| Model Instance Name: | |||||||
| CDC Social Media | |||||||
| MID: | |||||||
| Date: | |||||||
| CDC Social Media | |||||||
| Model questions utilize the ACSI methodology to determine scores and impacts | |||||||
| MQ Labels | CUSTOMER SATISFACTION | MQ Labels | FUTURE BEHAVIORS | ||||
| Satisfaction | Return (1=Very Unlikely, 10=Very Likely) | ||||||
| 1 | SM Satisfaction - Overall | What is your overall satisfaction with the CDC presence on this social media channel? (1=Very Dissatisfied, 10=Very Satisfied) |
4 | SM - Return | How likely are you to return to this CDC social media channel? | ||
| 2 | SM Satisfaction - Expectations | How well does this CDC social media channel meet your expectations? (1=Falls Short, 10=Exceeds) |
Recommend (1=Very Unlikely, 10=Very Likely) | ||||
| 3 | SM Satisfaction - Ideal | How does this CDC social media channel compare to your idea of an ideal social media channel? (1=Not Very Close, 10=Very Close) |
5 | SM - Recommend | How likely are you to recommend this CDC social media channel to someone else? | ||
| Likelihood to Visit - Site (1=Very Unlikely, 10=Very Likely) | |||||||
| 6 | SM - Visit Website | How likely are you to visit the CDC website in the next 90 days? | |||||
| Model Instance Name: | ||||||||||
| CDC Social Media | underlined & italicized: RE-ORDER | |||||||||
| MID: | pink: ADDITION | |||||||||
| Date: | blue + -->: REWORDING | |||||||||
| CDC Social Media CUSTOM QUESTION LIST | ||||||||||
| QID (Group ID) |
Skip Logic Label | Question Text | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Special Instructions | CQ Label | |
| Please indicate which CDC social media channels you visit/interact with. (Select all that apply) | Checkbox, one-up vertical | Multi | Y | CDC SM | ||||||
| YouTube | ||||||||||
| Flickr | ||||||||||
| None of the above | ||||||||||
| Which CDC social media channel did you visit to complete this survey? | A - G | Drop Down, select one | Single | Y | Skip Logic | Channel | ||||
| YouTube | H-M | |||||||||
| N-R | ||||||||||
| Flickr | S-W | |||||||||
| X-BB | ||||||||||
| None of the above | ||||||||||
| A | What best describes how often you visit Facebook? | 3 times or more per day | Drop Down, select one | Single | Y | Skip Logic | FB Frequency | |||
| Once or twice a day | ||||||||||
| A few times per week | ||||||||||
| Once a week | ||||||||||
| A few times per month | ||||||||||
| Monthly or less often | ||||||||||
| This was my first time | ||||||||||
| B | What do you think of the frequency of Facebook posts from CDC? | I think you should have more posts | Radio button | Single | Y | Skip Logic | FB posts | |||
| I think the number of posts is fine as is | ||||||||||
| I think you should have less posts | ||||||||||
| No opinion | ||||||||||
| C | What kind of topics would you like to see posts about on the CDC Facebook page? | Text area, no char limit | N | Skip Logic | FB_OE Topics | |||||
| D | How do you typically access your Facebook account: | Desktop/laptop computer | Check-box, one-up vertical | Multi | Y | Skip Logic | FB Access | |||
| Mobile phone | ||||||||||
| iPad/Tablet | ||||||||||
| E | How do you view the Facebook posts from CDC? (Select all that apply) | Visit the CDC Facebook page | Check-box, one-up vertical | Multi | Y | Skip Logic | FB View | |||
| See the updated posts within my Facebook news feed | ||||||||||
| Not sure | Exclusive | |||||||||
| F | Approximately how many organizations/businesses/groups are you a fan of on Facebook? | Less than 5 | Drop Down, select one | Single | Y | Skip Logic | FB Fans | |||
| 5 - 10 | ||||||||||
| More than 10 | ||||||||||
| Not sure | ||||||||||
| G | Based on the information you receive from CDC's Facebook posts, how likely are you to make changes to your lifestyle to improve your health? | Very likely | Radio Button | Single | Y | Skip Logic | FB Lifestyle Change | |||
