843 2014 843 Cdc

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

2014 843 CDC.xlsx

2014 842 Career State - 2014 863 NIH Grants

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

English Equiv Model Qsts
EnglishModel Qsts
Spanish Model Qsts
Spanish Model Qsts (12-31-13)
EE Current Custom Qsts
SP Current Custom Qsts
EE Custom Qsts (12-30-13)
EE Custom Qsts (3-30-12)
EE Current Custom Qsts (2-27-1)
EE Custom Qsts (1-4-12)
EE Custom Qsts (12-28-11)
SP Custom Qsts (12-30-13)
SP Custom Qsts (3-30-12)
SP Custom Qsts (2-27-12)
SP Custom Qsts (1-4-12)
SP Custom Qsts (12-28-11)
English Equiv CQs 7-28-11
English Equiv CQs 3-14-11
English Equiv CQs 1-24-11
Custom Qsts EE 1-13-11
English Custom Qsts
Spanish Custom Qsts


Sheet 1: English Equiv Model Qsts

Model Instance Name:




CDC (Jan 2011-present)



MID: Y9h8gZZ0ghx0VYtM1w8I8A==


Date: 1/1/2011

\
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTS (drivers of satisfaction)
CUSTOMER SATISFACTION
FUTURE BEHAVIORS







Content (1=Poor, 10=Excellent, Don't Know)
Satisfaction
Likelihood to Return (1=Very Unlikely, 10=Very Likely)

Please rate the accuracy of information on this site.
What is your overall satisfaction with this site?
(1=Very Dissatisfied, 10=Very Satisfied)

How likely are you to return to this site?

Please rate the quality of information on this site.
How well does this site meet your expectations?
(1=Falls Short, 10=Exceeds)

Recommend (1=Very Unlikely, 10=Very Likely)

Please rate the freshness of content on this site.
How does this site compare to your idea of an ideal website?
(1=Not Very Close, 10=Very Close)

How likely are you to recommend this site to someone else?

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


Future Participation (1=Very Unlikely, 10=Very Likely)

Please rate the usefulness of the features provided on this site.


How likely are you to express your thoughts or ideas to this agency in the next 90 days?

Please rate the convenience of the features on this site.


Trust (1=Not at all Trustworthy, 10=Very Trustworthy)

Please rate the variety of features on this site.


Please rate your level of trust in this agency.  

Look and Feel (1=Poor, 10=Excellent, Don't Know)




Please rate the visual appeal of this site.




Please rate the balance of graphics and text on this site.


Please rate the readability of the pages on this site.

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

Please rate how well the site is organized.

Please rate the options available for navigating this site.




Please rate how well the site layout helps you find what you are looking for.




Please rate the number of clicks to get where you want on this site.




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




Please rate how quickly pages load on this site.




Please rate the consistency of speed from page to page on this site.




Please rate the ability to load pages without getting error messages on this site.




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




Please rate the relevance of search results on this site.




Please rate the organization of search results on this site.




Please rate how well the search results help you decide what to select.




Please rate how well the search feature helps you to narrow the results to find what you want.




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




Please rate how thoroughly this Web site discloses information about what this agency is doing.




Please rate how quickly agency information is made available on this Web site.




Please rate how well information about what this agency is doing can be accessed by the public on this Web site























Sheet 2: EnglishModel Qsts

Model Instance Name:




CDC (Jan 2011-present) - English



MID: 9U0B0ZRZoIdc1hE89hM0IA==


Date: 1/1/2011

\
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTS (drivers of satisfaction)
CUSTOMER SATISFACTION
FUTURE BEHAVIORS







Content (1=Poor, 10=Excellent, Don't Know)
Satisfaction
Likelihood to Return (1=Very Unlikely, 10=Very Likely)

Please rate the accuracy of information on this site.
What is your overall satisfaction with this site?
(1=Very Dissatisfied, 10=Very Satisfied)

How likely are you to return to this site?

Please rate the quality of information on this site.
How well does this site meet your expectations?
(1=Falls Short, 10=Exceeds)

Recommend (1=Very Unlikely, 10=Very Likely)

Please rate the freshness of content on this site.
How does this site compare to your idea of an ideal website?
(1=Not Very Close, 10=Very Close)

How likely are you to recommend this site to someone else?

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


Future Participation (1=Very Unlikely, 10=Very Likely)

Please rate the usefulness of the features provided on this site.


How likely are you to express your thoughts or ideas to this agency in the next 90 days?

Please rate the convenience of the features on this site.


Trust (1=Not at all Trustworthy, 10=Very Trustworthy)

Please rate the variety of features on this site.


Please rate your level of trust in this agency.  

Look and Feel (1=Poor, 10=Excellent, Don't Know)




Please rate the visual appeal of this site.




Please rate the balance of graphics and text on this site.


Please rate the readability of the pages on this site.

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

Please rate how well the site is organized.

Please rate the options available for navigating this site.




Please rate how well the site layout helps you find what you are looking for.




Please rate the number of clicks to get where you want on this site.




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




Please rate how quickly pages load on this site.




Please rate the consistency of speed from page to page on this site.




Please rate the ability to load pages without getting error messages on this site.




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




Please rate the relevance of search results on this site.




Please rate the organization of search results on this site.




Please rate how well the search results help you decide what to select.




Please rate how well the search feature helps you to narrow the results to find what you want.




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




Please rate how thoroughly this Web site discloses information about what this agency is doing.




Please rate how quickly agency information is made available on this Web site.




Please rate how well information about what this agency is doing can be accessed by the public on this Web site























Sheet 3: Spanish Model Qsts

Model Instance Name:




CDC (Jan 2011-present) - Spanish



MID: QEtRNNchocpRY99oZMsNZQ==


Date: 1/1/2011

\
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTOS (determinantes de la satisfacción)
SATISFACCIÓN DEL CONSUMIDOR
COMPORTAMIENTOS FUTUROS







Contenido (1=Mediocre, 10=Excelente, No sabe)
Satisfacción
Probabilidad de regresar (1= Muy improbable, 10=Muy probable)

Indique el nivel de minuciosidad de la información de este sitio.
¿Cuál es su nivel de satisfacción general con este sitio? (1=Muy insatisfecho(a), 10=Muy satisfecho(a))
¿Qué probabilidades hay de que usted regrese a este sitio?

Indique el nivel de calidad de la información de este sitio.
¿En qué medida este sitio cumple sus expectativas? (1=No las cumple, 10=Las supera)
Recomendar (1=Muy improbable, 10=Muy probable)

Indique el nivel de originalidad del contenido de este sitio.
¿De qué manera este sitio se compara con su idea de un sitio web ideal? (1=No se aproxima mucho, 10=Se aproxima mucho)
¿Qué probabilidades hay de que recomiende este sitio a otra persona?

Funcionalidad (1=Mediocre, 10=Excelente, No sabe)


Participación futura (1=Muy improbable, 10=Muy probable)

Indique el nivel de utilidad de las funciones que se ofrecen en este sitio.


¿Qué probabilidades hay de que usted exprese sus opiniones o ideas a esta agencia en los próximos 90 días?

Indique el nivel de comodidad de las funciones de este sitio.


Confianza (1=Para nada confiable, 10= Muy confiable)

Indique el nivel de variedad de funciones de este sitio.


Indique cuál es su nivel de confianza en esta agencia.  

Aspecto y estilo (1=Mediocre, 10=Excelente, No sabe)




Indique el nivel del atractivo visual de este sitio.




Indique el nivel del balance entre las gráficas y el texto de este sitio.


Indique el nivel de la facilidad de lectura de las páginas en este sitio.

Navegación (1=Mediocre, 10=Excelente, No sabe)

Indique en qué medida el sitio está bien organizado.

Indique el nivel de las opciones disponibles para navegar este sitio.




Indique en qué medida el diseño del sitio lo ayuda a encontrar lo que está buscando.




Indique el número de clics que debe hacer para llegar a donde usted desea en este sitio.




Rendimiento del sitio (1=Mediocre, 10=Excelente, No sabe)




Indique el nivel de rapidez con que se cargan las páginas en este sitio.




Indique el nivel de consistencia de la velocidad de una página a otra en este sitio.




Indique el nivel de capacidad para cargar páginas sin recibir mensajes de error en este sitio.




Búsqueda (1=Mediocre, 10=Excelente, No sabe)




Indique el nivel de relevancia de los resultados de búsquedas efectuadas en este sitio.




Indique el nivel de organización de los resultados de búsquedas en este sitio.




Indique en qué medida los resultados de búsquedas lo ayudan a decidir qué seleccionar.




Indique en qué medida la función de búsqueda lo ayuda a acotar los resultados para encontrar lo que busca.




Transparencia en línea (1=Mediocre, 10=Excelente, No sabe)




Indique con qué nivel de minuciosidad este sitio web divulga información sobre lo que está haciendo esta agencia.




Indique con qué nivel de rapidez la información sobre la agencia está disponible en este sitio web.




Indique con qué nivel de eficacia la información sobre lo que está haciendo esta agencia puede ser accedida por el público a través de este sitio web.























Sheet 4: Spanish Model Qsts (12-31-13)

Model Instance Name:




CDC (Jan 2011-present) - Spanish



MID: QEtRNNchocpRY99oZMsNZQ==


Date: 1/1/2011

\
Model questions utilize the ACSI methodology to determine scores and impacts

ELEMENTOS (determinantes de la satisfacción)
SATISFACCIÓN DEL CONSUMIDOR
COMPORTAMIENTOS FUTUROS







Contenido (1=Malo, 10=Excelente, No sabe)
Satisfacción
Probabilidad de que vuelva (1=Muy poco probable, 10=Muy probable)

Por favor evalúe la precisión de la información de este sitio.
¿Cuál es su nivel de satisfacción general con este sitio?
(1=Muy insatisfecho, 10=Muy satisfecho)

¿Qué tan probable es que vuelva a visitar este sitio?

Por favor evalúe la calidad de la información de este sitio.
¿En qué medida este sitio satisface sus expectativas?
(1=Por debajo, 10=Excede)

Recomendación a otros (1=Muy poco probable, 10=Muy probable)

Por favor evalúe la actualidad del contenido de este sitio.
¿Cómo se compara este sitio con su sitio web ideal?
(1=No muy cercano, 10=Muy cercano)

¿Qué tan probable es que recomiende este sitio a alguien?

Funcionalidad (1=Mala, 10=Excelente, No sabe)


Participación futura (1=Muy poco probable, 10=Muy probable)

Por favor evalúe la utilidad de las herramientas que provee este sitio.


¿Qué tan probable es que exprese sus ideas u opiniones a esta agencia en los próximos 90 días?

Por favor evalúe la conveniencia de las herramientas de este sitio.


Confianza (1=No es confiable para nada, 10=Muy confiable)

Por favor evalúe la variedad de las herramientas de este sitio.


Por favor califique su nivel de confianza en esta agencia.  

Aspecto y presentación (1=Malos, 10=Excelente, No sabe)




Por favor evalúe la apariencia visual de este sitio.




Por favor evalúe el balance entre gáficas y texto de este sitio.


Por favor evalúe cuán legibles son las páginas de este sitio.

Navegación (1=Mala, 10=Excelente, No sabe)

Por favor evalúe la organización de este sitio.

Por favor evalúe las opciones de navegación de este sitio.




Por favor evalúe cuánto le ayuda la distribución de este sitio a encontrar lo que está buscando.




Por favor evalúe el número de clicks que debe dar para poder encontar lo que desea en este sitio Web.




Funcionamiento del sitio (1=Malo, 10=Excelente, No sabe)




Por favor, evalúe cuán rápido descargan las páginas de este sitio Web.




Por favor, evalúe la consistencia de la velocidad entre página y página de este sitio Web.




Por favor, evalúe la habilidad de descargar páginas sin recibir un mensaje de error en este sitio Web.




Búsqueda (1=Mala, 10=Excelente, No sabe)




Por favor evalúe la relevancia de los resultados de búsqueda en este sitio Web.




Por favor evalúe la organización de los resultados de búsqueda en este sitio Web.




Por favor evalúe cuánto le ayudaron los resultados de búsqueda a decidir qué seleccionar.




Por favor evalúe cuánto le ayuda la herramienta de búsqueda a refinar los resultados a encontrar lo que desea.




Transparencia de la información en línea (1=Mala, 10=Excelente, No sabe)




Por favor califique en qué medida este sitio web informa en forma exhaustiva sobre las actividades que realiza esta agencia.




Por favor califique con qué rapidez puede acceder a la información sobre la agencia en este sitio web.




Por favor califique qué tan bien este sitio web le permite al público acceder a la información de lo que hace esta agencia.























Sheet 5: EE Current Custom Qsts

Model Instance Name:


red & strike-through: DELETE





CDC (Jan 2011-present)


underlined & italicized: RE-ORDER





MID: Y9h8gZZ0ghx0VYtM1w8I8A==

pink: ADDITION





Date: 3/1/2008
blue + -->: REWORDING
















CDC (Jan 2011-present) CUSTOM QUESTION LIST
QID Skip Logic Label Question Text AnswerIDs (DOT) Answer Choices
(limited to 50 characters)
Skip to Type (select from list) Single or Multi Required
Y/N
Special Instructions CQ Label
CWS06063
Which category best describes the health topic you were looking for? CWS06063A001 Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, whooping cough, STDs…) A Radio button, one-up vertical Single Y Skip Logic Group 1. Health topic looking for



CWS06063A002 Healthy Living (food safety, bone health, physical activity, vaccines, genetics, sexual health, smoking prevention…) B







CWS06063A004 Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…) D







CWS06063A005 Injury, Violence & Safety (motor vehicle safety, traumatic brain injury and concussion, falls, child abuse, prescription drug abuse, suicide, injury data…) E







CWS06063A006 Environmental Health (air pollution, biomonitoring, carbon monoxide, toxic lead, toxic substances, mold…) F







CWS06063A007 Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…) G







CWS06063A009 Global Health (Global AIDS, malaria, disease detection, polio, influenza…) I








Traveler's Health (destinations, outbreaks, travel vaccinations, Yellow Book…) C







CWS06063A008 Life Stages & Populations (infant & child, disabilities, men, minorities, pregnancy, seniors, women...) H







CWS06063A010 State, Tribal, Local & Territorial (The Public Health Workplace, program planning, professional development, tribal support…) J







CWS06063A12 Outbreaks (International outbreaks, outbreaks in the United States, food-related outbreaks ...) W







CWS06063A013 Business Operations Information (Grants, CDC budget, CDC jobs…) X







CWS06063A011 Other, please specify: K




CWS06064 K Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1Oth Health Topic
CWS06065 A More specifically, what topic were you looking for? CWS06065A001 ADHD
Radio button, one-up vertical Single Y Skip Logic Group 1.1Diseases&Conditions



CWS06065A002 Arthritis








CWS06065A003 Asthma








CWS06065A004 Autism








CWS06065A005 Birth defects








CWS06065A006 Cancer








CWS06065A007 Diabetes








CWS06065A008 Epilepsy








CWS06065A009 Fetal alcohol syndrome








CWS06065A010 Flu (influenza)








CWS06065A23 Hand, foot and mouth disease








CWS06065A011 Heart disease








CWS06065A012 Hepatitis








CWS06065A013 HIV/AIDS








CWS06065A24 HPV








CWS06065A026 Measles








CWS06065A014 Meningitis








CWS06065A015 MRSA (Methicillin Resistant Staphylococcus Aureus)








CWS06065A027 Norovirus








CWS06065A016 Obesity








CWS06065A028 Pink eye (conjunctivitis)








CWS06065A017 Salmonella








CWS06065A018 Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)








CWS06065A25 Shingles








CWS06065A019 Stroke








CWS06065A020 Tuberculosis








CWS06065A021 Water-related diseases








CWS06065A029 Whooping cough (pertussis)








CWS06065A022 Other, please specify: L




CWS06066 L Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.1Oth Disease&Conditions
CWS06067 B More specifically, what topic were you looking for? CWS06067A001 Aging
Radio button, one-up vertical Single Y
1.2 Healthy Living



CWS06067A002 Birth defects








CWS06067A003 BMI (Body Mass Index)








CWS06067A004 Bone health








CWS06067A005 Breastfeeding








CWS06067A006 Child development








CWS06067A007 Excessive alcohol use








CWS06067A008 Food safety








CWS06067A009 Genetics and genomics








CWS06067A010 Mental health








CWS06067A011 Nutrition








CWS06067A012 Physical activity and exercise








CWS06067A013 Reproductive health








CWS06067A014 Sexual health








CWS06067A015 Sleep and sleep disorders








CWS06067A016 Smoking and tobacco use








CWS06067A017 Vaccines and immunizations








CWS06067A018 Other, please specify: M




CWS06068 M Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.2 Oth HealthyLiving
CWS06069 C More specifically, what topic were you looking for? CWS06069A001 Yellow Book (CDC Health Information for International Travel)
Radio button, one-up vertical Single Y Skip Logic Group 1.3 Travelers Health



CWS06069A002 Destinations








CWS06069A003 Diseases related to travel (including malaria and yellow fever)








CWS06069A004 Illness & injury abroad (what to do if you become sick while traveling)








CWS06069A005 Preparing for your trip








CWS06069A006 Staying healthy & safe (insect protection, safe food & water, survival guide)








CWS06069A007 Vaccinations








CWS06069A008 Other, please specify: N




CWS06070 N Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.3Oth Travelers Health
CWS06071 D More specifically, what topic were you looking for? CWS06071A001 Bioterrorism (anthrax, plague, smallpox)
Radio button, one-up vertical Single Y Skip Logic Group 1.4 Emergency



CWS06071A002 Chemical emergencies (ricin, chlorine, nerve agents)








CWS06071A003 Coping with a disaster








CWS06071A004 Mass casualties (explosions, blasts, injuries)








CWS06071A005 Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)








CWS06071A006 Preparation & planning for hazards








CWS06071A007 Radiation emergencies (dirty bombs, nuclear blasts)








CWS06071A008 Recent outbreaks & incidents (salmonella, melamine)








CWS06071A009 Surveillance








CWS06071A010 Other, please specify: O




CWS06072 O Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.4Oth Emergency
CWS06073 E More specifically, what topic were you looking for? CWS06073A001 Acute care (injury response)
Radio button, one-up vertical Single Y
1.5 Injury



CWS06073A002 Adolescent injuries








CWS06073A003 Child abuse / maltreatment








CWS06073A004 Choking








CWS06073A005 Concussion / brain injuries








CWS06073A006 Dog bites








CWS06073A007 Drowning








CWS06073A008 Elder maltreatment








CWS06073A009 Explosion and blast injuries








CWS06073A010 Falls among older adults








CWS06073A011 Fire-related injuries








CWS06073A012 Fireworks








CWS06073A013 Intimate partner violence








CWS06073A014 Mass casualties








CWS06073A015 Motor vehicle injuries








CWS06073A016 Poisoning








CWS06073A017 Preventing injury & violence








CWS06073A018 Sexual violence








CWS06073A019 Suicide








CWS06073A020 Violence








CWS06073A021 Other, please specify: P




CWS06074 P Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.5Oth Injury
CWS06075 F More specifically, what topic were you looking for? CWS06075A001 Air quality
Radio button, one-up vertical Single Y
1.6 Environmental



CWS06075A002 Asbestos








CWS06075A003 Asthma








CWS06075A004 Biomonitoring








CWS06075A005 Carbon monoxide poisoning








CWS06075A006 Childhood lead poisoning prevention








CWS06075A007 Climate change








CWS06075A008 Cruise ship health








CWS06075A009 Extreme weather conditions








CWS06075A010 Mold








CWS06075A011 Natural disasters








CWS06075A012 Protect yourself from the sun








CWS06075A013 Radiation studies








CWS06075A014 Rodent control








CWS06075A015 Smoking and tobacco use








CWS06075A016 Water








CWS06075A017 Other, please specify: Q




CWS06076 Q Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.6Oth Enviro
CWS06077 G More specifically, what topic were you looking for? CWS06077A001 Asbestos
Radio button, one-up vertical Single Y Skip Logic Group 1.7 Workplace



CWS06077A24 Blood borne Infectious Diseases








CWS06077A003 Chemical safety








CWS06077A004 Construction








CWS06077A005 Electrical safety








CWS06077A25 Emergency preparedness & Response








CWS06077A007 Ergonomics and Musculoskeletal Disorders








CWS06077A008 Eye safety








CWS06077A26 Falls








CWS06077A010 Heat Stress/Cold Stress








CWS06077A013 Machine safety








CWS06077A014 Mining








CWS06077A016 Noise/Hearing Loss








CWS06077A017 Office environments








CWS06077A018 Protective clothing








CWS06077A019 Respirators








CWS06077A020 Stress








CWS06077A021 Violence








CWS06077A022 Workplace safety & prevention








CWS06077A023 Other, please specify: R




CWS06078 R Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.7Oth Workplace
CWS06079 H More specifically, what topic were you looking for? CWS06079A001 Adolescents & teens
Radio button, one-up vertical Single Y
1.8 Lifestages



CWS06079A002 Children








CWS06079A12 People with disabilities








CWS06079A003 Family








CWS06079A013 Immigrants/refugees








CWS06079A004 Infants & toddlers








CWS06079A005 Men








CWS06079A014 Military








CWS06079A006 Older adults & seniors








CWS06079A007 Parents








CWS06079A008 Pregnancy








CWS06079A009 Women








CWS06079A010 Young adults








CWS06079A011 Other, please specify: H




CWS06080 S Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.8Oth Lifestages
CWS06081 I More specifically, what topic were you looking for? CWS06081A010 CDC's work in a specific country
Radio button, one-up vertical Single Y
1.9 Global



CWS06081A011 CDC's efforts against a specific disease or health threat (e.g. malaria, polio, tobacco)








CWS06081A012 CDC funding and budget








CWS06081A013 CDC's global health strategy and plans








CWS06081A001 Field Epidemiologist Training Program








CWS06081A002 Global disease detection








CWS06081A003 Global health initiatives








CWS06081A014 Global health news








CWS06081A004 Global HIV/AIDS








CWS06081A005 Global immunizations








CWS06081A006 Haiti








CWS06081A015 Health information on a specific disease or health topic (e.g., malaria, polio, tobacco)








CWS06081A016 Information about a specific CDC division or program in CDC Center for Global Health (CGH)








CWS06081A017 Information about the CDC Center for Global Health (CGH) and its leadership








CWS06081A007 International emergency and refugee health








CWS06081A018 Job opportunities








CWS06081A008 Parasites








CWS06081A019 Travel information








CWS06081A020 Updates on international outbreaks or other public health emergencies








CWS06081A009 Other, please specify: T




CWS06082 T Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.9Oth Global
CWS06083 J More specifically, what topic were you looking for? CWS06083A001 Best practices
Radio button, one-up vertical Single Y Skip Logic Group 1.10 State Tribal



CWS06083A002 Cooperative agreements








CWS06083A003 Funding and grants








CWS06083A004 Policy








CWS06083A005 Strategy and planning








CWS06083A006 Training








CWS06083A007 Other, please specify: U




CWS06084 U Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.10Oth State Tribal
ACQWro0010097 W More specifically, what topic were you looking for? ACQWro0010097A006 Flu outbreaks
Radio button, one-up vertical Single Y Skip Logic Group 1.11 Outbreaks



ACQWro0010097A01 Travel-related outbreaks








ACQWro0010097A02 International outbreaks








ACQWro0010097A03 United States outbreaks








ACQWro0010097A04 Food-related outbreaks








ACQWro0010097A05 Other, please specify: V




ACQWro0010098 V Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.11Oth Outbreaks
MAD0046182 X More specifically, what topic were you looking for? MAD0046182A001 Getting grants from CDC
Radio button, one-up vertical Single Y Skip Logic Group 1.12 Business Op



MAD0046182A002 Contracting with CDC








MAD0046182A003 Information technology at CDC








MAD0046182A004 Learning more about CDC's budget








MAD0046182A005 Applying for a job at CDC








MAD0046182A006 Diversity and equal employment at CDC








MAD0046182A007 Applying for a fellowship at CDC








MAD0046182A008 Finding information about lab safety (biosafety)








MAD0046182A009 Learning more about CDC policies governing research and information sharing








MAD0046182A010 Locating CDC recruitment events








MAD0046182A011 Starting work at CDC








MAD0046182A012 Other, please specify: Y




MAD0046183 Y Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.12Oth Business Op
CWS06085
Which of the following best describes the type of information you were looking for? CWS06085A001 General information about the health topic selected
Radio button, one-up vertical Single Y OPS Group 2. Type of Info Looking For



CWS06085A002 General information about symptoms, causes, risk factors, tests, or treatment








CWS06085A003 Data and statistics








CWS06085A004 Scientific research, articles, publications, and journals








CWS06085A005 Guidelines and recommendations for healthcare providers








CWS06085A006 Professional training for healthcare providers, researchers, public health professionals, etc.








CWS06085A007 Educational materials








CWS06085A008 Campaigns and initiatives








CWS06085A009 Grants and funding opportunities








CWS06085A010 Tools, software applications, systems, and other resources








CWS06085A011 Print materials (fact sheets, brochures, posters, etc.)








CWS06085A012 Multimedia products (podcasts, videos, widgets, etc.)








CWS06085A013 Jobs and careers








CWS06085A015 Info graphics








CWS06085A014 Other, please specify: A




CWS06086 A Please list the other type of information you were looking for:


Text area, no char limit

OPS Group 2.Oth Type of Info
CWS06087
Were you able to find what you were looking for? CWS06087A001 Yes
Radio button, one-up vertical
Y Skip Logic Group 3. Able to Find



CWS06087A002 Partially A







CWS06087A003 No, I'm still looking on the CDC site A







CWS06087A004 No, I'm going to look on another website





CWS06088 A What were you looking for?


Text area, no char limit

Skip Logic Group 3Oth. Unable to Find
ACQOsl0003358
I'm planning to use the information I found today: ACQOsl0003358A01 For my own health or my family's health A Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



ACQOsl0003358A02 For my friend or family member (not living in my household)








ACQOsl0003358A03 For a physician's office/hospital








ACQOsl0003358A04 For a patient or client








ACQOsl0003358A05 For a public health agency








ACQOsl0003358A06 For a research institution








ACQOsl0003358A07 For a business / workplace








ACQOsl0003358A08 For an educational institution or teaching purposes








ACQOsl0003358A09 For a school / class project








ACQOsl0003358A011 For a news report or article








ACQOsl0003358A10 Other, please specify: B




ACQWro0010091 A Based on the information I found, I am planning to make changes to my lifestyle or my family's lifestyle: ACQWro0010091A01 Strongly agree
Radio button, one-up vertical Single Y Skip Logic Group 4.1 Behavior Change



ACQWro0010091A02 Agree








ACQWro0010091A03 Disagree C







ACQWro0010091A04 Strongly disagree C







ACQWro0010091A05 Not applicable





ACQWro0010092 C Why are you unlikely to make a change to improve your health?


Text area, no char limit Single
Skip Logic Group 4.2Unlikely Change
ACQOsl0003359 B Please specify how you will use the information you are looking for today:


Text area, no char limit

Skip Logic Group 4.Oth How will use
ACQOsl0004055
Do you access information from CDC through other electronic channels? (Please select all that apply): ACQOsl0004055A16 Facebook
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



ACQOsl0004055A17 Google+








ACQOsl0004055A18 LinkedIn








ACQOsl0004055A19 Twitter








ACQOsl0004055A03 Mobile websites








ACQOsl0004055A04 Mobile applications or "apps"








ACQOsl0004055A05 Text messages








ACQOsl0004055A021 YouTube








ACQOsl0004055A07 Podcasts








ACQOsl0004055A09 Blogs








ACQOsl0004055A10 eCards








ACQOsl0004055A11 Widgets (i.e. module or application you can add to a website or personalized web page like iGoogle or MyYahoo!)








ACQOsl0004055A12 E-mail updates








ACQOsl0004055A13 RSS Feeds








ACQOsl0004055A20 Pinterest








ACQOsl0004055A022 Instagram








ACQOsl0004055A14 None of the above








ACQOsl0004055A15 Other, please specify: A




MAD0046204 A Please specify:


Text area, no char limit
N Skip Logic Group 6.Oth Electronic Channels
CWS06098
How frequently do you use the CDC.gov Web site? CWS06098A001 Daily
Radio button, one-up vertical Single Y
9. Frequency



CWS06098A002 Weekly








CWS06098A003 Monthly








CWS06098A004 A couple times a year








CWS06098A005 About once a year








CWS06098A006 This is my first time





CWS06099
Which best describes the primary role that brought you to the CDC.gov Web site today? CWS06099A001 Individual interested in health J Radio button, one-up vertical Single Y Skip Logic Group 10. Role



CWS06099A002 Traveler








CWS06099A003 Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) B, C







CWS06099A004 Public health agency employee or public health professional D, E







CWS06099A005 Scientist or researcher








CWS06099A006 Educator, teacher or trainer








CWS06099A007 Student








CWS06099A008 Safety advisor








CWS06099A009 Business manager








CWS06099A010 Journalist or member of the media








CWS06099A011 Emergency responder








CWS06099A012 Law enforcement








CWS06099A013 Policymaker, legislator, or staff








CWS06099A014 Grantee








CWS06099A015 CDC Employee, staff, or contractor








CWS06099A016 Other, please specify: A




CWS06100 A Please list your role:


Text area, no char limit
N Skip Logic Group 10.Oth Role
CWS06101 B Which of the following best describes you? CWS06101A001 Physician, actively seeing patients at least 2 days a week
Radio button, one-up vertical Single Y
10.1 HCP Role



CWS06101A002 Physician, primarily conducting research projects








CWS06101A007 Nurse








CWS06101A008 Nurse Practitioner








CWS06101A004 Physician assistant








CWS06101A005 Pharmacist or pharmaceutical assistant








CWS06101A009 Medical assistant








CWS06101A010 Office/clinic manager








CWS06101A006 Other type of healthcare provider, please specify: F




CWS06102 F Please list your role:


Text area, no char limit
N Skip Logic Group 10.1Oth HCP Role
CWS06103 C Which of the following best describes where you work? CWS06103A001 Hospital
Radio button, one-up vertical Single Y
10.2 HCP Location



CWS06103A002 Large medical practice








CWS06103A003 Small medical practice








CWS06103A004 Not-for-profit








CWS06103A005 Research institution








CWS06103A007 Clinic








CWS06103A006 Other, please specify: G




CWS06104 G Please list where you work:


Text area, no char limit
N Skip Logic Group 10.2Oth HCP Location
CWS06105 D Which of the following best describes you? CWS06105A001 Public health advocate
Radio button, one-up vertical Single Y
10.3 PHP Role



CWS06105A002 Health educator








CWS06105A003 Health communicator








CWS06105A004 Management









Epidemiologist








CWS06105A005 Research scientist








CWS06105A006 Administrative staff








CWS06105A007 Other, please specify: H




CWS06106 H Please list your role:


Text area, no char limit
N Skip Logic Group 10.3Oth PHP Role
CWS06107 E Which of the following best describes where you work? CWS06107A001 Public or commercial sector
Radio button, one-up vertical Single Y
10.4 PHP Location



CWS06107A002 Not-for-profit








CWS06107A003 Federal public health agency








CWS06107A004 State public health agency








CWS06107A005 Local public health agency








CWS06107A006 Territorial public health agency








CWS06107A007 Tribal public health agency








CWS06107A008 Other, please specify: I




CWS06108 I Please list where you work:


Text area, no char limit
N Skip Logic Group 10.4Oth PHP Location
MAD0046202 J Which of the following best describes you? MAD0046202A001 Parent
Radio button, one-up vertical Single Y
10.5Individuals



MAD0046202A002 Caregiver








MAD0046202A003 Person with disease/condition








MAD0046202A004 Pregnant








MAD0046202A005 Other, please specify: I




MAD0046203 K Please list your role


Text area, no char limit
N Skip Logic Group 10.5Oth Individuals
CWS06109
Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important)
Rank 1 (Required)
CWS06109A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



