006056	A	Were you able to find relevant results for what you were looking for on our site?	Yes, results were relevant to my search		Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Relevance
			Somewhat, results were partially relevant to my search	E
			No, I did not find any useful information	E
ACQwil0013849	E	What were you searching for that you couldn't find?			Text area, no char limit	Single	N	Skip Logic Group	OE_SearchUnabletoFind
ACQHul0006057	B	Which of the following topic areas was your search related to? (select all that apply)	Food		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Topic
			Drugs
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal & Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Recalls
			Warning Letters
			None of the above
ACQHul0006027		Did you use the Advanced Search feature today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Use Adv Search
			No
			Don't Know
ACQHul0006028	A	Which of the following advanced search options did you use? (select all that apply)	Find results (with all of the words, with the exact phrase, with at least one of the words, without the words)		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Adv Search Options
			Sections (such as Advisory Committees, Animal and Veterinary, Consumers, etc.)
ACQwil0013821		On a scale of 1 to 5, with 1=Strongly Disagree and 5=Strongly Agree, please select your level of agreement with the following statements:	1= Strongly Disagree		Radio button, scale, no don't know	Single	Y		Navigation Experience
		Links took me where I wanted to go on the site	2
			3
			4
			Strongly Agree = 5
ACQwil0013822		Section titles clearly describe the content	1= Strongly Disagree		Radio button, scale, no don't know	Single	Y		Navigation Experience
			2
			3
			4
			Strongly Agree = 5
ACQwil0013863		Links and labels are easy to understand	1= Strongly Disagree		Radio button, scale, no don't know	Single	Y		Navigation Experience
			2
			3
			4
			Strongly Agree = 5
ACQwil0013850		The way the information is organized makes sense to me	1= Strongly Disagree		Radio button, scale, no don't know	Single	Y		Navigation Experience
			2
			3
			4
			Strongly Agree = 5
EDO0711		Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
AED11047		In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Florida
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington D.C.
			Washington
			West Virginia
			Wisconsin
			Wyoming
			None of the above/Outside of the United States
EDO03243		If you could make one improvement to the site what would that be?			Text area, no char limit	Open	N		One Improvement
		If this website had a mobile version, would you access it from your mobile device?	Yes	A, B	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Mobile Site Use
			No, I don't have a mobile device that allows me to access the web
			No, I would not use my mobile device to access this website
	A	What content would you like to be able to view from your mobile device?	MedWatch		Radio Button One Up Vertical	Single	N	Skip Logic Group	Mobile Content
			Drug Safety
			Recalls
			FDA News
			Consumer Updates
			Other, please specify:	C
	C	Please specify the content you want to view on your mobile device:			Text area, no char limit	Single	N	Skip Logic Group	Other Mobile Content
	B	What type of mobile device do you use?	Android		Radio Button One Up Vertical	Single	N	Skip Logic Group	Mobile Device
			iPhone
			Blackberry
			Other, please specify:	D
	D	Other mobile device:			Text area, no char limit	Single	N	Skip Logic Group	Other Mobile Device

---

Sheet 6: Custom Qsts (8-29-12)

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Recalls	L, N, O
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products	A,B,C,D
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
ACQSto0005572	A	Which best describes the primary role that brought you to the FDA website to look for tobacco information?	Retailer who sells tobacco products		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Role
			Cashier or employee at a retail establishment
			Manufacturer of tobacco products
			Employee of a tobacco manufacturing company
			Tobacco retailer association
			Public health professional
			State/local government agency employee
			Tobacco cessation or tobacco control organization employee
			Person who uses tobacco products
			General consumer
			Other, please specify:	G
ACQSto0005554	G	Please describe the role that brought you to the FDA website today to look for tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	Other Tobacco Role
ACQSto0005574	B	Which of the following best describes the information you were looking for today?	Family Smoking Prevention and Tobacco Control Act		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Information
			Guidance, compliance and regulatory information
			Warning labels (low, light and mild descriptions and smokeless tobacco warning labels)
			Information about how to submit new tobacco products for FDA approval
			Current news and events from Center for Tobacco Products (CTP)
			Resources on how to quit smoking
			Resources on how to prevent youth smoking
			Public dockets for comment
			Break the Chain of Tobacco Addiction campaign materials
			Tobacco Products Advisory Committee
			Information about the Center for Tobacco Products (CTP)
			Other, please specify:	I
ACQSto0005580	I	Please describe the information you came to the site for:			Text area, no char limit	Single	N	Skip Logic Group	OE Tobacco Info
ACQSto0005576	C	Which of the following best describes the type of information you were looking for?	General information about the tobacco regulations and guidance		Radio Button One Up Vertical	Single		Skip Logic Group	Type of Tobac Info
			Guidelines and recommendations for retailers and tobacco manufacturers
			Professional training for retailers and tobacco manufacturers
			Information about preventing smoking or quitting smoking
			Educational materials
			Campaigns and initiatives
			Print materials (fact sheets, brochures, posters, etc.)
			Multimedia products (podcasts, videos, widgets, etc.)
			Data and statistics about tobacco use
			Scientific research, articles, publications, and journals
			Tools, software applications, systems, and other resources
			Grants and funding opportunities
			Jobs and careers
			Other, please specify:	J
ACQSto0005582	J	Please describe the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
ACQSto0005577	D	How are you primarily planning to use the information you were looking for today?	For a trade association who deals with tobacco		Radio Button One Up Vertical	Single		Skip Logic Group	Use Tobacco Info
			For a retailer who sells tobacco products
			For a manufacturer who produces tobacco products
			For a business / workplace
			For a public health agency
			For a research institution
			For an educational institution or teaching purposes
			For a school / class project
			For my own health
			For my family member or friend
			Other, please specify	K
ACQSto0005583	K	Please describe how you are going to use the tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
ACQCol0010516	L	Did you view a photo of a recalled product on the FDA website today?	Yes	M	Radio Button One Up Vertical	Single	Y		Recall Photo on FDA
			No
			Not Sure
ACQCol0010487	M	Was viewing the photo helpful?	Yes		Radio Button One Up Vertical	Single	Y		Photo Helpful
			No
ACQCol0010488	N	FDA also provides photos of recalled products on the FDA Flickr page. Have you ever visited the FDA Flickr page?	Yes		Radio Button One Up Vertical	Single	Y		Recall Photo on Flickr
			No
			Not Sure
ACQCol0010489	O	Which of the following ways would you prefer to see photos of recalled products: (Select one)	On the FDA website		Radio Button One Up Vertical	Single	Y		Photo Preference
			On the FDA Flickr page
			No preference
			I do not view photos of recalled products
			Other	P
ACQCol0010490	P	Please specify how you prefer to see photos of recalled products:			Text field, <100 char	Single	N		OE_Photo Preference
EDO03237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry	A	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Role
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	C
EDO03238	A	Which of the following best describes your company/organization?	Manufacturer	B				Skip Logic Group	Org
			Distributor	B
			Importer	B
			Other	B
EDO03239	B	Which of the following industry categories is your company/organization a part of? (Please select all that apply)	Drugs & Biologics (Human)					Skip Logic Group	Industry
			Drugs & Biologics (Animal)
			Medical Devices
			Food
			Dietary Supplements
			Cosmetics
			Tobacco
AKR5238	C	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	Skip Logic Group	OE_role
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y		Visit Frequency
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Ability to Find
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group	OE_Unable to Find
		In addition to visiting the FDA site, what other sites might you visit to find the information you are looking for?			Text area, no char limit	Single	N		Additional Sites
ACQHul0006055		Did you use the main search feature on the FDA site today?	Yes	A, B	Radio button, one-up vertical	Single	Y	Skip Logic Group	Use Search
			No
ACQHul0006056	A	Were you able to find relevant results for what you were looking for on our site?	Yes, results were relevant to my search		Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Relevance
			Somewhat, results were partially relevant to my search	E
			No, I did not find any useful information	E
ACQwil0013849	E	What were you searching for that you couldn't find?			Text area, no char limit	Single	N	Skip Logic Group	OE_SearchUnabletoFind
ACQHul0006057	B	Which of the following topic areas was your search related to? (select all that apply)	Food		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Topic
			Drugs
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal & Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Recalls
			Warning Letters
			None of the above
ACQHul0006027		Did you use the Advanced Search feature today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Use Adv Search
			No
			Don't Know
ACQHul0006028	A	Which of the following advanced search options did you use? (select all that apply)	Find results (with all of the words, with the exact phrase, with at least one of the words, without the words)		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Adv Search Options
			Sections (such as Advisory Committees, Animal and Veterinary, Consumers, etc.)
ACQwil0013821		On a scale of 1 to 5, with 1=Strongly Disagree and 5=Strongly Agree, please select your level of agreement with the following statements:	1= Strongly Disagree		Radio button, scale, no don't know	Single	Y		Navigation Experience
		Links took me where I wanted to go on the site	2
			3
			4
			Strongly Agree = 5
ACQwil0013822		Section titles clearly describe the content	1= Strongly Disagree		Radio button, scale, no don't know	Single	Y		Navigation Experience
			2
			3
			4
			Strongly Agree = 5
ACQwil0013863		Links and labels are easy to understand	1= Strongly Disagree		Radio button, scale, no don't know	Single	Y		Navigation Experience
			2
			3
			4
			Strongly Agree = 5
ACQwil0013850		The way the information is organized makes sense to me	1= Strongly Disagree		Radio button, scale, no don't know	Single	Y		Navigation Experience
			2
			3
			4
			Strongly Agree = 5
EDO0711		Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
AED11047		In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington D.C.
			Washington
			West Virginia
			Wisconsin
			Wyoming
EDO03243		If you could make one improvement to the site what would that be?			Text area, no char limit	Open	N		One Improvement
		If this website had a mobile version, would you access it from your mobile device?	Yes	A, B	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Mobile Site Use
			No, I don't have a mobile device that allows me to access the web
			No, I would not use my mobile device to access this website
	A	What content would you like to be able to view from your mobile device?	MedWatch		Radio Button One Up Vertical	Single	N	Skip Logic Group	Mobile Content
			Drug Safety
			Recalls
			FDA News
			Consumer Updates
			Other, please specify:	C
	C	Please specify the content you want to view on your mobile device:			Text area, no char limit	Single	N	Skip Logic Group	Other Mobile Content
	B	What type of mobile device do you use?	Android		Radio Button One Up Vertical	Single	N	Skip Logic Group	Mobile Device
			iPhone
			Blackberry
			Other, please specify:	D
	D	Other mobile device:			Text area, no char limit	Single	N	Skip Logic Group	Other Mobile Device

---

Sheet 7: Custom Qsts (6-27-12)

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Recalls	L, N, O
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products	A,B,C,D
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
ACQSto0005572	A	Which best describes the primary role that brought you to the FDA website to look for tobacco information?	Retailer who sells tobacco products		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Role
			Cashier or employee at a retail establishment
			Manufacturer of tobacco products
			Employee of a tobacco manufacturing company
			Tobacco retailer association
			Public health professional
			State/local government agency employee
			Tobacco cessation or tobacco control organization employee
			Person who uses tobacco products
			General consumer
			Other, please specify:	G
ACQSto0005554	G	Please describe the role that brought you to the FDA website today to look for tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	Other Tobacco Role
ACQSto0005574	B	Which of the following best describes the information you were looking for today?	Family Smoking Prevention and Tobacco Control Act		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Information
			Guidance, compliance and regulatory information
			Warning labels (low, light and mild descriptions and smokeless tobacco warning labels)
			Information about how to submit new tobacco products for FDA approval
			Current news and events from Center for Tobacco Products (CTP)
			Resources on how to quit smoking
			Resources on how to prevent youth smoking
			Public dockets for comment
			Break the Chain of Tobacco Addiction campaign materials
			Tobacco Products Advisory Committee
			Information about the Center for Tobacco Products (CTP)
			Other, please specify:	I
ACQSto0005580	I	Please describe the information you came to the site for:			Text area, no char limit	Single	N	Skip Logic Group	OE Tobacco Info
ACQSto0005576	C	Which of the following best describes the type of information you were looking for?	General information about the tobacco regulations and guidance		Radio Button One Up Vertical	Single		Skip Logic Group	Type of Tobac Info
			Guidelines and recommendations for retailers and tobacco manufacturers
			Professional training for retailers and tobacco manufacturers
			Information about preventing smoking or quitting smoking
			Educational materials
			Campaigns and initiatives
			Print materials (fact sheets, brochures, posters, etc.)
			Multimedia products (podcasts, videos, widgets, etc.)
			Data and statistics about tobacco use
			Scientific research, articles, publications, and journals
			Tools, software applications, systems, and other resources
			Grants and funding opportunities
			Jobs and careers
			Other, please specify:	J
ACQSto0005582	J	Please describe the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
ACQSto0005577	D	How are you primarily planning to use the information you were looking for today?	For a trade association who deals with tobacco		Radio Button One Up Vertical	Single		Skip Logic Group	Use Tobacco Info
			For a retailer who sells tobacco products
			For a manufacturer who produces tobacco products
			For a business / workplace
			For a public health agency
			For a research institution
			For an educational institution or teaching purposes
			For a school / class project
			For my own health
			For my family member or friend
			Other, please specify	K
ACQSto0005583	K	Please describe how you are going to use the tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
ACQCol0010516	L	Did you view a photo of a recalled product on the FDA website today?	Yes	M	Radio Button One Up Vertical	Single	Y		Recall Photo on FDA
			No
			Not Sure
ACQCol0010487	M	Was viewing the photo helpful?	Yes		Radio Button One Up Vertical	Single	Y		Photo Helpful
			No
ACQCol0010488	N	FDA also provides photos of recalled products on the FDA Flickr page. Have you ever visited the FDA Flickr page?	Yes		Radio Button One Up Vertical	Single	Y		Recall Photo on Flickr
			No
			Not Sure
ACQCol0010489	O	Which of the following ways would you prefer to see photos of recalled products: (Select one)	On the FDA website		Radio Button One Up Vertical	Single	Y		Photo Preference
			On the FDA Flickr page
			No preference
			I do not view photos of recalled products
			Other	P
ACQCol0010490	P	Please specify how you prefer to see photos of recalled products:			Text field, <100 char	Single	N		OE_Photo Preference
EDO03237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry	A	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Role
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	C
EDO03238	A	Which of the following best describes your company/organization?	Manufacturer	B				Skip Logic Group
			Distributor	B
			Importer	B
			Other	B
EDO03239	B	Which of the following industry categories is your company/organization a part of? (Please select all that apply)	Drugs & Biologics (Human)					Skip Logic Group
			Drugs & Biologics (Animal)
			Medical Devices
			Food
			Dietary Supplements
			Cosmetics
			Tobacco
AKR5238	C	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	Skip Logic Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
ACQHul0006055		Did you use the main search feature on the FDA site today?	Yes	A, B, C	Radio button, one-up vertical	Single	Y	Skip Logic Group	Use Search
			No
ACQHul0006056	A	Were you able to find relevant results for what you were looking for on our site?	Yes, results were relevant to my search		Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Relevance
			Somewhat, results were partially relevant to my search	E
			No, I did not find any useful information	E
ACQHul0006057	B	Which of the following topic areas was your search related to? (select all that apply)	Food		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Topic
			Drugs
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal & Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Recalls
			Warning Letters
			None of the above
	E	What were you searching for that you couldn't find?			Text area, no char limit	Single	N	Skip Logic Group	OE_SearchUnabletoFind
ACQHul0006058	C	Which of the following technical issues did you experience when using the search feature? (select all that apply)	At least one link in the results did not work		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Issues
			Description of search results was too short
			Multiple results were the same
			The results page was too crowded
			The text on the results page was too small
			I did not experience any of the issues listed above	(Exclusive)
			Other	D
ACQHul0006026	D	Please specify the issue you had with the search feature:			Text area, no char limit	Single	N	Skip Logic Group	OE_Search Issue
ACQHul0006027		Did you use the Advanced Search feature today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Use Adv Search
			No
			Don't Know
ACQHul0006028	A	Which of the following advanced search options did you use? (select all that apply)	Find results (with all of the words, with the exact phrase, with at least one of the words, without the words)		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Adv Search Options
			Sections (such as Advisory Committees, Animal and Veterinary, Consumers, etc.)
		On a scale of 1 to 5, with 1=Strongly Disagree and 5=Strongly Agree, please select your level of agreement with the following statements:	1= Strongly Disagree		Radio button, one-up vertical	Multi		Matrix Group	Navigation Experience
		Links took me where I wanted to go on the site	2
		Section titles clearly describe the content	3
		Links and labels are easy to understand	4
		The way the information is organized makes sense to me	5= Strongly Agree
EDO0711		Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
AED11047		In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington D.C.
			Washington
			West Virginia
			Wisconsin
			Wyoming
EDO03243		If you could make one improvement to the site what would that be?			Text area, no char limit	Open	N		One Improvement
		If this website had a mobile version, would you access it from your mobile device?	Yes	A, B	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Mobile Site Use
			No, I don't have a mobile device that allows me to access the web
			No, I would not use my mobile device to access this website
	A	What content would you like to be able to view from your mobile device?	MedWatch		Radio Button One Up Vertical	Single	N	Skip Logic Group	Mobile Content
			Drug Safety
			Recalls
			FDA News
			Consumer Updates
			Other, please specify:	C
	C	Please specify the content you want to view on your mobile device:			Text area, no char limit	Single	N	Skip Logic Group	Other Mobile Content
	B	What type of mobile device do you use?	Android		Radio Button One Up Vertical	Single	N	Skip Logic Group	Mobile Device
			iPhone
			Blackberry
			Other, please specify:	D
	D	Other mobile device:			Text area, no char limit	Single	N	Skip Logic Group	Other Mobile Device

---

Sheet 8: Custom Qsts (1-30-12)

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Recalls	L, N, O
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products	A,B,C,D
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
ACQSto0005572	A	Which best describes the primary role that brought you to the FDA website to look for tobacco information?	Retailer who sells tobacco products		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Role
			Cashier or employee at a retail establishment
			Manufacturer of tobacco products
			Employee of a tobacco manufacturing company
			Tobacco retailer association
			Public health professional
			State/local government agency employee
			Tobacco cessation or tobacco control organization employee
			Person who uses tobacco products
			General consumer
			Other, please specify:	G
ACQSto0005554	G	Please describe the role that brought you to the FDA website today to look for tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	Other Tobacco Role
ACQSto0005574	B	Which of the following best describes the information you were looking for today?	Family Smoking Prevention and Tobacco Control Act		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Information
			Guidance, compliance and regulatory information
			Warning labels (low, light and mild descriptions and smokeless tobacco warning labels)
			Information about how to submit new tobacco products for FDA approval
			Current news and events from Center for Tobacco Products (CTP)
			Resources on how to quit smoking
			Resources on how to prevent youth smoking
			Public dockets for comment
			Break the Chain of Tobacco Addiction campaign materials
			Tobacco Products Advisory Committee
			Information about the Center for Tobacco Products (CTP)
			Other, please specify:	I
ACQSto0005580	I	Please describe the information you came to the site for:			Text area, no char limit	Single	N	Skip Logic Group	OE Tobacco Info
ACQSto0005576	C	Which of the following best describes the type of information you were looking for?	General information about the tobacco regulations and guidance		Radio Button One Up Vertical	Single		Skip Logic Group	Type of Tobac Info
			Guidelines and recommendations for retailers and tobacco manufacturers
			Professional training for retailers and tobacco manufacturers
			Information about preventing smoking or quitting smoking
			Educational materials
			Campaigns and initiatives
			Print materials (fact sheets, brochures, posters, etc.)
			Multimedia products (podcasts, videos, widgets, etc.)
			Data and statistics about tobacco use
			Scientific research, articles, publications, and journals
			Tools, software applications, systems, and other resources
			Grants and funding opportunities
			Jobs and careers
			Other, please specify:	J
ACQSto0005582	J	Please describe the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
ACQSto0005577	D	How are you primarliy planning to use the information you were looking for today?	For a trade association who deals with tobacco		Radio Button One Up Vertical	Single		Skip Logic Group	Use Tobacco Info
			For a retailer who sells tobacco products
			For a manufacturer who produces tobacco products
			For a business / workplace
			For a public health agency
			For a research institution
			For an educational institution or teaching purposes
			For a school / class project
			For my own health
			For my family member or friend
			Other, please specify	K
ACQSto0005583	K	Please describe how you are going to use the tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
	L	Did you view a photo of a recalled product on the FDA website today?	Yes	M	Radio Button One Up Vertical	Single	Y		Recall Photo on FDA
			No
			Not Sure
	M	Was viewing the photo helpful?	Yes		Radio Button One Up Vertical	Single	Y		Photo Helpful
			No
	N	FDA also provides photos of recalled products on the FDA Fllickr page. Have you ever visited the FDA Flickr page?	Yes		Radio Button One Up Vertical	Single	Y		Recall Photo on Flickr
			No
			Not Sure
	O	Which of the following ways would you prefer to see photos of recalled products: (Select one)	On the FDA website		Radio Button One Up Vertical	Single	Y		Photo Preference
			On the FDA Flickr page
			No preference
			I do not view photos of recalled products
			Other	P
	P	Please specify how you prefer to see photos of recalled products:			Text field, <100 char	Single	N		OE_Photo Preference
EDO03237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry	A	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Role
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	C
EDO03238	A	Which of the following best describes your company/organization?	Manufacturer	B				Skip Logic Group
			Distributor	B
			Importer	B
			Other	B
EDO03239	B	Which of the following industry categories is your company/organization a part of? (Please select all that apply)	Drugs & Biologics (Human)					Skip Logic Group
			Drugs & Biologics (Animal)
			Medical Devices
			Food
			Dietary Supplements
			Cosmetics
			Tobacco
AKR5238	C	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	Skip Logic Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
ACQHul0006055		Did you use the main search feature on the FDA site today?	Yes	A, B, C	Radio button, one-up vertical	Single	Y	Skip Logic Group	Use Search
			No
ACQHul0006056	A	Were you able to find relevant results for what you were looking for on our site?	Yes, results were relevant to my search		Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Relevance
			Somewhat, results were partially relevant to my search
			No, I did not find any useful information
ACQHul0006057	B	Which of the following topic areas was your search related to? (select all that apply)	Food		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Topic
			Drugs
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal & Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Recalls
			Warning Letters
			None of the above
ACQHul0006058	C	Which of the following technical issues did you experience when using the search feature? (select all that apply)	At least one link in the results did not work		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Issues
			Description of search results was too short
			Multiple results were the same
			The results page was too crowded
			The text on the results page was too small
			I did not experience any of the issues listed above	(Exclusive)
			Other	D
ACQHul0006026	D	Please specify the issue you had with the search feature:			Text area, no char limit	Single	N	Skip Logic Group	OE_Search Issue
ACQHul0006027		Did you use the Advanced Search feature today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Use Adv Search
			No
			Don't Know
ACQHul0006028	A	Which of the following advanced search options did you use? (select all that apply)	Find results (with all of the words, with the exact phrase, with at least one of the words, without the words)		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Adv Search Options
			Sections (such as Advisory Committees, Animal and Veterinary, Consumers, etc.)
EDO0711		Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
AED11047		In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington D.C.
			Washington
			West Virginia
			Wisconsin
			Wyoming
EDO03243		If you could make one improvement to the site what would that be?			Text area, no char limit	Open	N		One Improvement
		If this website had a mobile version, would you access it from your mobile device?	Yes	A, B	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Mobile Site Use
			No, I don't have a mobile device that allows me to access the web
			No, I would not use my mobile device to access this website
	A	What content would you like to be able to view from your mobile device?	MedWatch		Radio Button One Up Vertical	Single	N	Skip Logic Group	Mobile Content
			Drug Safety
			Recalls
			FDA News
			Consumer Updates
			Other, please specify:	C
	C	Please specify the content you want to view on your mobile device:			Text area, no char limit	Single	N	Skip Logic Group	Other Mobile Content
	B	What type of mobile device do you use?	Android		Radio Button One Up Vertical	Single	N	Skip Logic Group	Mobile Device
			iPhone
			Blackberry
			Other, please specify:	D
	D	Other mobile device:			Text area, no char limit	Single	N	Skip Logic Group	Other Mobile Device

---

Sheet 9: Custom Qsts (7-8-11)

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Recalls
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products	A,B,C,D
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
ACQSto0005572	A	Which best describes the primary role that brought you to the FDA website to look for tobacco information?	Retailer who sells tobacco products		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Role
			Cashier or employee at a retail establishment
			Manufacturer of tobacco products
			Employee of a tobacco manufacturing company
			Tobacco retailer association
			Public health professional
			State/local government agency employee
			Tobacco cessation or tobacco control organization employee
			Person who uses tobacco products
			General consumer
			Other, please specify:	G
ACQSto0005554	G	Please describe the role that brought you to the FDA website today to look for tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	Other Tobacco Role
ACQSto0005574	B	Which of the following best describes the information you were looking for today?	Family Smoking Prevention and Tobacco Control Act		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Information
			Guidance, compliance and regulatory information
			Warning labels (low, light and mild descriptions and smokeless tobacco warning labels)
			Information about how to submit new tobacco products for FDA approval
			Current news and events from Center for Tobacco Products (CTP)
			Resources on how to quit smoking
			Resources on how to prevent youth smoking
			Public dockets for comment
			Break the Chain of Tobacco Addiction campaign materials
			Tobacco Products Advisory Committee
			Information about the Center for Tobacco Products (CTP)
			Other, please specify:	I
ACQSto0005580	I	Please describe the information you came to the site for:			Text area, no char limit	Single	N	Skip Logic Group	OE Tobacco Info
ACQSto0005576	C	Which of the following best describes the type of information you were looking for?	General information about the tobacco regulations and guidance		Radio Button One Up Vertical	Single		Skip Logic Group	Type of Tobac Info
			Guidelines and recommendations for retailers and tobacco manufacturers
			Professional training for retailers and tobacco manufacturers
			Information about preventing smoking or quitting smoking
			Educational materials
			Campaigns and initiatives
			Print materials (fact sheets, brochures, posters, etc.)
			Multimedia products (podcasts, videos, widgets, etc.)
			Data and statistics about tobacco use
			Scientific research, articles, publications, and journals
			Tools, software applications, systems, and other resources
			Grants and funding opportunities
			Jobs and careers
			Other, please specify:	J
ACQSto0005582	J	Please describe the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
ACQSto0005577	D	How are you primarliy planning to use the information you were looking for today?	For a trade association who deals with tobacco		Radio Button One Up Vertical	Single		Skip Logic Group	Use Tobacco Info
			For a retailer who sells tobacco products
			For a manufacturer who produces tobacco products
			For a business / workplace
			For a public health agency
			For a research institution
			For an educational institution or teaching purposes
			For a school / class project
			For my own health
			For my family member or friend
			Other, please specify	K
ACQSto0005583	K	Please describe how you are going to use the tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
EDO03237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry	A	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Role
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	C
EDO03238	A	Which of the following best describes your company/organization?	Manufacturer	B				Skip Logic Group
			Distributor	B
			Importer	B
			Other	B
EDO03239	B	Which of the following industry categories is your company/organization a part of? (Please select all that apply)	Drugs & Biologics (Human)					Skip Logic Group
			Drugs & Biologics (Animal)
			Medical Devices
			Food
			Dietary Supplements
			Cosmetics
			Tobacco
AKR5238	C	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	Skip Logic Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
EDO0711		Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
EDO05515		Do you want FDA content that is accessible in your mobile phone browser?	Yes		Radio button, one-up vertical				Mobile Content
			No
AED08561		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
AED08562		How would you describe yourself? (Please select all that apply.)	Hispanic or Latino		Checkbox One Up Vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
AED08563		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
AED11047		In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington D.C.
			Washington
			West Virginia
			Wisconsin
			Wyoming
AED08566		How did you find this site?	Search engine		Radio Button Two Up Vertical	Single	Y	OPS Group	Find Site
			Assumed FDA had a website
			Referral or link from another site
			Media/news story
			Word of mouth
			Site bookmarked
			Email subscription/RSS feed
			Other, please specify:	A
AED08567	A	Other how did you find this site			Text area, no char limit	Open	N	OPS Group	Other Find Site
EDO03243		If you could make one improvement to the site what would that be?			Text area, no char limit	Open	N		One Improvement
		If this website had a mobile version, would you access it from your mobile device?	Yes	A, B	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Mobile Site Use
			No, I don't have a mobile device that allows me to access the web
			No, I would not use my mobile device to access this website
	A	What content would you like to be able to view from your mobile device?	MedWatch		Radio Button One Up Vertical	Single	N	Skip Logic Group	Mobile Content
			Drug Safety
			Recalls
			FDA News
			Consumer Updates
			Other, please specify:	C
	C	Please specify the content you want to view on your mobile device:			Text area, no char limit	Single	N	Skip Logic Group	Other Mobile Content
	B	What type of mobile device do you use?	Android		Radio Button One Up Vertical	Single	N	Skip Logic Group	Mobile Device
			iPhone
			Blackberry
			Other, please specify:	D
	D	Other mobile device:			Text area, no char limit	Single	N	Skip Logic Group	Other Mobile Device

---

Sheet 10: Custom Qsts (7-1-11)

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Recalls
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products	A,B,C,D
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
ACQSto0005572	A	Which best describes the primary role that brought you to the FDA website to look for tobacco information?	Retailer who sells tobacco products		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Role
			Cashier or employee at a retail establishment
			Manufacturer of tobacco products
			Employee of a tobacco manufacturing company
			Tobacco retailer association
			Public health professional
			State/local government agency employee
			Tobacco cessation or tobacco control organization employee
			Person who uses tobacco products
			General consumer
			Other, please specify:	G
ACQSto0005554	G	Please describe the role that brought you to the FDA website today to look for tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	Other Tobacco Role
ACQSto0005574	B	Which of the following best describes the information you were looking for today?	Family Smoking Prevention and Tobacco Control Act		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Information
			Guidance, compliance and regulatory information
			Warning labels (low, light and mild descriptions and smokeless tobacco warning labels)
			Information about how to submit new tobacco products for FDA approval
			Current news and events from Center for Tobacco Products (CTP)
			Resources on how to quit smoking
			Resources on how to prevent youth smoking
			Public dockets for comment
			Break the Chain of Tobacco Addiction campaign materials
			Tobacco Products Advisory Committee
			Information about the Center for Tobacco Products (CTP)
			Other, please specify:	I
ACQSto0005580	I	Please describe the information you came to the site for:			Text area, no char limit	Single	N	Skip Logic Group	OE Tobacco Info
ACQSto0005576	C	Which of the following best describes the type of information you were looking for?	General information about the tobacco regulations and guidance		Radio Button One Up Vertical	Single		Skip Logic Group	Type of Tobac Info
			Guidelines and recommendations for retailers and tobacco manufacturers
			Professional training for retailers and tobacco manufacturers
			Information about preventing smoking or quitting smoking
			Educational materials
			Campaigns and initiatives
			Print materials (fact sheets, brochures, posters, etc.)
			Multimedia products (podcasts, videos, widgets, etc.)
			Data and statistics about tobacco use
			Scientific research, articles, publications, and journals
			Tools, software applications, systems, and other resources
			Grants and funding opportunities
			Jobs and careers
			Other, please specify:	J
ACQSto0005582	J	Please describe the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
ACQSto0005577	D	How are you primarliy planning to use the information you were looking for today?	For a trade association who deals with tobacco		Radio Button One Up Vertical	Single		Skip Logic Group	Use Tobacco Info
			For a retailer who sells tobacco products
			For a manufacturer who produces tobacco products
			For a business / workplace
			For a public health agency
			For a research institution
			For an educational institution or teaching purposes
			For a school / class project
			For my own health
			For my family member or friend
			Other, please specify	K
ACQSto0005583	K	Please describe how you are going to use the tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
EDO03237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry	A	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Role
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	C
EDO03238	A	Which of the following best describes your company/organization?	Manufacturer	B				Skip Logic Group
			Distributor	B
			Importer	B
			Other	B
EDO03239	B	Which of the following industry categories is your company/organization a part of? (Please select all that apply)	Drugs & Biologics (Human)					Skip Logic Group
			Drugs & Biologics (Animal)
			Medical Devices
			Food
			Dietary Supplements
			Cosmetics
			Tobacco
AKR5238	C	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	Skip Logic Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
		Did you use the main search feature on the FDA site today?	Yes	A, B, C	Radio button, one-up vertical	Single	Y	Skip Logic Group	Use Search
			No
	A	Were you able to find relevant results for what you were looking for on our site?	Yes, results were relevant to my search		Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Relevance
			Somewhat, results were partially relevant to my search
			No, I did not find any useful information
	B	Which of the following topic areas was your search related to? (select all that apply)	Food		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Topic
			Drugs
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal & Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Recalls
			Warning Letters
			None of the above
	C	Which of the following technical issues did you experience when using the search feature? (select all that apply)	At least one link in the results did not work		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Issues
			Description of search results was too short
			Multiple results were the same
			The results page was too crowded
			The text on the results page was too small
			I did not experience any of the issues listed above	(Exclusive)
			Other	D
	D	Please specify the issue you had with the search feature:			Text area, no char limit	Single	N	Skip Logic Group	OE_Search Issue
		Did you use the Advanced Search feature today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Use Adv Search
			No
			Don't Know
	A	Which of the following advanced search options did you use? (select all that apply)	Find results (with all of the words, with the exact phrase, with at least one of the words, without the words)		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Adv Search Options
			Sections (such as Advisory Committees, Animal and Veterinary, Consumers, etc.)
EDO0711		Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
EDO05515		Do you want FDA content that is accessible in your mobile phone browser?	Yes		Radio button, one-up vertical				Mobile Content
			No
AED08561		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
AED08562		How would you describe yourself? (Please select all that apply.)	Hispanic or Latino		Checkbox One Up Vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
AED08563		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
AED11047		In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington D.C.
			Washington
			West Virginia
			Wisconsin
			Wyoming
AED08566		How did you find this site?	Search engine		Radio Button Two Up Vertical	Single	Y	OPS Group	Find Site
			Assumed FDA had a website
			Referral or link from another site
			Media/news story
			Word of mouth
			Site bookmarked
			Email subscription/RSS feed
			Other, please specify:	A
AED08567	A	Other how did you find this site			Text area, no char limit	Open	N	OPS Group	Other Find Site
EDO03243		If you could make one improvement to the site what would that be?			Text area, no char limit	Open	N		One Improvement

---

Sheet 11: Custom Qsts (6-23-11)

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Recalls
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products	A,B,C,D
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
ACQSto0005572	A	Which best describes the primary role that brought you to the FDA website to look for tobacco information?	Retailer who sells tobacco products		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Role
			Cashier or employee at a retail establishment
			Manufacturer of tobacco products
			Employee of a tobacco manufacturing company
			Tobacco retailer association
			Public health professional
			State/local government agency employee
			Tobacco cessation or tobacco control organization employee
			Person who uses tobacco products
			General consumer
			Other, please specify:	G
ACQSto0005554	G	Please describe the role that brought you to the FDA website today to look for tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	Other Tobacco Role
ACQSto0005574	B	Which of the following best describes the information you were looking for today?	Family Smoking Prevention and Tobacco Control Act		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Information
			Guidance, compliance and regulatory information
			Warning labels (low, light and mild descriptions and smokeless tobacco warning labels)
			Information about how to submit new tobacco products for FDA approval
			Current news and events from Center for Tobacco Products (CTP)
			Resources on how to quit smoking
			Resources on how to prevent youth smoking
			Public dockets for comment
			Break the Chain of Tobacco Addiction campaign materials
			Tobacco Products Advisory Committee
			Information about the Center for Tobacco Products (CTP)
			Other, please specify:	I
ACQSto0005580	I	Please describe the information you came to the site for:			Text area, no char limit	Single	N	Skip Logic Group	OE Tobacco Info
ACQSto0005576	C	Which of the following best describes the type of information you were looking for?	General information about the tobacco regulations and guidance		Radio Button One Up Vertical	Single		Skip Logic Group	Type of Tobac Info
			Guidelines and recommendations for retailers and tobacco manufacturers
			Professional training for retailers and tobacco manufacturers
			Information about preventing smoking or quitting smoking
			Educational materials
			Campaigns and initiatives
			Print materials (fact sheets, brochures, posters, etc.)
			Multimedia products (podcasts, videos, widgets, etc.)
			Data and statistics about tobacco use
			Scientific research, articles, publications, and journals
			Tools, software applications, systems, and other resources
			Grants and funding opportunities
			Jobs and careers
			Other, please specify:	J
ACQSto0005582	J	Please describe the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
ACQSto0005577	D	How are you primarliy planning to use the information you were looking for today?	For a trade association who deals with tobacco		Radio Button One Up Vertical	Single		Skip Logic Group	Use Tobacco Info
			For a retailer who sells tobacco products
			For a manufacturer who produces tobacco products
			For a business / workplace
			For a public health agency
			For a research institution
			For an educational institution or teaching purposes
			For a school / class project
			For my own health
			For my family member or friend
			Other, please specify	K
ACQSto0005583	K	Please describe how you are going to use the tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
EDO03237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry	A	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Role
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	C
EDO03238	A	Which of the following best describes your company/organization?	Manufacturer	B				Skip Logic Group
			Distributor	B
			Importer	B
			Other	B
EDO03239	B	Which of the following industry categories is your company/organization a part of? (Please select all that apply)	Drugs & Biologics (Human)					Skip Logic Group
			Drugs & Biologics (Animal)
			Medical Devices
			Food
			Dietary Supplements
			Cosmetics
			Tobacco
AKR5238	C	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	Skip Logic Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
EDO0711		Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
EDO05515		Do you want FDA content that is accessible in your mobile phone browser?	Yes		Radio button, one-up vertical				Mobile Content
			No
AED08561		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
AED08562		How would you describe yourself? (Please select all that apply.)	Hispanic or Latino		Checkbox One Up Vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
AED08563		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
AED11047		In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington D.C.
			Washington
			West Virginia
			Wisconsin
			Wyoming
AED08566		How did you find this site?	Search engine		Radio Button Two Up Vertical	Single	Y	OPS Group	Find Site
			Assumed FDA had a website
			Referral or link from another site
			Media/news story
			Word of mouth
			Site bookmarked
			Email subscription/RSS feed
			Other, please specify:	A
AED08567	A	Other how did you find this site			Text area, no char limit	Open	N	OPS Group	Other Find Site
EDO03243		If you could make one improvement to the site what would that be?			Text area, no char limit	Open	N		One Improvement

---

Sheet 12: Custom Qsts (6-1-11)

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Recalls
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products	A,B,C,D
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
	A	Which best describes the primary role that brought you to the FDA website to look for tobacco information?	Retailer who sells tobacco products		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Role
			Cashier or employee at a retail establishment
			Manufacturer of tobacco products
			Employee of a tobacco manufacturing company
			Tobacco retailer association
			Public health professional
			State/local government agency employee
			Tobacco cessation or tobacco control organization employee
			Person who uses tobacco products
			General consumer
			Other, please specify:	G
	G	Please describe the role that brought you to the FDA website today to look for tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	Other Tobacco Role
	B	Which of the following best describes the information you were looking for today?	Family Smoking Prevention and Tobacco Control Act		Radio Button One Up Vertical	Single	Y	Skip Logic Group	Tobacco Information
			Guidance, compliance and regulatory information
			Warning labels (low, light and mild descriptions and smokeless tobacco warning labels)
			Information about how to submit new tobacco products for FDA approval
			Current news and events from Center for Tobacco Products (CTP)
			Resources on how to quit smoking
			Resources on how to prevent youth smoking
			Public dockets for comment
			Break the Chain of Tobacco Addiction campaign materials
			Tobacco Products Advisory Committee
			Information about the Center for Tobacco Products (CTP)
			Other, please specify:	I
	I	Please describe the information you came to the site for:			Text area, no char limit	Single	N	Skip Logic Group	OE Tobacco Info
	C	Which of the following best describes the type of information you were looking for?	General information about the tobacco regulations and guidance		Radio Button One Up Vertical	Single		Skip Logic Group	Type of Tobac Info
			Guidelines and recommendations for retailers and tobacco manufacturers
			Professional training for retailers and tobacco manufacturers
			Information about preventing smoking or quitting smoking
			Educational materials
			Campaigns and initiatives
			Print materials (fact sheets, brochures, posters, etc.)
			Multimedia products (podcasts, videos, widgets, etc.)
			Data and statistics about tobacco use
			Scientific research, articles, publications, and journals
			Tools, software applications, systems, and other resources
			Grants and funding opportunities
			Jobs and careers
			Other, please specify:	J
	J	Please describe the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
	D	How are you primarliy planning to use the information you were looking for today?	For a trade association who deals with tobacco		Radio Button One Up Vertical	Single		Skip Logic Group	Use Tobacco Info
			For a retailer who sells tobacco products
			For a manufacturer who produces tobacco products
			For a business / workplace
			For a public health agency
			For a research institution
			For an educational institution or teaching purposes
			For a school / class project
			For my own health
			For my family member or friend
			Other, please specify	K
	K	Please describe how you are going to use the tobacco information:			Text area, no char limit	Single	N	Skip Logic Group	OE Type of Tobac Info
EDO03237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry	A	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Role
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	C
EDO03238	A	Which of the following best describes your company/organization?	Manufacturer	B				Skip Logic Group
			Distributor	B
			Importer	B
			Other	B
EDO03239	B	Which of the following industry categories is your company/organization a part of? (Please select all that apply)	Drugs & Biologics (Human)					Skip Logic Group
			Drugs & Biologics (Animal)
			Medical Devices
			Food
			Dietary Supplements
			Cosmetics
			Tobacco
AKR5238	C	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	Skip Logic Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
EDO08443		Which of the following search features did you use during your visit today? (Please select all that apply.)	The main search box in the upper right hand corner of the website	K	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Usage
			FDA Approved Drug Search
			Code of Federal Regulations Title 21 Search
			510(k) Premarket Notification Search
			National Drug Code Directory
			Medical & Radiation Emitting Device Recalls
			Pet Food Recall Products List
			Manufacturer and User Facility Device Experience
			Premarket Approval
			Other	L
			None of the above
			Don't Know
EDO08444	L	Please specify the search feature you used on the FDA site today:	Open-ended		Text area, no char limit				Other Search Usage
EDO08445	K	Please tell us about your experience with the site's search feature today. (Please select all that apply.)	The search feature met my needs today.		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Experience
			I had issues with the basic search process (how to use it, terms to enter).	A
			I had issues with the visual display of the search results (text size, images).	B
			I had issues with the search results I received.	C
			I had issues with sorting, filtering, advanced search, or lack of these options.	D
			I had technical issues with the search feature.	E
			None of these
EDO08446	A	What were your issues with the basic search process? (Please select all that apply.)	It was not clear to me how to use the search feature		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues basic Search
			I did not know what terms to use to get the results I wanted
			There were too many steps or refinements to get to what I wanted
			I had a different issue with the basic search process:	F
EDO08447	F	My issue was:	Open-ended		Text area, no char limit				Other basic issue
EDO08448	B	What were your issues with the visual display of the search results? (Please select all that apply.)	I could not see enough of the description to decide which link to choose		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues visual display
			The text was too small
			The page was too crowded
			I could not see much difference between the listings/items
			I had a different issue with the visual display of results:	G
EDO08449	G	My issue was:	Open-ended		Text area, no char limit				Other visual issue
EDO08450	C	What were your issues with the search results? (Please select all that apply.)	Results were not relevant/not what I wanted		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues Search results
			There were not enough results
			There were NO results
			There was too little information in the results to decide what to choose
			Many of the search results looked the same
			I had a different issue with the search results:	H
EDO08451	H	My issue was:	Open-ended		Text area, no char limit				Other results issue
EDO08452	D	What were your issues with sorting, filtering, or advanced search? (Please select all that apply.)	The results were not sorted in a helpful way		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues sorting
			I want advanced search options
			I want more sorting/filtering/advanced search options	K
			I had a different sorting/filtering issue:	I
EDO08453	I	My issue was:	Open-ended		Text area, no char limit				Other sorting issue
EDO08454	K	The sorting/filtering/advanced search options I would like are:	Open-ended		Text area, no char limit				Other sorting issue
EDO08456	E	The technical issue I had with search was:	Search speed was too slow		Radio button, two-up vertical	Single	Y
			I had the following technical issue:	J
EDO08455	J	My issue was:	Open-ended		Text area, no char limit				Other technical issue
EDO0711		Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
EDO05515		Do you want FDA content that is accessible in your mobile phone browser?	Yes		Radio button, one-up vertical				Mobile Content
			No
AED08561		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
AED08562		How would you describe yourself? (Please select all that apply.)	Hispanic or Latino		Checkbox One Up Vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
AED08563		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
AED11047		In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington
			West Virginia
			Wisconsin
			Wyoming
AED08566		How did you find this site?	Search engine		Radio Button Two Up Vertical	Single	Y	OPS Group	Find Site
			Assumed FDA had a website
			Referral or link from another site
			Media/news story
			Word of mouth
			Site bookmarked
			Email subscription/RSS feed
			Other, please specify:	A
AED08567	A	Other how did you find this site			Text area, no char limit	Open	N	OPS Group	Other Find Site
EDO03243		If you could make one improvement to the site what would that be?			Text area, no char limit	Open	N		One Improvement

---

Sheet 13: Custom Qsts 12-30-10

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
EDO03237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry	A	Radio Button One Up Vertical	Single	Y	OPS Group
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	C
EDO03238	A	Which of the following best describes your company/organization?	Manufacturer	B
			Distributor	B
			Importer	B
			Other	B
EDO03239	B	Which of the following industry categories is your company/organization a part of? (Please select all that apply)	Drugs & Biologics (Human)
			Drugs & Biologics (Animal)
			Medical Devices
			Food
			Dietary Supplements
			Cosmetics
			Tobacco
AKR5238	C	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	OPS Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Recalls
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
EDO08443		Which of the following search features did you use during your visit today? (Please select all that apply.)	The main search box in the upper right hand corner of the website	K	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Usage
			FDA Approved Drug Search
			Code of Federal Regulations Title 21 Search
			510(k) Premarket Notification Search
			National Drug Code Directory
			Medical & Radiation Emitting Device Recalls
			Pet Food Recall Products List
			Manufacturer and User Facility Device Experience
			Premarket Approval
			Other	L
			None of the above
			Don't Know
EDO08444	L	Please specify the search feature you used on the FDA site today:	Open-ended		Text area, no char limit				Other Search Usage
EDO08445	K	Please tell us about your experience with the site's search feature today. (Please select all that apply.)	The search feature met my needs today.		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Experience
			I had issues with the basic search process (how to use it, terms to enter).	A
			I had issues with the visual display of the search results (text size, images).	B
			I had issues with the search results I received.	C
			I had issues with sorting, filtering, advanced search, or lack of these options.	D
			I had technical issues with the search feature.	E
			None of these
EDO08446	A	What were your issues with the basic search process? (Please select all that apply.)	It was not clear to me how to use the search feature		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues basic Search
			I did not know what terms to use to get the results I wanted
			There were too many steps or refinements to get to what I wanted
			I had a different issue with the basic search process:	F
EDO08447	F	My issue was:	Open-ended		Text area, no char limit				Other basic issue
EDO08448	B	What were your issues with the visual display of the search results? (Please select all that apply.)	I could not see enough of the description to decide which link to choose		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues visual display
			The text was too small
			The page was too crowded
			I could not see much difference between the listings/items
			The images were too small/not clear
			I had a different issue with the visual display of results:	G
EDO08449	G	My issue was:	Open-ended		Text area, no char limit				Other visual issue
EDO08450	C	What were your issues with the search results? (Please select all that apply.)	Results were not relevant/not what I wanted		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues Search results
			There were not enough results
			There were NO results
			There was too little information in the results to decide what to choose
			Many of the search results looked the same
			Couldn't find item from the catalog/store
			I had a different issue with the search results:	H
EDO08451	H	My issue was:	Open-ended		Text area, no char limit				Other results issue
EDO08452	D	What were your issues with sorting, filtering, or advanced search? (Please select all that apply.)	The results were not sorted in a helpful way		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues sorting
			I want advanced search options
			I want more sorting/filtering/advanced search options	K
			I had a different sorting/filtering issue:	I
EDO08453	I	My issue was:	Open-ended		Text area, no char limit				Other sorting issue
EDO08454	K	The sorting/filtering/advanced search options I would like are:	Open-ended		Text area, no char limit				Other sorting issue
EDO08456	E	The technical issue I had with search was:	Search speed was too slow		Radio button, two-up vertical	Single	Y
			I had the following technical issue:	J
EDO08455	J	My issue was:	Open-ended		Text area, no char limit				Other technical issue
EDO0711		Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
EDO05515		Do you want FDA content that is accessible in your mobile phone browser?	Yes		Radio button, one-up vertical				Mobile Content
			No
AED08561		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
AED08562		How would you describe yourself? (Please select all that apply.)	Hispanic or Latino		Checkbox One Up Vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
AED08563		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
AED11047		In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington
			West Virginia
			Wisconsin
			Wyoming
AED08566		How did you find this site?	Search engine		Radio Button Two Up Vertical	Single	Y	OPS Group	Find Site
			Assumed FDA had a website
			Referral or link from another site
			Media/news story
			Word of mouth
			Site bookmarked
			Email subscription/RSS feed
			Other, please specify:	A
AED08567	A	Other how did you find this site			Text area, no char limit	Open	N	OPS Group	Other Find Site
EDO03243		If you could make one improvement to the site what would that be?			Text area, no char limit	Open	N		One Improvement

---

Sheet 14: Custom Qsts 12-1-10

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
EDO03237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry	A	Radio Button One Up Vertical	Single	Y	OPS Group
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	C
EDO03238	A	Which of the following best describes your company/organization?	Manufacturer	B
			Distributor	B
			Importer	B
			Other	B
EDO03239	B	Which of the following industry categories is your company/organization a part of? (Please select all that apply)	Drugs & Biologics (Human)
			Drugs & Biologics (Animal)
			Medical Devices
			Food
			Dietary Supplements
			Cosmetics
			Tobacco
AKR5238	C	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	OPS Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Recalls
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
EDO03240		While on the FDA.gov site, please describe how you reached the page you were on before taking this survey:			Text area, no char limit	Single	Y		Open Navigate
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
EDO08443		Which of the following search features did you use during your visit today? (Please select all that apply.)	The main search box in the upper right hand corner of the website	K	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Usage
			FDA Approved Drug Search
			Code of Federal Regulations Title 21 Search
			510(k) Premarket Notification Search
			National Drug Code Directory
			Medical & Radiation Emitting Device Recalls
			Pet Food Recall Products List
			Manufacturer and User Facility Device Experience
			Premarket Approval
			Other	L
			None of the above
			Don't Know
EDO08444	L	Please specify the search feature you used on the FDA site today:	Open-ended		Text area, no char limit				Other Search Usage
EDO08445	K	Please tell us about your experience with the site's search feature today. (Please select all that apply.)	The search feature met my needs today.		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Experience
			I had issues with the basic search process (how to use it, terms to enter).	A
			I had issues with the visual display of the search results (text size, images).	B
			I had issues with the search results I received.	C
			I had issues with sorting, filtering, advanced search, or lack of these options.	D
			I had technical issues with the search feature.	E
			None of these
EDO08446	A	What were your issues with the basic search process? (Please select all that apply.)	It was not clear to me how to use the search feature		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues basic Search
			I did not know what terms to use to get the results I wanted
			There were too many steps or refinements to get to what I wanted
			I had a different issue with the basic search process:	F
EDO08447	F	My issue was:	Open-ended		Text area, no char limit				Other basic issue
EDO08448	B	What were your issues with the visual display of the search results? (Please select all that apply.)	I could not see enough of the description to decide which link to choose		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues visual display
			The text was too small
			The page was too crowded
			I could not see much difference between the listings/items
			The images were too small/not clear
			I had a different issue with the visual display of results:	G
EDO08449	G	My issue was:	Open-ended		Text area, no char limit				Other visual issue
EDO08450	C	What were your issues with the search results? (Please select all that apply.)	Results were not relevant/not what I wanted		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues Search results
			There were not enough results
			There were NO results
			There was too little information in the results to decide what to choose
			Many of the search results looked the same
			Couldn't find item from the catalog/store
			I had a different issue with the search results:	H
EDO08451	H	My issue was:	Open-ended		Text area, no char limit				Other results issue
EDO08452	D	What were your issues with sorting, filtering, or advanced search? (Please select all that apply.)	The results were not sorted in a helpful way		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Issues sorting
			I want advanced search options
			I want more sorting/filtering/advanced search options	K
			I had a different sorting/filtering issue:	I
EDO08453	I	My issue was:	Open-ended		Text area, no char limit				Other sorting issue
EDO08454	K	The sorting/filtering/advanced search options I would like are:	Open-ended		Text area, no char limit				Other sorting issue
EDO08456	E	The technical issue I had with search was:	Search speed was too slow		Radio button, two-up vertical	Single	Y
			I had the following technical issue:	J
EDO08455	J	My issue was:	Open-ended		Text area, no char limit				Other technical issue
AED11042		Did you use the Search Feature on the site to look for information?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Feature
			No
AED11043	A	Which of the following best describes your experience with the Search Tools?	I did not encounter any difficulties/search worked well		Radio button, one-up vertical	Single	N	Skip Logic Group	Search Experience
			Returned too many results
			Returned results that were similar/redundant
			I was not sure what words to use in my search
			Search required too many refinements to get what I wanted
			Search returned no results at all
			Other, please specify:	B
AED11044	B	Please describe your experience with the search tool:			Text area, no char limit	Single	N	Skip Logic Group	Other Search Experience
AED11045		While on the FDA.gov site today, which of the following describes your experience? (Please select all that apply)	I could not navigate back to previous information		Checkbox, one-up vertical	Multi	N	OPS Group	Navigation Difficulties
			I would often feel lost, not know where I was
			Links did not take me where I expected
			Links/labels were difficult to understand
			There were too many links or navigational choices
			I had technical difficulties (e.g. broken links, error messages)
			Other, please specify:	A
			None of the above
AED11046	A	Please describe the difficulty you had while on the FDA.gov site today:			Text area, no char limit	Single	N	OPS Group	Other Nav
AED11039		Have you visited the FDA Basics area of the site today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	FDA Basics
			No
			Not Sure
EDO03241	A	What were you hoping to find on the FDA Basics area of the site?			Text area, no char limit	Single	Y	Skip Logic Group	lookingforBasics
EDO03242	A	How did you hear about FDA Basics?			Text area, no char limit	Single	Y	Skip Logic Group	HearaboutBasics
AED11040	A	On a scale of 1 to 10, how useful was the information provided in the FDA Basics area of the site?	1=Not at all useful		Drop down, select one	Single	Y	Skip Logic Group	FDA Basics Useful
			2
			3
			4
			5
			6
			7
			8
			9
			10= Very useful
			Don't Know
AKR5243		Do you feel that the language used on this site is too technical or difficult to understand?	Yes		Radio button, one-up vertical	Single	Y
			No
			Not Sure
AED08559		Which of the following items do you use on the FDA.gov website? [Please select all that apply]:	Bookmark and share (to tag content for social bookmarking sites like Digg or Delicious)	J	Checkbox One Up Vertical	Multi	Y	OPS Group	Use On FDA Site
			Blog	J
			Video	J
			Email update	J
			Podcasts or Audio	J
			RSS feed	J
			None of the above
			Other, please specify:	I
AED08560	I	Other items you use on the FDA.gov website			Text area, no char limit	Single	N	OPS Group	Other Use on FDA
EDO0711	J	Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
EDO05513		Which of the following do you use as your mobile phone?	I do not use/own a mobile phone		Radio button, one-up vertical	Single	Y	Skip Logic Group	Mobile Phone
			Blackberry	L
			Iphone (Apple)	L
			Android (Google)	L
			Palm	L
			Windows Mobile	L
			Other Smartphone	L
			I own a mobile phone, but it is not a smartphone
EDO05514	L	Would you be interested in a mobile phone app that could be downloaded to your smartphone?	Yes, I would download a FDA mobile phone app if it were available		Radio button, one-up vertical				Mobile App
			No, I am not interested in a FDA mobile phone app
EDO05515	L	Do you want FDA content that is accessible in your mobile phone browser?	Yes		Radio button, one-up vertical				Mobile Content
			No
EDO01217		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
EDO01218	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
EDO01219	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
AED08561		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
AED08562		How would you describe yourself? (Please select all that apply.)	Hispanic or Latino		Checkbox One Up Vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
AED08563		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
AED08564		What is your gender?	Male		Radio Button One Up Vertical	Single	Y		Gender
			Female
			Prefer not to answer
AED08565		What is your country of residence?	USA	A	Dropdown (Select-one)	Single	Y		Residence
			Canada
			Afghanistan
			Albania
			Algeria
			American Samoa
			Andorra
			Angola
			Anguilla
			Antarctica
			Antigua and Barbuda
			Argentina
			Armenia
			Aruba
			Australia
			Austria
			Azerbaijan
			Bahamas
			Bahrain
			Bangladesh
			Barbados
			Belarus
			Belgium
			Belize
			Benin
			Bermuda
			Bhutan
			Bolivia
			Bosnia/Herzegovina
			Botswana
			Bouvet Island
			Brazil
			British Indian Ocean
			Brunei Darussalam
			Bulgaria
			Burkina Faso
			Burundi
			Cambodia
			Cameroon
			Cape Verde
			Cayman Islands
			Central African Rep.
			Chad
			Chile
			China
			Christmas Island
			Cocos Islands
			Colombia
			Comoros
			Congo
			Congo, Democratic Rep.
			Cook Islands
			Costa Rica
			Côte D'Ivoire
			Croatia
			Cuba
			Cyprus
			Czech Republic
			Denmark
			Djibouti
			Dominica
			Dominican Republic
			East Timor
			Ecuador
			Egypt
			El Salvador
			Equatorial Guinea
			Eritrea
			Estonia
			Ethiopia
			Falkland Islands
			Faroe Islands
			Fiji
			Finland
			France
			French Guiana
			French Polynesia
			French Southern Terr.
			Gabon
			Gambia
			Georgia
			Germany
			Ghana
			Gibraltar
			Greece
			Greenland
			Grenada
			Guadeloupe
			Guam
			Guatemala
			Guinea
			Guinea& Bissau
			Guyana
			Haiti
			Heard/McDonald Isls.
			Holy See/Vatican
			Honduras
			Hong Kong
			Hungary
			Iceland
			India
			Indonesia
			Iran
			Iraq
			Ireland
			Israel
			Italy
			Jamaica
			Japan
			Jordan
			Kazakstan
			Kenya
			Kiribati
			Korea, North
			Korea, South
			Kuwait
			Kyrgyzstan
			Laos
			Latvia
			Lebanon
			Lesotho
			Liberia
			Libya
			Liechtenstein
			Lithuania
			Luxembourg
			Macao
			Macedonia
			Madagascar
			Malawi
			Malaysia
			Maldives
			Mali
			Malta
			Marshall Islands
			Martinique
			Mauritania
			Mauritius
			Mayotte
			Mexico
			Micronesia
			Moldova
			Monaco
			Mongolia
			Montserrat
			Morocco
			Mozambique
			Myanmar
			Namibia
			Nauru
			Nepal
			Netherlands
			Netherlands Antilles
			New Caledonia
			New Zealand
			Nicaragua
			Niger
			Nigeria
			Niue
			Norfolk Island
			Northern Mariana Isls
			Norway
			Oman
			Pakistan
			Palau
			Palestinian Territory
			Panama
			Papua New Guinea
			Paraguay
			Peru
			Philippines
			Pitcairn
			Poland
			Portugal
			Puerto Rico
			Qatar
			Réunion
			Romania
			Russian Federation
			Rwanda
			Saint Helena
			Saint Kitts/Nevis
			Saint Lucia
			Saint Pierre/Miquelon
			Saint Vincent/Grenadines
			Samoa
			San Marino
			Sao Tome/Principe
			Saudi Arabia
			Senegal
			Seychelles
			Sierra Leone
			Singapore
			Slovakia
			Slovenia
			Solomon Islands
			Somalia
			South Africa
			S. Georgia/S. Sand. Isls
			Spain
			Sri Lanka
			Sudan
			Suriname
			Svalbard/Jan Mayen
			Swaziland
			Sweden
			Switzerland
			Syria
			Taiwan
			Tajikistan
			Tanzania
			Thailand
			Togo
			Tokelau
			Tonga
			Trinidad and Tobago
			Tunisia
			Turkey
			Turkmenistan
			Turks and Caicos Isls
			Tuvalu
			Uganda
			Ukraine
			United Arab Emirates
			United Kingdom
			US Minor Outlying Isls
			Uruguay
			Uzbekistan
			Vanuatu
			Venezuela
			Viet Nam
			Virgin Islands, British
			Virgin Islands, U.S.
			Wallis and Futuna
			Western Sahara
			Yemen
			Yugoslavia
			Zambia
			Zimbabwe
AED11047		In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington
			West Virginia
			Wisconsin
			Wyoming
AED08566		How did you find this site?	Search engine		Radio Button Two Up Vertical	Single	Y	OPS Group	Find Site
			Assumed FDA had a website
			Referral or link from another site
			Media/news story
			Word of mouth
			Site bookmarked
			Email subscription/RSS feed
			Blog
			Podcast
			Received information from my doctor
			Twitter
			Widget
			Other, please specify:	A
AED08567	A	Other how did you find this site			Text area, no char limit	Open	N	OPS Group	Other Find Site
EDO03243		If you could make one improvement to the site what would that be?			Text area, no char limit	Open	N		One Improvement

---

Sheet 15: Custom Qsts (8-31-10)

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
EDO03237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry	A	Radio Button One Up Vertical	Single	Y	OPS Group
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	C
EDO03238	A	Which of the following best describes your company/organization?	Manufacturer	B
			Distributor	B
			Importer	B
			Other	B
EDO03239	B	Which of the following industry categories is your company/organization a part of? (Please select all that apply)	Drugs & Biologics (Human)
			Drugs & Biologics (Animal)
			Medical Devices
			Food
			Dietary Supplements
			Cosmetics
			Tobacco
AKR5238	C	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	OPS Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
EDO03240		While on the FDA.gov site, please describe how you reached the page you were on before taking this survey:			Text area, no char limit	Single	Y		Open Navigate
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
AED11042		Did you use the Search Feature on the site to look for information?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Feature
			No
AED11043	A	Which of the following best describes your experience with the Search Tools?	I did not encounter any difficulties/search worked well		Radio button, one-up vertical	Single	N	Skip Logic Group	Search Experience
			Returned too many results
			Returned results that were similar/redundant
			I was not sure what words to use in my search
			Search required too many refinements to get what I wanted
			Search returned no results at all
			Other, please specify:	B
AED11044	B	Please describe your experience with the search tool:			Text area, no char limit	Single	N	Skip Logic Group	Other Search Experience
AED11045		While on the FDA.gov site today, which of the following describes your experience? (Please select all that apply)	I could not navigate back to previous information		Checkbox, one-up vertical	Multi	N	OPS Group	Navigation Difficulties
			I would often feel lost, not know where I was
			Links did not take me where I expected
			Links/labels were difficult to understand
			There were too many links or navigational choices
			I had technical difficulties (e.g. broken links, error messages)
			Other, please specify:	A
			None of the above
AED11046	A	Please describe the difficulty you had while on the FDA.gov site today:			Text area, no char limit	Single	N	OPS Group	Other Nav
AED11039		Have you visited the FDA Basics area of the site today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	FDA Basics
			No
			Not Sure
EDO03241	A	What were you hoping to find on the FDA Basics area of the site?			Text area, no char limit	Single	Y	Skip Logic Group	lookingforBasics
EDO03242	A	How did you hear about FDA Basics?			Text area, no char limit	Single	Y	Skip Logic Group	HearaboutBasics
AED11040	A	On a scale of 1 to 10, how useful was the information provided in the FDA Basics area of the site?	1=Not at all useful		Drop down, select one	Single	Y	Skip Logic Group	FDA Basics Useful
			2
			3
			4
			5
			6
			7
			8
			9
			10= Very useful
			Don't Know
AKR5243		Do you feel that the language used on this site is too technical or difficult to understand?	Yes		Radio button, one-up vertical	Single	Y
			No
			Not Sure
AED08559		Which of the following items do you use on the FDA.gov website? [Please select all that apply]:	Bookmark and share (to tag content for social bookmarking sites like Digg or Delicious)	J	Checkbox One Up Vertical	Multi	Y	OPS Group	Use On FDA Site
			Blog	J
			Video	J
			Email update	J
			Podcasts or Audio	J
			RSS feed	J
			None of the above
			Other, please specify:	I
AED08560	I	Other items you use on the FDA.gov website			Text area, no char limit	Single	N	OPS Group	Other Use on FDA
EDO0711	J	Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
EDO05513		Which of the following do you use as your mobile phone?	I do not use/own a mobile phone		Radio button, one-up vertical	Single	Y	Skip Logic Group	Mobile Phone
			Blackberry	L
			Iphone (Apple)	L
			Android (Google)	L
			Palm	L
			Windows Mobile	L
			Other Smartphone	L
			I own a mobile phone, but it is not a smartphone
EDO05514	L	Would you be interested in a mobile phone app that could be downloaded to your smartphone?	Yes, I would download a FDA mobile phone app if it were available		Radio button, one-up vertical				Mobile App
			No, I am not interested in a FDA mobile phone app
EDO05515	L	Do you want FDA content that is accessible in your mobile phone browser?	Yes		Radio button, one-up vertical				Mobile Content
			No
EDO01217		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
EDO01218	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
EDO01219	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
AED08561		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
AED08562		How would you describe yourself? (Please select all that apply.)	Hispanic or Latino		Checkbox One Up Vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
AED08563		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
AED08564		What is your gender?	Male		Radio Button One Up Vertical	Single	Y		Gender
			Female
			Prefer not to answer
AED08565		What is your country of residence?	USA	A	Dropdown (Select-one)	Single	Y		Residence
			Canada
			Afghanistan
			Albania
			Algeria
			American Samoa
			Andorra
			Angola
			Anguilla
			Antarctica
			Antigua and Barbuda
			Argentina
			Armenia
			Aruba
			Australia
			Austria
			Azerbaijan
			Bahamas
			Bahrain
			Bangladesh
			Barbados
			Belarus
			Belgium
			Belize
			Benin
			Bermuda
			Bhutan
			Bolivia
			Bosnia/Herzegovina
			Botswana
			Bouvet Island
			Brazil
			British Indian Ocean
			Brunei Darussalam
			Bulgaria
			Burkina Faso
			Burundi
			Cambodia
			Cameroon
			Cape Verde
			Cayman Islands
			Central African Rep.
			Chad
			Chile
			China
			Christmas Island
			Cocos Islands
			Colombia
			Comoros
			Congo
			Congo, Democratic Rep.
			Cook Islands
			Costa Rica
			Côte D'Ivoire
			Croatia
			Cuba
			Cyprus
			Czech Republic
			Denmark
			Djibouti
			Dominica
			Dominican Republic
			East Timor
			Ecuador
			Egypt
			El Salvador
			Equatorial Guinea
			Eritrea
			Estonia
			Ethiopia
			Falkland Islands
			Faroe Islands
			Fiji
			Finland
			France
			French Guiana
			French Polynesia
			French Southern Terr.
			Gabon
			Gambia
			Georgia
			Germany
			Ghana
			Gibraltar
			Greece
			Greenland
			Grenada
			Guadeloupe
			Guam
			Guatemala
			Guinea
			Guinea& Bissau
			Guyana
			Haiti
			Heard/McDonald Isls.
			Holy See/Vatican
			Honduras
			Hong Kong
			Hungary
			Iceland
			India
			Indonesia
			Iran
			Iraq
			Ireland
			Israel
			Italy
			Jamaica
			Japan
			Jordan
			Kazakstan
			Kenya
			Kiribati
			Korea, North
			Korea, South
			Kuwait
			Kyrgyzstan
			Laos
			Latvia
			Lebanon
			Lesotho
			Liberia
			Libya
			Liechtenstein
			Lithuania
			Luxembourg
			Macao
			Macedonia
			Madagascar
			Malawi
			Malaysia
			Maldives
			Mali
			Malta
			Marshall Islands
			Martinique
			Mauritania
			Mauritius
			Mayotte
			Mexico
			Micronesia
			Moldova
			Monaco
			Mongolia
			Montserrat
			Morocco
			Mozambique
			Myanmar
			Namibia
			Nauru
			Nepal
			Netherlands
			Netherlands Antilles
			New Caledonia
			New Zealand
			Nicaragua
			Niger
			Nigeria
			Niue
			Norfolk Island
			Northern Mariana Isls
			Norway
			Oman
			Pakistan
			Palau
			Palestinian Territory
			Panama
			Papua New Guinea
			Paraguay
			Peru
			Philippines
			Pitcairn
			Poland
			Portugal
			Puerto Rico
			Qatar
			Réunion
			Romania
			Russian Federation
			Rwanda
			Saint Helena
			Saint Kitts/Nevis
			Saint Lucia
			Saint Pierre/Miquelon
			Saint Vincent/Grenadines
			Samoa
			San Marino
			Sao Tome/Principe
			Saudi Arabia
			Senegal
			Seychelles
			Sierra Leone
			Singapore
			Slovakia
			Slovenia
			Solomon Islands
			Somalia
			South Africa
			S. Georgia/S. Sand. Isls
			Spain
			Sri Lanka
			Sudan
			Suriname
			Svalbard/Jan Mayen
			Swaziland
			Sweden
			Switzerland
			Syria
			Taiwan
			Tajikistan
			Tanzania
			Thailand
			Togo
			Tokelau
			Tonga
			Trinidad and Tobago
			Tunisia
			Turkey
			Turkmenistan
			Turks and Caicos Isls
			Tuvalu
			Uganda
			Ukraine
			United Arab Emirates
			United Kingdom
			US Minor Outlying Isls
			Uruguay
			Uzbekistan
			Vanuatu
			Venezuela
			Viet Nam
			Virgin Islands, British
			Virgin Islands, U.S.
			Wallis and Futuna
			Western Sahara
			Yemen
			Yugoslavia
			Zambia
			Zimbabwe
AED11047	A	In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington
			West Virginia
			Wisconsin
			Wyoming
AED08566		How did you find this site?	Search engine		Radio Button Two Up Vertical	Single	Y	OPS Group	Find Site
			Assumed FDA had a website
			Referral or link from another site
			Media/news story
			Word of mouth
			Site bookmarked
			Email subscription/RSS feed
			Blog
			Podcast
			Received information from my doctor
			Twitter
			Widget
			Other, please specify:	A
AED08567	A	Other how did you find this site			Text area, no char limit	Open	N	OPS Group	Other Find Site
EDO03243		If you could make one improvement to the site what would that be?			Text area, no char limit	Open	N		One Improvement

---

Sheet 16: Custom Qsts (6-15-10)

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AKR5237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry/manufacturer		Radio Button One Up Vertical	Single	Y	OPS Group
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	A
EDO03237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry	A	Radio Button One Up Vertical	Single	Y	OPS Group
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	C
EDO03238	A	Which of the following best describes your company/organization?	Manufacturer	B
			Distributor	B
			Importer	B
			Other	B
EDO03239	B	Which of the following industry categories is your company/organization a part of? (Please select all that apply)	Drugs & Biologics (Human)
			Drugs & Biologics (Animal)
			Medical Devices
			Food
			Dietary Supplements
			Cosmetics
			Tobacco
AKR5238	C	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	OPS Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
EDO03240		While on the FDA.gov site, please describe how you reached the page you were on before taking this survey:			Text area, no char limit	Single	Y		Open Navigate
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
AED11042		Did you use the Search Feature on the site to look for information?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Feature
			No
AED11043	A	Which of the following best describes your experience with the Search Tools?	I did not encounter any difficulties/search worked well		Radio button, one-up vertical	Single	N	Skip Logic Group	Search Experience
			Returned too many results
			Returned results that were similar/redundant
			I was not sure what words to use in my search
			Search required too many refinements to get what I wanted
			Search returned no results at all
			Other, please specify:	B
AED11044	B	Please describe your experience with the search tool:			Text area, no char limit	Single	N	Skip Logic Group	Other Search Experience
AED11045		While on the FDA.gov site today, which of the following describes your experience? (Please select all that apply)	I could not navigate back to previous information		Checkbox, one-up vertical	Multi	N	OPS Group	Navigation Difficulties
			I would often feel lost, not know where I was
			Links did not take me where I expected
			Links/labels were difficult to understand
			There were too many links or navigational choices
			I had technical difficulties (e.g. broken links, error messages)
			Other, please specify:	A
			None of the above
AED11046	A	Please describe the difficulty you had while on the FDA.gov site today:			Text area, no char limit	Single	N	OPS Group	Other Nav
AED11039		Have you visited the FDA Basics area of the site today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	FDA Basics
			No
			Not Sure
EDO03241	A	What were you hoping to find on the FDA Basics area of the site?			Text area, no char limit	Single	Y	Skip Logic Group	lookingforBasics
EDO03242	A	How did you hear about FDA Basics?			Text area, no char limit	Single	Y	Skip Logic Group	HearaboutBasics
AED11040	A	On a scale of 1 to 10, how useful was the information provided in the FDA Basics area of the site?	1=Not at all useful		Drop down, select one	Single	Y	Skip Logic Group	FDA Basics Useful
			2
			3
			4
			5
			6
			7
			8
			9
			10= Very useful
			Don't Know
AKR5243		Do you feel that the language used on this site is too technical or difficult to understand?	Yes		Radio button, one-up vertical	Single	Y
			No
			Not Sure
AED08559		Which of the following items do you use on the FDA.gov website? [Please select all that apply]:	Bookmark and share (to tag content for social bookmarking sites like Digg or Delicious)	J	Checkbox One Up Vertical	Multi	Y	OPS Group	Use On FDA Site
			Blog	J
			Video	J
			Email update	J
			Podcasts or Audio	J
			RSS feed	J
			None of the above
			Other, please specify:	I
AED08560	I	Other items you use on the FDA.gov website			Text area, no char limit	Single	N	OPS Group	Other Use on FDA
EDO0711	J	Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
EDO01217		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
EDO01218	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
EDO01219	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
AED08561		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
AED08562		How would you describe yourself? (Please select all that apply.)	Hispanic or Latino		Checkbox One Up Vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
AED08563		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
AED08564		What is your gender?	Male		Radio Button One Up Vertical	Single	Y		Gender
			Female
			Prefer not to answer
AED08565		What is your country of residence?	USA	A	Dropdown (Select-one)	Single	Y		Residence
			Canada
			Afghanistan
			Albania
			Algeria
			American Samoa
			Andorra
			Angola
			Anguilla
			Antarctica
			Antigua and Barbuda
			Argentina
			Armenia
			Aruba
			Australia
			Austria
			Azerbaijan
			Bahamas
			Bahrain
			Bangladesh
			Barbados
			Belarus
			Belgium
			Belize
			Benin
			Bermuda
			Bhutan
			Bolivia
			Bosnia/Herzegovina
			Botswana
			Bouvet Island
			Brazil
			British Indian Ocean
			Brunei Darussalam
			Bulgaria
			Burkina Faso
			Burundi
			Cambodia
			Cameroon
			Cape Verde
			Cayman Islands
			Central African Rep.
			Chad
			Chile
			China
			Christmas Island
			Cocos Islands
			Colombia
			Comoros
			Congo
			Congo, Democratic Rep.
			Cook Islands
			Costa Rica
			Côte D'Ivoire
			Croatia
			Cuba
			Cyprus
			Czech Republic
			Denmark
			Djibouti
			Dominica
			Dominican Republic
			East Timor
			Ecuador
			Egypt
			El Salvador
			Equatorial Guinea
			Eritrea
			Estonia
			Ethiopia
			Falkland Islands
			Faroe Islands
			Fiji
			Finland
			France
			French Guiana
			French Polynesia
			French Southern Terr.
			Gabon
			Gambia
			Georgia
			Germany
			Ghana
			Gibraltar
			Greece
			Greenland
			Grenada
			Guadeloupe
			Guam
			Guatemala
			Guinea
			Guinea& Bissau
			Guyana
			Haiti
			Heard/McDonald Isls.
			Holy See/Vatican
			Honduras
			Hong Kong
			Hungary
			Iceland
			India
			Indonesia
			Iran
			Iraq
			Ireland
			Israel
			Italy
			Jamaica
			Japan
			Jordan
			Kazakstan
			Kenya
			Kiribati
			Korea, North
			Korea, South
			Kuwait
			Kyrgyzstan
			Laos
			Latvia
			Lebanon
			Lesotho
			Liberia
			Libya
			Liechtenstein
			Lithuania
			Luxembourg
			Macao
			Macedonia
			Madagascar
			Malawi
			Malaysia
			Maldives
			Mali
			Malta
			Marshall Islands
			Martinique
			Mauritania
			Mauritius
			Mayotte
			Mexico
			Micronesia
			Moldova
			Monaco
			Mongolia
			Montserrat
			Morocco
			Mozambique
			Myanmar
			Namibia
			Nauru
			Nepal
			Netherlands
			Netherlands Antilles
			New Caledonia
			New Zealand
			Nicaragua
			Niger
			Nigeria
			Niue
			Norfolk Island
			Northern Mariana Isls
			Norway
			Oman
			Pakistan
			Palau
			Palestinian Territory
			Panama
			Papua New Guinea
			Paraguay
			Peru
			Philippines
			Pitcairn
			Poland
			Portugal
			Puerto Rico
			Qatar
			Réunion
			Romania
			Russian Federation
			Rwanda
			Saint Helena
			Saint Kitts/Nevis
			Saint Lucia
			Saint Pierre/Miquelon
			Saint Vincent/Grenadines
			Samoa
			San Marino
			Sao Tome/Principe
			Saudi Arabia
			Senegal
			Seychelles
			Sierra Leone
			Singapore
			Slovakia
			Slovenia
			Solomon Islands
			Somalia
			South Africa
			S. Georgia/S. Sand. Isls
			Spain
			Sri Lanka
			Sudan
			Suriname
			Svalbard/Jan Mayen
			Swaziland
			Sweden
			Switzerland
			Syria
			Taiwan
			Tajikistan
			Tanzania
			Thailand
			Togo
			Tokelau
			Tonga
			Trinidad and Tobago
			Tunisia
			Turkey
			Turkmenistan
			Turks and Caicos Isls
			Tuvalu
			Uganda
			Ukraine
			United Arab Emirates
			United Kingdom
			US Minor Outlying Isls
			Uruguay
			Uzbekistan
			Vanuatu
			Venezuela
			Viet Nam
			Virgin Islands, British
			Virgin Islands, U.S.
			Wallis and Futuna
			Western Sahara
			Yemen
			Yugoslavia
			Zambia
			Zimbabwe
AED11047	A	In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington
			West Virginia
			Wisconsin
			Wyoming
AED08566		How did you find this site?	Search engine		Radio Button Two Up Vertical	Single	Y	OPS Group	Find Site
			Assumed FDA had a website
			Referral or link from another site
			Media/news story
			Word of mouth
			Site bookmarked
			Email subscription/RSS feed
			Blog
			Podcast
			Received information from my doctor
			Twitter
			Widget
			Other, please specify:	A
AED08567	A	Other how did you find this site			Text area, no char limit	Open	N	OPS Group	Other Find Site
EDO03243		If you could make one improvement to the site what would that be?			Text area, no char limit	Open	N		One Improvement

---

Sheet 17: Current Custom Qsts (3-18-10)

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AKR5237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry/manufacturer		Radio Button One Up Vertical	Single	Y	OPS Group
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	A
AKR5238	A	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	OPS Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
AED11039		Have you visited the <strong>FDA Basics</strong> area of the site today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	FDA Basics
			No
			Not Sure
AED11040	A	On a scale of 1 to 10, how useful was the information provided in the <strong>FDA Basics</strong> are of the site?	1=Not at all useful		Drop down, select one	Single	Y	Skip Logic Group	FDA Basics Useful
			2
			3
			4
			5
			6
			7
			8
			9
			10= Very useful
			Don't Know
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
AED11042		Did you use the Search Feature on the site to look for information?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Feature
			No
AED11043	A	Which of the following best describes your experience with the Search Tools?	I did not encounter any difficulties/search worked well		Radio button, one-up vertical	Single	N	Skip Logic Group	Search Experience
			Returned too many results
			Returned results that were similar/redundant
			I was not sure what words to use in my search
			Search required too many refinements to get what I wanted
			Search returned no results at all
			Other, please specify:	B
AED11044	B	Please describe your experience with the search tool:			Text area, no char limit	Single	N	Skip Logic Group	Other Search Experience
AED11045		While on the FDA.gov site today, which of the following describes your experience? (Please select all that apply)	I could not navigate back to previous information		Checkbox, one-up vertical	Multi	N	OPS Group	Navigation Difficulties
			I would often feel lost, not know where I was
			Links did not take me where I expected
			Links/labels were difficult to understand
			There were too many links or navigational choices
			I had technical difficulties (e.g. broken links, error messages)
			Other, please specify:	A
			None of the above
AED11046	A	Please describe the difficulty you had while on the FDA.gov site today:			Text area, no char limit	Single	N	OPS Group	Other Nav
AKR5243		Do you feel that the language used on this site is too technical or difficult to understand?	Yes		Radio button, one-up vertical	Single	Y
			No
			Not Sure
AED08559		Which of the following items do you use on the FDA.gov website? [Please select all that apply]:	Bookmark and share (to tag content for social bookmarking sites like Digg or Del.icio.us)	J	Checkbox One Up Vertical	Multi	Y	OPS Group	Use On FDA Site
			Blog	J
			Video	J
			Email update	J
			Podcasts or Audio	J
			RSS feed	J
			None of the above
			Other, please specify:	I
AED08560	I	Other items you use on the FDA.gov website			Text area, no char limit	Single	N	OPS Group	Other Use on FDA
EDO0711	J	Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
EDO01217		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
EDO01218	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
EDO01219	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
AED08561		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
AED08562		How would you describe yourself? (Please select all that apply.)	Hispanic or Latino		Checkbox One Up Vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
AED08563		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
AED08564		What is your gender?	Male		Radio Button One Up Vertical	Single	Y		Gender
			Female
			Prefer not to answer
AED08565		What is your country of residence?	USA	A	Dropdown (Select-one)	Single	Y		Residence
			Canada
			Afghanistan
			Albania
			Algeria
			American Samoa
			Andorra
			Angola
			Anguilla
			Antarctica
			Antigua and Barbuda
			Argentina
			Armenia
			Aruba
			Australia
			Austria
			Azerbaijan
			Bahamas
			Bahrain
			Bangladesh
			Barbados
			Belarus
			Belgium
			Belize
			Benin
			Bermuda
			Bhutan
			Bolivia
			Bosnia/Herzegovina
			Botswana
			Bouvet Island
			Brazil
			British Indian Ocean
			Brunei Darussalam
			Bulgaria
			Burkina Faso
			Burundi
			Cambodia
			Cameroon
			Cape Verde
			Cayman Islands
			Central African Rep.
			Chad
			Chile
			China
			Christmas Island
			Cocos Islands
			Colombia
			Comoros
			Congo
			Congo, Democratic Rep.
			Cook Islands
			Costa Rica
			Côte D'Ivoire
			Croatia
			Cuba
			Cyprus
			Czech Republic
			Denmark
			Djibouti
			Dominica
			Dominican Republic
			East Timor
			Ecuador
			Egypt
			El Salvador
			Equatorial Guinea
			Eritrea
			Estonia
			Ethiopia
			Falkland Islands
			Faroe Islands
			Fiji
			Finland
			France
			French Guiana
			French Polynesia
			French Southern Terr.
			Gabon
			Gambia
			Georgia
			Germany
			Ghana
			Gibraltar
			Greece
			Greenland
			Grenada
			Guadeloupe
			Guam
			Guatemala
			Guinea
			Guinea& Bissau
			Guyana
			Haiti
			Heard/McDonald Isls.
			Holy See/Vatican
			Honduras
			Hong Kong
			Hungary
			Iceland
			India
			Indonesia
			Iran
			Iraq
			Ireland
			Israel
			Italy
			Jamaica
			Japan
			Jordan
			Kazakstan
			Kenya
			Kiribati
			Korea, North
			Korea, South
			Kuwait
			Kyrgyzstan
			Laos
			Latvia
			Lebanon
			Lesotho
			Liberia
			Libya
			Liechtenstein
			Lithuania
			Luxembourg
			Macao
			Macedonia
			Madagascar
			Malawi
			Malaysia
			Maldives
			Mali
			Malta
			Marshall Islands
			Martinique
			Mauritania
			Mauritius
			Mayotte
			Mexico
			Micronesia
			Moldova
			Monaco
			Mongolia
			Montserrat
			Morocco
			Mozambique
			Myanmar
			Namibia
			Nauru
			Nepal
			Netherlands
			Netherlands Antilles
			New Caledonia
			New Zealand
			Nicaragua
			Niger
			Nigeria
			Niue
			Norfolk Island
			Northern Mariana Isls
			Norway
			Oman
			Pakistan
			Palau
			Palestinian Territory
			Panama
			Papua New Guinea
			Paraguay
			Peru
			Philippines
			Pitcairn
			Poland
			Portugal
			Puerto Rico
			Qatar
			Réunion
			Romania
			Russian Federation
			Rwanda
			Saint Helena
			Saint Kitts/Nevis
			Saint Lucia
			Saint Pierre/Miquelon
			Saint Vincent/Grenadines
			Samoa
			San Marino
			Sao Tome/Principe
			Saudi Arabia
			Senegal
			Seychelles
			Sierra Leone
			Singapore
			Slovakia
			Slovenia
			Solomon Islands
			Somalia
			South Africa
			S. Georgia/S. Sand. Isls
			Spain
			Sri Lanka
			Sudan
			Suriname
			Svalbard/Jan Mayen
			Swaziland
			Sweden
			Switzerland
			Syria
			Taiwan
			Tajikistan
			Tanzania
			Thailand
			Togo
			Tokelau
			Tonga
			Trinidad and Tobago
			Tunisia
			Turkey
			Turkmenistan
			Turks and Caicos Isls
			Tuvalu
			Uganda
			Ukraine
			United Arab Emirates
			United Kingdom
			US Minor Outlying Isls
			Uruguay
			Uzbekistan
			Vanuatu
			Venezuela
			Viet Nam
			Virgin Islands, British
			Virgin Islands, U.S.
			Wallis and Futuna
			Western Sahara
			Yemen
			Yugoslavia
			Zambia
			Zimbabwe
AED11047	A	In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington
			West Virginia
			Wisconsin
			Wyoming
AED08566		How did you find this site?	Search engine		Radio Button Two Up Vertical	Single	Y	OPS Group	Find Site
			Assumed FDA had a website
			Referral or link from another site
			Media/news story
			Word of mouth
			Site bookmarked
			Email subscription/RSS feed
			Blog
			Podcast
			Received information from my doctor
			Twitter
			Widget
			Other, please specify:	A
AED08567	A	Other how did you find this site			Text area, no char limit	Open	N	OPS Group	Other Find Site

---

Sheet 18: Custom Qsts 2-17-10

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AKR5237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry/manufacturer		Radio Button One Up Vertical	Single	Y	OPS Group
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Pharmacist
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	A
AKR5238	A	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	OPS Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
AED11039		Have you visited the <strong>FDA Basics</strong> area of the site today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	FDA Basics
			No
			Not Sure
AED11040	A	On a scale of 1 to 10, how useful was the information provided in the <strong>FDA Basics</strong> are of the site?	1=Not at all useful		Drop down, select one	Single	Y	Skip Logic Group	FDA Basics Useful
			2
			3
			4
			5
			6
			7
			8
			9
			10= Very useful
			Don't Know
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
AED11042		Did you use the Search Feature on the site to look for information?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Feature
			No
AED11043	A	Which of the following best describes your experience with the Search Tools?	I did not encounter any difficulties/search worked well		Radio button, one-up vertical	Single	N	Skip Logic Group	Search Experience
			Returned too many results
			Returned results that were similar/redundant
			I was not sure what words to use in my search
			Search required too many refinements to get what I wanted
			Search returned no results at all
			Other, please specify:	B
AED11044	B	Please describe your experience with the search tool:			Text area, no char limit	Single	N	Skip Logic Group	Other Search Experience
AED11045		While on the FDA.gov site today, which of the following describes your experience? (Please select all that apply)	I could not navigate back to previous information		Checkbox, one-up vertical	Multi	N	OPS Group	Navigation Difficulties
			I would often feel lost, not know where I was
			Links did not take me where I expected
			Links/labels were difficult to understand
			There were too many links or navigational choices
			I had technical difficulties (e.g. broken links, error messages)
			Other, please specify:	A
			None of the above
AED11046	A	Please describe the difficulty you had while on the FDA.gov site today:			Text area, no char limit	Single	N	OPS Group	Other Nav
AKR5243		Do you feel that the language used on this site is too technical or difficult to understand?	Yes		Radio button, one-up vertical	Single	Y
			No
			Not Sure
AED08559		Which of the following items do you use on the FDA.gov website? [Please select all that apply]:	Bookmark and share (to tag content for social bookmarking sites like Digg or Del.icio.us)	J	Checkbox One Up Vertical	Multi	Y	OPS Group	Use On FDA Site
			Blog	J
			Video	J
			Email update	J
			Podcasts or Audio	J
			RSS feed	J
			None of the above
			Other, please specify:	I
AED08560	I	Other items you use on the FDA.gov website			Text area, no char limit	Single	N	OPS Group	Other Use on FDA
EDO0711	J	Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
AED08561		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
AED08562		How would you describe yourself? (Please select all that apply.)	Hispanic or Latino		Checkbox One Up Vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
AED08563		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
AED08564		What is your gender?	Male		Radio Button One Up Vertical	Single	Y		Gender
			Female
			Prefer not to answer
AED08565		What is your country of residence?	USA	A	Dropdown (Select-one)	Single	Y		Residence
			Canada
			Afghanistan
			Albania
			Algeria
			American Samoa
			Andorra
			Angola
			Anguilla
			Antarctica
			Antigua and Barbuda
			Argentina
			Armenia
			Aruba
			Australia
			Austria
			Azerbaijan
			Bahamas
			Bahrain
			Bangladesh
			Barbados
			Belarus
			Belgium
			Belize
			Benin
			Bermuda
			Bhutan
			Bolivia
			Bosnia/Herzegovina
			Botswana
			Bouvet Island
			Brazil
			British Indian Ocean
			Brunei Darussalam
			Bulgaria
			Burkina Faso
			Burundi
			Cambodia
			Cameroon
			Cape Verde
			Cayman Islands
			Central African Rep.
			Chad
			Chile
			China
			Christmas Island
			Cocos Islands
			Colombia
			Comoros
			Congo
			Congo, Democratic Rep.
			Cook Islands
			Costa Rica
			Côte D'Ivoire
			Croatia
			Cuba
			Cyprus
			Czech Republic
			Denmark
			Djibouti
			Dominica
			Dominican Republic
			East Timor
			Ecuador
			Egypt
			El Salvador
			Equatorial Guinea
			Eritrea
			Estonia
			Ethiopia
			Falkland Islands
			Faroe Islands
			Fiji
			Finland
			France
			French Guiana
			French Polynesia
			French Southern Terr.
			Gabon
			Gambia
			Georgia
			Germany
			Ghana
			Gibraltar
			Greece
			Greenland
			Grenada
			Guadeloupe
			Guam
			Guatemala
			Guinea
			Guinea& Bissau
			Guyana
			Haiti
			Heard/McDonald Isls.
			Holy See/Vatican
			Honduras
			Hong Kong
			Hungary
			Iceland
			India
			Indonesia
			Iran
			Iraq
			Ireland
			Israel
			Italy
			Jamaica
			Japan
			Jordan
			Kazakstan
			Kenya
			Kiribati
			Korea, North
			Korea, South
			Kuwait
			Kyrgyzstan
			Laos
			Latvia
			Lebanon
			Lesotho
			Liberia
			Libya
			Liechtenstein
			Lithuania
			Luxembourg
			Macao
			Macedonia
			Madagascar
			Malawi
			Malaysia
			Maldives
			Mali
			Malta
			Marshall Islands
			Martinique
			Mauritania
			Mauritius
			Mayotte
			Mexico
			Micronesia
			Moldova
			Monaco
			Mongolia
			Montserrat
			Morocco
			Mozambique
			Myanmar
			Namibia
			Nauru
			Nepal
			Netherlands
			Netherlands Antilles
			New Caledonia
			New Zealand
			Nicaragua
			Niger
			Nigeria
			Niue
			Norfolk Island
			Northern Mariana Isls
			Norway
			Oman
			Pakistan
			Palau
			Palestinian Territory
			Panama
			Papua New Guinea
			Paraguay
			Peru
			Philippines
			Pitcairn
			Poland
			Portugal
			Puerto Rico
			Qatar
			Réunion
			Romania
			Russian Federation
			Rwanda
			Saint Helena
			Saint Kitts/Nevis
			Saint Lucia
			Saint Pierre/Miquelon
			Saint Vincent/Grenadines
			Samoa
			San Marino
			Sao Tome/Principe
			Saudi Arabia
			Senegal
			Seychelles
			Sierra Leone
			Singapore
			Slovakia
			Slovenia
			Solomon Islands
			Somalia
			South Africa
			S. Georgia/S. Sand. Isls
			Spain
			Sri Lanka
			Sudan
			Suriname
			Svalbard/Jan Mayen
			Swaziland
			Sweden
			Switzerland
			Syria
			Taiwan
			Tajikistan
			Tanzania
			Thailand
			Togo
			Tokelau
			Tonga
			Trinidad and Tobago
			Tunisia
			Turkey
			Turkmenistan
			Turks and Caicos Isls
			Tuvalu
			Uganda
			Ukraine
			United Arab Emirates
			United Kingdom
			US Minor Outlying Isls
			Uruguay
			Uzbekistan
			Vanuatu
			Venezuela
			Viet Nam
			Virgin Islands, British
			Virgin Islands, U.S.
			Wallis and Futuna
			Western Sahara
			Yemen
			Yugoslavia
			Zambia
			Zimbabwe
AED11047	A	In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington
			West Virginia
			Wisconsin
			Wyoming
AED08566		How did you find this site?	Search engine		Radio Button Two Up Vertical	Single	Y	OPS Group	Find Site
			Assumed FDA had a website
			Referral or link from another site
			Media/news story
			Word of mouth
			Site bookmarked
			Email subscription/RSS feed
			Blog
			Podcast
			Received information from my doctor
			Twitter
			Widget
			Other, please specify:	A
AED08567	A	Other how did you find this site			Text area, no char limit	Open	N	OPS Group	Other Find Site

---

Sheet 19: Custom Qsts (2-15-10)

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AKR5237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry/manufacturer		Radio Button One Up Vertical	Single	Y	OPS Group
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	A
AKR5238	A	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	OPS Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
AED11039		Have you visited the <strong>FDA Basics</strong> area of the site today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	FDA Basics
			No
			Not Sure
AED11040	A	On a scale of 1 to 10, how useful was the information provided in the <strong>FDA Basics</strong> are of the site?	1=Not at all useful		Drop down, select one	Single	Y	Skip Logic Group	FDA Basics Useful
			2
			3
			4
			5
			6
			7
			8
			9
			10= Very useful
			Don't Know
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
AED11042		Did you use the Search Feature on the site to look for information?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Feature
			No
AED11043	A	Which of the following best describes your experience with the Search Tools?	I did not encounter any difficulties/search worked well		Radio button, one-up vertical	Single	N	Skip Logic Group	Search Experience
			Returned too many results
			Returned results that were similar/redundant
			I was not sure what words to use in my search
			Search required too many refinements to get what I wanted
			Search returned no results at all
			Other, please specify:	B
AED11044	B	Please describe your experience with the search tool:			Text area, no char limit	Single	N	Skip Logic Group	Other Search Experience
AED11045		While on the FDA.gov site today, which of the following describes your experience? (Please select all that apply)	I could not navigate back to previous information		Checkbox, one-up vertical	Multi	N	OPS Group	Navigation Difficulties
			I would often feel lost, not know where I was
			Links did not take me where I expected
			Links/labels were difficult to understand
			There were too many links or navigational choices
			I had technical difficulties (e.g. broken links, error messages)
			Other, please specify:	A
			None of the above
AED11046	A	Please describe the difficulty you had while on the FDA.gov site today:			Text area, no char limit	Single	N	OPS Group	Other Nav
AKR5243		Do you feel that the language used on this site is too technical or difficult to understand?	Yes		Radio button, one-up vertical	Single	Y
			No
			Not Sure
AED08558		Within the last 3 months, have you done any of the following: (Please select all that apply.)	Browse a Web site using your mobile phone / device		Checkbox One Up Vertical	Multi	Y		Social Media Quest.
			Send a text message using your mobile phone / device
			Receive a text message using your mobile phone / device
			Use a personalized web pages (such as My Yahoo!)
			Add a widget or gadget to your personalized web page
			Participate in an online social network (such as MySpace, Facebook, etc.)
			Bookmark or tag a website (using social bookmarking sites as Digg or Del.icio.us)
			Read a blog or Wiki
			Write a blog or contribute to a Wiki
			Post a comment, rating, or review on a Web site
			Listen to a podcast or audio on a Web site
			Watch a video on a Web site
			Upload a video to a Web site (such as YouTube)
			Browse through a photo gallery
			Subscribe to an RSS feed
			Sign up to receive an email update from a website
			None of the above
AED08559		Which of the following items do you use on the FDA.gov website? [Please select all that apply]:	Bookmark and share (to tag content for social bookmarking sites like Digg or Del.icio.us)	J	Checkbox One Up Vertical	Multi	Y	OPS Group	Use On FDA Site
			Blog	J
			Video	J
			Email update	J
			Podcasts or Audio	J
			RSS feed	J
			None of the above
			Other, please specify:	I
AED08560	I	Other items you use on the FDA.gov website			Text area, no char limit	Single	N	OPS Group	Other Use on FDA
EDO0711	J	Which of the following would you like to see more of on the FDA website:	Blogs		Checkbox, one-up vertical	Multi	Y	OPS Group	Additional Activities
			Videos
			Email Updates
			Podcasts or Audio
			Mobile Alerts
			Webinars
			None of the above
			Other, please specify:	K
EDO0712	K	Other interactive mediums you would like on the FDA site:
AED08561		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
AED08562		How would you describe yourself? (Please select all that apply.)	Hispanic or Latino		Checkbox One Up Vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
AED08563		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
AED08564		What is your gender?	Male		Radio Button One Up Vertical	Single	Y		Gender
			Female
			Prefer not to answer
AED08565		What is your country of residence?	USA	A	Dropdown (Select-one)	Single	Y		Residence
			Canada
			Afghanistan
			Albania
			Algeria
			American Samoa
			Andorra
			Angola
			Anguilla
			Antarctica
			Antigua and Barbuda
			Argentina
			Armenia
			Aruba
			Australia
			Austria
			Azerbaijan
			Bahamas
			Bahrain
			Bangladesh
			Barbados
			Belarus
			Belgium
			Belize
			Benin
			Bermuda
			Bhutan
			Bolivia
			Bosnia/Herzegovina
			Botswana
			Bouvet Island
			Brazil
			British Indian Ocean
			Brunei Darussalam
			Bulgaria
			Burkina Faso
			Burundi
			Cambodia
			Cameroon
			Cape Verde
			Cayman Islands
			Central African Rep.
			Chad
			Chile
			China
			Christmas Island
			Cocos Islands
			Colombia
			Comoros
			Congo
			Congo, Democratic Rep.
			Cook Islands
			Costa Rica
			Côte D'Ivoire
			Croatia
			Cuba
			Cyprus
			Czech Republic
			Denmark
			Djibouti
			Dominica
			Dominican Republic
			East Timor
			Ecuador
			Egypt
			El Salvador
			Equatorial Guinea
			Eritrea
			Estonia
			Ethiopia
			Falkland Islands
			Faroe Islands
			Fiji
			Finland
			France
			French Guiana
			French Polynesia
			French Southern Terr.
			Gabon
			Gambia
			Georgia
			Germany
			Ghana
			Gibraltar
			Greece
			Greenland
			Grenada
			Guadeloupe
			Guam
			Guatemala
			Guinea
			Guinea& Bissau
			Guyana
			Haiti
			Heard/McDonald Isls.
			Holy See/Vatican
			Honduras
			Hong Kong
			Hungary
			Iceland
			India
			Indonesia
			Iran
			Iraq
			Ireland
			Israel
			Italy
			Jamaica
			Japan
			Jordan
			Kazakstan
			Kenya
			Kiribati
			Korea, North
			Korea, South
			Kuwait
			Kyrgyzstan
			Laos
			Latvia
			Lebanon
			Lesotho
			Liberia
			Libya
			Liechtenstein
			Lithuania
			Luxembourg
			Macao
			Macedonia
			Madagascar
			Malawi
			Malaysia
			Maldives
			Mali
			Malta
			Marshall Islands
			Martinique
			Mauritania
			Mauritius
			Mayotte
			Mexico
			Micronesia
			Moldova
			Monaco
			Mongolia
			Montserrat
			Morocco
			Mozambique
			Myanmar
			Namibia
			Nauru
			Nepal
			Netherlands
			Netherlands Antilles
			New Caledonia
			New Zealand
			Nicaragua
			Niger
			Nigeria
			Niue
			Norfolk Island
			Northern Mariana Isls
			Norway
			Oman
			Pakistan
			Palau
			Palestinian Territory
			Panama
			Papua New Guinea
			Paraguay
			Peru
			Philippines
			Pitcairn
			Poland
			Portugal
			Puerto Rico
			Qatar
			Réunion
			Romania
			Russian Federation
			Rwanda
			Saint Helena
			Saint Kitts/Nevis
			Saint Lucia
			Saint Pierre/Miquelon
			Saint Vincent/Grenadines
			Samoa
			San Marino
			Sao Tome/Principe
			Saudi Arabia
			Senegal
			Seychelles
			Sierra Leone
			Singapore
			Slovakia
			Slovenia
			Solomon Islands
			Somalia
			South Africa
			S. Georgia/S. Sand. Isls
			Spain
			Sri Lanka
			Sudan
			Suriname
			Svalbard/Jan Mayen
			Swaziland
			Sweden
			Switzerland
			Syria
			Taiwan
			Tajikistan
			Tanzania
			Thailand
			Togo
			Tokelau
			Tonga
			Trinidad and Tobago
			Tunisia
			Turkey
			Turkmenistan
			Turks and Caicos Isls
			Tuvalu
			Uganda
			Ukraine
			United Arab Emirates
			United Kingdom
			US Minor Outlying Isls
			Uruguay
			Uzbekistan
			Vanuatu
			Venezuela
			Viet Nam
			Virgin Islands, British
			Virgin Islands, U.S.
			Wallis and Futuna
			Western Sahara
			Yemen
			Yugoslavia
			Zambia
			Zimbabwe
AED11047	A	In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington
			West Virginia
			Wisconsin
			Wyoming
AED08566		How did you find this site?	Search engine		Radio Button Two Up Vertical	Single	Y	OPS Group	Find Site
			Assumed FDA had a website
			Referral or link from another site
			Media/news story
			Word of mouth
			Site bookmarked
			Email subscription/RSS feed
			Blog
			Podcast
			Received information from my doctor
			Twitter
			Widget
			Other, please specify:	A
AED08567	A	Other how did you find this site			Text area, no char limit	Open	N	OPS Group	Other Find Site

---

Sheet 20: Custom Qsts (2-8-10)

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec	Question Label
AKR5237		For this visit to the FDA site, which of the following roles best describes you?	Regulated industry/manufacturer		Radio Button One Up Vertical	Single	Y	OPS Group
			Consumer
			Scientist, researcher
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Consultant
			Attorney/Legal Counsel
			Educator, professor, teacher
			Student
			Journalist/Media
			Policymaker, legislator, staff
			FDA grantee
			FDA employee
			First responder
			Other, please specify:	A
AKR5238	A	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	OPS Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
AKR5240		For this visit to the FDA web site, what were you primarily looking for?			Text area, no char limit	Single	N
AED08556		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group	Info Looking For
			Drugs
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
AED08557	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group	Other Info
		Have you visited the FDA Basics area of the site today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	FDA Basics
			No
			Not Sure
	A	On a scale of 1 to 10, how useful was the information provided in the FDA Basics are of the site?	1=Not at all useful		Drop down, select one	Single	Y	Skip Logic Group	FDA Basics Useful
			2
			3
			4
			5
			6
			7
			8
			9
			10= Very useful
			Don't Know
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
		Did you use the Search Feature on the site to look for information?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Feature
			No
	A	Which of the following best describes your experience with the Search Tools?	I did not encounter any difficulties/search worked well		Radio button, one-up vertical	Single	N	Skip Logic Group	Search Experience
			Returned too many results
			Returned results that were similar/redundant
			I was not sure what words to use in my search
			Search required too many refinements to get what I wanted
			Search returned no results at all
			Other, please specify:	B
	B	Please describe your experience with the search tool:			Text area, no char limit	Single	N	Skip Logic Group	Other Search Experience
		While on the FDA.gov site today, which of the following describes your experience? (Please select all that apply)	I could not navigate back to previous information		Checkbox, one-up vertical	Multi	N	OPS Group	Navigation Difficulties
			I would often feel lost, not know where I was
			Links did not take me where I expected
			Links/labels were difficult to understand
			There were too many links or navigational choices
			I had technical difficulties (e.g. broken links, error messages)
			Other, please specify:	A
			None of the above
	A	Please describe the difficulty you had while on the FDA.gov site today:			Text area, no char limit	Single	N	OPS Group	Other Nav
AKR5243		Do you feel that the language used on this site is too technical or difficult to understand?	Yes		Radio button, one-up vertical	Single	Y
			No
			Not Sure
AED08558		Within the last 3 months, have you done any of the following: (Please select all that apply.)	Browse a Web site using your mobile phone / device		Checkbox One Up Vertical	Multi	Y		Social Media Quest.
			Send a text message using your mobile phone / device
			Receive a text message using your mobile phone / device
			Use a personalized web pages (such as My Yahoo!)
			Add a widget or gadget to your personalized web page
			Participate in an online social network (such as MySpace, Facebook, etc.)
			Bookmark or tag a website (using social bookmarking sites as Digg or Del.icio.us)
			Read a blog or Wiki
			Write a blog or contribute to a Wiki
			Post a comment, rating, or review on a Web site
			Listen to a podcast or audio on a Web site
			Watch a video on a Web site
			Upload a video to a Web site (such as YouTube)
			Browse through a photo gallery
			Subscribe to an RSS feed
			Sign up to receive an email update from a website
			None of the above
AED08559		Which of the following items do you use on the FDA.gov website? [Please select all that apply]:	Bookmark and share (to tag content for social bookmarking sites like Digg or Del.icio.us)		Checkbox One Up Vertical	Multi	Y	OPS Group	Use On FDA Site
			Blog
			Video
			Email update
			Podcasts or Audio
			RSS feed
			None of the above
			Other, please specify:	I
AED08560	I	Other items you use on the FDA.gov website			Text area, no char limit	Single	N	OPS Group	Other Use on FDA
AED08561		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
AED08562		How would you describe yourself? (Please select all that apply.)	Hispanic or Latino		Checkbox One Up Vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
AED08563		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
AED08564		What is your gender?	Male		Radio Button One Up Vertical	Single	Y		Gender
			Female
			Prefer not to answer
AED08565		What is your country of residence?	USA	A	Dropdown (Select-one)	Single	Y		Residence
			Canada
			Afghanistan
			Albania
			Algeria
			American Samoa
			Andorra
			Angola
			Anguilla
			Antarctica
			Antigua and Barbuda
			Argentina
			Armenia
			Aruba
			Australia
			Austria
			Azerbaijan
			Bahamas
			Bahrain
			Bangladesh
			Barbados
			Belarus
			Belgium
			Belize
			Benin
			Bermuda
			Bhutan
			Bolivia
			Bosnia/Herzegovina
			Botswana
			Bouvet Island
			Brazil
			British Indian Ocean
			Brunei Darussalam
			Bulgaria
			Burkina Faso
			Burundi
			Cambodia
			Cameroon
			Cape Verde
			Cayman Islands
			Central African Rep.
			Chad
			Chile
			China
			Christmas Island
			Cocos Islands
			Colombia
			Comoros
			Congo
			Congo, Democratic Rep.
			Cook Islands
			Costa Rica
			Côte D'Ivoire
			Croatia
			Cuba
			Cyprus
			Czech Republic
			Denmark
			Djibouti
			Dominica
			Dominican Republic
			East Timor
			Ecuador
			Egypt
			El Salvador
			Equatorial Guinea
			Eritrea
			Estonia
			Ethiopia
			Falkland Islands
			Faroe Islands
			Fiji
			Finland
			France
			French Guiana
			French Polynesia
			French Southern Terr.
			Gabon
			Gambia
			Georgia
			Germany
			Ghana
			Gibraltar
			Greece
			Greenland
			Grenada
			Guadeloupe
			Guam
			Guatemala
			Guinea
			Guinea& Bissau
			Guyana
			Haiti
			Heard/McDonald Isls.
			Holy See/Vatican
			Honduras
			Hong Kong
			Hungary
			Iceland
			India
			Indonesia
			Iran
			Iraq
			Ireland
			Israel
			Italy
			Jamaica
			Japan
			Jordan
			Kazakstan
			Kenya
			Kiribati
			Korea, North
			Korea, South
			Kuwait
			Kyrgyzstan
			Laos
			Latvia
			Lebanon
			Lesotho
			Liberia
			Libya
			Liechtenstein
			Lithuania
			Luxembourg
			Macao
			Macedonia
			Madagascar
			Malawi
			Malaysia
			Maldives
			Mali
			Malta
			Marshall Islands
			Martinique
			Mauritania
			Mauritius
			Mayotte
			Mexico
			Micronesia
			Moldova
			Monaco
			Mongolia
			Montserrat
			Morocco
			Mozambique
			Myanmar
			Namibia
			Nauru
			Nepal
			Netherlands
			Netherlands Antilles
			New Caledonia
			New Zealand
			Nicaragua
			Niger
			Nigeria
			Niue
			Norfolk Island
			Northern Mariana Isls
			Norway
			Oman
			Pakistan
			Palau
			Palestinian Territory
			Panama
			Papua New Guinea
			Paraguay
			Peru
			Philippines
			Pitcairn
			Poland
			Portugal
			Puerto Rico
			Qatar
			Réunion
			Romania
			Russian Federation
			Rwanda
			Saint Helena
			Saint Kitts/Nevis
			Saint Lucia
			Saint Pierre/Miquelon
			Saint Vincent/Grenadines
			Samoa
			San Marino
			Sao Tome/Principe
			Saudi Arabia
			Senegal
			Seychelles
			Sierra Leone
			Singapore
			Slovakia
			Slovenia
			Solomon Islands
			Somalia
			South Africa
			S. Georgia/S. Sand. Isls
			Spain
			Sri Lanka
			Sudan
			Suriname
			Svalbard/Jan Mayen
			Swaziland
			Sweden
			Switzerland
			Syria
			Taiwan
			Tajikistan
			Tanzania
			Thailand
			Togo
			Tokelau
			Tonga
			Trinidad and Tobago
			Tunisia
			Turkey
			Turkmenistan
			Turks and Caicos Isls
			Tuvalu
			Uganda
			Ukraine
			United Arab Emirates
			United Kingdom
			US Minor Outlying Isls
			Uruguay
			Uzbekistan
			Vanuatu
			Venezuela
			Viet Nam
			Virgin Islands, British
			Virgin Islands, U.S.
			Wallis and Futuna
			Western Sahara
			Yemen
			Yugoslavia
			Zambia
			Zimbabwe
	A	In which state do you reside?	Alabama		Drop down, select one	Single	N		State
			Alaska
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			Florida
			Georgia
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Washington
			West Virginia
			Wisconsin
			Wyoming
AED08566		How did you find this site?	Search engine		Radio Button Two Up Vertical	Single	Y	OPS Group	Find Site
			Assumed FDA had a website
			Referral or link from another site
			Media/news story
			Word of mouth
			Site bookmarked
			Email subscription/RSS feed
			Blog
			Podcast
			Received information from my doctor
			Twitter
			Widget
			Other, please specify:	A
AED08567	A	Other how did you find this site			Text area, no char limit	Open	N	OPS Group	Other Find Site

---

Sheet 21: Custom Qsts 09-03-09

Model Instance Name:			red & strike-through: DELETE
FDA Satisfaction Survey			underlined & italicized: RE-ORDER
MID: xUE4gkERpoI5QVAk1J94RQ==			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Satisfaction Survey CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec
AKR5237		For this visit to the FDA site, which of the following roles best describes you?	Consumer		Radio Button One Up Vertical	Single	Y	OPS Group
			Patient
			Caregiver, friend, family member of a person interested in health issues
			Physician
			Nurse, physician's assistant, nurse practitioner
			Other type of healthcare provider
			State or local public health professional
			Not-for-profit public health professional
			Scientist, researcher
			Educator, professor, teacher
			Student
			First responder
			Journalist/Media
			Policymaker, legislator, staff
			Regulated industry/manufacturer
			FDA grantee
			FDA employee
			Government employee
			Health Professional
			Educator (teacher, professor)
			Business
			Other, please specify:	A
AKR5238	A	Please describe your role in visiting the site today:			Text area, no char limit	Single	N	OPS Group
AKR5239		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y
			Daily
			Weekly
			Monthly
			A couple times a year
			About once a year
			Several times a year or less
AKR5240		For this visit to the FDA web site, what were you primarily looking for?			Text area, no char limit	Single	N
AKR5241		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			Still looking
			No	G
AKR5242	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit	Single	N	Skip Logic Group
AKR5243		Do you feel that the language used on this site is too technical or difficult to understand?	Yes		Radio button, one-up vertical	Single	Y
			No
			Not Sure
		Which of the following best describes the type of information you were looking for? (Please select all that apply.)	Food		Checkbox One Up Vertical	Multi	Y	Skip Logic Group
			Drugs
			Medical Devices
			Vaccines
			Blood
			Biologics
			Animal/Veterinary
			Cosmetics
			Radiation-Emitting Products
			Tobacco Products
			Combination Products
			Advisory Committees
			Science & Research
			Regulatory Information
			Safety
			Emergency Preparedness
			International Programs
			News & Events
			Training and Continuing Education
			Inspections/Compliance
			Information for State & Local Officials
			Information for Consumers
			Information for Industry
			Information for Health Professionals
			Other, please specify:	H
	H	Please specify the type of information you were looking for:			Text area, no char limit	Single	N	Skip Logic Group
		Within the last 3 months, have you done any of the following: (Please select all that apply.)	Browse a Web site using your mobile phone / device		Checkbox One Up Vertical	Multi	Y
			Send a text message using your mobile phone / device
			Receive a text message using your mobile phone / device
			Use a personalized web pages (such as My Yahoo!)
			Add a widget or gadget to your personalized web page
			Participate in an online social network (such as MySpace, Facebook, etc.)
			Bookmark or tag a website (using social bookmarking sites as Digg or Del.icio.us)
			Read a blog or Wiki
			Write a blog or contribute to a Wiki
			Post a comment, rating, or review on a Web site
			Listen to a podcast or audio on a Web site
			Watch a video on a Web site
			Upload a video to a Web site (such as YouTube)
			Browse through a photo gallery
			Subscribe to an RSS feed
			Sign up to receive an email update from a website
			None of the above
		Which of the following items do you use on the FDA.gov website? [Please select all that apply]:	Bookmark and share (to tag content for social bookmarking sites like Digg or Del.icio.us)		Checkbox One Up Vertical	Multi	Y	OPS Group
			Blog
			Video
			Email update
			Podcasts or Audio
			RSS feed
			None of the above
			Other, please specify:	I
	I	Other items you use on the FDA.gov website			Text area, no char limit	Single	N	OPS Group
		How old are you?	19 or under		Dropdown (Select-one)	Single	Y
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
		How would you describe yourself? (Please select all that apply.)	Hispanic or Latino		Checkbox One Up Vertical	Multi	Y
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y
			Some college
			College degree
			Advanced degree
			Prefer not to answer
		What is your gender?	Male		Radio Button One Up Vertical	Single	Y
			Female
			Prefer not to answer
		What is your country of residence?	USA		Dropdown (Select-one)	Single	Y
			Canada
			Afghanistan
			Albania
			Algeria
			American Samoa
			Andorra
			Angola
			Anguilla
			Antarctica
			Antigua and Barbuda
			Argentina
			Armenia
			Aruba
			Australia
			Austria
			Azerbaijan
			Bahamas
			Bahrain
			Bangladesh
			Barbados
			Belarus
			Belgium
			Belize
			Benin
			Bermuda
			Bhutan
			Bolivia
			Bosnia/Herzegovina
			Botswana
			Bouvet Island
			Brazil
			British Indian Ocean
			Brunei Darussalam
			Bulgaria
			Burkina Faso
			Burundi
			Cambodia
			Cameroon
			Cape Verde
			Cayman Islands
			Central African Rep.
			Chad
			Chile
			China
			Christmas Island
			Cocos Islands
			Colombia
			Comoros
			Congo
			Congo, Democratic Rep.
			Cook Islands
			Costa Rica
			Côte D'Ivoire
			Croatia
			Cuba
			Cyprus
			Czech Republic
			Denmark
			Djibouti
			Dominica
			Dominican Republic
			East Timor
			Ecuador
			Egypt
			El Salvador
			Equatorial Guinea
			Eritrea
			Estonia
			Ethiopia
			Falkland Islands
			Faroe Islands
			Fiji
			Finland
			France
			French Guiana
			French Polynesia
			French Southern Terr.
			Gabon
			Gambia
			Georgia
			Germany
			Ghana
			Gibraltar
			Greece
			Greenland
			Grenada
			Guadeloupe
			Guam
			Guatemala
			Guinea
			Guinea& Bissau
			Guyana
			Haiti
			Heard/McDonald Isls.
			Holy See/Vatican
			Honduras
			Hong Kong
			Hungary
			Iceland
			India
			Indonesia
			Iran
			Iraq
			Ireland
			Israel
			Italy
			Jamaica
			Japan
			Jordan
			Kazakstan
			Kenya
			Kiribati
			Korea, North
			Korea, South
			Kuwait
			Kyrgyzstan
			Laos
			Latvia
			Lebanon
			Lesotho
			Liberia
			Libya
			Liechtenstein
			Lithuania
			Luxembourg
			Macao
			Macedonia
			Madagascar
			Malawi
			Malaysia
			Maldives
			Mali
			Malta
			Marshall Islands
			Martinique
			Mauritania
			Mauritius
			Mayotte
			Mexico
			Micronesia
			Moldova
			Monaco
			Mongolia
			Montserrat
			Morocco
			Mozambique
			Myanmar
			Namibia
			Nauru
			Nepal
			Netherlands
			Netherlands Antilles
			New Caledonia
			New Zealand
			Nicaragua
			Niger
			Nigeria
			Niue
			Norfolk Island
			Northern Mariana Isls
			Norway
			Oman
			Pakistan
			Palau
			Palestinian Territory
			Panama
			Papua New Guinea
			Paraguay
			Peru
			Philippines
			Pitcairn
			Poland
			Portugal
			Puerto Rico
			Qatar
			Réunion
			Romania
			Russian Federation
			Rwanda
			Saint Helena
			Saint Kitts/Nevis
			Saint Lucia
			Saint Pierre/Miquelon
			Saint Vincent/Grenadines
			Samoa
			San Marino
			Sao Tome/Principe
			Saudi Arabia
			Senegal
			Seychelles
			Sierra Leone
			Singapore
			Slovakia
			Slovenia
			Solomon Islands
			Somalia
			South Africa
			S. Georgia/S. Sand. Isls
			Spain
			Sri Lanka
			Sudan
			Suriname
			Svalbard/Jan Mayen
			Swaziland
			Sweden
			Switzerland
			Syria
			Taiwan
			Tajikistan
			Tanzania
			Thailand
			Togo
			Tokelau
			Tonga
			Trinidad and Tobago
			Tunisia
			Turkey
			Turkmenistan
			Turks and Caicos Isls
			Tuvalu
			Uganda
			Ukraine
			United Arab Emirates
			United Kingdom
			US Minor Outlying Isls
			Uruguay
			Uzbekistan
			Vanuatu
			Venezuela
			Viet Nam
			Virgin Islands, British
			Virgin Islands, U.S.
			Wallis and Futuna
			Western Sahara
			Yemen
			Yugoslavia
			Zambia
			Zimbabwe
		How did you find this site?	Search engine		Radio Button Two Up Vertical	Single	Y	OPS Group
			Referral or link from another site
			Media/news story
			Word of mouth
			Site bookmarked
			Email subscription/RSS feed
			Blog
			Podcast
			Received information from my doctor
			Twitter
			Widget
			Other, please specify:	A
	A	Other how did you find this site			Text area, no char limit	Open	N	OPS Group

---

Sheet 22: Original Custom Qsts

Model Instance Name:			red & strike-through: DELETE
FDA Browse			underlined & italicized: RE-ORDER
MID:			pink: ADDITION
7/31/2009			blue + -->: REWORDING
			violet (bold): SKIP-LOGIC
FDA Browse CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip To	Type (select from list)	Single or Multi	Required Y/N	spec
		For this visit to the FDA site, which of the following roles best describes you?	Consumer		Radio Button One Up Vertical	Single	Y	OPS Group
			Health Professional
			Government employee
			Journalist/Media
			Educator (teacher, professor)
			Student
			Business
			Other, please specify	A
	A	Please describe your role in visiting the site today:						OPS Group
		How frequently do you visit the FDA.gov website?	This is my first time		Drop down, select one	Single	Y	Skip Logic Group
			Daily
			Weekly
			Monthly
			Several times a year or less
		For this visit to the FDA web site, what were you primarily looking for?			Text area, no char limit		N
		Did you find the information you were looking for?	Yes		Radio Button One Up Vertical	Single	Y	Skip Logic Group
			Partially	G
			No	G
	G	If you didn’t find all the information you were looking for, what couldn’t you find?			Text area, no char limit		N	Skip Logic Group
		Do you feel that the language used on this site is too technical or difficult to understand?	Yes
			No		Radio button, one-up vertical	Single	Y
			Not Sure