Form 689 2013 689 NWHIC V2 Questionnaire

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Overview

Model Qsts
Custom Qsts

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Sheet 1: Model Qsts

Model Instance Name:
NWHIC V2
MID:		1Y4UEQFldJMBdVx5NIskUw4C
Partitioned (Y/N)? Y
FPI Included(Y/N)? N
Date:		9/10/2013
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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)
1	Content - Accuracy	Please rate your perception of the accuracy of information on this site.	17	Satisfaction - Overall	What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)	20	Return	How likely are you to return to this site?
2	Content - Quality	Please rate the quality of information on this site.	18	Satisfaction - Expectations	How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)			Recommend (1=Very Unlikely, 10=Very Likely)
3	Content - Freshness	Please rate the freshness of content on this site.	19	Satisfaction - Ideal	How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)	21	Recommend	How likely are you to recommend this site to someone else?
		Site Performance (1=Poor, 10=Excellent, Don't Know)
4	Site Performance - Loading	Please rate how quickly pages load on this site.
5	Site Performance - Consistency	Please rate the consistency of speed from page to page on this site.
6	Site Performance - Errors	Please rate the ability to load pages without getting error messages on this site.
		Functionality (1=Poor, 10=Excellent, Don't Know)
7	Functionality - Usefulness	Please rate the usefulness of the features provided on this site (such as National Women's Health Week, BodyWorks, Spotlight on Women's Health).
8	Functionality - Convenient	Please rate the convenient placement of the features on this site (such as National Women's Health Week, BodyWorks, Spotlight on Women's Health).
9	Functionality - Variety	Please rate the variety of features on this site (such as National Women's Health Week, BodyWorks, Spotlight on Women's Health).
		Look and Feel (1=Poor, 10=Excellent, Don't Know)
10	Look and Feel - Appeal	Please rate the visual appeal of this site.
11	Look and Feel - Balance	Please rate the balance of graphics and text on this site.
12	Look and Feel - Readability	Please rate the readability of the pages on this site.
		Navigation (1=Poor, 10=Excellent, Don't Know)
13	Navigation - Organized	Please rate how well the site is organized.
14	Navigation - Options	Please rate the options available for navigating this site.
15	Navigation - Layout	Please rate how well the site layout helps you find what you are looking for.
16	Navigation - Clicks	Please rate the number of clicks to get where you want on this site.

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Sheet 2: Custom Qsts

Model Instance Name:				red & strike-through: DELETE
NWHIC V2				underlined & italicized: RE-ORDER
MID:				pink: ADDITION
Partitioned (Y/N)? Y
FPI Included(Y/N)? N
Date:	1/14/2011			blue + -->: REWORDING
NWHIC V2 CUSTOM QUESTION LIST
QID (Group ID)	Skip Logic Label	Question Text	Answer IDs (DOT ONLY)	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	25 character limit. Leave blank if you want DOT to fill this part out. CQ Label
MAC1670		How frequently do you visit this site?	MAC1670A01	Daily or almost daily		Drop down, select one	Single	Y
			MAC1670A02	Two to three times a week						Frequency of Visit
			MAC1670A03	About once a week
			MAC1670A04	Two to three times a month
			MAC1670A05	About once a month
			MAC1670A06	Once every two or three months
			MAC1670A07	Every 6 months or less
			MAC1670A08	First time
MAC1671		Which best describes you?	MAC1671A01	General public		Radio button, one-up vertical	S	Y	OPS Group	Describes
			MAC1671A02	Health care provider
			MAC1671A03	Public health professional
			MAC1671A04	Non-governmental organization
			MAC1671A05	Researcher
			MAC1671A06	Media professional
			MAC1671A07	College/graduate student
			MAC1671A08	Grade 9-12 student
			MAC1671A09	Federal government
			MAC1671A10	State or local government
			MAC1671A11	Other, please specify:					Anchor Answer Choice
MAC1672		Other best describes:				Text field, <100 char		N		Other, best describes
MAC1673		What were you primarily looking for on this website?	MAC1673A01	Prevention or wellness information		Radio button, one-up vertical	S	Y	Randomize	Reason for Visit
			MAC1673A02	Particular disease or condition
			MAC1673A03	Research findings or journal articles					OPS Group
			MAC1673A04	Programs/activities
			MAC1673A05	News
			MAC1673A06	Health care providers and hospitals
			MAC1673A07	Health insurance information
			MAC1673A08	Medical dictionary
			MAC1673A09	Women’s health publications to order or download and print
			MAC1673A10	Just browsing/nothing specific
			MAC1673A11	Other, please specify:					Anchor Answer Choice
MAC1674		Other primarily looking for:				Text area, no char limit
MAC1675		Did you find the information you were hoping to obtain?	MAC1675A01	Yes		Drop down, select one	S	Y	Skip Logic Group	Found Info
			MAC1675A02	No	A
			MAC1675A03	Not yet	A
MAC1676	A	If you did not find the information, please specify what information you were looking for:				Text area, no char limit		N	Skip Logic Group	Information Seeking
MAC1677		We would like to hear your suggestions on how we can expand or improve our website. What additional information or features would you like to see added?				Text area, no char limit		N		Health Topics
MAC1678		We're working to make womenshealth.gov better and we'd like your help. Please provide us with your e-mail address if you would be willing to take another survey sometime in the future. Thank you!				Text area, no char limit		N		Emails