Model Instance Name: | |||||||||||
Health and Aging | |||||||||||
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 Health & Aging 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. |
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ALTERNATE WEB 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. |
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Thank You Text Example | |||||||||||
Model Instance Name: | ||||||||
Health and Aging | ||||||||
MID: | NEW | |||||||
Partitioned (Y/N)? | Yes | |||||||
Date: | 11/04/2013 | |||||||
Health and Aging | ||||||||
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) | ||||||||
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 - 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. |
Model Instance Name: | ||||||||||
Health and Aging | underlined & italicized: RE-ORDER | |||||||||
MID: NEW | pink: ADDITION | |||||||||
Date: | 11/04/2013 | blue + -->: REWORDING | ||||||||
Health and Aging 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 | |
In what primary role are you visiting the site today? I am a… | Older adult | Radio button scale, one up vertical | Single | Yes | OPS Group* | Role | ||||
Family or friend of older adult | ||||||||||
Caregiver of older adult | ||||||||||
Health professional | ||||||||||
Aging services provider | ||||||||||
Student | ||||||||||
Educator | ||||||||||
Researcher or scientist | ||||||||||
Media | ||||||||||
Other | A | |||||||||
A | Please explain. | Text box | No | OPS Group* | OPS Role | |||||
What information are you looking for on the site today? | Healthy aging | Radio button scale, one up vertical | Single | Yes | Skip Logic Group* | Type of Info | ||||
Exercise | ||||||||||
Caregiving | ||||||||||
Memory | ||||||||||
Nutrition | ||||||||||
Menopause | ||||||||||
Science news | ||||||||||
Publications | C | |||||||||
Other | B | |||||||||
B | Please explain. | Text box | No | Skip Logic Group* | OPS Type of Info | |||||
C | For any publications you used today on the site, did you… | Download/save | Radio button scale, one up vertical | Single | Yes | Skip Logic Group* | Publications | |||
Order | ||||||||||
Read online | ||||||||||
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 | ||||||||||
D | Which device do you prefer? | Desktop / laptop | Radio button scale, one up vertical | Single | Yes | Skip Logic Group* | Device Type | |||
Tablet | E | |||||||||
Mobile device (smartphone) | E | |||||||||
E | What content would you most like to see made available for this device? | Text area | Skip Logic Group* | Make Available | ||||||
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 | |||||||||
F | What were you looking for that you couldn't find? | Text area | No | Skip Logic Group* | What Looking For | |||||
What information do you suggest we add to this site to make it more useful? | Text area | No | Additional Info | |||||||
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 |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |