737 2013 737 NIA Alzheimers 11-5-13

American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Surveys

2013 737 NIA Alzheimers 11-5-13.xlsx

2013 729 Girls Health V2 10-31-13 - 2013 739 NIA Health and Aging 11-5-13

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

Welcome and Thank You
Original Model
Original CQs


Sheet 1: Welcome and Thank You

Model Instance Name:








Alzheimer's







MID: NEW






Date: 11/04/2013








Welcome and Thank You Text













Directions:










This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom. This is a good place to mention the agency name so the visitor knows whom they are taking the survey for. Feel free to modify the standard Welcome and Thank you text shown in the boxes below. Please read comments before using any of the text.









Examples


Welcome Text Example































Welcome Text









Thank you for visiting NIA's Alzheimer's disease information website. You've been randomly chosen to take part in a brief survey to let us know where we can improve and what we're doing well.

Please take a few minutes to share your opinions, which will help us provide the best online experience possible.

























































Thank You Text









Thank you for taking our survey.

Please note you will not receive a response from us based on your survey comments. If you would like us to contact you about your feedback, please visit the Contact Us section of our website.













Thank You Text Example





































































































































































































































































































Sheet 2: Original Model

Model Instance Name:







Alzheimer's







MID:
NEW




Partitioned (Y/N)?
Yes




Date:
11/04/2013



Alzheimer's
Model questions utilize the ACSI methodology to determine scores and impacts

MQ Label ELEMENTS (drivers of satisfaction)
MQ Label CUSTOMER SATISFACTION
MQ Label FUTURE BEHAVIORS


Content (1=Poor, 10=Excellent, Don't Know)

Satisfaction

Return (1=Very Unlikely, 10=Very Likely)
1 Content - Accuracy Please rate the accuracy of information on this site. 16 Satisfaction - Overall What is your overall satisfaction with this site?
(1=Very Dissatisfied, 10=Very Satisfied)
19 Return How likely are you to return to this site in the next 30 days?
2 Content - Quality Please rate the quality of information on this site. 17 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. 18 Satisfaction - Ideal How does this site compare to your idea of an ideal website?
(1=Not Very Close, 10=Very Close)
20 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.


21 Primary Resource How likely are you to use this site as your primary resource for Alzheimer's and dementia information?
5 Site Performance - Consistency Please rate the consistency of speed from page to page on this site.



6 Site Performance - Completeness Please rate how completely the page content loads on this site.




Functionality (1=Poor, 10=Excellent, Don't Know)





7 Functionality - Usefulness Please rate the usefulness of the website features (such as clinical trials listing, news, and publications) provided on this site.





8 Functionality - Convenient Please rate the convenient placement of the website features (such as clinical trials listing, news, and publications) on this site.





9 Functionality - Variety Please rate the variety of website features (such as clinical trials listing, news, and publications) on this site.







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.







Sheet 3: Original CQs

Model Instance Name:

red & strike-through: DELETE





Alzheimer's

underlined & italicized: RE-ORDER





MID: NEW

pink: ADDITION





Date: 11/04/2013 blue + -->: REWORDING















Alzheimer's CUSTOM QUESTION LIST
CQID 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
NEW
In what role are you primarily visiting the site today? I am a… Person diagnosed with Alzheimer's
Radio button scale, one up vertical Single Yes OPS Group* Role


Person concerned I might have Alzheimer's







Family or friend of person with Alzheimer's







Caregiver







Health professional







Student







Housing or social services organization







Educator







Researcher or scientist







Advocate







Media







Other A



NEW A Please explain.

Text box
No OPS Group*
NEW
What type of information are you looking for on the site today? Alzheimer's symptoms, causes, etc.
Radio button scale, one up vertical Single Yes Skip Logic Group* Type of Info


Other dementias





Clinical trials





Research centers





Caring for a person with Alzheimer's





Publications C




News about Alzheimer's





Other B


NEW B Please explain.

Text box
No Skip Logic Group* OPS Type of Info
NEW C For any publications you used today, did you… Download/save
Radio button scale, one up vertical Single Yes Skip Logic Group* Publications
Print
Order
Read online
NEW C Do you generally prefer to read information online or order printed materials? Online D Radio button scale, one up vertical Single Yes Skip Logic Group* Online or Print
Printed
NEW D What type of device do you prefer to use for online info? Desktop / laptop (computer)
Radio button scale, one up vertical Single Yes Skip Logic Group* Device Type


Tablet E




Mobile device (smartphone) E


NEW E What content would you most like to see made available for this device?

Text area

Skip Logic Group* Make Available
NEW
Did you find what you were looking for? Yes
Radio button scale, one up vertical Single Yes Skip Logic Group* Did You Find


No F




Partially F


NEW F What were you looking for that you couldn't find?

Text area
No Skip Logic Group* What Looking For
NEW
What additional information or resources would you like to see included on our site?

Text area
No
Additional Info
NEW
Did you search for Alzheimer's clinical trials today? Yes G Radio button scale, one up vertical Single Yes Skip Logic Group* Search For Trials
No
NEW G Were you able to locate a clinical trial meeting your criteria? Yes
Radio button scale, one up vertical Single Yes Skip Logic Group* Locate Trials


No
NEW G How did you search clinical trials? Map
C heck boxes, one up vertical Multi-select No Skip Logic Group* How Search Trials



Zip code





Key word





Category


NEW
Please select the category that includes your age. 40 or under
Radio button scale, one up vertical Single No
Age



41 – 60







61 – 70







71 – 80







81 or over




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