| Model Instance Name: | 
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		| NIAMS Survey | 
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		| MID: | pNdwFkVhhx9dMQUowQBVVw== | 
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		| Date: | 8/8//2008 | 
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		| NIAMS Survey MODEL QUESTION LIST | 
	
		| Model questions utilize the ACSI methodology to determine scores and impacts | 
	
		| 
 | ELEMENTS (drivers of satisfaction) | 
 | CUSTOMER SATISFACTION | 
 | FUTURE BEHAVIORS | 
	
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 | Content (1=Poor, 10=Excellent, Don't Know) | 
 | Satisfaction (1=Poor, 10=Excellent) | 
 | Likelihood to Return (1=Not Very Likely, 10=Very Likely) | 
	
		| 1 | Please rate the accuracy of information on this site. | 23 | What is your overall satisfaction with this site? | 26 | How likely are you to return to this site? | 
	
		| 2 | Please rate the quality of information on this site. | 24 | 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. | 25 | How does this site compare to your idea of an ideal website? | 27 | How likely are you to recommend this site to someone else? | 
	
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 | Functionality (1=Poor, 10=Excellent, Don't Know) | 
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 | Primary Resource (1=Not Very Likely, 10=Very Likely) | 
	
		| 4 | Please rate the usefulness of the services provided on this site. | 
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 | 28 | How likely are you to use this site as your primary resource for obtaining information from this organization? | 
	
		| 5 | Please rate the convenience of the services on this site. | 
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		| 6 | Please rate the ability to accomplish what you wanted to on this site. | 
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 | Look and Feel (1=Poor, 10=Excellent, Don't Know) | 
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		| 7 | Please rate the ease of reading this site. | 
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		| 8 | Please rate the clarity of site organization. | 
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		| 9 | Please rate the clean layout of this site. | 
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 | Navigation (1=Poor, 10=Excellent, Don't Know) | 
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		| 10 | Please rate the degree to which the number of steps it took to get where you want is acceptable. | 
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		| 11 | Please rate the ability to find the information you want on this site. | 
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		| 12 | Please rate the clarity of site map/directory. | 
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		| 13 | Please rate the ease of navigation on this site. | 
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 | Site Performance (1=Poor, 10=Excellent, Don't Know) | 
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		| 14 | Please rate the speed of loading the page on this site. | 
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		| 15 | Please rate the consistency of speed on this site. | 
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		| 16 | Please rate the reliability of site performance on this site. | 
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 | Search (1=Poor, 10=Excellent, Don't Know) | 
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		| 23 | Please rate the usefulness of search results on this site. | 
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		| 24 | Please rate how this site provides comprehensive search results. | 
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		| 25 | Please rate the organization of search results for this site. | 
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		| 26 | Please rate how the search feature helps you to narrow the results to find the information you want. | 
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		| Model Instance Name: | 
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 | red & strike-through:  DELETE | 
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		| NIAMS Survey | 
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 | underlined & italicized: RE-ORDER | 
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		| MID: pNdwFkVhhx9dMQUowQBVVw== | 
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 | pink: ADDITION | 
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		| Date: | 3/1/2008 | blue + -->: REWORDING | 
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		| NIAMS Survey CUSTOM QUESTION LIST | 
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		| QID | Skip Logic Label / question order | Question Text | Answer Choices (limited to 50 characters)
 | Skip to | Type (select from list) | Single or Multi | Required Y/N
 | Special Instructions | 25 character limit. 
		CQ Label | 
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		| 6139 | 
 | How frequently do you visit this website? | First time | 
 | Radio button,  one-up vertical | Single | Y | 
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 | More than once a day | 
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 | Daily | 
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 | About once a week | 
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 | About once a month | 
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 | Every 6 months or less | 
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		| 6143 | 
 | Which of the following best describes your role in coming to the website today? | General public | 
 | Radio button,  one-up vertical | Single | Y | Skip Logic Group | 
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 | Representative from voluntary organization | 
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 | Representative from professional organization | 
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 | Patient | 
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 | Family member of a patient | 
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 | Scientist/Researcher | 
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 | Student | 
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 | Retired | 
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 | Health professional | 
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 | Media | 
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 | Other | F | 
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		| ACQCol0010235 | F | What other role describes you? | 
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 | Text field,  <100 char | Open | N | Skip Logic Group | Other_Role | 
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		| 6140 | 
 | Which of the following best describes what you are looking for visiting the website today? | Health related information | A | Radio button,  one-up vertical | Single | Y | 
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 | Patient research registries | 
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 | Grant information | 
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 | Contracts information | 
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 | NIAMS laboratories | 
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 | Clinical trials/studies with patients | 
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 | Researcher resources | 
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 | News and  events | 
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 | Employment opportunities | 
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 | Information about NIAMS | 
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 | Links to other organizations | 
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 | Information in Spanish | 
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 | Other | B | 
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		| 6141 | B | What other information were you looking for today? | 
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 | Text field,  <100 char | Open | N | 
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		| ACQOsl0002004 | A | What type of health related information were you primarily looking for today? | Arthritis/rheumatic diseases | 
 | Radio button,  one-up vertical | Single | Y | 
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 | Bone health and/or diseases | 
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 | Skin diseases | 
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 | Muscle injury and/or diseases | 
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 | Other | C | 
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		| ACQOsl0002005 | C | What other type of health related information were you looking for? | 
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 | Text field,  <100 char | Open | N | 
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		| 51948 | 
 | Did you find what you were looking for? | Yes | 
 | Dropdown (Select-one) | Single | Y | 
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 | No | A | 
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 | Still looking | 
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		| 6142 | A | What information could you not find? | 
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 | Text field,  <100 char | Open | N | 
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		| JDV00081 | 
 | How do you plan to use the information you find on this site today? | To share and discuss with my health care provider | 
 | Radio button,  one-up vertical | Single | Y | Skip Logic Group | 
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 | To address personal health issues | 
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 | To aid others who have health concerns | 
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 | To pursue a career as a medical researcher | 
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 | To support new or current research projects | 
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 | To explore or support business opportunities in the field of biomedical research | 
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 | To explore what you have to offer (just browsing) | 
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 | Physicians & other health care providers - improved understanding of basic research concepts and findings for my own clinical research | 
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 | Physicians & other health care providers - improved understanding of clinical research findings for my patient practice | 
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 | Other | Z | 
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		| ACQCol0010236 | Z | How else do you plan to use the information you found on the site? | 
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 | Text area,  no char limit | Single | N | Skip Logic Group | Other_Use Info | 
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		| 51949 | 
 | How did you look for the information today? | I used the search function | 
 | Radio button,  one-up vertical | Single | Y | 
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 | I used links from the Home Page | 
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 | I navigated using the top and left side navigation bars | 
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 | I got to the page through a link of another site | 
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 | I had a bookmark on the page I wanted | 
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 | I was browsing | 
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		| SAC6668 | 
 | 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 | 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, MySpace, Twitter) | 
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 | Randomize | 
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 | Message directly from the company 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/company/brand | 
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 | Promotional email(s) from the agency | 
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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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 | 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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		| SAC6669 | 
 | Rank 2 (Optional) | Message or recommendation from a friend on a social network | 
 | 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, MySpace, Twitter) | 
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 | Randomize | 
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 | Message directly from the company 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/company/brand | 
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 | Promotional email(s) from the agency | 
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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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 | 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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		| SAC6670 | 
 | Rank 3 (Optional) | 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, MySpace, Twitter) | 
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 | Randomize | 
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 | Message directly from the company 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/company/brand | 
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 | Promotional email(s) from the agency | 
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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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 | 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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		| SAC6671 | 
 | 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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		| 6144 | 
 | How could we improve our information to best meet your needs? | 
 | 
 | Text area,  no char limit | Single | N | 
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		| 
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 | 
	
	
	
	
	
	
	
	
	
	
	
		| Model Instance Name: | 
 | 
 | red & strike-through:  DELETE | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| NIAMS Survey | 
 | 
 | underlined & italicized: RE-ORDER | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| MID: pNdwFkVhhx9dMQUowQBVVw== | 
 | 
 | pink: ADDITION | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| Date: | 3/1/2008 | blue + -->: REWORDING | 
 | 
 | 
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		| 
 | 
 | 
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		| NIAMS Survey CUSTOM QUESTION LIST | 
 | 
 | 
 | 
	
		| QID | Skip Logic Label / question order | Question Text | Answer Choices (limited to 50 characters)
 | Skip to | Type (select from list) | Single or Multi | Required Y/N
 | Special Instructions | 25 character limit. 
		CQ Label | 
 | 
 | 
 | 
	
		| C6139 | 
 | How frequently do you visit this website? | First time | 
 | Radio button,  one-up vertical | Single | Y | 
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		| 
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 | More than once a day | 
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		| 
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 | Daily | 
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		| 
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 | About once a week | 
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		| 
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 | About once a month | 
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		| 
 | 
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 | Every 6 months or less | 
 | 
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 | 
	
		| C6143 | 
 | Which of the following best describes your role in coming to the website today? | General public | 
 | Radio button,  one-up vertical | Single | Y | Skip Logic Group | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Representative from voluntary organization | 
 | 
 | 
 | 
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 | 
 | 
	
		| 
 | 
 | 
 | Representative from professional organization | 
 | 
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		| 
 | 
 | 
 | Patient | 
 | 
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 | 
	
		| 
 | 
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 | Family member of a patient | 
 | 
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		| 
 | 
 | 
 | Scientist/Researcher | 
 | 
 | 
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		| 
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 | Student | 
 | 
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		| 
 | 
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 | Teacher | 
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		| 
 | 
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 | Retired | 
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 | Health professional | 
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 | Other | F | 
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		| 
 | F | What other role describes you? | 
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 | Text field,  <100 char | Open | N | Skip Logic Group | Other_Role | 
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		| C6140 | 
 | Which of the following best describes what you are looking for visiting the website today? | Health related information | A | Radio button,  one-up vertical | Single | Y | 
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 | Patient research registries | 
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 | Grant information | 
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 | Contracts information | 
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 | NIAMS laboratories | 
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 | Clinical trials/studies with patients | 
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 | Researcher resources | 
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 | News and  events | 
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 | Employment opportunities | 
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 | Information about NIAMS | 
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 | Links to other organizations | 
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 | Information in Spanish | 
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 | Other | B | 
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		| C6141 | B | What other information were you looking for today? | 
 | 
 | Text field,  <100 char | Open | N | 
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		| ACQOsl0002004 | A | What type of health related information were you primarily looking for today? | Arthritis/rheumatic diseases | 
 | Radio button,  one-up vertical | Single | Y | 
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 | Bone health and/or diseases | 
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 | Skin diseases | 
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 | Muscle injury and/or diseases | 
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 | Other | C | 
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		| ACQOsl0002005 | C | What other type of health related information were you looking for? | 
 | 
 | Text field,  <100 char | Open | N | 
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		| C51948 | 
 | Did you find what you were looking for? | Yes | 
 | Dropdown (Select-one) | Single | Y | 
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 | No | A | 
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 | Still looking | 
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		| C6142 | A | What information could you not find? | 
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 | Text field,  <100 char | Open | N | 
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		| CJDV00081 | 
 | How do you plan to use the information you find on this site today? | To share and discuss with my health care provider | 
 | Radio button,  one-up vertical | Single | Y | Skip Logic Group | 
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 | To address personal health issues | 
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 | To aid others who have health concerns | 
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 | To pursue a career as a medical researcher | 
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 | To support new or current research projects | 
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 | To explore or support business opportunities in the field of biomedical research | 
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 | To explore what you have to offer (just browsing) | 
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		| 
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 | Physicians & other health care providers - improved understanding of basic research concepts and findings for my own clinical research | 
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 | Physicians & other health care providers - improved understanding of clinical research findings for my patient practice | 
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 | Other | Z | 
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		| 
 | Z | How else do you plan to use the information you found on the site? | 
 | 
 | Text area,  no char limit | Single | N | Skip Logic Group | Other_Use Info | 
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		| C51949 | 
 | How did you look for the information today? | I used the search function | 
 | Radio button,  one-up vertical | Single | Y | 
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 | I used links from the Home Page | 
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 | I navigated using the top and left side navigation bars | 
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 | I got to the page through a link of another site | 
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 | I had a bookmark on the page I wanted | 
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		| 
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 | I was browsing | 
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		| 
 | 
 | 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 | 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, MySpace, Twitter) | 
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 | Randomize | 
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 | Message directly from the company 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/company/brand | 
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 | Promotional email(s) from the agency | 
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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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 | 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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 | Rank 2 (Optional) | Message or recommendation from a friend on a social network | 
 | Drop down,  select one | Single | N | Rank Group | SV - Rank 2 | 
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 | Video I saw on YouTube | 
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		| 
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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, MySpace, Twitter) | 
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 | Randomize | 
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		| 
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 | Message directly from the company 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/company/brand | 
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 | Promotional email(s) from the agency | 
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 | Search engine results | 
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 | Word of mouth recommendation from someone I know | 
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		| 
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 | TV, radio, newspaper, or magazine advertising | 
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 | Internet advertising | 
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		| 
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 | Don't know | 
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 | Anchor Answer Choice | 
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		| 
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 | Other | 
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 | Anchor Answer Choice | 
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		| 
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 | Rank 3 (Optional) | 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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		| 
 | 
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 | Video I saw on YouTube | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Internet blogs or discussion forums | 
 | 
 | 
 | 
 | Adjust Template/Style Sheet | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Advertising on social networks (Facebook, MySpace, Twitter) | 
 | 
 | 
 | 
 | Randomize | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Message directly from the company on a social network | 
 | 
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 | 
	
		| 
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 | Mobile phone text messages or alerts | 
 | 
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		| 
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 | Instant Message from a friend or colleague | 
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		| 
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 | Familiarity with site/company/brand | 
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		| 
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 | Promotional email(s) from the agency | 
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		| 
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 | Search engine results | 
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		| 
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 | Word of mouth recommendation from someone I know | 
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		| 
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 | TV, radio, newspaper, or magazine advertising | 
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		| 
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 | Internet advertising | 
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		| 
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 | Don't know | 
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 | Anchor Answer Choice | 
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		| 
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 | Other | 
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 | Anchor Answer Choice | 
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 | 
	
		| 
 | 
 | If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter) | 
 | 
 | Text area,  no char limit | 
 | N | 
 | SV - Other Social Network | 
 | 
 | 
 | 
	
		| C6144 | 
 | How could we improve our information to best meet your needs? | 
 | 
 | Text area,  no char limit | Single | N | 
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		| 
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 | 
	
	
	
	
	
	
	
	
	
	
		| Model Instance Name: | 
 | 
 | red & strike-through:  DELETE | 
 | 
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 | 
	
		| NIAMS Survey | 
 | 
 | underlined & italicized: RE-ORDER | 
 | 
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 | 
	
		| MID: pNdwFkVhhx9dMQUowQBVVw== | 
 | 
 | pink: ADDITION | 
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		| Date: | 3/1/2008 | blue + -->: REWORDING | 
 | 
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		| 
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 | 
	
		| NIAMS Survey CUSTOM QUESTION LIST | 
	
		| QID | Skip Logic Label / question order | Question Text | Answer Choices (limited to 50 characters)
 | Skip to | Type (select from list) | Single or Multi | Required Y/N
 | Special Instructions | 
	
		| C6139 | 
 | How frequently do you visit this website? | First time | 
 | Radio button,  one-up vertical | Single | Y | 
 | 
	
		| 
 | 
 | 
 | More than once a day | 
 | 
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 | 
 | 
 | 
	
		| 
 | 
 | 
 | Daily | 
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		| 
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 | About once a week | 
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		| 
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 | About once a month | 
 | 
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		| 
 | 
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 | Every 6 months or less | 
 | 
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 | 
 | 
	
		| C6143 | 
 | Which of the following best describes your role in coming to the website today? | General public | 
 | Radio button,  one-up vertical | Single | Y | 
 | 
	
		| 
 | 
 | 
 | Representative from voluntary organization | 
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 | 
	
		| 
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 | Representative from professional organization | 
 | 
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		| 
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 | Patient | 
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		| 
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 | Family member of a patient | 
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		| 
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 | Scientist/Researcher | 
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		| 
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 | Student | 
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		| 
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 | Teacher | 
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		| 
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 | Retired | 
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 | 
	
		| 
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 | Health professional | 
 | 
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 | 
	
		| 
 | 
 | 
 | Media | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Other | 
 | 
 | 
 | 
 | 
 | 
	
		| C6140 | 
 | Which of the following best describes what you are looking for visiting the website today? | Health related information | A | Radio button,  one-up vertical | Single | Y | 
 | 
	
		| 
 | 
 | 
 | Patient research registries | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Grant information | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Contracts information | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | NIAMS laboratories | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Clinical trials/studies with patients | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Researcher resources | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | News and  events | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Employment opportunities | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Information about NIAMS | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Links to other organizations | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Information in Spanish | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Other | B | 
 | 
 | 
 | 
 | 
	
		| C6141 | B | If you answered Other to the information you were looking for, please, specify:What other information were you looking for today?
 | 
 | 
 | Text field,  <100 char | Open | N | 
 | 
	
		| ACQOsl0002004 | A | What type of health related information were you primarily looking for today? | Arthritis/rheumatic diseases | 
 | Radio button,  one-up vertical | Single | Y | 
 | 
	
		| 
 | 
 | 
 | Bone health and/or diseases | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Skin diseases | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Muscle injury and/or diseases | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Other | C | 
 | 
 | 
 | 
 | 
	
		| ACQOsl0002005 | C | What other type of health related information were you looking for? | 
 | 
 | Text field,  <100 char | Open | N | 
 | 
	
		| C51948 | 
 | Did you find what you were looking for? | Yes | 
 | Dropdown (Select-one) | Single | Y | 
 | 
	
		| 
 | 
 | 
 | No | A | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Still looking | 
 | 
 | 
 | 
 | 
 | 
	
		| C6142 | A | If you could not find what you were looking for, what was it?What information could you not find?
 | 
 | 
 | Text field,  <100 char | Open | N | 
 | 
	
		| CJDV00081 | 
 | How do you plan to use the information you find on this site today? | To share and discuss with my health care provider | 
 | Radio button,  one-up vertical | Single | Y | 
 | 
	
		| 
 | 
 | 
 | To address personal health issues | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | To aid others who have health concerns | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | To pursue a career as a medical researcher | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | To support new or current research projects | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | To explore or support business opportunities in the field of biomedical research | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | To explore what you have to offer (just browsing) | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Physicians & other health care providers - improved understanding of basic research concepts and findings for my own clinical research | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Physicians & other health care providers - improved understanding of clinical research findings for my patient practice | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | Other | 
 | 
 | 
 | 
 | 
 | 
	
		| C51949 | 
 | How did you look for the information today? | I used the search function | 
 | Radio button,  one-up vertical | Single | Y | 
 | 
	
		| 
 | 
 | 
 | I used links from the Home Page | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | I navigated using the top and left side navigation bars | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | I got to the page through a link of another site | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | I had a bookmark on the page I wanted | 
 | 
 | 
 | 
 | 
 | 
	
		| 
 | 
 | 
 | I was browsing | 
 | 
 | 
 | 
 | 
 | 
	
		| C6144 | 
 | How could we improve our information to best meet your needs? | 
 | 
 | Text area,  no char limit | Single | N | 
 | 
	
		| 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 |