| Likely | ||||||||||
| Unlikely | ||||||||||
| Very Unlikely | ||||||||||
| H | What best describes how often you visit YouTube? | Daily | Drop Down, select one | Single | Y | Skip Logic | YouTube Frequency | |||
| Weekly | ||||||||||
| A few times per month | ||||||||||
| Monthly or less often | ||||||||||
| This was my first time | ||||||||||
| I | What do you think of the availability of new YouTube videos from CDC? | I think you should provide new videos more frequently | Radio button | Single | Y | Skip Logic | YouTube posts | |||
| I think the frequency with which you add videos is fine | ||||||||||
| I think there are too many videos | ||||||||||
| No opinion | ||||||||||
| J | What kind of topics would you like to see videos about on the CDC YouTube page? | Text area, no char limit | N | Skip Logic | YouTube_OE Topics | |||||
| K | How many CDC YouTube videos did you watch today? | 1 | Drop Down, select one | Single | Y | Skip Logic | YouTube Videos Watched | |||
| 2 | ||||||||||
| 3-5 | ||||||||||
| More than 5 | ||||||||||
| Not sure | ||||||||||
| L | Approximately how many organizations/businesses/groups do you watch videos of on YouTube? | Less than 5 | Drop Down, select one | Single | Y | Skip Logic | YouTube Fans | |||
| 5 - 10 | ||||||||||
| More than 10 | ||||||||||
| Not sure | ||||||||||
| M | Based on the information you receive from CDC's YouTube videos, how likely are you to make changes to your lifestyle to improve your health? | Very likely | Radio Button | Single | Y | Skip Logic | YouTube Lifestyle Change | |||
| Likely | ||||||||||
| Unlikely | ||||||||||
| Very Unlikely | ||||||||||
| N | What best describes how often you visit Twitter? | Daily | Drop Down, select one | Single | Y | Skip Logic | Twitter Frequency | |||
| Weekly | ||||||||||
| A few times per month | ||||||||||
| Monthly or less often | ||||||||||
| This was my first time | ||||||||||
| O | What do you think of the frequency of CDC tweets? | I think you should tweet more often | Radio button | Single | Y | Skip Logic | Twitter posts | |||
| I think the frequency of tweets is fine as is | ||||||||||
| I think you should tweet less often | ||||||||||
| No opinion | ||||||||||
| P | What kind of topics would you like to see tweets about on CDC's Twitter page? | Text area, no char limit | N | Skip Logic | Twitter_OE Topics | |||||
| Q | Approximately how many organizations/businesses/groups do you follow on Twitter? | Less than 5 | Drop Down, select one | Single | Y | Skip Logic | Twitter Fans | |||
| 5 - 10 | ||||||||||
| More than 10 | ||||||||||
| Not sure | ||||||||||
| R | Based on the information you receive from CDC's Twitter, how likely are you to make changes to your lifestyle to improve your health? | Very likely | Radio Button | Single | Y | Skip Logic | Twitter Lifestyle Change | |||
| Likely | ||||||||||
| Unlikely | ||||||||||
| Very Unlikely | ||||||||||
| S | What best describes how often you visit Flickr? | Daily | Drop Down, select one | Single | Y | Skip Logic | Flickr Frequency | |||
| Weekly | ||||||||||
| A few times per month | ||||||||||
| Monthly or less often | ||||||||||
| This was my first time | ||||||||||
| T | What do you think of the availability of new CDC photos on Flickr? | I think you should provide new photos more frequently | Radio button | Single | Y | Skip Logic | Flickr posts | |||
| I think the frequency with which you update is fine as is | ||||||||||
| I think there are too many photos | ||||||||||
| No opinion | ||||||||||
| U | What kind of photos would you like to see on CDC's Flickr page? | Text area, no char limit | Single | N | Skip Logic | Flickr OE | ||||
| V | Approximately how many organizations/businesses/groups do you follow on Flickr? | Less than 5 | Drop Down, select one | Single | Y | Skip Logic | Flickr Fans | |||
| 5 - 10 | ||||||||||
| More than 10 | ||||||||||
| Not sure | ||||||||||
| W | Based on the information you receive from CDC's Flickr page, how likely are you to make changes to your lifestyle to improve your health? | Very likely | Radio Button | Single | Y | Skip Logic | Flickr Lifestyle Change | |||
| Likely | ||||||||||
| Unlikely | ||||||||||
| Very Unlikely |
|
|||||||||
| X | What best describes how often you visit LinkedIn? | Daily | Drop Down, select one | Single | Y | Skip Logic | LinkedIn Frequency | |||
| Weekly | ||||||||||
| A few times per month | ||||||||||
| Monthly or less often | ||||||||||
| This was my first time | ||||||||||
| Y | What do you think of the frequency of posts from CDC on LInkedIn? | I think you should have more posts | Radio button | Single | Y | Skip Logic | LinkedIn posts | |||
| I think the number of posts is fine as is | ||||||||||
| I think you should have less posts | ||||||||||
| No opinion | ||||||||||
| Z | What kind of topics would you like to see posts about on the CDC LinkedIn page? | Text area, no char limit | N | Skip Logic | LinkedIn_OE Topics | |||||
| AA | Approximately how many organizations/businesses/groups do you follow on LinkedIn? | Less than 5 | Drop Down, select one | Single | Y | Skip Logic | LinkedIn Fans | |||
| 5 - 10 | ||||||||||
| More than 10 | ||||||||||
| Not sure | ||||||||||
| BB | Based on the information you receive from CDC's LinkedIn page, how likely are you to make changes to your lifestyle to improve your health? | Very likely | Radio Button | Single | Y | Skip Logic | LinkedIn Lifestyle Change | |||
| Likely | ||||||||||
| Unlikely | ||||||||||
| Very Unlikely | ||||||||||
| Which of these best describes you? | Individual interested in health issues | Checkbox, one-up vertical | Single | Y | Skip Logic | Role | ||||
| Friend or family member of an individual interested in health issues | ||||||||||
| Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) | B | |||||||||
| Public Health Professional | C | |||||||||
| Emergency health professional (First responder, EMT, Paramedic) | ||||||||||
| Researcher or scientist | ||||||||||
| Educator, teacher or trainer | ||||||||||
| Student | ||||||||||
| Policymaker, legislator, or staff | ||||||||||
| Other, please specify: | A | |||||||||
| A | Please describe your role in coming to this CDC social media channel: | Text area, no char limit | N | Skip Logic | OE_Role | |||||
| B | Which best describes your role as a Healthcare Provider: | Doctor | Y | HP Role | ||||||
| Nurse (LPN, RN, NP, PA) | ||||||||||
| Pharmacist | ||||||||||
| Other, please specify: | D | |||||||||
| D | Please describe your role as a Healthcare Provider: | Text area, no char limit | N | Skip Logic | OE_HP Role | |||||
| C | Please describe your role as a Public Health Professional: | State Public Health Professional | Y | PHP Role | ||||||
| Local Public Health Professional | ||||||||||
| Tribal Public Health Professional | ||||||||||
| Federal Public Health Professional | ||||||||||
| Not-for-Profit Public Health Professional | ||||||||||
| Other, please specify: | E | |||||||||
| E | Please describe your role as a Public Health Professional: | Text area, no char limit | N | Skip Logic | OE_PHP Role | |||||
| How did you find the CDC social media channel you visited today: | A link on www.cdc.gov | Radio button | Single | Y | Skip Logic | Awareness | ||||
| A text message from CDC | ||||||||||
| Search engine | ||||||||||
| Follow CDC on another social media channel | ||||||||||
| Word of mouth | ||||||||||
| Email subscriptions/RSS Feeds | ||||||||||
| A blog post mentioning the CDC social media channel | ||||||||||
| Referral or links from other websites | ||||||||||
| Media/news story | ||||||||||
| CDC mobile app | ||||||||||
