Form 658 2013 658 HHS NCI Home Page Site Feedback Qnaire

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Overview

Welcome and Thank You Text
Model Qsts
Custom Qsts

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Sheet 1: Welcome and Thank You Text

Model Instance Name:
Home Page Site Feedback
MID:	NEW
Date:	8/06/2013
Welcome and Thank You Text
	Welcome Text
	Thank you for visiting the National Cancer Institute (NCI) website and for participating in this survey, which is being conducted by ForeSee Results on behalf of NCI. Please take a few minutes to share your opinions of the home page with us. All responses are strictly confidential.
	Thank You Text
	Thank you for taking the time to complete this survey. Your comments are very valuable to us and will be helpful in improving our home page. All comments will be read, but we regret that we cannot respond directly.

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Sheet 2: Model Qsts

Model Instance Name:
Home Page Site Feedback
MID:	NEW
Partitioned (Y/N)?	No
FPI Included(Y/N)?	No
NOTE: All non-partitioned surveys will NOT be imputed and the elements will be rotated as a default unless otherwise specified and approved by Research.
Date:	8/06/2013
Home Page Site Feedback
		CUSTOMER SATISFACTION
	MQ Label
	Satisfaction - Overall	What is your overall satisfaction with this home page? (1=Very Dissatisfied, 10=Very Satisfied)
	Satisfaction - Expectations	How well does this home page meet your expectations? (1=Falls Short, 10=Exceeds)
	Satisfaction - Ideal	How does this home page compare to your idea of an ideal home page? (1=Not Very Close, 10=Very Close)

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Sheet 3: Custom Qsts

Model Instance Name:			red & strike-through: DELETE
Home Page Site Feedback			underlined & italicized: RE-ORDER
MID:	NEW		pink: ADDITION
Date:	8/06/2013		blue + -->: REWORDING
Home Page Site Feedback CUSTOM QUESTION LIST
CQID	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
NEW		In what role are you visiting the National Cancer Institute’s website today?	Patient with cancer-related disease or condition		Radio button, one-up vertical	Single	Yes		Role
			Family member, friend, or acquaintance of a patient
			Health care provider / Health professional
			Scientist Researcher
			Student
			Other
NEW		Based on your experience with the home page, which of the following best describes the kind of organization responsible for this website?	A private company		Radio button, one-up vertical	Single	Yes		Organization
			An organization that promotes cancer awareness
			A U.S. government agency
			A media or news organization
			Not sure
NEW		Based on your experience with the home page, which of the following best describes the purpose of this organization? (Check all that apply)	Provides information about cancer for patients		Checkbox, one-up vertical	Multi	Yes	Skip Logic Group*	Purpose
			Conducts cancer research
			Funds cancer research
			Sets cancer research priorities
			Convenes meetings about cancer research
			Not sure
			Other	A
NEW	A	Please briefly describe the other purpose of this organization.			Text area, no char limit				Other Purpose
NEW		Please complete this sentence: I am visiting the NCI website today to find information on ____ (Check all that apply)	Research funding (grants, contracts, etc.)		Checkbox, one-up vertical	Multi	Yes	Skip Logic Group*	Visiting
			NCI’s research priorities
			Research tools and resources
			Research training
			Information about cancer treatment, prevention, or screening
			Quitting smoking
			Cancer symptoms
			Clinical trials
			The National Cancer Institute
			Other	B
NEW	B	Please briefly explain what other information you are seeking.			Text area, no char limit			Skip Logic Group*	Other Visiting
NEW		On the home page, how easy was it for you to see a button, link, or path to the kind of information you were looking for?	Very easy		Radio button, one-up vertical	Single	Yes		How Easy
			Somewhat easy
			Not easy
NEW		If you could make one improvement to the home page, what would it be?			Text area, no char limit				Improvement