732 2013 732 SAMSHA Main Site 10-14-13
American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Surveys
2013 732 SAMSHA Main Site 10-14-13.xlsx
2013 729 Girls Health V2 10-31-13 - 2013 739 NIA Health and Aging 11-5-13
OMB: 1090-0008
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1090-0008 can be found here:
Document [xlsx]
Download: xlsx | pdf
Current Custom Qsts
Overview
Model QstsCurrent Custom Qsts
Sheet 1: Model Qsts
| Model Instance Name: | |||||||||
| SAMHSA Main Site v2 | underlined & italicized: RE-ORDER | ||||||||
| MID: will need new mid for the v2 measure | pink: ADDITION | ||||||||
| Date: | 7/30/2013 | blue + -->: REWORDING | |||||||
| SAMHSA Main Site v2 | |||||||||
| Model questions utilize the ACSI methodology to determine scores and impacts | |||||||||
| ELEMENTS (drivers of satisfaction) | CUSTOMER SATISFACTION | FUTURE BEHAVIORS | |||||||
| MQ labels | MQ labels | ||||||||
| Navigation (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Return (1=Very Unlikely, 10=Very Likely) | |||||||
| 1 | Navigation - Organized | Please rate how well the site is organized. | 19 | What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied) |
22 | Return | How likely are you to return to this site? | ||
| 2 | Navigation - Options | Please rate the options available for navigating this site. | 20 | How well does this site meet your expectations? (1=Falls Short, 10=Exceeds) |
Recommend (1=Very Unlikely, 10=Very Likely) | ||||
| 3 | Navigation - Layout | Please rate how well the site layout helps you find what you are looking for. | 21 | How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close) | 23 | Recommend | How likely are you to recommend this site to someone else? | ||
| Site Performance (1=Poor, 10=Excellent, Don't Know) | Primary Resource (1=Very Unlikely, 10=Very Likely) | ||||||||
| 4 | Site Performance - Loading | Please rate how quickly pages load on this site. | 24 | Primary Resource | How likely are you to use this site as your primary resource for obtaining information from this agency? | ||||
| 5 | Site Performance - Consistency | Please rate the consistency of speed from page to page on this site. | Trust (1=Strongly Disagree, 10=Strongly Agree) | ||||||
| 6 | Site Performance - Errors | Please rate the ability to load pages without getting error messages on this site. | 25 | Trust - Best Interests | I can count on this agency to act in my best interests. | ||||
| Site Information (1=Poor, 10=Excellent, Don't Know) | 26 | Trust - Trustworthy | I consider this agency to be trustworthy. | ||||||
| 7 | Site Information - Thoroughness | Please rate the thoroughness of information provided on this site. | 27 | Trust - Do Right | This agency can be trusted to do what is right. | ||||
| 8 | Site Information - Understandable | Please rate how understandable this site’s information is. | 
|
||||||
| 9 | Site Information - Answers | Please rate how well the site’s information provides answers to your questions. | |||||||
| 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. | |||||||
| Information Browsing (1=Poor, 10=Excellent, Don't Know) | |||||||||
| 13 | Browsing - Sort | Please rate the ability to sort information by criteria that are important to you on this site. | |||||||
| 14 | Browsing - Narrow | Please rate the ability to narrow choices to find the information you are looking for on this site. | |||||||
| 15 | Browsing - Features | Please rate how well the features on the site help you find the information you are looking for. | |||||||
| Online Transparency (1=Poor, 10=Excellent) | |||||||||
| 16 | Online Transparency - Disclose | Please rate how thoroughly this website discloses information about what this agency is doing. | |||||||
| 17 | Online Transparency - Quick | Please rate how quickly agency information is made available on this website. | |||||||
| 18 | Online Transparency - Access | Please rate how well information about this agency's actions can be accessed by the public on this website. | |||||||
