| Model Instance Name: | |||||
| NIDCR Spanish (Engl Equiv) | |||||
| MID: | ck4Elsw855ltYlJ51wUwoQ== | ||||
| Date: | 7/10/2009 | ||||
| \ | |||||
| Model questions utilize the ACSI methodology to determine scores and impacts | |||||
| ELEMENTS (drivers of satisfaction) | CUSTOMER SATISFACTION | FUTURE BEHAVIORS | |||
| Content | Satisfaction | Likelihood to Return | |||
| (1=Poor, 10=Excellent, Don't Know) | (1=Poor, 10=Excellent) | (1=Not Very Likely, 10=Very Likely) | |||
| 1 | Please rate the accuracy of information on this site. | 21 | What is your overall satisfaction with this site? | 24 | How likely are you to return to this site? |
| 2 | Please rate the quality of information on this site. | 22 | How well does this site meet your expectations? | Recommend | |
| (1=Not Very Likely, 10=Very Likely) | |||||
| 3 | Please rate the freshness of content on this site. | 23 | How does this site compare to your idea of an ideal website? | 25 | How likely are you to recommend this site to someone else? |
| Functionality | Primary Resource | ||||
| (1=Poor, 10=Excellent, Don't Know) | (1=Not Very Likely, 10=Very Likely) | ||||
| 4 | Please rate the usefulness of the information provided on this site. | 26 | How likely are you to use this site as your primary resource for oral health information? | ||
| 5 | Please rate the convenience of the information on this site. | ||||
| 6 | Please rate the ability to accomplish what you wanted on this site. |
|
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| Look and Feel | |||||
| (1=Poor, 10=Excellent, Don't Know) | |||||
| 7 | Please rate the ease of reading on this site. | ||||
| 8 | Please rate the clarity of site organization. | ||||
| 9 | Please rate the clean layout of this site. | ||||
| Navigation | |||||
| (1=Poor, 10=Excellent, Don't Know) | |||||
| 10 | Please rate the degree to which the number of steps it took to get where you want is acceptable. | ||||
| 11 | Please rate the ability to find information you want on this site. | ||||
| 12 | Please rate the clarity of the site map. | ||||
| 13 | Please rate the ease of navigation on this site. | ||||
| Site Performance | |||||
| (1=Poor, 10=Excellent, Don't Know) | |||||
| 14 | Please rate the speed of loading the pages on this site. | ||||
| 15 | Please rate the consistency of speed on this site. | ||||
| 16 | Please rate the reliability of site performance on this site. | ||||
| Search | |||||
| (1=Poor, 10=Excellent, Don't Know) | |||||
| Please rate the usefulness of the search results on this site. | |||||
| 17 | |||||
| 18 | Please rate how well this site provides comprehensive search results. | ||||
| Please rate the organization of search results on this site. | |||||
| 19 | |||||
| 20 | Please rate how the search feature helps you to narrow the results to find the information you want. | ||||
| Model Instance Name: | ||||||||||
| NIDCR Spanish (Engl Equiv) | underlined & italicized: RE-ORDER | |||||||||
| MID: | ck4Elsw855ltYlJ51wUwoQ== | pink: ADDITION | ||||||||
| Date: | 9/6/2012 | blue + -->: REWORDING | ||||||||
| NIDCR Spanish (Engl Equiv) 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 | CQ Label |
| KFB05000 | How often do you visit the NIDCR website? | First time | Radio button, one-up vertical | Single | Yes | Visit Frequency | ||||
| Daily | ||||||||||
| About once a week | ||||||||||
| About once a month | ||||||||||
| Once or twice a year | ||||||||||
| KFB05001 | How did you find out about this site? | Search Engine (e.g. Google, Yahoo, Excite) | Radio button, one-up vertical | Single | Yes | Find Out About | ||||
| Followed Español link from English NIDCR website | ||||||||||
| Link from another site | ||||||||||
| Publications/products | ||||||||||
| Family member, friend, neighbor, etc. | ||||||||||
| I don’t remember | ||||||||||
| Other (please specify) | A | |||||||||
| KFB05002 | A | Please specify how you found out about this site. | Text field, <100 char | Open | OPS_Find Out About | |||||
| KFB05003 | From where are you accessing this site? | United States | Radio button, one-up vertical | Single | Yes | Accessing | ||||
| Mexico | ||||||||||
| Puerto Rico | ||||||||||
| Central America | ||||||||||
| South America | ||||||||||
| Caribbean | ||||||||||
| Europe | ||||||||||
| Other (please specify): | B | |||||||||
| KFB05004 | B | Please specify from where you are accessing this site. | Text field, <100 char | Open | OPS_Accessing | |||||
| ACQWro0010185 | What information were you looking for today? | ACQWro0010185A01 | Gum disease (periodontitis and gingivitis) | Radio button, one-up vertical | Single | Yes | Skip Logic Group | Looking For | ||
| ACQWro0010185A02 | Dry mouth | |||||||||
| ACQWro0010185A03 | General oral and dental health | |||||||||
| ACQWro0010185A04 | Dental care | |||||||||
| ACQWro0010185A05 | Cancer treatment and oral health | |||||||||
| ACQWro0010185A06 | Publications | |||||||||
| ACQWro0010185A07 | Other topic | A | ||||||||
| ACQWro0010186 | A | Please specify the topic you were looking for today. | Text area, no char limit | Skip Logic Group | OPS_Looking For | |||||
| KFB05006 | Did you find what you were looking for on the NIDCR site? | Yes | Radio button, one-up vertical | Single | Yes | Did You Find | ||||
| No | ||||||||||
| Still looking for information when survey popped | ||||||||||
| Not looking for anything in particular | ||||||||||
| KFB05007 | How do you plan to use the information you find on this site today? | Text area, no char limit | Open | No | Plan to Use | |||||
| ACQOsl0002108 | How would you best describe the Spanish-language information on this website? | ACQOsl0002108A01 | Very difficult to understand | C | Radio button, one-up vertical | Single | Yes | Skip Logic Group | Comprehension | |
| ACQOsl0002108A02 | Somewhat difficult to understand | C | ||||||||
| ACQOsl0002108A03 | Somewhat easy to understand | F | ||||||||
| ACQOsl0002108A04 | Very easy to understand | |||||||||
| ACQWro0010187 | C | What topic or page was difficult to understand? | Text area, no char limit | Yes | Skip Logic Group | OE_Comprehension | ||||
| ACQinh0015663 | F | Is there any topic or page that could be simplified so it would be easier for visitors to understand? | Text area, no char limit | Skip Logic Group | OE_Simplified | |||||
| KFB05008 | What additional information or resources would you like to see included on our site? | Text area, no char limit | Open | No | Additional Info | |||||
| KFB05009 | If you could make one improvement to our site, what would it be? | Text area, no char limit | Open | No | Improvement | |||||
| KFB05010 | In the past year, what other health related sites have you used? | Text area, no char limit | Open | No | Other Sites | |||||
| KFB05011 | Which best describes you? | Person with a health concern | Radio button, one-up vertical | Single | Yes | Role | ||||
| Family member/friend of a person with a health concern | ||||||||||
| Health educator | ||||||||||
| Student | ||||||||||
| Health care provider | ||||||||||
| NIDCR staff | ||||||||||
| Other government staff | ||||||||||
| Media | ||||||||||
| Other (please specify) | D | |||||||||
| KFB05012 | D | Please specify your role in coming to this site. | Text area, no char limit | Open | No | OPS_Role | ||||
| KFB05013 | What is your gender? | Female | Radio button, one-up vertical | Single | No | Gender | ||||
| Male | ||||||||||
| KFB05014 | Which age category best describes you? | Under 18 | Radio button, one-up vertical | Single | No | Age | ||||
| 18-24 | ||||||||||
| 25-34 | ||||||||||
| 35-44 | ||||||||||
| 45-54 | ||||||||||
| 55-64 | ||||||||||
| 65-74 | ||||||||||
| 75+ | ||||||||||
| KFB05015 | What is the highest level of education that you have completed? | Less than high school | Radio button, one-up vertical | Single | No | Education | ||||
| Completed high school/GED | ||||||||||
| Some community college/vocational/technical school | ||||||||||
| Completed community college/vocational/technical school | ||||||||||
| Some college/university | ||||||||||
| Completed college/university | ||||||||||
| Graduate/professional degree | ||||||||||
| KFB05017 | Please specify your country or geographical region of origin: | United States | Radio button, one-up vertical | Single | Yes | Origin | ||||
| Mexico | ||||||||||
| Puerto Rico | ||||||||||
| Central America | ||||||||||
| South America | ||||||||||
| Caribbean | ||||||||||
| Europe | ||||||||||
| Other (please specify): | E | |||||||||
| KFB05018 | E | Please specify your country or geographical region of origin. | Text field, <100 char | Open | OPS_Origin | |||||
| KFB05019 | Do you speak English? | Yes | Radio button, one-up vertical | Single | Yes | Speak English | ||||
| No | ||||||||||
| KFB05020 | Do you prefer to read in Spanish or English? | Spanish | Radio button, one-up vertical | Single | Yes | Reading Preference | ||||
| English | ||||||||||
| Both Spanish and English | ||||||||||
| KFB05021 | Which of the following phrases best describes how you communicate at home? | I always speak Spanish | Radio button, one-up vertical | Single | Yes | Communicate at Home | ||||
| I speak more Spanish than English | ||||||||||
| I speak Spanish as often as I speak English | ||||||||||
| I speak more English than Spanish | ||||||||||
| I always speak English | ||||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |