811 AHRQ Enterprise

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

2014 811 AHRQ Enterprise.xlsx

2014 810 AHRQ Email - 2014 818 MyCareeratVA

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⚠️ Notice: This form may be outdated.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

Overview

Sheet 1: Current Model Qsts

Model Instance Name:
AHRQ Enterprise
MID:		R8wAc4oxsEFxw15AZd8ghg==
Partitioned (Y/N)?		YES
NOTE: All non-partitioned surveys will NOT be imputed and the elements will be rotated as a default unless otherwise specified and approved by Research.
Date:		9/7/2012
AHRQ Enterprise
Model questions utilize the ACSI methodology to determine scores and impacts
		ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION		FUTURE BEHAVIORS
	MQ Label		MQ Label		MQ Label
		Content (1=Poor, 10=Excellent, Don't Know)		Satisfaction		Return (1=Very Unlikely, 10=Very Likely)
	Content - Accuracy	Please rate your perception of the accuracy of information on this site.	Satisfaction - Overall	What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)	Return	How likely are you to return to this site?
	Content - Quality	Please rate the quality of information on this site.	Satisfaction - Expectations	How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)		Recommend (1=Very Unlikely, 10=Very Likely)
	Content - Freshness	Please rate the freshness of content on this site.	Satisfaction - Ideal	How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)	Recommend	How likely are you to recommend this site to someone else?
		Look and Feel (1=Poor, 10=Excellent, Don't Know)
	Look and Feel - Appeal	Please rate the visual appeal of this site.
	Look and Feel - Balance	Please rate the balance of graphics and text on this site.
	Look and Feel - Readability	Please rate the readability of the pages on this site.
		Navigation (1=Poor, 10=Excellent, Don't Know)
	Navigation - Organized	Please rate how well the site is organized.
	Navigation - Options	Please rate the options available for navigating this site.
	Navigation - Layout	Please rate how well the site layout helps you find what you are looking for.
	Navigation - Clicks	Please rate the number of clicks to get where you want on this site.
		Online Transparency (1=Poor, 10=Excellent, Don't Know)
	Online Transparency - Disclose	Please rate how thoroughly this site discloses information about what this agency is doing.
	Online Transparency - Quick	Please rate your perception of how quickly agency information is made available on this site.
	Online Transparency - Access	Please rate your perception of how well information about this agency's actions can be accessed by the public on this site.
		Search (1=Poor, 10=Excellent, Don't Know)
	Search - Results Relevance	Please rate the relevance of search results on this site.
	Search - Results Organization	Please rate the organization of search results on this site.
	Search - Results Help	Please rate how well the search results help you decide what to select.
	Search - Feature Narrow	Please rate how well the search feature helps you to narrow the results to find what you want.
		Site Performance (1=Poor, 10=Excellent, Don't Know)
	Site Performance - Loading	Please rate how quickly pages load on this site.
	Site Performance - Consistency	Please rate the consistency of speed from page to page on this site.
	Site Performance - Errors	Please rate the ability to load pages without getting error messages on this site.

Sheet 2: Current Custom Qsts

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	USHIK	USHIK/MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, USHIK, QI, NGC, NQMC, PSMM, HCUP	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
AML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
AML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
AML002902	ALL	A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
AML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
AML002904	ALL	A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
ACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Career opportunities
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice and guidelines
				Family or personal health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Medicines and drugs
				Patient safety
				Preventive health care
				Primary care practice
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
ACQLiv0016075	ALL	A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
AML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
AML002908	ALL	A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
ACQhar0019250	Website Main, EHC, CAHPS,HIT, epss, USHIK, QI, NGC, NQMC, PSMM, HCUP		What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
ACQhar0019251	Website Main, EHC, CAHPS,HIT, epss, USHIK, QI, NGC, NQMC, PSMM, HCUP	A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
ACQLiv0016080	Website Main, EHC, CAHPS,HIT, epss,USHIK, QI, NGC, NQMC, PSMM, HCUP		What features on this site did you find most useful?	Browse Topics		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Category Labels and Links
				Contact Us
				E-mail Updates
				Frequently Asked Questions
				Buttons and Navigation Tabs
				Images
				Search
				Site Map
				Social Media Icons
				What’s New
				Other (please specify)	A
ACQLiv0016081	Main, EHC, CAHPS,HIT, epss, USHIK, QI, PSMM, HCUP	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	Website Main, EHC, CAHPS,HIT, epss, USHIK, QI, NGC, NQMC, PSMM, HCUP		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914	Website Main, EHC, CAHPS,HIT, epss, USHIK, QI, NGC, NQMC, PSMM, HCUP	A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
LON0045782	Website Main, EHC, CAHPS,HIT, USHIK, QI, PSMM, HCUP		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements
ACQhar0020580	INNOV		Please describe your experience with navigation on this site today. (Mark all that apply)	I had no difficulty browsing on this site		Checkbox, one-up vertical	M	Y	Skip Logic Group	`
				Could not navigate back to previous information
				Felt lost and unsure of where I was
				Links did not take me where I expected
				Links/labels were difficult to understand
				Too many links or navigational choices
				Had technical difficulties (e.g. broken link)
				Other, please specify:	A
ACQhar0020581	INNOV	A	What other navigation experience did you have on the site today?			Text area, no char limit		N	Skip Logic Group	Other Navigation Experience
ACQhar0020557	INNOV		If you used the search/text box feature of the site today to find your information, what best describes your experience with the search functionality?	I did not use the search feature today		Radio Button, 1 up			Skip Logic Group	Search Experience
				I did not encounter any difficulties
				Search results were not helpful
				Received too many results
				Received not enough results
				Received no results
				Results were not relevant to my search
				Other, please specify:	A
ACQhar0020558	INNOV					Text area, no char limit		N	Skip Logic Group	Other Search Experience
ACQhar0020559	INNOV					Text area, no char limit		N		Improvements
ACQhar0020562	NGC		Please indicate your primary reason for visiting the NGC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NGC
				Find a specific clinical practice guideline(s)
				Improve my practice/patient care
				Review the newest guidance to keep myself current
				Determine the guidance available on a specific topic
				Research and/or compare guidelines
				For personal health research
				Other, please specify	A
ACQhar0020563	NGC		Specify your other reason for visiting the NGC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason_NGC
ACQhar0020582	NGC		Have you created a free My NGC account?	Yes	A, B	Radio button, one-up vertical	S	Y	Skip Logic Group	Created My NGC Account
				No
LNH2612	NGC	A	If you have used any of the features below, please rate your experience (1=Poor, 10=Excellent): Topic Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group*	Topic Alerts Rating
				2					Skip Logic Group
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2613	NGC		Expert Commentary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2614	NGC		Organization Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2615	NGC		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2616	NGC		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2617	NGC		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2618	NGC		Guideline Summary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2619	NGC		My Favorite Guideline Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
ACQhar0020584	NGC	B	Please share with us any thoughts or feedback about the My NGC account features you have used.			Text area, no char limit		n	Skip Logic Group	Feature Feedback
ACQhar0020560	NQMC		Please indicate your primary reason for visiting the NQMC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NQMC
				Find a specific quality measure(s)
				Review the newest quality measures to keep myself current
				Determine the quality measures available on a specific topic/issue/domain, etc.
				View tutorials on quality measurement
				Access the HHS Measure Inventory (a separate repository within NQMC)
				For academic or health services research
				Other, please specify	A
ACQhar0020561	NQMC	A	Specify your other reason for visiting the NQMC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason_NQMC
ACQhar0020583	NQMC		Have you created a free My NQMC account?	Yes	A, B	Radio button, one-up vertical	S	Y	Skip Logic Group	Created My NQMC Account
				No
	NQMC	A	If you have used any of the features below, please rate your experience (1=Poor, 10=Excellent): Topic Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group*	Topic Alerts Rating
				2					Skip Logic Group
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Expert Commentary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Organization Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Domain Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Measure Summary Alert s	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Favorite Measure Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC	B	Please share with us any thoughts or feedback about the My NQMC account features you have used.			Text area, no char limit		n	Skip Logic Group	Feature Feedback
ACQLiv0021341	ePSS		What feature of the ePSS do you use the most?	About USPSTF		Radio button, one-up vertical	S	Y		ePSS Feature Used Most
				Grade Definitions
				Tools
				Search for Recommendations
				Browse by Topic
				Other
ACQLiv0021342	ePSS		In which area would you most like to see changes in layout and/or presentation?	Search Results		Radio button, one-up vertical	S	Y	OPS Group	Layout Changes
				Risk Factor Information
				Clinical Considerations
				Rationale Information
				Tools within Recommendations
				Other, please specify	A
ACQLiv0021343	ePSS	A	Other changes in layout and/or presentations			Text field, <100 char		N	OPS Group	Other Layout Changes
ACQLiv0021344	ePSS		When using the ePSS over the last 3 months, did you use it:	Mostly on the web		Radio button, one-up vertical	S	Y		ePSS Use
				About the same on the web and on my mobile device
				Mostly on my mobile device
				Only on my mobile device
ACQLiv0021345	ePSS		Do you have any suggestions for improving or enhancing the ePSS for users like you?			Text area, no char limit		N		Improvements

Sheet 3: Custom Qsts (6-13-14)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	USHIK	USHIK/MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, USHIK, QI, NGC, NQMC, PSMM, HCUP	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
AML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
AML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
			c	Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
AML002902	ALL	A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
AML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
AML002904	ALL	A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
ACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice and guidelines
				Family or personal health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Career opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Primary care practice
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
ACQLiv0016075	ALL	A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
AML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
AML002908	ALL	A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
ACQhar0019250	Website Main, EHC, CAHPS,HIT, epss, USHIK, QI, NGC, NQMC, PSMM, HCUP		What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
ACQhar0019251	Website Main, EHC, CAHPS,HIT, epss, USHIK, QI, NGC, NQMC, PSMM, HCUP	A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
ACQLiv0016080	Website Main, EHC, CAHPS,HIT, epss,USHIK, QI, NGC, NQMC, PSMM, HCUP		What features on this site did you find most useful?	Browse Topics		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Category Labels and Links
				Contact Us
				E-mail Updates
				Frequently Asked Questions
				Buttons and Navigation Tabs
				Images
				Search
				Site Map
				Social Media Icons
				What’s New
				Other (please specify)	A
ACQLiv0016081	Main, EHC, CAHPS,HIT, epss, USHIK, QI, PSMM, HCUP	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	Website Main, EHC, CAHPS,HIT, epss, USHIK, QI, NGC, NQMC, PSMM, HCUP		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914	Website Main, EHC, CAHPS,HIT, epss, USHIK, QI, NGC, NQMC, PSMM, HCUP	A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
LON0045782	Website Main, EHC, CAHPS,HIT, USHIK, QI, PSMM, HCUP		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements
ACQhar0020580	INNOV		Please describe your experience with navigation on this site today. (Mark all that apply)	I had no difficulty browsing on this site		Checkbox, one-up vertical	M	Y	Skip Logic Group	`
				Could not navigate back to previous information
				Felt lost and unsure of where I was
				Links did not take me where I expected
				Links/labels were difficult to understand
				Too many links or navigational choices
				Had technical difficulties (e.g. broken link)
				Other, please specify:	A
ACQhar0020581	INNOV	A	What other navigation experience did you have on the site today?			Text area, no char limit		N	Skip Logic Group	Other Navigation Experience
ACQhar0020557	INNOV		If you used the search/text box feature of the site today to find your information, what best describes your experience with the search functionality?	I did not use the search feature today		Radio Button, 1 up			Skip Logic Group	Search Experience
				I did not encounter any difficulties
				Search results were not helpful
				Received too many results
				Received not enough results
				Received no results
				Results were not relevant to my search
				Other, please specify:	A
ACQhar0020558	INNOV					Text area, no char limit		N	Skip Logic Group	Other Search Experience
ACQhar0020559	INNOV					Text area, no char limit		N		Improvements
ACQhar0020562	NGC		Please indicate your primary reason for visiting the NGC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NGC
				Find a specific clinical practice guideline(s)
				Improve my practice/patient care
				Review the newest guidance to keep myself current
				Determine the guidance available on a specific topic
				Research and/or compare guidelines
				For personal health research
				Other, please specify	A
ACQhar0020563	NGC		Specify your other reason for visiting the NGC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason_NGC
ACQhar0020582	NGC		Have you created a free My NGC account?	Yes	A, B	Radio button, one-up vertical	S	Y	Skip Logic Group	Created My NGC Account
				No
LNH2612	NGC	A	If you have used any of the features below, please rate your experience (1=Poor, 10=Excellent): Topic Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group*	Topic Alerts Rating
				2					Skip Logic Group
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2613	NGC		Expert Commentary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2614	NGC		Organization Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2615	NGC		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2616	NGC		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2617	NGC		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2618	NGC		Guideline Summary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2619	NGC		My Favorite Guideline Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
ACQhar0020584	NGC	B	Please share with us any thoughts or feedback about the My NGC account features you have used.			Text area, no char limit		n	Skip Logic Group	Feature Feedback
ACQhar0020560	NQMC		Please indicate your primary reason for visiting the NQMC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NQMC
				Find a specific quality measure(s)
				Review the newest quality measures to keep myself current
				Determine the quality measures available on a specific topic/issue/domain, etc.
				View tutorials on quality measurement
				Access the HHS Measure Inventory (a separate repository within NQMC)
				For academic or health services research
				Other, please specify	A
ACQhar0020561	NQMC	A	Specify your other reason for visiting the NQMC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason_NQMC
ACQhar0020583	NQMC		Have you created a free My NQMC account?	Yes	A, B	Radio button, one-up vertical	S	Y	Skip Logic Group	Created My NQMC Account
				No
	NQMC	A	If you have used any of the features below, please rate your experience (1=Poor, 10=Excellent): Topic Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group*	Topic Alerts Rating
				2					Skip Logic Group
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Expert Commentary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Organization Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Domain Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Measure Summary Alert s	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Favorite Measure Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC	B	Please share with us any thoughts or feedback about the My NQMC account features you have used.			Text area, no char limit		n	Skip Logic Group	Feature Feedback
ACQLiv0021341	ePSS		What feature of the ePSS do you use the most?	About USPSTF		Radio button, one-up vertical	S	Y		ePSS Feature Used Most
				Grade Definitions
				Tools
				Search for Recommendations
				Browse by Topic
				Other
ACQLiv0021342	ePSS		In which area would you most like to see changes in layout and/or presentation?	Search Results		Radio button, one-up vertical	S	Y	OPS Group	Layout Changes
				Risk Factor Information
				Clinical Considerations
				Rationale Information
				Tools within Recommendations
				Other, please specify	A
ACQLiv0021343	ePSS	A	Other changes in layout and/or presentations			Text field, <100 char		N	OPS Group	Other Layout Changes
ACQLiv0021344	ePSS		When using the ePSS over the last 3 months, did you use it:	Mostly on the web		Radio button, one-up vertical	S	Y		ePSS Use
				About the same on the web and on my mobile device
				Mostly on my mobile device
				Only on my mobile device
ACQLiv0021345	ePSS		Do you have any suggestions for improving or enhancing the ePSS for users like you?			Text area, no char limit		N		Improvements
6EACQLiv0016074	USHIK		Please select your main area of interest for using this web site today.	Agency Products or News Release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				All-Payer Claims Databases
				~~Career opportunities~~
				Children's Electronic Health Record Format
				~~Comparative effectiveness of treatments~~
				Continuing Education or Training Assistance
				Data and Surveys
				Draft Clinical Quality Measures
				Evidence-based Clinical Practice and Guidelines
				Family or Personal Health Care
				General Health Interest
				Grants or Contracts
				~~Health care plans and insurance~~
				Health Care Quality
				~~Health care use and cost~~
				Health Information Technology
				Health Services Research Studies
				HITSP
				Meaningful Use
				~~Medicines and drugs~~
				Patient Safety/Common Formats
				~~Patient safety~~
				~~Preventive health care~~
				~~Primary care practice~~
				Published Standards
				~~Racial/ethnic health care disparities~~
				~~Social media/TV or radio ads~~
				Structured Data Capture
				Other, please specify
6EACQLiv0016075	USHIK	A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
6EACQhar0019250	USHIK		What is your main purpose for using information from this site today?	Complete school/class project		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				~~Find training opportunities and support~~
				General knowledge or better understanding of health care system
				~~Get funding for programs or projects~~
				Get information to assist in making policy decisions
				Get information to teach others
				Help with work assignment or job responsibilities
				~~Improve or apply treatment for my patients~~
				~~Make decision about my own health care or for family member~~
				~~Meet continuing education requirements~~
				Plan a research project
				Prepare report, article, research paper or presentation
				Refer to a friend or colleague or share with a collaborative group
				Reporting for Meaningful Use
				Research published standards
				~~Review the latest research findings and statistics~~
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Systems implementation
				Other (please specify)		A
6EACQhar0019251	USHIK	A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
6EACQLiv0016080	USHIK		What features on this site did you find most useful?	Browse Topics		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Buttons and Navigation Tabs
				Category Labels and Links
				Comparison Tool
				Contact Us
				Downloads
				E-mail Updates
				Frequently Asked Questions
				~~Images~~
				Information Models
				Search
				~~Site Map~~
				~~Social Media Icons~~
				Versioning
				What’s New
				Other (please specify)	A
ACQLiv0016081	USHIK	A	Other features			Text field, <100 char			OPS Group	Other Useful Features

Sheet 4: Custom Qsts (3-27-14)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC, PSMM, HCUP	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
AML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
AML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
AML002902	ALL	A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
AML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
AML002904	ALL	A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
ACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice and guidelines
				Family or personal health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Career opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Primary care practice
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
ACQLiv0016075	ALL	A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
AML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
AML002908	ALL	A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
ACQhar0019250	Website Main, EHC, CAHPS,HIT, epss, MEPS, QI, NGC, NQMC, PSMM, HCUP		What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
ACQhar0019251	Website Main, EHC, CAHPS,HIT, epss, MEPS, QI, NGC, NQMC, PSMM, HCUP	A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
ACQLiv0016080	Website Main, EHC, CAHPS,HIT, epss,MEPS, QI, NGC, NQMC, PSMM, HCUP		What features on this site did you find most useful?	~~A to Z Index~~		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Browse Topics
				Category Labels and Links
				Contact Us
				E-mail Updates
				~~Enlarge Text Size~~
				Frequently Asked Questions
				Buttons and Navigation Tabs
				Images
				Search
				Site Map
				Social Media Icons
				~~Spanish Translations~~
				What’s New
				Other (please specify)	A
ACQLiv0016081	Main, EHC, CAHPS,HIT, epss, MEPS, QI, PSMM, HCUP	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	Website Main, EHC, CAHPS,HIT, epss, MEPS, QI, NGC, NQMC, PSMM, HCUP		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914	Website Main, EHC, CAHPS,HIT, epss, MEPS, QI, NGC, NQMC, PSMM, HCUP	A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
LON0045782	Website Main, EHC, CAHPS,HIT, MEPS, QI, PSMM, HCUP		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements
ACQhar0020580	INNOV		Please describe your experience with navigation on this site today. (Mark all that apply)	I had no difficulty browsing on this site		Checkbox, one-up vertical	M	Y	Skip Logic Group	`
				Could not navigate back to previous information
				Felt lost and unsure of where I was
				Links did not take me where I expected
				Links/labels were difficult to understand
				Too many links or navigational choices
				Had technical difficulties (e.g. broken link)
				Other, please specify:	A
ACQhar0020581	INNOV	A	What other navigation experience did you have on the site today?			Text area, no char limit		N	Skip Logic Group	Other Navigation Experience
ACQhar0020557	INNOV		If you used the search/text box feature of the site today to find your information, what best describes your experience with the search functionality?	I did not use the search feature today		Radio Button, 1 up			Skip Logic Group
				I did not encounter any difficulties
				Search results were not helpful
				Received too many results
				Received not enough results
				Received no results
				Results were not relevant to my search
			Other, please specify:	A
ACQhar0020558	INNOV	A	What other experience did you have with the search functionality today?			Text area, no char limit		N	Skip Logic Group	Other Search Experience
ACQhar0020559	INNOV		Do you have any other suggestions on how we might improve the Innovations Exchange Web site (please be specific, i.e., new content, topics, features, etc.)?			Text area, no char limit		N		Improvements
ACQhar0020562	NGC		Please indicate your primary reason for visiting the NGC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NGC
				Find a specific clinical practice guideline(s)
				Improve my practice/patient care
				Review the newest guidance to keep myself current
				Determine the guidance available on a specific topic
				Research and/or compare guidelines
				For personal health research
				Other, please specify	A
ACQhar0020563	NGC		Specify your other reason for visiting the NGC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason_NGC
ACQhar0020582	NGC		Have you created a free My NGC account?	Yes	A, B	Radio button, one-up vertical	S	Y	Skip Logic Group	Created My NGC Account
				No
LNH2612	NGC	A	If you have used any of the features below, please rate your experience (1=Poor, 10=Excellent): Topic Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group*	Topic Alerts Rating
				2					Skip Logic Group
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2613	NGC		Expert Commentary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2614	NGC		Organization Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2615	NGC		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2616	NGC		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2617	NGC		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2618	NGC		Guideline Summary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2619	NGC		My Favorite Guideline Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
~~LNH2620~~	~~NQMC~~		~~Domain Alerts~~	~~1=Poor~~		~~Radio button, scale, has don't know~~	s	N	~~Matrix Group~~	~~Commentary Alerts Rating~~
				2
				3
				4					~~Skip Logic Group~~
				5
				6
				7
				8
				9
				~~10=Excellent~~
				~~I am not aware of this feature~~					~~Mutually Exclusive~~
~~LNH2621~~	~~NQMC~~		~~Measure Summary Alert s~~	~~1=Poor~~		~~Radio button, scale, has don't know~~	s	N	~~Matrix Group~~	~~Topic Alerts Rating~~
				2
				3
				4					~~Skip Logic Group~~
				5
				6
				7
				8
				9
				~~10=Excellent~~
				~~I am not aware of this feature~~					~~Mutually Exclusive~~
~~LNH2622~~	~~NQMC~~		~~My Favorite Measure Summaries~~	~~1=Poor~~		~~Radio button, scale, has don't know~~	s	N	~~Matrix Group~~	~~Topic Alerts Rating~~
				2
				3					~~Skip Logic Group~~
				4
				5
				6
				7
				8
				9
				~~10=Excellent~~
				~~I am not aware of this feature~~					~~Mutually Exclusive~~
ACQhar0020584	NGC	B	Please share with us any thoughts or feedback about the My NGC account features you have used.			Text area, no char limit		n	Skip Logic Group	Feature Feedback
ACQhar0020560	NQMC		Please indicate your primary reason for visiting the NQMC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NQMC
				Find a specific quality measure(s)
				Review the newest quality measures to keep myself current
				Determine the quality measures available on a specific topic/issue/domain, etc.
				View tutorials on quality measurement
				Access the HHS Measure Inventory (a separate repository within NQMC)
				For academic or health services research
				Other, please specify	A
ACQhar0020561	NQMC	A	Specify your other reason for visiting the NQMC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason_NQMC
ACQhar0020583	NQMC		Have you created a free My NQMC account?	Yes	A, B	Radio button, one-up vertical	S	Y	Skip Logic Group	Created My NQMC Account
				No
	NQMC	A	If you have used any of the features below, please rate your experience (1=Poor, 10=Excellent): Topic Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group*	Topic Alerts Rating
				2					Skip Logic Group
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Expert Commentary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Organization Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Domain Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Measure Summary Alert s	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4					Skip Logic Group
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Favorite Measure Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC	B	Please share with us any thoughts or feedback about the My NQMC account features you have used.			Text area, no char limit		n	Skip Logic Group	Feature Feedback
ACQLiv0021341	ePSS		What feature of the ePSS do you use the most?	About USPSTF		Radio button, one-up vertical	S	Y		ePSS Feature Used Most
				Grade Definitions
				Tools
				Search for Recommendations
				Browse by Topic
				Other
ACQLiv0021342	ePSS		In which area would you most like to see changes in layout and/or presentation?	Search Results		Radio button, one-up vertical	S	Y	OPS Group	Layout Changes
				Risk Factor Information
				Clinical Considerations
				Rationale Information
				Tools within Recommendations
				Other, please specify	A
ACQLiv0021343	ePSS	A	Other changes in layout and/or presentations			Text field, <100 char		N	OPS Group	Other Layout Changes
ACQLiv0021344	ePSS		When using the ePSS over the last 3 months, did you use it:	Mostly on the web		Radio button, one-up vertical	S	Y		ePSS Use
				About the same on the web and on my mobile device
				Mostly on my mobile device
				Only on my mobile device
ACQLiv0021345	ePSS		Do you have any suggestions for improving or enhancing the ePSS for users like you?			Text area, no char limit		N		Improvements

Sheet 5: Custom Qsts (2-4-13)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
AML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
AML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
AML002902	ALL	A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
AML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
AML002904	ALL	A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
ACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice and guidelines
				Family or personal health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Career opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Primary care practice
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
ACQLiv0016075	ALL	A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
AML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
AML002908	ALL	A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
ACQhar0019250	Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI		What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
ACQhar0019251	Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI	A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
ACQLiv0016080	Main, EHC, CAHPS,HIT, epss, MEPS, QI		What features on this site did you find most useful?	A to Z Index		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Browse
				Category Labels
				Contact Us
				E-mail Updates
				Enlarge Text Size
				Frequently Asked Questions
				Navigation Buttons & Tabs
				Rotating Images
				Search
				Site Map
				Spanish Translations
				What’s New
				Other (please specify)
ACQLiv0016081	Main, EHC, CAHPS,HIT, epss, MEPS, QI	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	Main, EHC, CAHPS,HIT, epss, MEPS, QI		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914	Main, EHC, CAHPS,HIT, epss, MEPS, QI	A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
AML002915	Main, EHC, CAHPS,HIT, MEPS, QI		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements
ACQhar0020580	INNOV		Please describe your experience with navigation on this site today. (Mark all that apply)	I had no difficulty browsing on this site		Checkbox, one-up vertical	M	Y	Skip Logic Group	`
				Could not navigate back to previous information
				Felt lost and unsure of where I was
				Links did not take me where I expected
				Links/labels were difficult to understand
				Too many links or navigational choices
				Had technical difficulties (e.g. broken link)
			Other, please specify:	A
ACQhar0020581	INNOV	A	What other navigation experience did you have on the site today?			Text area, no char limit		N	Skip Logic Group	Other Navigation Experience
ACQhar0020557	INNOV		If you used the search/text box feature of the site today to find your information, what best describes your experience with the search functionality?	I did not use the search feature today		Radio Button, 1 up			Skip Logic Group
				I did not encounter any difficulties
				Search results were not helpful
				Received too many results
				Received not enough results
				Received no results
				Results were not relevant to my search
				Other, please specify:	A
ACQhar0020558	INNOV	A	What other experience did you have with the search functionality today?			Text area, no char limit		N	Skip Logic Group	Other Search Experience
ACQhar0020559	INNOV		Do you have any other suggestions on how we might improve the Innovations Exchange Web site (please be specific, i.e., new content, topics, features, etc.)?			Text area, no char limit		N		Improvements
ACQhar0020560	NQMC		Please indicate your primary reason for visiting the NQMC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NQMC
				Find a specific quality measure(s)
				Review the newest quality measures to keep myself current
				Determine the quality measures available on a specific topic/issue/domain, etc.
				View tutorials on quality measurement
				Access the HHS Measure Inventory (a separate repository within NQMC)
				For academic or health services research
				Other, please specify	A
ACQhar0020561	NQMC	A	Specify your other reason for visiting the NQMC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason_NQMC
ACQhar0020562	NGC		Please indicate your primary reason for visiting the NGC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NGC
				Find a specific clinical practice guideline(s)
				Improve my practice/patient care
				Review the newest guidance to keep myself current
				Determine the guidance available on a specific topic
				Research and/or compare guidelines
				For personal health research
				Other, please specify	A
ACQhar0020563	NGC		Specify your other reason for visiting the NGC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason_NGC
ACQhar0020582	NGC		Have you created a free My NGC account?	Yes		Radio button, one-up vertical	S	Y		Created My NGC Account
				No
ACQhar0020583	NQMC		Have you created a free My NQMC account?	Yes		Radio button, one-up vertical	S	Y		Created My NQMC Account
				No
LNH2612	NGC NQMC		If you have used any of the features below, please rate your experience (1=Poor, 10=Excellent): Topic Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group*	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2613	NGC NQMC		Expert Commentary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2614	NGC NQMC		Organization Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2615	NGC NQMC		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2616	NGC NQMC		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2617	NGC NQMC		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2618	NGC		Guideline Summary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2619	NGC		My Favorite Guideline Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2620	NQMC		Domain Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2621	NQMC		Measure Summary Alert s	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2622	NQMC		My Favorite Measure Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
ACQhar0020584	NGC NQMC		Please share with us any thoughts or feedback about the personalization features you have used.			Text area, no char limit		n		Feature Feedback
	ePSS		What feature of the ePSS do you use the most?	About USPSTF		Radio button, one-up vertical	S	Y		ePSS Feature Used Most
				Grade Definitions
				Tools
				Search for Recommendations
				Browse by Topic
				Other
	ePSS		In which area would you most like to see changes in layout and/or presentation?	Search Results		Radio button, one-up vertical	S	Y	OPS Group	Layout Changes
				Risk Factor Information
				Clinical Considerations
				Rationale Information
				Tools within Recommendations
				Other, please specify	A
	ePSS	A	Other changes in layout and/or presentations			Text field, <100 char		N	OPS Group	Other Layout Changes
	ePSS		When using the ePSS over the last 3 months, did you use it:	Mostly on the web		Radio button, one-up vertical	S	Y		ePSS Use
				About the same on the web and on my mobile device
				Mostly on my mobile device
				Only on my mobile device
AML002913	ALL		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914		A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
~~AML002915~~	ePSS		~~How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?~~			~~Text area, no char limit~~		N		~~Improvements~~
	ePSS		Do you have any suggestions for improving or enhancing the ePSS for users like you?			Text area, no char limit		N		Improvements

Sheet 6: Custom Qsts (1-7-13)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
AML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
AML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
AML002902	ALL	A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
AML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
AML002904	ALL	A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
ACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice
				Family health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Job opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
ACQLiv0016075	ALL	A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
AML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
AML002908	ALL	A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
ACQhar0019250	Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI		What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
ACQhar0019251	Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI	A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
ACQLiv0016080	Main, EHC, CAHPS,HIT, epss, MEPS, QI		What features on this site did you find most useful?	A to Z Index		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Browse
				Category Labels
				Contact Us
				E-mail Updates
				Enlarge Text Size
				Frequently Asked Questions
				Navigation Buttons & Tabs
				Rotating Images
				Search
				Site Map
				Spanish Translations
				What’s New
				Other (please specify)	A
ACQLiv0016081	Main, EHC, CAHPS,HIT, epss, MEPS, QI	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	Main, EHC, CAHPS,HIT, epss, MEPS, QI		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914	Main, EHC, CAHPS,HIT, epss, MEPS, QI	A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
AML002915	Main, EHC, CAHPS,HIT, epss, MEPS, QI		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements
	INNOV		Please describe your experience with navigation on this site today. (Mark all that apply)	I had no difficulty browsing on this site		Checkbox, one-up vertical	M	Y	Skip Logic Group	Navigation Experience
				Could not navigate back to previous information
				Felt lost and unsure of where I was
				Links did not take me where I expected
				Links/labels were difficult to understand
				Too many links or navigational choices
				Had technical difficulties (e.g. broken link)
				Other, please specify:	A
	INNOV	A	What other navigation experience did you have on the site today?			Text area, no char limit		N	Skip Logic Group	Other Navigation Experience
	INNOV		If you used the search/text box feature of the site today to find your information, what best describes your experience with the search functionality?	I did not use the search feature today
				I did not encounter any difficulties
				Search results were not helpful
				Received too many results
				Received not enough results
				Received no results
				Results were not relevant to my search
				Other, please specify:	A
	INNOV	A	What other experience did you have with the search functionality today?			Text area, no char limit		N	Skip Logic Group	Other Search Experience
	INNOV		Do you have any other suggestions on how we might improve the Innovations Exchange Web site (please be specific, i.e., new content, topics, features, etc.)?			Text area, no char limit		N		Improvements
~~ACQLiv0016080~~	INNOV		~~What features on this site did you find most useful?~~	~~A to Z Index~~		~~Checkbox, one-up vertical~~	M	Y	~~OPS Group~~	~~Useful Features~~
	NGC, NQMC			~~Browse~~
				~~Category Labels~~
				~~Contact Us~~
				~~E-mail Updates~~
				~~Enlarge Text Size~~
				~~Frequently Asked Questions~~
				~~Navigation Buttons & Tabs~~
				~~Rotating Images~~
				~~Search~~
				~~Site Map~~
				~~Spanish Translations~~
				~~What’s New~~
				~~Other (please specify)~~	A
~~ACQLiv0016081~~	INNOV,NGC NQMC	A				~~Text field, <100 char~~			~~OPS Group~~	~~Other Useful Features~~
~~AML002913~~	INNOV,NGC NQMC		~~Did you encounter any technical difficulties?~~	No		~~Radio button, one-up vertical~~	~~Single~~	Y	~~OPS Group~~	~~Tech Difficulties~~
				~~Yes, please describe the problem (be as specific as possible)~~	A
~~AML002914~~	INNOV,NGC NQMC	A				~~Text field, <100 char~~		N	~~OPS Group~~	~~Other Tech~~
~~AML002915~~	INNOV,NGC NQMC		~~How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?~~			~~Text area, no char limit~~		N		~~Improvements~~
	NQMC		Please indicate your primary reason for visiting the NQMC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NQMC
				Find a specific quality measure(s)
				Review the newest quality measures to keep myself current
				Determine the quality measures available on a specific topic/issue/domain, etc.
				View tutorials on quality measurement
				Access the HHS Measure Inventory (a separate repository within NQMC)
				For academic or health services research
				Other, please specify	A
	NQMC	A	Specify your other reason for visiting the NQMC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason_NQMC
	NGC		Please indicate your primary reason for visiting the NGC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NGC
				Find a specific clinical practice guideline(s)
				Improve my practice/patient care
				Review the newest guidance to keep myself current
				Determine the guidance available on a specific topic
				Research and/or compare guidelines
				For personal health research
				Other, please specify	A
	NGC		Specify your other reason for visiting the NGC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason_NGC
~~ACQhar0019250~~	NGC, NQMC		~~What is your main purpose for using information from this site today?~~	~~Improve or apply treatment for my patients~~		~~Radio button, one-up vertical~~	~~Single~~	Y	~~Skip Logic Group~~	~~Use for Information~~
				~~Make decision about my own health care or for family member~~
				~~Refer to a friend or colleague or share with a collaborative group~~
				~~Plan a research project~~
				~~Prepare report, article, research paper or presentation~~
				~~Get information to assist in making policy decisions~~
				~~Help with work assignment or job responsibilities~~
				~~General knowledge or better understanding of health care system~~
				~~Get information to teach others~~
				~~Complete school/class project~~
				~~Find training opportunities and support~~
				~~Meet continuing education requirements~~
				~~Get funding for programs or projects~~
				~~Review the latest research findings and statistics~~
				~~Submit comments, ask questions or complete other online transactions~~
				~~Support quality improvement efforts and innovation~~
				~~Other (please specify)~~		A
~~ACQhar0019251~~	NGC, NQMC	A	~~What other purpose do you have for using the information from the site today?~~			~~Text area, no char limit~~		N	~~Skip Logic Group~~	~~Other Use for Information~~
	NGC		Have you created a free My NGC account?	Yes		Radio button, one-up vertical	S	Y		Created My NGC Account
				No
	NQMC		Have you created a free My NQMC account?	Yes		Radio button, one-up vertical	S	Y		Created My NQMC Account
				No
	NGC NQMC		If you have used any of the features below, please rate your experience (1=Poor, 10=Excellent): Topic Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group*	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC NQMC		Expert Commentary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC NQMC		Organization Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC NQMC		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC NQMC		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC NQMC		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC		Guideline Summary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC		My Favorite Guideline Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Domain Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Measure Summary Alert s	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Favorite Measure Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC NQMC		Please share with us any thoughts or feedback about the personalization features you have used.			Text area, no char limit		n		Feature Feedback

Sheet 7: Custom Qsts (11-29-12)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
AML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
AML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
AML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
AML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
				Other, please specify
AML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
ACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				~~Emergency preparedness~~
				Evidence-based clinical practice
				Family health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Job opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
ACQLiv0016075		A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
AML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
AML002908		A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
~~ACQLiv0016078~~	~~ALL~~		~~Which area(s) of the site did you access today?~~	~~About AHRQ~~		~~Checkbox, one-up vertical~~	M	Y	~~OPS Group~~	~~Areas of the Site Accessed~~
				~~AHRQ For You~~
				~~Clinical Information~~
				~~Comparative Effectiveness~~
				~~Consumer & Patients~~
				~~Data & Surveys~~
				~~Funding Opportunities~~
				~~Health IT~~
				~~News & Events~~
				~~Priority Populations~~
				~~Publications~~
				~~Quality & Patient Safety~~
				~~Research Findings~~
				~~Social Media & Multimedia~~
				~~TV & Radio Ads~~
				~~Other (please specify)~~	A
~~ACQLiv0016079~~		A	~~Other areas of the site accessed~~			~~Text field, <100 char~~		N	~~OPS Group~~	~~Other Areas of Site Accessed~~
			What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
		A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
ACQLiv0016080	ALL		What features on this site did you find most useful?	A to Z Index		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Browse
				Category Labels
				Contact Us
				E-mail Updates
				Enlarge Text Size
				Frequently Asked Questions
				Navigation Buttons & Tabs
				Rotating Images
				Search
				Site Map
				Spanish Translations
				What’s New
				Other (please specify)	A
ACQLiv0016081	ALL	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	ALL		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914		A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
AML002915	ALL		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements

Sheet 8: Current Custom Qsts (EN-Main)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
ENAML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
ENAML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
ENAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
ENAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
ENAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
ENACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice and guidelines
				Family or personal health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Career opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Primary care practice
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
ACQLiv0016075		A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
AML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
AML002908		A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
ENACQhar0019250	Main		What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
ENACQhar0019251		A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
ENACQLiv0016080	Main		What features on this site did you find most useful?	~~A to Z Index~~		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Browse Topics
				Category Labels and Links
				Contact Us
				E-mail Updates
				~~Enlarge Text Size~~
				Frequently Asked Questions
				Buttons and Navigation Tabs
				Images
				Search
				Site Map
				Social Media Icons
				~~Spanish Translations~~
				What’s New
				Other (please specify)	A
ACQLiv0016081	Main	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	Main		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914		A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
AML002915	Main		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements

Sheet 9: Custom Qsts (EN) (11-29-12)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
ENAML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
ENAML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
AML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
ENAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				~~Other Clinical Specialist~~
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				~~Allied Health Care Provider~~
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				~~Human Resources Manager~~
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				~~Retiree~~
				Other, please specify
AML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
ACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				~~Emergency preparedness~~
				Evidence-based clinical practice
				Family health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Job opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
ACQLiv0016075		A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
AML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
AML002908		A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
~~ACQLiv0016078~~	~~ALL~~		~~Which area(s) of the site did you access today?~~	~~About AHRQ~~		~~Checkbox, one-up vertical~~	M	Y	~~OPS Group~~	~~Areas of the Site Accessed~~
				~~AHRQ For You~~
				~~Clinical Information~~
				~~Comparative Effectiveness~~
				~~Consumer & Patients~~
				~~Data & Surveys~~
				~~Funding Opportunities~~
				~~Health IT~~
				~~News & Events~~
				~~Priority Populations~~
				~~Publications~~
				~~Quality & Patient Safety~~
				~~Research Findings~~
				~~Social Media & Multimedia~~
				~~TV & Radio Ads~~
				~~Other (please specify)~~	A
~~ACQLiv0016079~~		A	~~Other areas of the site accessed~~			~~Text field, <100 char~~		N	~~OPS Group~~	~~Other Areas of Site Accessed~~
			What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
		A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
ACQLiv0016080	ALL		What features on this site did you find most useful?	A to Z Index		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Browse
				Category Labels
				Contact Us
				E-mail Updates
				Enlarge Text Size
				Frequently Asked Questions
				Navigation Buttons & Tabs
				Rotating Images
				Search
				Site Map
				Spanish Translations
				What’s New
				Other (please specify)	A
ACQLiv0016081	ALL	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	ALL		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914		A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
AML002915	ALL		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements

Sheet 10: Current Custom Qsts (2E-EHC)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
1EAML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
1EAML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
1EAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
1EAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
1EAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
1EACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice and guidelines
				Family or personal health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Career opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Primary care practice
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
1EACQLiv0016075		A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
1EAML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
1EAML002908		A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
1EACQhar0019250	EHC		What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
1EACQhar00192501		A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
1EACQLiv0016080	EHC		What features on this site did you find most useful?	~~A to Z Index~~		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Browse Topics
				Category Labels and Links
				Contact Us
				E-mail Updates
				~~Enlarge Text Size~~
				Frequently Asked Questions
				Buttons and Navigation Tabs
				Images
				Search
				Site Map
				Social Media Icons
				~~Spanish Translations~~
				What’s New
				Other (please specify)	A
1EACQLiv0016081	EHC	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	EHC		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914		A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
AML002915	EHC		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements

Sheet 11: Current Custom Qsts (3E-CAHPS)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
2EAML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
2EAML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
2EAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
2EAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
2EAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
2EACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice and guidelines
				Family or personal health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Career opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Primary care practice
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
ACQLiv0016075		A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
2EAML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
2EAML002908	ALL	A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
2EACQhar0019250	CAHPS		What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
2EACQhar0019251		A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
2EACQLiv0016080	CAHPS		What features on this site did you find most useful?	~~A to Z Index~~		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Browse Topics
				Category Labels and Links
				Contact Us
				E-mail Updates
				~~Enlarge Text Size~~
				Frequently Asked Questions
				Buttons and Navigation Tabs
				Images
				Search
				Site Map
				Social Media Icons
				~~Spanish Translations~~
				What’s New

				Other (please specify)	A
ACQLiv0016081	CAHPS	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	CAHPS		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914		A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
AML002915	CAHPS		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements

Sheet 12: Current Custom Qsts (4E-ePSS)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
3EAML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
3EAML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
3EAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
3EAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
3EAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
3EACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice and guidelines
				Family or personal health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Career opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Primary care practice
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
ACQLiv0016075		A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
3EAML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
3EAML002908		A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
3EACQhar0019250			What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
3EACQhar0019250		A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
3EACQLiv0016080	ALL		What features on this site did you find most useful?	~~A to Z Index~~		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Browse Topics
				Category Labels and Links
				Contact Us
				E-mail Updates
				~~Enlarge Text Size~~
				Frequently Asked Questions
				Buttons and Navigation Tabs
				Images
				Search
				Site Map
				Social Media Icons
				~~Spanish Translations~~
				What’s New
				Other (please specify)	A
ACQLiv0016081	ALL	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
	ePSS		What feature of the ePSS do you use the most?	About USPSTF		Radio button, one-up vertical	S	Y		ePSS Feature Used Most
				Grade Definitions
				Tools
				Search for Recommendations
				Browse by Topic
				Other
	ePSS		In which area would you most like to see changes in layout and/or presentation?	Search Results		Radio button, one-up vertical	S	Y	OPS Group	Layout Changes
				Risk Factor Information
				Clinical Considerations
				Rationale Information
				Tools within Recommendations
				Other, please specify	A
	ePSS	A	Other changes in layout and/or presentations			Text field, <100 char		N	OPS Group	Other Layout Changes
	ePSS		When using the ePSS over the last 3 months, did you use it:	Mostly on the web		Radio button, one-up vertical	S	Y		ePSS Use
				About the same on the web and on my mobile device
				Mostly on my mobile device
				Only on my mobile device
~~AML002913~~	~~ePSS~~		~~Did you encounter any technical difficulties?~~	No		~~Radio button, one-up vertical~~	~~Single~~	Y	~~OPS Group~~	~~Tech Difficulties~~
				~~Yes, please describe the problem (be as specific as possible)~~	A
~~AML002914~~		A	~~Please describe technical difficulties~~			~~Text field, <100 char~~		N	~~OPS Group~~	~~Other Tech~~
~~AML002915~~	~~ePSS~~		~~How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?~~			~~Text area, no char limit~~		N		~~Improvements~~
	ePSS		Do you have any suggestions for improving or enhancing the ePSS for users like you?			Text area, no char limit		N		Improvements

Sheet 13: Current Custom Qsts (5E-HIT)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
4EAML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
4EAML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
4EAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
4EAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
4EAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
4EACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice and guidelines
				Family or personal health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Career opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Primary care practice
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
4EACQLiv0016075		A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
4EAML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
4EAML002908	ALL	A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
4EACQhar0019250	HIT		What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
4EACQhar0019251		A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
4EACQLiv0016080	HIT		What features on this site did you find most useful?	~~A to Z Index~~		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Browse Topics
				Category Labels and Links
				Contact Us
				E-mail Updates
				~~Enlarge Text Size~~
				Frequently Asked Questions
				Buttons and Navigation Tabs
				Images
				Search
				Site Map
				Social Media Icons
				~~Spanish Translations~~
				What’s New
				Other (please specify)	A
ACQLiv0016081	HIT	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	HIT		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914		A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
AML002915	HIT		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements

Sheet 14: Current Custom Qsts (6E-INNOV)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
5EAML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
5EAML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
5EAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
5EAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
5EAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
5EACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice and guidelines
				Family or personal health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Career opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Primary care practice
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
5EACQLiv0016075	ALL	A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
5EAML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
5EAML002908	ALL	A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
5EACQhar0019250	INNOV		What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
5EACQhar0019251	INNOV	A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
5EACQhar0020580	INNOV		Please describe your experience with navigation on this site today. (Mark all that apply)	I had no difficulty browsing on this site		Checkbox, one-up vertical	M	Y	Skip Logic Group	Navigation Experience
				Could not navigate back to previous information
				Felt lost and unsure of where I was
			Links did not take me where I expected
				Links/labels were difficult to understand
				Too many links or navigational choices
				Had technical difficulties (e.g. broken link)
				Other, please specify:	A
5EACQhar0020581	INNOV	A				Text area, no char limit		N	Skip Logic Group	Other Navigation Experience
5EACQhar0020557	INNOV		If you used the search/text box feature of the site today to find your information, what best describes your experience with the search functionality?	I did not use the search feature today		Radio button, one-up vertical	S	Y	Skip Logic Group	Search Experience
				I did not encounter any difficulties
				Search results were not helpful
				Received too many results
				Received not enough results
				Received no results
				Results were not relevant to my search
				Other, please specify:	A
5EACQhar0020558	INNOV	A	What other experience did you have with the search functionality today?			Text area, no char limit		N	Skip Logic Group	Other Search Experience
5EACQhar0020559	INNOV		Do you have any other suggestions on how we might improve the Innovations Exchange Web site (please be specific, i.e., new content, topics, features, etc.)?			Text area, no char limit		N		Improvements

Sheet 15: Custom Qsts (6E-INNOV (1-7-13)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
5EAML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
5EAML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
5EAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
5EAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
5EAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
5EACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice
				Family health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Job opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
5EACQLiv0016075	ALL	A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
5EAML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
5EAML002908	ALL	A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
5EACQhar0019250	ALL		What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
5EACQhar0019251	ALL	A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
~~5EACQLiv0016080~~	~~ALL~~		~~What features on this site did you find most useful?~~	~~A to Z Index~~		~~Checkbox, one-up vertical~~	M	Y	~~OPS Group~~	~~Useful Features~~
				~~Browse~~
				~~Category Labels~~
				~~Contact Us~~
				~~E-mail Updates~~
				~~Enlarge Text Size~~
				~~Frequently Asked Questions~~
				~~Navigation Buttons & Tabs~~
				~~Rotating Images~~
				~~Search~~
				~~Site Map~~
				~~Spanish Translations~~
				~~What’s New~~
				~~Other (please specify)~~	A
~~ACQLiv0016081~~	~~ALL~~	A	~~Other features~~			~~Text field, <100 char~~			~~OPS Group~~	~~Other Useful Features~~
~~AML002913~~	~~ALL~~		~~Did you encounter any technical difficulties?~~	No		~~Radio button, one-up vertical~~	~~Single~~	Y	~~OPS Group~~	~~Tech Difficulties~~
				~~Yes, please describe the problem (be as specific as possible)~~	A
~~AML002914~~		A	~~Please describe technical difficulties~~			~~Text field, <100 char~~		N	~~OPS Group~~	~~Other Tech~~
~~AML002915~~	~~ALL~~		~~How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?~~			~~Text area, no char limit~~		N		~~Improvements~~
	INNOV		Please describe your experience with navigation on this site today. (Mark all that apply)	I had no difficulty browsing on this site		Checkbox, one-up vertical	M	Y	Skip Logic Group	Navigation Experience
				Could not navigate back to previous information
				Felt lost and unsure of where I was
				Links did not take me where I expected
				Links/labels were difficult to understand
				Too many links or navigational choices
				Had technical difficulties (e.g. broken link)
				Other, please specify:	A
	INNOV	A	What other navigation experience did you have on the site today?			Text area, no char limit		N	Skip Logic Group	Other Navigation Experience
	INNOV		If you used the search/text box feature of the site today to find your information, what best describes your experience with the search functionality?	I did not use the search feature today
				I did not encounter any difficulties
				Search results were not helpful
				Received too many results
				Received not enough results
				Received no results
				Results were not relevant to my search
				Other, please specify:	A
	INNOV	A	What other experience did you have with the search functionality today?			Text area, no char limit		N	Skip Logic Group	Other Search Experience
	INNOV		Do you have any other suggestions on how we might improve the Innovations Exchange Web site (please be specific, i.e., new content, topics, features, etc.)?			Text area, no char limit		N		Improvements

Sheet 16: Current Custom Qsts (7E-USHIK)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	USHIK	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, USHIK, QI, NGC, NQMC	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
AML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
AML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
6EAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
6EAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
6EAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
6EACQLiv0016074	USHIK		Please select your main area of interest for using this web site today.	Agency Products or News Release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				All-Payer Claims Databases
				Children's Electronic Health Record Format
				Continuing Education or Training Assistance
				Data and Surveys
				Draft Clinical Quality Measures
				Evidence-based Clinical Practice and Guidelines
				Family or Personal Health Care
				General Health Interest
				Grants or Contracts
				Health Care Quality
				Health Information Technology
				Health Services Research Studies
				HITSP
				Meaningful Use
				Patient Safety/Common Formats
				Published Standards
				Structured Data Capture
				Other, please specify
6EACQLiv0016075	USHIK	A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
6EAML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
6EAML002908		A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
6EACQhar0019250	USHIK		What is your main purpose for using information from this site today?	Complete school/class project		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				General knowledge or better understanding of health care system
				Get information to assist in making policy decisions
				Get information to teach others
				Help with work assignment or job responsibilities
				Plan a research project
				Prepare report, article, research paper or presentation
				Refer to a friend or colleague or share with a collaborative group
				Reporting for Meaningful Use
				Research published standards
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Systems implementation
				Other (please specify)		A
6EACQhar0019251	USHIK	A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
6EACQLiv0016080	USHIK		What features on this site did you find most useful?	Browse Topics		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Buttons and Navigation Tabs
				Category Labels and Links
				Comparison Tool
				Contact Us
				Downloads
				E-mail Updates
				Frequently Asked Questions
				Information Models
				Search
				Versioning
				What’s New
				Other (please specify)	A
ACQLiv0016081	USHIK	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	ALL		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914	ALL	A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
AML002915	USHIK		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements

Sheet 17: Qsts (7E-USHIK) (6-13-14)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	USHIK	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, USHIK, QI, NGC, NQMC	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
AML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
AML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
6EAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
6EAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
6EAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
6EACQLiv0016074	USHIK		Please select your main area of interest for using this web site today.	Agency Products or News Release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				All-Payer Claims Databases
				~~Career opportunities~~
				Children's Electronic Health Record Format
				~~Comparative effectiveness of treatments~~
				Continuing Education or Training Assistance
				Data and Surveys
				Draft Clinical Quality Measures
				Evidence-based Clinical Practice and Guidelines
				Family or Personal Health Care
				General Health Interest
				Grants or Contracts
				~~Health care plans and insurance~~
				Health Care Quality
				~~Health care use and cost~~
				Health Information Technology
				Health Services Research Studies
				HITSP
				Meaningful Use
				~~Medicines and drugs~~
				Patient Safety/Common Formats
				~~Patient safety~~
				~~Preventive health care~~
				~~Primary care practice~~
				Published Standards
				~~Racial/ethnic health care disparities~~
				~~Social media/TV or radio ads~~
				Structured Data Capture
				Other, please specify
6EACQLiv0016075	USHIK	A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
6EAML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
6EAML002908		A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
6EACQhar0019250	USHIK		What is your main purpose for using information from this site today?	Complete school/class project		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				~~Find training opportunities and support~~
				General knowledge or better understanding of health care system
				~~Get funding for programs or projects~~
				Get information to assist in making policy decisions
				Get information to teach others
				Help with work assignment or job responsibilities
				~~Improve or apply treatment for my patients~~
				~~Make decision about my own health care or for family member~~
				~~Meet continuing education requirements~~
				Plan a research project
				Prepare report, article, research paper or presentation
				Refer to a friend or colleague or share with a collaborative group
				Reporting for Meaningful Use
				Research published standards
				~~Review the latest research findings and statistics~~
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Systems implementation
				Other (please specify)		A
6EACQhar0019251	USHIK	A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
6EACQLiv0016080	USHIK		What features on this site did you find most useful?	Browse Topics		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Buttons and Navigation Tabs
				Category Labels and Links
				Comparison Tool
				Contact Us
				Downloads
				E-mail Updates
				Frequently Asked Questions
				~~Images~~
				Information Models
				Search
				~~Site Map~~
				~~Social Media Icons~~
				Versioning
				What’s New
				Other (please specify)	A
ACQLiv0016081	USHIK	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	ALL		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914	ALL	A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
AML002915	USHIK		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements

Sheet 18: Current Custom Qsts (8E-NGC)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
7EAML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
7EAML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
7EAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
7EAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
7EAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
7EACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice and guidelines
				Family or personal health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Career opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Primary care practice
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
7EACQLiv0016075		A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
7EAML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
7EAML002908		A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
7EACQhar0020562	NGC		Please indicate your primary reason for visiting the NGC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NGC
				Find a specific clinical practice guideline(s)
				Improve my practice/patient care
				Review the newest guidance to keep myself current
				Determine the guidance available on a specific topic
				Research and/or compare guidelines
				For personal health research
				Other, please specify	A
7EACQhar0020563	NGC		Specify your other reason for visiting the NGC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason_NGC
7EACQhar0020582	NGC		Have you created a free My NGC account?	Yes	A, B	Radio button, one-up vertical	S	Y	Skip Logic Group	Created My NGC Account
				No
LNH2612	NGC	A	If you have used any of the features below, please rate your experience (1=Poor, 10=Excellent): Topic Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group*	Topic Alerts Rating
				2					Skip Logic Group
				3
				4
				5
				6
				7
				8
				9
			10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2613	NGC		Expert Commentary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2614	NGC			1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2615	NGC		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2616	NGC		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2617	NGC		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2					Skip Logic Group
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2618	NGC		Guideline Summary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2619	NGC		My Favorite Guideline Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2					Skip Logic Group
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
7EACQhar0020584	NGC	B	Please share with us any thoughts or feedback about the personalization features you have used.			Text area, no char limit		n	Skip Logic Group	Feature Feedback

Sheet 19: Custom Qsts (9E-NGC (1-8-13)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
7EAML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
7EAML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
7EAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
7EAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
7EAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
7EACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice
				Family health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Job opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
7EACQLiv0016075		A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
7EAML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
7EAML002908		A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
~~7EACQhar0019250~~			~~What is your main purpose for using information from this site today?~~	~~Improve or apply treatment for my patients~~		~~Radio button, one-up vertical~~	~~Single~~	Y	~~Skip Logic Group~~	~~Use for Information~~
				~~Make decision about my own health care or for family member~~
				~~Refer to a friend or colleague or share with a collaborative group~~
				~~Plan a research project~~
				~~Prepare report, article, research paper or presentation~~
				~~Get information to assist in making policy decisions~~
				~~Help with work assignment or job responsibilities~~
				~~General knowledge or better understanding of health care system~~
				~~Get information to teach others~~
				~~Complete school/class project~~
				~~Find training opportunities and support~~
				~~Meet continuing education requirements~~
				~~Get funding for programs or projects~~
				~~Review the latest research findings and statistics~~
				~~Submit comments, ask questions or complete other online transactions~~
				~~Support quality improvement efforts and innovation~~
				~~Other (please specify)~~		A
~~7EACQhar0019251~~		A	~~What other purpose do you have for using the information from the site today?~~			~~Text area, no char limit~~		N	~~Skip Logic Group~~	~~Other Use for Information~~
~~7EACQLiv0016080~~	~~ALL~~		~~What features on this site did you find most useful?~~	~~A to Z Index~~		~~Checkbox, one-up vertical~~	M	Y	~~OPS Group~~	~~Useful Features~~
				~~Browse~~
				~~Category Labels~~
				~~Contact Us~~
				~~E-mail Updates~~
				~~Enlarge Text Size~~
				~~Frequently Asked Questions~~
				~~Navigation Buttons & Tabs~~
				~~Rotating Images~~
				~~Search~~
				~~Site Map~~
				~~Spanish Translations~~
				~~What’s New~~
				~~Other (please specify)~~	A
~~ACQLiv0016081~~	~~ALL~~	A	~~Other features~~			~~Text field, <100 char~~			~~OPS Group~~	~~Other Useful Features~~
~~AML002913~~	~~ALL~~		~~Did you encounter any technical difficulties?~~	No		~~Radio button, one-up vertical~~	~~Single~~	Y	~~OPS Group~~	~~Tech Difficulties~~
				~~Yes, please describe the problem (be as specific as possible)~~	A
~~AML002914~~		A	~~Please describe technical difficulties~~			~~Text field, <100 char~~		N	~~OPS Group~~	~~Other Tech~~
~~AML002915~~	~~ALL~~		~~How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?~~			~~Text area, no char limit~~		N		~~Improvements~~
	NGC		Please indicate your primary reason for visiting the NGC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NGC
				Find a specific clinical practice guideline(s)
				Improve my practice/patient care
				Review the newest guidance to keep myself current
				Determine the guidance available on a specific topic
				Research and/or compare guidelines
				For personal health research
				Other, please specify	A
	NGC		Specify your other reason for visiting the NGC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason_NGC
	NGC		Have you created a free My NGC account?	Yes		Radio button, one-up vertical	S	Y		Created My NGC Account
				No
	NGC		If you have used any of the features below, please rate your experience (1=Poor, 10=Excellent): Topic Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group*	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC		Expert Commentary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC		Organization Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC		Guideline Summary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC		My Favorite Guideline Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NGC		Please share with us any thoughts or feedback about the personalization features you have used.			Text area, no char limit		n		Feature Feedback

Sheet 20: Current Custom Qsts (9E-NQMC)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
8EAML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
8EAML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
8EAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
8EAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
8EAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
8EACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice and guidelines
				Family or personal health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Career opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Primary care practice
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
8EACQLiv0016075		A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
8EAML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
8EAML002908		A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
8EACQhar0020560	NQMC		Please indicate your primary reason for visiting the NQMC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NQMC
				Find a specific quality measure(s)
				Review the newest quality measures to keep myself current
				Determine the quality measures available on a specific topic/issue/domain, etc.
				View tutorials on quality measurement
				Access the HHS Measure Inventory (a separate repository within NQMC)
				For academic or health services research
				Other, please specify	A
8EACQhar0020561	NQMC	A				Text field, <100 char		N	OPS Group	OPS Primary Reason_NQMC
8EACQhar0020583	NQMC		Have you created a free My NQMC account?	Yes	A,B	Radio button, one-up vertical	S	Y	Skip Logic Group	Created My NQMC Account
				No
LNH2612	NQMC	A	If you have used any of the features below, please rate your experience (1=Poor, 10=Excellent): Topic Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group*	Topic Alerts Rating
				2					Skip Logic Group
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2613	NQMC			1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2					Skip Logic Group
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2614	NQMC		Organization Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2615	NQMC		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2616	NQMC		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2617	NQMC		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2620	NQMC		Domain Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2621	NQMC		Measure Summary Alert s	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
LNH2622	NQMC		My Favorite Measure Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3					Skip Logic Group
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
8EACQhar0020584		B	Please share with us any thoughts or feedback about the personalization features you have used.			Text area, no char limit		n	Skip Logic Group	Feature Feedback

Sheet 21: Custom Qsts (8E-NQMC (1-8-13)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
8EAML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
8EAML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
8EAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
8EAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
8EAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
8EACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice
				Family health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Job opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
8EACQLiv0016075		A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
8EAML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
8EAML002908		A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
~~8EACQhar0019250~~			~~What is your main purpose for using information from this site today?~~	~~Improve or apply treatment for my patients~~		~~Radio button, one-up vertical~~	~~Single~~	Y	~~Skip Logic Group~~	~~Use for Information~~
				~~Make decision about my own health care or for family member~~
				~~Refer to a friend or colleague or share with a collaborative group~~
				~~Plan a research project~~
				~~Prepare report, article, research paper or presentation~~
				~~Get information to assist in making policy decisions~~
				~~Help with work assignment or job responsibilities~~
				~~General knowledge or better understanding of health care system~~
				~~Get information to teach others~~
				~~Complete school/class project~~
				~~Find training opportunities and support~~
				~~Meet continuing education requirements~~
				~~Get funding for programs or projects~~
				~~Review the latest research findings and statistics~~
				~~Submit comments, ask questions or complete other online transactions~~
				~~Support quality improvement efforts and innovation~~
				~~Other (please specify)~~		A
~~8EACQhar0019251~~		A	~~What other purpose do you have for using the information from the site today?~~			~~Text area, no char limit~~		N	~~Skip Logic Group~~	~~Other Use for Information~~
~~8EACQLiv0016080~~	~~ALL~~		~~What features on this site did you find most useful?~~	~~A to Z Index~~		~~Checkbox, one-up vertical~~	M	Y	~~OPS Group~~	~~Useful Features~~
				~~Browse~~
				~~Category Labels~~
				~~Contact Us~~
				~~E-mail Updates~~
				~~Enlarge Text Size~~
				~~Frequently Asked Questions~~
				~~Navigation Buttons & Tabs~~
				~~Rotating Images~~
				~~Search~~
				~~Site Map~~
				~~Spanish Translations~~
				~~What’s New~~
				~~Other (please specify)~~	A
~~ACQLiv0016081~~	~~ALL~~	A	~~Other features~~			~~Text field, <100 char~~			~~OPS Group~~	~~Other Useful Features~~
~~AML002913~~	~~ALL~~		~~Did you encounter any technical difficulties?~~	No		~~Radio button, one-up vertical~~	~~Single~~	Y	~~OPS Group~~	~~Tech Difficulties~~
				~~Yes, please describe the problem (be as specific as possible)~~	A
~~AML002914~~		A	~~Please describe technical difficulties~~			~~Text field, <100 char~~		N	~~OPS Group~~	~~Other Tech~~
~~AML002915~~	~~ALL~~		~~How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?~~			~~Text area, no char limit~~		N		~~Improvements~~
	NQMC		Please indicate your primary reason for visiting the NQMC site today. (Select one.)	Nothing in particular (just browsing)		Radio button, one-up vertical	Single	Y	OPS Group	Primary Reason_NQMC
				Find a specific quality measure(s)
				Review the newest quality measures to keep myself current
				Determine the quality measures available on a specific topic/issue/domain, etc.
				View tutorials on quality measurement
				Access the HHS Measure Inventory (a separate repository within NQMC)
				For academic or health services research
				Other, please specify	A
	NQMC	A	Specify your other reason for visiting the NQMC site today.			Text field, <100 char		N	OPS Group	OPS Primary Reason_NQMC
	NQMC		Have you created a free My NQMC account?	Yes		Radio button, one-up vertical	S	Y		Created My NQMC Account
				No
	NQMC			1=Poor		Radio button, scale, has don't know	s	N	Matrix Group*	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Expert Commentary Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Organization Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Favorite Organizations	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Recent Searches	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Recently Viewed Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Domain Alerts	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Commentary Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		Measure Summary Alert s	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
	NQMC		My Favorite Measure Summaries	1=Poor		Radio button, scale, has don't know	s	N	Matrix Group	Topic Alerts Rating
				2
				3
				4
				5
				6
				7
				8
				9
				10=Excellent
				I am not aware of this feature					Mutually Exclusive
			Please share with us any thoughts or feedback about the personalization features you have used.			Text area, no char limit		n		Feature Feedback

Sheet 22: Current Custom Qsts (10E-QI)

Model Instance Name: AHRQ Enterprise				~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
R8wAc4oxsEFxw15AZd8ghg==				underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
#REF!				pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
					ePSS	Electronic Preventive Services	NQMC	Quality Measures
Date:		9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
					PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

AHRQ Enterprise
QID (Group ID)	Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
9EAML002900	ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
				Daily or almost daily
				About once a week
				About two or three times a month
				About once a month
				Every few months or less often
9EAML002901	ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
				Print media
				Radio or television
				Previous knowledge of AHRQ
				Third-party search engine (Google, Bing, Yahoo, etc.)
				Link from another Web site
				Mobile application
				Online social media
				Word of mouth
				Conference or meeting
				Class or teacher
				Other, please specify	A
9EAML002902		A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
9EAML002903	ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
				Nurse/Nurse Practitioner
				Other Health Care Provider
				Health Care Administrator
				Social Services Intermediary
				Consumer, Patient, or General Public
				Government Policymaker
				Health Insurer
				Employer
				Researcher/Analyst
				Media / Press
				Librarian/Information Specialist
				Educator
				Student
				System Administrator
				Other, please specify
9EAML002904		A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
9EACQLiv0016074	ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
				Comparative effectiveness of treatments
				Continuing education or training assistance
				Data and surveys
				Evidence-based clinical practice and guidelines
				Family or personal health care
				General health interest
				Grants or contracts
				Health care plans and insurance
				Health care quality
				Health care use and cost
				Health services research studies
				Health information technology
				Career opportunities
				Medicines and drugs
				Patient safety
				Preventive health care
				Primary care practice
				Racial/ethnic health care disparities
				Social media/TV or radio ads
				Other, please specify
9EACQLiv0016075		A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
9EAML002907	ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
				No	A
9EAML002908		A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
9EACQhar0019250			What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
				Make decision about my own health care or for family member
				Refer to a friend or colleague or share with a collaborative group
				Plan a research project
				Prepare report, article, research paper or presentation
				Get information to assist in making policy decisions
				Help with work assignment or job responsibilities
				General knowledge or better understanding of health care system
				Get information to teach others
				Complete school/class project
				Find training opportunities and support
				Meet continuing education requirements
				Get funding for programs or projects
				Review the latest research findings and statistics
				Submit comments, ask questions or complete other online transactions
				Support quality improvement efforts and innovation
				Other (please specify)		A
9EACQhar0019251		A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
9EACQLiv0016080	ALL		What features on this site did you find most useful?	~~A to Z Index~~		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
				Browse Topics
				Category Labels and Links
				Contact Us
				E-mail Updates
				~~Enlarge Text Size~~
				Frequently Asked Questions
				Buttons and Navigation Tabs
				Images
				Search
				Site Map
				Social Media Icons
				~~Spanish Translations~~
				What’s New
				Other (please specify)	A
ACQLiv0016081	ALL	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
AML002913	ALL		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
				Yes, please describe the problem (be as specific as possible)	A
AML002914		A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
AML002915	ALL		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements

Sheet 23: Current Custom Qsts (11E-PSMM)

MID: FYZxws1dVJc0lwxkwk9Ulw4C			~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
			underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
			pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
				ePSS	Electronic Preventive Services	NQMC	Quality Measures
	9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
				PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
			Daily or almost daily
			About once a week
			About two or three times a month
			About once a month
			Every few months or less often
ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
			Print media
			Radio or television
			Previous knowledge of AHRQ
			Third-party search engine (Google, Bing, Yahoo, etc.)
			Link from another Web site
			Mobile application
			Online social media
			Word of mouth
			Conference or meeting
			Class or teacher
			Other, please specify	A
	A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
			Nurse/Nurse Practitioner
			Other Health Care Provider
			Health Care Administrator
			Social Services Intermediary
			Consumer, Patient, or General Public
			Government Policymaker
			Health Insurer
			Employer
			Researcher/Analyst
			Media / Press
			Librarian/Information Specialist
			Educator
			Student
			System Administrator
			Other, please specify
	A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
			Comparative effectiveness of treatments
			Continuing education or training assistance
			Data and surveys
			Evidence-based clinical practice and guidelines
			Family or personal health care
			General health interest
			Grants or contracts
			Health care plans and insurance
			Health care quality
			Health care use and cost
			Health services research studies
			Health information technology
			Career opportunities
			Medicines and drugs
			Patient safety
			Preventive health care
			Primary care practice
			Racial/ethnic health care disparities
			Social media/TV or radio ads
			Other, please specify
	A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
			No	A
	A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
		What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
			Make decision about my own health care or for family member
			Refer to a friend or colleague or share with a collaborative group
			Plan a research project
			Prepare report, article, research paper or presentation
			Get information to assist in making policy decisions
			Help with work assignment or job responsibilities
			General knowledge or better understanding of health care system
			Get information to teach others
			Complete school/class project
			Find training opportunities and support
			Meet continuing education requirements
			Get funding for programs or projects
			Review the latest research findings and statistics
			Submit comments, ask questions or complete other online transactions
			Support quality improvement efforts and innovation
			Other (please specify)		A
	A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
ALL		What features on this site did you find most useful?	~~A to Z Index~~		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
			Browse Topics
			Category Labels and Links
			Contact Us
			E-mail Updates
			~~Enlarge Text Size~~
			Frequently Asked Questions
			Buttons and Navigation Tabs
			Images
			Search
			Site Map
			Social Media Icons
			~~Spanish Translations~~
			What’s New
			Other (please specify)	A
ALL	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
ALL		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
			Yes, please describe the problem (be as specific as possible)	A
	A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
ALL		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements

Sheet 24: Current Custom Qsts (12E-HCUP)

MID: 90RZ8tRh9UN81s08dJwR1Q4C			~~red & strike-through: DELETE~~	Main	AHRQ Main Site	INNOV	Innovations
			underlined & italicized: RE-ORDER	EHC	Effective Health	MEPS	MEPS
			pink: ADDITION	CAHPS	CAHPS	NGC	Guideline
				ePSS	Electronic Preventive Services	NQMC	Quality Measures
	9/6/2012		blue + -->: REWORDING	HIT	Health IT	QI	Quality Indicators
				PSMM	Patient Safety/Morbitity and Mortality	HCUP	HCUP

Website Main, EHC, CAHPS,HIT, epss, INNOV, MEPS, QI, NGC, NQMC	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
ALL		How frequently do you visit this site?	First time		Radio button, one-up vertical	Single	Y		Frequency
			Daily or almost daily
			About once a week
			About two or three times a month
			About once a month
			Every few months or less often
ALL		How did you learn about this site?	E-mail		Radio button, one-up vertical	Single	Y	OPS Group	Learn About
			Print media
			Radio or television
			Previous knowledge of AHRQ
			Third-party search engine (Google, Bing, Yahoo, etc.)
			Link from another Web site
			Mobile application
			Online social media
			Word of mouth
			Conference or meeting
			Class or teacher
			Other, please specify	A
	A	Other, How did you learn about this site?			Text field, <100 char		N	OPS Group	Other_LearnAbout
ALL		Which of the following best describes your role in coming to the site today?	Physician/Physician’s Assistant		Radio button, one-up vertical	Single	Y	OPS Group	Describes You
			Nurse/Nurse Practitioner
			Other Health Care Provider
			Health Care Administrator
			Social Services Intermediary
			Consumer, Patient, or General Public
			Government Policymaker
			Health Insurer
			Employer
			Researcher/Analyst
			Media / Press
			Librarian/Information Specialist
			Educator
			Student
			System Administrator
			Other, please specify
	A	Other, best describes your situation or position			Text field, <100 char		N	OPS Group	Other Describes You
ALL		Please select your main area of interest for using this web site today.	Agency products or news release		Radio button, one-up vertical	Single	Y	OPS Group	Main area of interest
			Comparative effectiveness of treatments
			Continuing education or training assistance
			Data and surveys
			Evidence-based clinical practice and guidelines
			Family or personal health care
			General health interest
			Grants or contracts
			Health care plans and insurance
			Health care quality
			Health care use and cost
			Health services research studies
			Health information technology
			Career opportunities
			Medicines and drugs
			Patient safety
			Preventive health care
			Primary care practice
			Racial/ethnic health care disparities
			Social media/TV or radio ads
			Other, please specify
	A	Other, main area of interest			Text field, <100 char		N	OPS Group	Other Reason
ALL		Were you able to find what you were looking for today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
			No	A
	A	What were you unable to find?			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
		What is your main purpose for using information from this site today?	Improve or apply treatment for my patients		Radio button, one-up vertical	Single	Y	Skip Logic Group	Use for Information
			Make decision about my own health care or for family member
			Refer to a friend or colleague or share with a collaborative group
			Plan a research project
			Prepare report, article, research paper or presentation
			Get information to assist in making policy decisions
			Help with work assignment or job responsibilities
			General knowledge or better understanding of health care system
			Get information to teach others
			Complete school/class project
			Find training opportunities and support
			Meet continuing education requirements
			Get funding for programs or projects
			Review the latest research findings and statistics
			Submit comments, ask questions or complete other online transactions
			Support quality improvement efforts and innovation
			Other (please specify)		A
	A	What other purpose do you have for using the information from the site today?			Text area, no char limit		N	Skip Logic Group	Other Use for Information
ALL		What features on this site did you find most useful?	~~A to Z Index~~		Checkbox, one-up vertical	M	Y	OPS Group	Useful Features
			Browse Topics
			Category Labels and Links
			Contact Us
			E-mail Updates
			~~Enlarge Text Size~~
			Frequently Asked Questions
			Buttons and Navigation Tabs
			Images
			Search
			Site Map
			Social Media Icons
			~~Spanish Translations~~
			What’s New
			Other (please specify)	A
ALL	A	Other features			Text field, <100 char			OPS Group	Other Useful Features
ALL		Did you encounter any technical difficulties?	No		Radio button, one-up vertical	Single	Y	OPS Group	Tech Difficulties
			Yes, please describe the problem (be as specific as possible)	A
	A	Please describe technical difficulties			Text field, <100 char		N	OPS Group	Other Tech
ALL		How could this website be improved (please be specific, i.e., specific new topic content, different data formats, future products, etc.)?			Text area, no char limit		N		Improvements

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