| Other, please specify | A | |||||||||
| A | Please describe how you first found the CDC social media channel you visited today: | Text area, no char limit | Single | Skip Logic | OE_Awareness | |||||
| Which of the following additional channels/applications would you like CDC to develop/join? (Select all that apply) | Google+ | Checkbox, one-up vertical | Multi | Y | Skip Logic | Add Channels | ||||
| iPhone Apps | ||||||||||
| iPad Apps | ||||||||||
| Android Apps | ||||||||||
| Other, please specify | ||||||||||
| Please describe the other channels/applications would you like CDC to develop/join? | Text area, no char limit | Single | N | Skip Logic | OE_Add Channels | |||||
| Please select the level to which you agree or disagree with the following statements. CDC's social media posts are credible. |
1=Strongly Disagree | Radio button, scale, don't know | Single | Y | A/D_Credible | |||||
| 2 | ||||||||||
| 3 | ||||||||||
| 4 | ||||||||||
| 5= Strongly Agree | ||||||||||
| Don't Know | ||||||||||
| CDC's social media posts are relevant. | 1=Strongly Disagree | Radio button, scale, don't know | Single | Y | A/D_Relevant | |||||
| 2 | ||||||||||
| 3 | ||||||||||
| 4 | ||||||||||
| 5= Strongly Agree | ||||||||||
| Don't Know | ||||||||||
| CDC's social media posts are actionable. | 1=Strongly Disagree | Radio button, scale, don't know | Single | Y | A/D_Actionable | |||||
| 2 | ||||||||||
| 3 | ||||||||||
| 4 | ||||||||||
| 5= Strongly Agree | ||||||||||
| Don't Know | ||||||||||
| CDC's social media posts are informative. | 1=Strongly Disagree | Radio button, scale, don't know | Single | Y | A/D_Informative | |||||
| 2 | ||||||||||
| 3 | ||||||||||
| 4 | ||||||||||
| 5= Strongly Agree | ||||||||||
| Don't Know | ||||||||||
| CDC's social media posts are understandable. | 1=Strongly Disagree | Radio button, scale, don't know | Single | Y | A/D_Understandable | |||||
| 2 | ||||||||||
| 3 | ||||||||||
| 4 | ||||||||||
| 5= Strongly Agree | ||||||||||
| Don't Know | ||||||||||
| How frequently have you visited the CDC website in the last 6 months? | Never | Drop Down, select one | Single | Y | Website Visit Freq | |||||
| Once | ||||||||||
| 2-5 times | ||||||||||
| 6-15 times | ||||||||||
| 16 or more times | ||||||||||
| Don't Know | ||||||||||
| In general, which of the following social media services have you actively participated with in the last 30 days (e.g. posted/shared comments, tweeted, etc.) | Checkbox, one-up vertical | Multi | Y | SM - Active Participation | ||||||
| YouTube | ||||||||||
| Flickr | ||||||||||
| Google+ | ||||||||||
| Internet Forums | ||||||||||
| Blogs | ||||||||||
| Other | ||||||||||
| What is your age? | 13-19 years old | Drop Down, select one | Single | Y | Age | |||||
| 20-24 years old | ||||||||||
| 25-34 years old | ||||||||||
| 35-44 years old | ||||||||||
| 45-49 years old | ||||||||||
| 50-54 years old | ||||||||||
| 55-65 years old | ||||||||||
| 65 and older | ||||||||||
| Prefer not to answer | ||||||||||
| How would you describe yourself? | White (not of Hispanic heritage) | Checkbox, one-up vertical | Multi | Y | Ethnicity | |||||
| Hispanic or Latino | ||||||||||
| Asian | ||||||||||
| Black or African American | ||||||||||
| 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 | Education | |||||
| Some college | ||||||||||
| College degree | ||||||||||
| Advanced degree | ||||||||||
| Prefer not to answer | ||||||||||
| What is your gender? | Female | Radio button, one-up vertical | Single | Y | Gender | |||||
| Male | ||||||||||
| Transgender | ||||||||||
| Prefer not to answer | ||||||||||
| Do you have any additional feedback about how CDC's social media services could better meet your needs? | Text area, no char limit | Single | N | Additional Feedback | ||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |