Form 610 2012 610 NCCAM Questionnaire 12.31.12
American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Surveys
2012 610 NCCAM Questionnaire 12.31.12.xls
2012 610 NCCAM Questionnaire 12.31.12.xls
OMB: 1090-0008
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1090-0008 can be found here:
Document [xlsx]
Download: xlsx | pdf
Current Model Qsts
Current CQs
Current CQs (12-31-12)
Overview
GuidelinesCurrent Model Qsts
Current CQs
Current CQs (12-31-12)
Sheet 1: Guidelines
| Questionnaire Management Guidelines | ||||||||||||||||||||
| Goals: | ||||||||||||||||||||
| � | One consolidated document to track all model and CQ changes throughout the life of the project | |||||||||||||||||||
| � | Questionnaire always matches the live survey | |||||||||||||||||||
| � | Easy and error-free way to submit CQ changes | |||||||||||||||||||
| � | All changes tracked and reflected in one document (DOT will help) | |||||||||||||||||||
| Questionnaire Resources: | ||||||||||||||||||||
| 1 | Questionnaire Design and Approval Process | |||||||||||||||||||
| 2 | Question Grouping Rules | |||||||||||||||||||
| 3 | OPS vs. Skip Logic Decision for "Other, Please Specify" | |||||||||||||||||||
| 4 | Foreign Language Survey Instructions | |||||||||||||||||||
Sheet 2: Current Model Qsts
| Model Instance Name: | ||||||||
| NCCAM | 
|
|||||||
| MID: | Existing Measure - Please fill in; New Measure - DOT will fill in | |||||||
| Partitioned (Y/N)? | Y | |||||||
| NOTE: All non-partitioned surveys will NOT be imputed and the elements will be rotated as a default unless otherwise specified and approved by Research. | ||||||||
| Date: | 9/21/2012 | |||||||
| NCCAM | ||||||||
| Model questions utilize the ACSI methodology to determine scores and impacts | ||||||||
| ELEMENTS (drivers of satisfaction) | CUSTOMER SATISFACTION | FUTURE BEHAVIORS | ||||||
| MQ Label | MQ Label | MQ Label | ||||||
| Content (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Return (1=Very Unlikely, 10=Very Likely) | ||||||
| Content - Accuracy | Please rate your perception of the accuracy of information on this site. | Satisfaction - Overall | What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied) |
Return | How likely are you to return to this site in the next 30 days? | |||
| Content - Quality | Please rate the quality of information on this site. | Satisfaction - Expectations | How well does this site meet your expectations? (1=Falls Short, 10=Exceeds) |
Recommend (1=Very Unlikely, 10=Very Likely) | ||||
| Content - Freshness | Please rate the freshness of content on this site. | Satisfaction - Ideal | How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close) |
Recommend | How likely are you to recommend this site to someone else? | |||
| Look and Feel (1=Poor, 10=Excellent, Don't Know) | Primary Resource (1=Very Unlikely, 10=Very Likely) | |||||||
| Look and Feel - Appeal | Please rate the visual appeal of this site. | Primary Resource | How likely are you to use this site as your primary resource for information regarding complementary and alternative medicine? | |||||
| Look and Feel - Balance | Please rate the balance of graphics and text on this site. | Share Information | Share Information (1=Very Unlikely, 10=Very Likely) | |||||
| Look and Feel - Readability | Please rate the readability of the pages on this site. | How likely are you to share information from this site with a family member, friend or health care professional? | ||||||
| Navigation (1=Poor, 10=Excellent, Don't Know) | ||||||||
| Navigation - Organized | Please rate how well the site is organized. | 
|
||||||
| Navigation - Options | Please rate the options available for navigating this site. | 
|
||||||
| Navigation - Layout | Please rate how well the site layout helps you find what you are looking for. | |||||||
| Plain Language (1=Poor, 10=Excellent, Don't Know) | ||||||||
| Plain Language - Clear | Please rate the clarity of the wording on this site. | |||||||
| Plain Language - Understandable | Please rate how well you understand the wording on this site. | |||||||
| Plain Language - Concise | Please rate this site on its use of short, clear sentences. | |||||||
| Site Performance (1=Poor, 10=Excellent, Don't Know) | ||||||||
| Site Performance - Loading | Please rate how quickly pages load on this site. | |||||||
| Site Performance - Consistency | Please rate the consistency of speed from page to page on this site. | |||||||
| Site Performance - Errors | Please rate the ability to load pages without getting error messages on this site. | |||||||
Sheet 3: Current CQs
| underlined & italicized: RE-ORDER | |||||||||
| pink: ADDITION | |||||||||
| 9/21/2012 | blue + -->: REWORDING | ||||||||
| 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 | |
| How frequently do you visit this site? | This is my first visit | Radio button, one-up vertical | Single | Y | Frequency | ||||
| Every few months or less often | |||||||||
| Monthly | |||||||||
| Weekly | |||||||||
| Several times a week | |||||||||
| Daily/more than once a day | |||||||||
| What is your role in visiting the site today? | General health consumer | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Role | |||
| Patient | |||||||||
| Friend or relative of patient | |||||||||
| Researcher | |||||||||
| Complementary/alternative medicine practitioner | |||||||||
| Other health care professional | A | ||||||||
| Student | |||||||||
| Educator | |||||||||
| Other, please specify: | B | ||||||||
| B | What is your role in visiting the site today? | Text area, no char limit | N | OE_Role | |||||
| A | Whay type of health care professional? | Physician | Text area, no char limit | Single | N | Skip Logic Group* | Health Care Prof. | ||
| Nurse | |||||||||
| Other, please specify: | O | ||||||||
| O | Please specify the type of health care professional | OE_Health Care Prof. | |||||||
| What is your primary reason for visiting this site today? | To look for general CAM/health information | C | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Primary Reason | ||
| To look for information about conditions | |||||||||
| To look for information about treatments | |||||||||
| To look for safety information | |||||||||
| To look for clinical guidelines | |||||||||
| To look for research results | D | ||||||||
| To look for grants and funding information | E | ||||||||
| To look for training programs/continuing education | |||||||||
| To find a CAM practitioner | |||||||||
| To look for employment opportunities | |||||||||
| To read news | |||||||||
| To look for upcoming events | |||||||||
| Other, please specify: | F | Anchor Answer Choice | |||||||
| F | What is your primary reason for visiting this site today? | Text area, no char limit | N | OE_Primary Reason | |||||
| C | What specific information were you looking for today? | Text area, no char limit | N | OE_Specific Health Info | |||||
| D | What specific data were you looking for today? | Text area, no char limit | N | OE_Specific Data | |||||
| E | More specifically, what type of funding information were you looking for? (Please select all that apply.) | Available funding opportunities | Checkbox, one-up vertical | Multi | Y | Skip Logic Group* | Specific Funding Info | ||
| Policies regarding funding | |||||||||
| List of grants that have already been awarded | |||||||||
| Help in applying for grants | |||||||||
| Other, please specify: | G | Anchor Answer Choice | |||||||
| G | What other funding information were you looking for today? | Text area, no char limit | N | OE_Specific Funding Info | |||||
| What sections of the site did you visit today? (Please select all that apply.) | Health | Checkbox, one-up vertical | Multi | Y | Skip Logic Group* | Site Sections | |||
| Research | |||||||||
| Grants & funding | |||||||||
| Training | |||||||||
| News | |||||||||
| About NCCAM | |||||||||
| Resources for health care providers | |||||||||
| NCCAM research blog | |||||||||
| "Time to Talk" | |||||||||
| Other, please specify: | H | Anchor Answer Choice | |||||||
| H | What other section of the site did you visit today? | Text area, no char limit | N | OE_Other Section | |||||
| Did you find what you were looking for on the site today? | Yes | Drop down, select one | Single | Y | Skip Logic Group* | Ability to Find | |||
| Still looking | |||||||||
| I wasn't looking for anything in particular | |||||||||
| No, I wanted to find: | I | Anchor Answer Choice | |||||||
| I | Please tell us specifically what you were unable to find: | Text area, no char limit | N | OE_Didn't Find | |||||
| What additional information or resources would you like to see included on this site? | Text area, no char limit | N | OE_Additional Info | ||||||
| Which of the following online resources do you find helpful when making decisions about your health? (Please select all that apply.) | Findings from new research studies (e.g. recent findings about meditation and respiratory infections, etc.) | Checkbox, one-up vertical | Multi | Y | OE_Helpful Online Resources | ||||
| Fact sheet about how to understand research articles (e.g. how studies are done, how to understand results, etc.) | |||||||||
| Tips on how to interpret a group of medical studies (that many have differing results) | |||||||||
| Online tuorial to learn in-depth information about specific health topics (such as the placebo effect, internet-based health resources, etc.) | |||||||||
| How did you look for information on/navigate the site today? (Please select all that apply.) | Search feature | J,R | Checkbox, one-up vertical | Multi | Y | Skip Logic Group* | Navigation Method | ||
| Top navigation bar | K,S | ||||||||
| Health links (left side) | K,S | ||||||||
| Research links (middle) | K,S | ||||||||
| News links (right) | K,S | ||||||||
| Other links in the middle of homepage | K,S | ||||||||
| Bottom navigation bar | K,S | ||||||||
| Navigating through the site | K,S | ||||||||
| Site map | K,S | ||||||||
| Other, please specify: | L | Anchor Answer Choice | |||||||
| L | Other way I looked for information: | Text area, no char limit | N | OE_Other Method | |||||
| J | Please tell us about your experience with the site's search feature today. (Please select all that apply.) | Search results were helpful | Checkbox, one-up vertical | Multi | Y | Skip Logic Group* | Search Experience | ||
| Results were not relevant/not what I wanted | |||||||||
| Too many results/I needed to refine my search | |||||||||
| Not enough results | |||||||||
| Returned NO results | |||||||||
| Received error message(s) | |||||||||
| Search speed was too slow | |||||||||
| I experienced a different search issue (please explain): | M | Anchor Answer Choice | |||||||
| M | Other search issue: | Text area, no char limit | N | OE_Search Exp | |||||
| R | How can we make the search feature more useful to you? | Text area, no char limit | N | OE_Improve Search | |||||
| K | How would you describe your navigation experience on this site today? (Please select all that apply.) | I had no difficulty navigating/browsing on this site | Checkbox, one-up vertical | Y | Skip Logic Group* | Navigation Experience | |||
| Links often did not take me where I expected | |||||||||
| Had difficulty finding relevant information | |||||||||
| Links/labels are difficult to understand | |||||||||
| Too many links/navigational options to choose from | |||||||||
| Had technical difficulties (error messages, broken links, etc.) | |||||||||
| Could not navigate back to previous information | |||||||||
| I had a navigation difficulty not listed above (please explain): | N | Anchor Answer Choice | |||||||
| N | Other navigation issue: | Text area, no char limit | N | OE_Nav Exp | |||||
| S | What specific ways can we improve your experience navigating on the site? | Text area, no char limit | N | OE_Nav Improve | |||||
| Which of the following sources drove you to visit the site today? Please rank the top 3 (Rank 1 is most important). Rank 1 (Required) |
Message or recommendation from a friend on a social network | Drop down, select one | Single | Y | Rank Group* | SMV-Rank 1 | |||
| Video I saw on YouTube | Adjust Template/Style Sheet | ||||||||
| Internet blogs or discussion forums | Randomize | ||||||||
| Advertising on social networks (Facebook,Twitter) | |||||||||
| Message directly from the company on a social network | |||||||||
| Online Pinboard (Pinterest) | |||||||||
| Mobile phone text messages or alerts | |||||||||
| Instant Message from a friend or colleague | |||||||||
| Familiarity with site | |||||||||
| Email list / newsletter from the site | |||||||||
| Search engine results | |||||||||
| Word of mouth recommendation from someone I know | |||||||||
| TV, radio, newspaper, or magazine | |||||||||
| Referred by another website or link | |||||||||
| Don't know | Anchor Answer Choice | ||||||||
| Other | Anchor Answer Choice | ||||||||
| Rank 2 (Optional) | Message or recommendation from a friend on a social network | Drop down, select one | Single | N | Rank Group* | SMV-Rank 2 | |||
| Video I saw on YouTube | Adjust Template/Style Sheet | ||||||||
| Internet blogs or discussion forums | Randomize | ||||||||
| Advertising on social networks (Facebook,Twitter) | |||||||||
| Message directly from the company on a social network | |||||||||
| Online Pinboard (Pinterest) | |||||||||
| Mobile phone text messages or alerts | |||||||||
| Instant Message from a friend or colleague | |||||||||
| Familiarity with site | |||||||||
| Email list / newsletter from the site | |||||||||
| Search engine results | |||||||||
| Word of mouth recommendation from someone I know | |||||||||
| TV, radio, newspaper, or magazine | |||||||||
| Referred by another website or link | |||||||||
| Don't know | Anchor Answer Choice | ||||||||
| Other | Anchor Answer Choice | ||||||||
| Rank 3 (Optional) | Message or recommendation from a friend on a social network | Drop down, select one | Single | N | Rank Group* | SMV-Rank 3 | |||
| Video I saw on YouTube | Adjust Template/Style Sheet | ||||||||
| Internet blogs or discussion forums | Randomize | ||||||||
| Advertising on social networks (Facebook,Twitter) | |||||||||
| Message directly from the company on a social network | |||||||||
| Online Pinboard (Pinterest) | |||||||||
| Mobile phone text messages or alerts | |||||||||
| Instant Message from a friend or colleague | |||||||||
| Familiarity with site | |||||||||
| Email list / newsletter from the site | |||||||||
| Search engine results | |||||||||
| Word of mouth recommendation from someone I know | |||||||||
| TV, radio, newspaper, or magazine | |||||||||
| Referred by another website or link | |||||||||
| Don't know | Anchor Answer Choice | ||||||||
| Other | Anchor Answer Choice | ||||||||
| Do you ever access the Internet using a mobile phone or tablet? | Yes | A, B | Radio button, one-up vertical | Single | Y | Access Mobile Internet | |||
| No | |||||||||
| A | Which of the following devices do you have? | A SmartPhone | Checkbox, one-up vertical | Multi | Y | Phone or Tablet | |||
| A tablet | |||||||||
| None of these | |||||||||
| B | Have you ever accessed ANY federal website using a mobile phone or tablet? | Yes | C | Radio button, one-up vertical | Single | Y | Federal Mobile Site Usage | ||
| No, but I plan to do so | |||||||||
| No, but I might in the future | |||||||||
| No, and I don't plan to do so | |||||||||
| C | Have you ever accessed NCCAM's site using a mobile phone or tablet? | Yes | Y, Z | Radio button, one-up vertical | Single | Y | Mobile Site Usage | ||
| No, but I plan to do so | Z | ||||||||
| No, but I might in the future | Z | ||||||||
| No, and I don't plan to do so | |||||||||
| Y | What was the main reason you last visited NCCAM.NIH.gov using a mobile phone or tablet? | Text area, no char limit | Single | N | Primary Reason | ||||
| Z | What resources/additional resources might you want to access from NCCAM using a mobile phone or tablet? | Text area, no char limit | Single | N | Desired Resources | ||||
| If you could make one improvement to the NCCAM site, what would it be? | Text area, no char limit | N | OE_Improvement | ||||||
| How do you use/plan to use the information from NCCAM? | Text area, no char limit | N | OE_NCCAM Info Use | ||||||
Sheet 4: Current CQs (12-31-12)
| underlined & italicized: RE-ORDER | |||||||||
| pink: ADDITION | |||||||||
| 9/21/2012 | blue + -->: REWORDING | ||||||||
| 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 | |
| How frequently do you visit this site? | This is my first visit | Radio button, one-up vertical | Single | Y | Frequency | ||||
| Every few months or less often | |||||||||
| Monthly | |||||||||
| Weekly | |||||||||
| Several times a week | |||||||||
| Daily/more than once a day | |||||||||
| What is your role in visiting the site today? | General health consumer | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Role | |||
| Patient | |||||||||
| Friend or relative of patient | |||||||||
| Researcher | |||||||||
| Complementary/alternative medicine practitioner | |||||||||
| Other health care professional | A | ||||||||
| Student | |||||||||
| Educator | |||||||||
| Other, please specify: | B | ||||||||
| B | What is your role in visiting the site today? | Text area, no char limit | N | OE_Role | |||||
| A | Whay type of health care professional? | Physician | Text area, no char limit | Single | N | Skip Logic Group* | Health Care Prof. | ||
| Nurse | |||||||||
| Other, please specify: | O | ||||||||
| O | Please specify the type of health care professional | OE_Health Care Prof. | |||||||
| What is your primary reason for visiting this site today? | To look for general CAM/health information | C | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Primary Reason | ||
| To look for information about conditions | |||||||||
| To look for information about treatments | |||||||||
| To look for safety information | |||||||||
| To look for clinical guidelines | |||||||||
| To look for research results | D | ||||||||
| To look for grants and funding information | E | ||||||||
| To look for training programs/continuing education | |||||||||
| To find a CAM practitioner | |||||||||
| To look for employment opportunities | |||||||||
| To read news | |||||||||
| To look for upcoming events | |||||||||
| Other, please specify: | F | Anchor Answer Choice | |||||||
| F | What is your primary reason for visiting this site today? | Text area, no char limit | N | OE_Primary Reason | |||||
| C | What specific information were you looking for today? | Text area, no char limit | N | OE_Specific Health Info | |||||
| D | What specific data were you looking for today? | Text area, no char limit | N | OE_Specific Data | |||||
| E | More specifically, what type of funding information were you looking for? (Please select all that apply.) | Available funding opportunities | Checkbox, one-up vertical | Multi | Y | Skip Logic Group* | Specific Funding Info | ||
| Policies regarding funding | |||||||||
| List of grants that have already been awarded | |||||||||
| Help in applying for grants | |||||||||
| Other, please specify: | G | Anchor Answer Choice | |||||||
| G | What other funding information were you looking for today? | Text area, no char limit | N | OE_Specific Funding Info | |||||
| What sections of the site did you visit today? (Please select all that apply.) | Health | Checkbox, one-up vertical | Multi | Y | Skip Logic Group* | Site Sections | |||
| Research | |||||||||
| Grants & funding | |||||||||
| Training | |||||||||
| News | |||||||||
| About NCCAM | |||||||||
| Resources for health care providers | |||||||||
| NCCAM research blog | |||||||||
| "Time to Talk" | |||||||||
| Other, please specify: | H | Anchor Answer Choice | |||||||
| H | What other section of the site did you visit today? | Text area, no char limit | N | OE_Other Section | |||||
| Did you find what you were looking for on the site today? | Yes | Drop down, select one | Single | Y | Skip Logic Group* | Ability to Find | |||
| Still looking | |||||||||
| I wasn't looking for anything in particular | |||||||||
| No, I wanted to find: | I | Anchor Answer Choice | |||||||
| I | Please tell us specifically what you were unable to find: | Text area, no char limit | N | OE_Didn't Find | |||||
| What additional information or resources would you like to see included on this site? | Text area, no char limit | N | OE_Additional Info | ||||||
| Which of the following online resources do you find helpful when making decisions about your health? (Please select all that apply.) | Findings from new research studies (e.g. recent findings about meditation and respiratory infections, etc.) | Checkbox, one-up vertical | Multi | Y | OE_Helpful Online Resources | ||||
| Fact sheet about how to understand research articles (e.g. how studies are done, how to understand results, etc.) | |||||||||
| Tips on how to interpret a group of medical studies (that many have differing results) | |||||||||
| Online tuorial to learn in-depth information about specific health topics (such as the placebo effect, internet-based health resources, etc.) | |||||||||
| How did you look for information on/navigate the site today? (Please select all that apply.) | Search feature | J,R | Checkbox, one-up vertical | Multi | Y | Skip Logic Group* | Navigation Method | ||
| Top navigation bar | K,S | ||||||||
| Health links (left side) | K,S | ||||||||
| Research links (middle) | K,S | ||||||||
| News links (right) | K,S | ||||||||
| Other links in the middle of homepage | K,S | ||||||||
| Bottom navigation bar | K,S | ||||||||
| Navigating through the site | K,S | ||||||||
| Site map | K,S | ||||||||
| Other, please specify: | L | Anchor Answer Choice | |||||||
| L | Other way I looked for information: | Text area, no char limit | N | OE_Other Method | |||||
| J | Please tell us about your experience with the site's search feature today. (Please select all that apply.) | Search results were helpful | Checkbox, one-up vertical | Multi | Y | Skip Logic Group* | Search Experience | ||
| Results were not relevant/not what I wanted | |||||||||
| Too many results/I needed to refine my search | |||||||||
| Not enough results | |||||||||
| Returned NO results | |||||||||
| Received error message(s) | |||||||||
| Search speed was too slow | |||||||||
| I experienced a different search issue (please explain): | M | Anchor Answer Choice | |||||||
| M | Other search issue: | Text area, no char limit | N | OE_Search Exp | |||||
| R | How can we make the search feature more useful to you? | Text area, no char limit | N | OE_Improve Search | |||||
| K | How would you describe your navigation experience on this site today? (Please select all that apply.) | I had no difficulty navigating/browsing on this site | Checkbox, one-up vertical | Y | Skip Logic Group* | Navigation Experience | |||
| Links often did not take me where I expected | |||||||||
| Had difficulty finding relevant information/products | |||||||||
| Links/labels are difficult to understand | |||||||||
| Too many links/navigational options to choose from | |||||||||
| Had technical difficulties (error messages, broken links, etc.) | |||||||||
| Could not navigate back to previous information | |||||||||
| I had a navigation difficulty not listed above (please explain): | N | Anchor Answer Choice | |||||||
| N | Other navigation issue: | Text area, no char limit | N | OE_Nav Exp | |||||
| S | What specific ways can we improve your experience navigating on the site? | Text area, no char limit | N | OE_Nav Improve | |||||
| Which of the following sources drove you to visit the site today? Please rank the top 3 (Rank 1 is most important). Rank 1 (Required) |
Message or recommendation from a friend on a social network | Drop down, select one | Single | Y | Rank Group* | SMV-Rank 1 | |||
| Video I saw on YouTube | Adjust Template/Style Sheet | ||||||||
| Internet blogs or discussion forums | Randomize | ||||||||
| Advertising on social networks (Facebook,Twitter) | |||||||||
| Message directly from the company on a social network | |||||||||
| Online Pinboard (Pinterest) | |||||||||
| Mobile phone text messages or alerts | |||||||||
| Instant Message from a friend or colleague | |||||||||
| Familiarity with site | |||||||||
| Email list / newsletter from the site | |||||||||
| Search engine results | |||||||||
| Word of mouth recommendation from someone I know | |||||||||
| TV, radio, newspaper, or magazine | |||||||||
| Referred by another website or link | |||||||||
| Don't know | Anchor Answer Choice | ||||||||
| Other | Anchor Answer Choice | ||||||||
| Rank 2 (Optional) | Message or recommendation from a friend on a social network | Drop down, select one | Single | N | Rank Group* | SMV-Rank 2 | |||
| Video I saw on YouTube | Adjust Template/Style Sheet | ||||||||
| Internet blogs or discussion forums | Randomize | ||||||||
| Advertising on social networks (Facebook,Twitter) | |||||||||
| Message directly from the company on a social network | |||||||||
| Online Pinboard (Pinterest) | |||||||||
| Mobile phone text messages or alerts | |||||||||
| Instant Message from a friend or colleague | |||||||||
| Familiarity with site | |||||||||
| Email list / newsletter from the site | |||||||||
| Search engine results | |||||||||
| Word of mouth recommendation from someone I know | |||||||||
| TV, radio, newspaper, or magazine | |||||||||
| Referred by another website or link | |||||||||
| Don't know | Anchor Answer Choice | ||||||||
| Other | Anchor Answer Choice | ||||||||
| Rank 3 (Optional) | Message or recommendation from a friend on a social network | Drop down, select one | Single | N | Rank Group* | SMV-Rank 3 | |||
| Video I saw on YouTube | Adjust Template/Style Sheet | ||||||||
| Internet blogs or discussion forums | Randomize | ||||||||
| Advertising on social networks (Facebook,Twitter) | |||||||||
| Message directly from the company on a social network | |||||||||
| Online Pinboard (Pinterest) | |||||||||
| Mobile phone text messages or alerts | |||||||||
| Instant Message from a friend or colleague | |||||||||
| Familiarity with site | |||||||||
| Email list / newsletter from the site | |||||||||
| Search engine results | |||||||||
| Word of mouth recommendation from someone I know | |||||||||
| TV, radio, newspaper, or magazine | |||||||||
| Referred by another website or link | |||||||||
| Don't know | Anchor Answer Choice | ||||||||
| Other | Anchor Answer Choice | ||||||||
| Do you ever access the Internet using a mobile phone or tablet? | Yes | A, B | Radio button, one-up vertical | Single | Y | Access Mobile Internet | |||
| No | |||||||||
| A | Which of the following devices do you have? | A SmartPhone | Checkbox, one-up vertical | Multi | Y | Phone or Tablet | |||
| A tablet | |||||||||
| None of these | |||||||||
| B | Have you ever accessed ANY federal website using a mobile phone or tablet? | Yes | C | Radio button, one-up vertical | Single | Y | Federal Mobile Site Usage | ||
| No, but I plan to do so | |||||||||
| No, but I might in the future | |||||||||
| No, and I don't plan to do so | |||||||||
| C | Have you ever accessed NCCAM's site using a mobile phone or tablet? | Yes | Y, Z | Radio button, one-up vertical | Single | Y | Mobile Site Usage | ||
| No, but I plan to do so | Z | ||||||||
| No, but I might in the future | Z | ||||||||
| No, and I don't plan to do so | |||||||||
| Y | What was the main reason you last visited NCCAM.NIH.gov using a mobile phone or tablet? | Text area, no char limit | Single | N | Primary Reason | ||||
| Z | What resources/additional resources might you want to access from NCCAM using a mobile phone or tablet? | Text area, no char limit | Single | N | Desired Resources | ||||
| If you could make one improvement to the NCCAM site, what would it be? | Text area, no char limit | N | OE_Improvement | ||||||
| How do you use/plan to use the information from NCCAM? | Text area, no char limit | N | OE_NCCAM Info Use | ||||||
| File Type | application/vnd.ms-excel |
| File Title | Questionnaire Production Guidelines_Template |
| Author | Professional Services |
| Last Modified By | Department Of The Interior |
| File Modified | 2013-01-09 |
| File Created | 2001-08-03 |
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