Sheet 2: Current Custom Qsts
| Model Instance Name: | ||||||||||
| SAMHSA Main Site v2 | underlined & italicized: RE-ORDER | |||||||||
| MID: will need new mid for the v2 measure | pink: ADDITION | |||||||||
| Date: 7/30/2013 | blue + -->: REWORDING | |||||||||
| SAMHSA Main Site v2 CUSTOM QUESTION LIST | ||||||||||
| QID (Group ID) |
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 | |
| MAC1724 | What is your primary interest in Substance Abuse and Mental Health today: | MAC1724A01 | Personal | Radio button, one-up vertical | S | Y | Primary interest | |||
| MAC1724A02 | Professional | |||||||||
| MAC1725 | What area(s) of the site did you visit today? | MAC172501 | Grants | Checkbox, one-up vertical | M | Y | Area Visited | |||
| MAC172502 | Publications | |||||||||
| MAC172503 | Data | |||||||||
| MAC172504 | Newsroom | |||||||||
| MAC172505 | Topics | |||||||||
| MAC172506 | About Us | |||||||||
| MAC172507 | Contact Us | |||||||||
| MAC172508 | Strategic Initiative Pages | |||||||||
| MAC172509 | Other | |||||||||
| MAC1726 | Which of the following is the reason for your current visit to the website? | MAC1726A01 | Find Grant Information | Checkbox, one-up vertical | M | Y | Reason | |||
| MAC1726A02 | Research information by issues/topics | |||||||||
| MAC1726A03 | Order publications | |||||||||
| MAC1726A04 | Get latest news/press releases | |||||||||
| MAC1726A05 | Get Survey or Statistical Data | |||||||||
| MAC1726A06 | Learn about SAMHSA | |||||||||
| MAC1726A07 | Information on the Prevention of Substance Abuse and Mental Illness | |||||||||
| MAC1726A08 | Learn about SAMHSA's Policies and Priorities | |||||||||
| MAC1726A09 | Find information related to Health Reform | |||||||||
| MAC1726A10 | Get help for mental health problems | |||||||||
| MAC1726A11 | Get help for substance use issues | |||||||||
| MAC1726A12 | Find a treatment program/facility | |||||||||
| MAC1726A13 | Look up events & exhibits | |||||||||
| MAC1726A14 | Find phone/email contact information | |||||||||
| MAC1726A15 | Other, please specify: | A | ||||||||
| MAC1727 | A | Other reason | Text area, no char limit | N | Other reason | |||||
| MAC1728 | What method did you primarily use today to find your information? | MAC1728A01 | Site's search feature | Radio button, one-up vertical | S | Y | Method | |||
| MAC1728A02 | Advanced search | |||||||||
| MAC1728A03 | Top navigation bar | |||||||||
| MAC1728A04 | Quick link in the pages | |||||||||
| MAC1728A05 | Site map | |||||||||
| MAC1728A06 | Just browsed the pages | |||||||||
| MAC1728A07 | Other, please specify: | A | ||||||||
| MAC1729 | A | Other method | Text area, no char limit | N | Other method | |||||
| MAC1730 | Did you find what you were looking for? | MAC1730A01 | Yes | Radio button, one-up vertical | S | Y | Find info | |||
| MAC1730A02 | No | A | ||||||||
| MAC1730A03 | Partially | A | ||||||||
| MAC1730A04 | Still looking | A | ||||||||
| MAC1731 | A | If you could not fully find what you were looking for, what was it? | Text area, no char limit | N | No info found | |||||
| MAC1732 | How do you mostly interact with this site? | MAC1732A01 | Bookmark or tag pages | Radio button, one-up vertical | S | Y | Interaction with site | |||
| MAC1732A02 | Adding a widget or gadget to my personalized page | |||||||||
| MAC1732A03 | By adding comments, ratings, or reviews | |||||||||
| MAC1732A04 | Contributing to wikis | |||||||||
| MAC1732A05 | Following a microblog | |||||||||
| MAC1732A06 | In social networks | |||||||||
| MAC1732A07 | In virtual worlds | |||||||||
| MAC1732A08 | Listening to Podcasts or audio | |||||||||
| MAC1732A09 | None | |||||||||
| MAC1732A10 | Reading blogs | |||||||||
| MAC1732A11 | Receiving newsletters/email updates | |||||||||
| MAC1732A12 | Subscribing to RSS feeds | |||||||||
| MAC1732A13 | Watching Vodcasts or video | |||||||||
| MAC1732A14 | Other, please specify: | A | ||||||||
| MAC1733 | A | Other interaction | Text area, no char limit | N | Other site interaction |
|||||
| MAC1734 | How frequently do you visit this site? | MAC1734A01 | First time | Drop down, select one | S | Y | Frequency of visits | |||
| MAC1734A02 | Daily | |||||||||
| MAC1734A03 | About once a week | |||||||||
| MAC1734A04 | About once a month | |||||||||
| MAC1734A05 | Every few months or less often | |||||||||
| MAC1735 | What best describes your role: | MAC1735A01 | General public | Drop down, select one | S | Y | Role | |||
| MAC1735A02 | Clinician/medical professional | |||||||||
| MAC1735A03 | Consultant | |||||||||
| MAC1735A04 | Educator/school teacher | |||||||||
| MAC1735A05 | Program or service provider/worker | |||||||||
| MAC1735A06 | Researcher | |||||||||
| MAC1735A07 | Social Worker/counselor | |||||||||
| MAC1735A08 | Student | |||||||||
| MAC1735A09 | Other, please specify: | A | ||||||||
| MAC1736 | A | Please specify your other role. | Text area, no char limit | N | Other role | |||||
| MAC1737 | What best describes your current workplace: | MAC1737A01 | Church/faith-based organization | Drop down, select one | S | Y | Workplace | |||
| MAC1737A02 | Client/patient homes | |||||||||
| MAC1737A03 | Government office | |||||||||
| MAC1737A04 | Individual or group private practice | |||||||||
| MAC1737A05 | Managed care/insurance company office | |||||||||
| MAC1737A06 | Non-Profit/Community-Based Org/Coalition | |||||||||
| MAC1737A07 | Non-residential/out-patient facility | |||||||||
| MAC1737A08 | Other corporate office | |||||||||
| MAC1737A09 | Public place/Interacting in community | |||||||||
| MAC1737A10 | Residential/in-patient facility | |||||||||
| MAC1737A11 | School/university | |||||||||
| MAC1737A12 | Other, please specify: | A | ||||||||
| MAC1738 | A | Please specify your other workplace. | Text area, no char limit | N | Other workplace | |||||
| MAC1739 | What services could this agency provide to better serve you? | Text area, no char limit | N | Other services wanted | ||||||
| MAC1740 | If you could improve one thing about this site, what would it be? | Text area, no char limit | N | Improvement | ||||||
| MAC1741 | What is your gender? | MAC1741A01 | Female | Drop down, select one | S | N | Gender | |||
| MAC1741A02 | Male | |||||||||
| MAC1741A03 | I prefer not to respond | |||||||||
| MAC1742 | Please select the category that includes your age. | MAC1742A01 | 17 and under | Drop down, select one | S | N | Age | |||
| MAC1742A02 | 18 - 24 | |||||||||
| MAC1742A03 | 25 - 34 | |||||||||
| MAC1742A04 | 35 - 44 | |||||||||
| MAC1742A05 | 45 - 54 | |||||||||
| MAC1742A06 | 55 - 64 | |||||||||
| MAC1742A07 | 65 and over | |||||||||
| MAC1742A08 | I prefer not to respond | |||||||||
| MAC1743 | Which of the following best describes the highest level of education you have completed? | MAC1743A01 | Current middle or high school student | Drop down, select one | S | N | Education | |||
| MAC1743A02 | Did not complete high school | |||||||||
| MAC1743A03 | High school graduate | |||||||||
| MAC1743A04 | Some college/vocational school | |||||||||
| MAC1743A05 | College graduate | |||||||||
| MAC1743A06 | Some postgraduate school | |||||||||
| MAC1743A07 | Graduate/professional degree | |||||||||
| MAC1743A08 | MD/PhD | |||||||||
| MAC1743A09 | Prefer not to respond | |||||||||
| MAC1744 | How do you describe your ethnicity? | MAC1744A01 | Hispanic | Drop down, select one | S | N | Ethnicity | |||
| MAC1744A02 | Non-Hispanic | |||||||||
| MAC1744A03 | I prefer not to respond | |||||||||
| MAC1745 | How do you describe your race? | MAC1745A01 | American Indian or Alaska Native | Drop down, select one | S | N | Race | |||
| MAC1745A02 | Asian or Pacific Islander | |||||||||
| MAC1745A03 | African American or Black | |||||||||
| MAC1745A04 | White | |||||||||
| MAC1745A05 | Other | |||||||||
| MAC1745A06 | I prefer not to respond | |||||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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