Model Instance Name: |
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red & strike-through: DELETE |
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NIAID October 2011 |
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underlined & italicized: RE-ORDER |
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MID: FxMhZ0ohpUwcNwZEQs10Zw== |
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pink: ADDITION |
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Date: |
8/31/2011 |
blue + -->: REWORDING |
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NIAID October 2011 CUSTOM QUESTION LIST |
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QID |
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 |
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SAC3980 |
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How frequently do you visit this site? |
First time |
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Every 6 months or less |
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SAC3981 |
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What is your primary purpose for visiting this site? |
Find general information about NIAID |
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Reason for Visit |
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Find information on diseases and conditions |
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Find information on research funding |
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Find information on research programs |
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Find information on labs at NIAID |
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Find training or employment opportunities |
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Find information on research news |
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Other, please specify: |
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SAC3982 |
A |
Please specify primary purpose for visiting this site today: |
open |
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Other Reason for Visit |
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SAC3983 |
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In what role are you visiting the NIAID website today? |
Patient with a specific disease or condition |
A1A, A3A |
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Family member, Friend or Acquaintance of a Patient |
A1B, A3B, B1A |
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Health Care Provider/Health Professional |
C, D, E, C1A |
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Scientist Researcher |
AK, F, D1A, D1B |
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General Health Consumer |
AM, A1C |
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NIAID employee or contractor |
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Advocate |
AO, A1C |
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Media/Journalist |
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Policy Maker |
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Public Health Official |
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Student |
AQ, A1C |
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Educator/Teacher |
A1C |
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Librarian or Information professional |
A1C |
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Other |
G |
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SAC3984 |
G |
Please specify what best describes your role in visiting the NIAID Web site today. |
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Other role |
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SAC3985 |
A1A |
Which best describes your specific role? |
Patient diagnosed with a disease or condition |
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Patient role |
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Patient in treatment for a disease or condition |
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Person concerned about being at risk for a disease or condition |
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Other |
A2A |
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SAC3986 |
A2A |
Please specify your role as a patient: |
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Text area, no char limit |
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N |
skip group |
Other patient role |
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SAC3987 |
A1B |
Which best describes your specific role? |
Person concerned about someone else |
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Single |
Y |
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Family/Friend role |
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Person concerned about being at risk for a disease or condition |
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Other |
A2B |
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SAC3988 |
A2B |
Please specify your role as a family member, friend or acquaintance. |
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Text area, no char limit |
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N |
skip group |
Other family/friend role |
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SAC3989 |
B1A |
Are you the caregiver for a patient? |
Yes |
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Caregiver |
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No |
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A3A |
How do you plan to use the information you find on this site today? |
Give information to a family member or friend |
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Patient info usage |
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Share and talk about information with my health care provider |
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For my own personal use |
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Didn't find what I wanted |
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Not sure yet |
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Other |
A4A |
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SAC3991 |
A4A |
Please specify how you plan to use the information you find on the site today: |
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Text area, no char limit |
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N |
skip group |
Other Patient Info Usage |
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SAC3992 |
A3B |
How do you plan to use the information you find on this site today? |
Give information to a family member or friend |
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Radio button, one-up vertical |
Single |
Y |
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Family/Friend Info Usage |
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Share and talk about information with my health care provider |
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For my own personal use |
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Didn't find what I wanted |
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Not sure yet |
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Other |
A4B |
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SAC3993 |
A4B |
Please specify how you plan to use the information you find on the site today: |
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Text area, no char limit |
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skip group |
Other Fam/Friend Info Usage |
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SAC3994 |
AM |
Which best describes your specific role as a general health consumer? |
Person with a health concern |
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Health Consumer role |
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Person interested in learning more about a disease or condition |
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Other |
AN |
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SAC3995 |
AN |
Please specify your role as a general health consumer: |
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Text area, no char limit |
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Other health consumer role |
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SAC3996 |
AO |
Which best describes your specific role as an advocate? |
Patient advocate |
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Advocate role |
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Policy advocate |
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Research advocate |
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Other |
AP |
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SAC3997 |
AP |
Please specify your role as an advocate: |
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Text area, no char limit |
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skip group |
Other advocate role |
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SAC3998 |
AQ |
Which best describes your specific role as a student? |
Elementary school |
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Student role |
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Middle school |
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High school |
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College/University |
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Graduate school |
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Post-graduate school (including medical school) |
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Other |
AR |
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SAC3999 |
AR |
Please specify your role as a student: |
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Text area, no char limit |
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skip group |
Other student role |
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SAC4000 |
A1C |
How do you plan to use the information you find on this site today? |
Give information to a family member or friend |
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Radio button, one-up vertical |
Single |
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skip group |
Advocate info usage |
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Share and talk about information with my health care provider |
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For my own personal use |
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Use to do homework or class assignment |
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Use as teaching material or for a class |
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Didn't find what I wanted |
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Not sure yet |
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Other |
A2C |
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SAC4001 |
A2C |
Please specify how you plan to use the information you find on the site today: |
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Text area, no char limit |
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skip group |
Other advocate info usage |
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SAC4002 |
C |
Which best describes your specific role? |
Physician |
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Single |
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skip group |
Healthcare role |
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Nurse/Nurse practitioner |
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Care coordinator/Case manager/Patient navigator |
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Pharmacist |
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Physician assistant |
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Counselor/Clinical social worker |
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Dietician/Nutritionist |
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Other |
K |
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SAC4003 |
K |
Please specify your role as a health professional: |
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skip group |
Other health prof role |
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SAC4004 |
C1A |
Are you involved in clinical research? |
Yes |
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Single |
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skip group |
Clinical research |
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No |
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SAC4005 |
D |
Do you specialize in the care of patients with allergy or infectious diseases? |
Yes |
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Single |
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Allergy/infection Disease Health Prof |
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No |
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SAC4006 |
E |
How do you plan to use the information you find on this site today? |
Keep myself up-to-date/Improve my understanding of clinical research findings |
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Radio button, one-up vertical |
Single |
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skip group |
Health Prof Info Usage |
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Improve my understanding of basic research concepts and findings |
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Plan or verify treatment |
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Learn how to become a clinical trial investigator |
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Provide information to a patient or family member |
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Provide clinical trial information to a patient or family member |
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Provide information to other health care providers |
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Provide information to students |
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For my personal use |
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Didn’t find what I wanted |
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Not sure yet |
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Other |
L |
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SAC4007 |
L |
Please specify how you plan to use the information you find on this site today: |
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Text area, no char limit |
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skip group |
Other Health Prof Info Usage |
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SAC4008 |
AK |
Which best describes your specific role? |
Post doctoral fellow |
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Single |
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skip group |
Scientist Researcher Role |
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Prospective researcher |
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First-time researcher |
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New Principal Investigator (PI) |
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Long-time/Experienced researcher |
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Research manager/Administrator |
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Other |
AL |
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SAC4009 |
AL |
Please specify your role as a scientist researcher: |
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Text area, no char limit |
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skip group |
Other Sci Researcher Role |
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ACQCas0025690 |
D1A |
Have you ever applied for research funding from NIAID? |
Yes |
N, M |
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Applied for Funding |
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No |
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I am currently working on my first application for research funding |
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ACQCas0025691 |
N |
Have you ever received research funding from NIAID? |
Yes |
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No |
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ACQCas0025704 |
M |
How many times have you applied for research funding from NIAID? |
Once |
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2-5 times |
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6-10 times |
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More than 10 times |
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SAC4011 |
D1B |
Are you involved in… |
Clinical research |
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Single |
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Sci Research Type |
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Basic research |
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Both |
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SAC4012 |
F |
How do you plan to use the information you find on this site today? |
Learn about NIAID research priorities |
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Radio button, one-up vertical |
Single |
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Sci Research Info Usage |
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Improve my understanding of basic research concepts and findings |
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Keep myself up-to-date/Improve my understanding of clinical research findings |
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Develop a research proposal |
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Provide information to other scientist/researchers |
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Provide information to students |
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For my personal use |
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Didn’t find what I wanted |
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Not sure yet |
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Other |
M |
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SAC4013 |
M |
Please specify how you plan to use the information you find on this site today: |
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Text area, no char limit |
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skip group |
Other Sci Research Info Usage |
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SAC4014 |
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Have you found the information you were looking for on the NIAID site today? |
Yes |
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Radio button, one-up vertical |
Single |
Y |
skip group |
Found Information |
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No |
A |
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SAC4015 |
A |
Please specify what you are unable to find on the NIAID site: |
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Text area, no char limit |
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N |
skip group |
Information Seeking |
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SAC4016 |
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Which of the following ways did you primarily look for information? |
Type in text box (Search Tool) |
A |
Radio button, one-up vertical |
Single |
Y |
skip group |
Look for Info |
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Navigate by Health or Research topic/subject |
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Navigate by Research Funding |
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Navigate by latest News and Events |
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Navigate by Labs and Scientific Resources |
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More than one of the above |
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No Preference/Not Sure |
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Other |
B |
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SAC4017 |
B |
Please specify how you looked for information: |
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Text area, no char limit |
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N |
skip group |
Other Look for Info |
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SAC4018 |
A |
Which of the following difficulties did you experience when typing into the text box (search tool)? (Please select all that apply) |
Search results were not helpful |
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Checkbox, one-up vertical |
Single |
Y |
skip group |
Search Difficulty |
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Returned too many results |
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Returned too few results |
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Returned no results |
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Returned results that were too similar/redundant |
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Results were not relevant to my search |
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I did not encounter any difficulties |
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anchor/exclusive |
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SAC4019 |
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Which of the following navigation difficulties did you experience on the site today? (Please select all that apply) |
Could not get back to previous information |
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Checkbox, one-up vertical |
Single |
N |
skip group |
Navigation Difficulty |
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Would often feel lost, not know where I was |
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Links did not take me where I expected |
A |
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Links/labels are too difficult to understand |
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Too many links or navigational choices |
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Had technical difficulties (e.g. broken link) |
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I had no difficulty navigating on this site |
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anchor/exclusive |
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SAC4020 |
A |
Please describe in as much detail as possible the links or labels that did not take you where you expected: |
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skip group |
OE_Nav Difficulty |
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SAC4021 |
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Please tell us how we can improve the NIAID site to better meet your needs: |
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Text area, no char limit |
open |
N |
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Improvements |
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SAC4022 |
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In the last three months, which of the following have you done? (Please select all that apply) |
Signed up for email updates on NIAID.gov |
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Checkbox, one-up vertical |
multi |
y |
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social media |
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Visited or "liked" NIAID's Facebook page |
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Followed NIAID's Twitter profile |
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Sent a NIAID E-card |
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Shared or viewed an image on the NIAID Flickr page |
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Watched a video on NIAID.gov or NIAID's YouTube page |
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Listened to podcasts on NIAID.gov |
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None of the above |
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anchor/exclusive |
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SAC4023 |
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Please rank the top 3 factors that brought you to the website today. (Rank 1 = Most important) Rank 1 |
Message or recommendation from a friend on a social network |
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Drop down, select one |
Single |
Y |
Rank Group |
SV - Rank 1 |
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Video I saw on YouTube |
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Internet blogs or discussion forums |
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Adjust Template/Style Sheet |
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Advertising on social networks (Facebook, My Space, Twitter) |
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Randomize |
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Message directly from NIAID on a social network |
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Mobile phone text messages or alerts |
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Instant Message from a friend or colleague |
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Familiarity with site/organization |
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Email Alerts |
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Search engine results |
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Word of mouth recommendation from someone I know |
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TV, radio, newspaper, or magazine advertising |
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Internet advertising |
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Link from another website |
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Don't know |
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Anchor Answer Choice |
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Other |
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Anchor Answer Choice |
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SAC4024 |
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Rank 2 |
Message or recommendation from a friend on a social network |
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Drop down, select one |
Single |
N |
Rank Group |
SV - Rank 2 |
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Video I saw on YouTube |
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Internet blogs or discussion forums |
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Adjust Template/Style Sheet |
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Advertising on social networks (Facebook, My Space, Twitter) |
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Randomize |
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Message directly from NIAID on a social network |
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Mobile phone text messages or alerts |
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Instant Message from a friend or colleague |
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Familiarity with site/organization |
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Email Alerts |
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Search engine results |
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Word of mouth recommendation from someone I know |
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TV, radio, newspaper, or magazine advertising |
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Internet advertising |
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Link from another website |
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Don't know |
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Anchor Answer Choice |
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Other |
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Anchor Answer Choice |
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SAC4025 |
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Rank 3 |
Message or recommendation from a friend on a social network |
|
Drop down, select one |
Single |
N |
Rank Group |
SV - Rank 3 |
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Video I saw on YouTube |
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Internet blogs or discussion forums |
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Adjust Template/Style Sheet |
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Advertising on social networks (Facebook, My Space, Twitter) |
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Randomize |
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Message directly from NIAID on a social network |
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Mobile phone text messages or alerts |
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Instant Message from a friend or colleague |
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Familiarity with site/organization |
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Email Alerts |
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Search engine results |
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Word of mouth recommendation from someone I know |
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TV, radio, newspaper, or magazine advertising |
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Internet advertising |
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Link from another website |
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Don't know |
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Anchor Answer Choice |
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Other |
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Anchor Answer Choice |
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SAC4026 |
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If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter) |
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|
Text area, no char limit |
|
N |
|
SV - Other Social Network |
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ACQCas0025705 |
|
Do you ever access the Internet using a mobile phone or tablet? |
Yes |
A, B, D |
Radio button, one-up vertical |
Single |
Y |
|
Access Mobile Internet |
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No |
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ACQCas0025706 |
A |
Which of the following devices do you have? |
A SmartPhone |
W |
Radio button, one-up vertical |
Multi |
Y |
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Phone or Tablet |
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A tablet |
X |
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None of these |
|
Matthew Castillo:
Made the none of these option exclusive. Let me know if you want this changed.
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ACQCas0025707 |
W |
Specifically, which type of mobile phone do you have? |
iPhone |
|
Radio button, one-up vertical |
Single |
Y |
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Phone Type |
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Android |
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Blackberry |
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Another phone |
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ACQCas0025708 |
X |
Specifically, which type of tablet do you have? |
iPad |
|
Radio button, one-up vertical |
Single |
Y |
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Tablet Type |
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Kindle |
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Android |
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Blackberry |
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Another tablet |
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ACQCas0025709 |
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 |
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No, but I plan to do so |
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No, but I might in the future |
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No, and I don't plan to do so |
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ACQCas0025710 |
C |
Have you ever accessed the NIAID site using a mobile phone or tablet? |
Yes |
Y, Z |
Radio button, one-up vertical |
Single |
Y |
|
Mobile Site Usage |
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|
No, but I plan to do so |
Z |
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No, but I might in the future |
Z |
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No, and I don't plan to do so |
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ACQCas0025692 |
D |
Have you ever accessed the NIAID Social Media sites (e.g. Facebook, LinkedIn, etc.) using a mobile phone or tablet? |
Yes |
|
Radio button, one-up vertical |
Single |
Y |
|
Mobile Social Media |
|
|
|
No, but I plan to do so |
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No, but I might in the future |
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No, and I don't plan to do so |
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ACQCas0025693 |
Y |
What was the main reason you last visited the NIAID site using a mobile phone or tablet? |
|
|
Text area, no char limit |
Single |
N |
|
Primary Reason |
|
ACQCas0025711 |
Z |
What resources/additional resources might you want to access from the NIAID site using a mobile phone or tablet? |
|
|
Text area, no char limit |
Single |
N |
|
Desired Resources |
|