CWS06109A002 Message or recommendation from a friend on Facebook or Twitter








CWS06109A003 Video I saw on CDC's YouTube Page








CWS06109A005 Advertisement on Facebook, or Twitter



Randomize



CWS06109A017 CDC's mobile site








CWS06109A006 Mobile phone text messages or alerts








CWS06109A018 Mobile application or "app"








CWS06109A019 Scanned a QR code








CWS06109A007 Instant message from someone








CWS06109A008 Familiarity with site/agency








CWS06109A009 Email updates from the agency








CWS06109A010 Website is bookmarked








CWS06109A011 Search engine results








CWS06109A012 Word of mouth recommendation from someone I know








CWS06109A013 TV, radio, newspaper, or magazine advertising








CWS06109A014 Advertisement on another website








CWS06109A015 Don't know



Anchor Answer Choice



CWS06109A016 Other



Anchor Answer Choice
CWS06110
Rank 2 (Optional) CWS06110A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single N Rank Group SV - Rank 2



CWS06110A002 Message or recommendation from a friend on Facebook or Twitter








CWS06110A003 Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



CWS06110A005 Advertisement on Facebook, or Twitter








CWS06110A017 CDC's mobile site








CWS06110A006 Mobile phone text messages or alerts








CWS06110A018 Mobile application or "app"








CWS06110A019 Scanned a QR code








CWS06110A007 Instant message from someone








CWS06110A008 Familiarity with site/agency








CWS06110A009 Email updates from the agency








CWS06110A010 Website is bookmarked








CWS06110A011 Search engine results








CWS06110A012 Word of mouth recommendation from someone I know








CWS06110A013 TV, radio, newspaper, or magazine advertising








CWS06110A014 Advertisement on another website








CWS06110A015 Don't know



Anchor Answer Choice



CWS06110A016 Other



Anchor Answer Choice
CWS06111
Rank 3 (Optional) CWS06111A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single N Rank Group SV - Rank 3



CWS06111A002 Message or recommendation from a friend on Facebook or Twitter








CWS06111A003 Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



CWS06111A005 Advertisement on Facebook, or Twitter








CWS06111A017 CDC's mobile site








CWS06111A006 Mobile phone text messages or alerts








CWS06111A018 Mobile application or "app"








CWS06111A019 Scanned a QR code








CWS06111A007 Instant message from someone








CWS06111A008 Familiarity with site/agency








CWS06111A009 Email updates from the agency








CWS06111A010 Website is bookmarked








CWS06111A011 Search engine results








CWS06111A012 Word of mouth recommendation from someone I know








CWS06111A013 TV, radio, newspaper, or magazine advertising








CWS06111A014 Advertisement on another website








CWS06111A015 Don't know



Anchor Answer Choice



CWS06111A016 Other



Anchor Answer Choice
CWS06112
If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)


Text area, no char limit
N
SV - Other Social Network
CWS06113
How old are you? CWS06113A001 19 or under
Radio button, one-up vertical Single Y
11. Age



CWS06113A002 20-34 years old








CWS06113A003 35-49 years old








CWS06113A004 50-64 years old








CWS06113A005 65 or older








CWS06113A006 Prefer not to answer





CWS06114
How would you describe yourself? CWS06114A001 White
Checkbox, one-up vertical Multi Y
12. Ethnicity



CWS06114A002 Hispanic or Latino








CWS06114A003 Asian








CWS06114A004 Black or African American








CWS06114A005 American Indian or Alaska Native








CWS06114A006 Native Hawaiian or other Pacific Islander








CWS06114A007 Prefer not to answer





CWS06115
What is the highest level of education you have completed? CWS06115A001 High school or less
Radio button, one-up vertical Single Y
13. Education



CWS06115A002 Some college








CWS06115A003 College degree








CWS06115A004 Advanced degree








CWS06115A005 Prefer not to answer





CWS06116
What is your gender? CWS06116A001 Female
Radio button, one-up vertical Single Y
14. Gender



CWS06116A002 Male








CWS06116A04 Transgender








CWS06116A003 Prefer not to answer





CWS06117
What is your country of residence? CWS06117A001 USA


Y
15. Country



CWS06117A002 Afghanistan








CWS06117A003 Albania








CWS06117A004 Algeria








CWS06117A005 American Samoa








CWS06117A006 Andorra








CWS06117A007 Angola








CWS06117A008 Anguilla








CWS06117A009 Antarctica








CWS06117A010 Antigua and Barbuda








CWS06117A011 Argentina








CWS06117A012 Armenia








CWS06117A013 Aruba








CWS06117A014 Australia








CWS06117A015 Austria








CWS06117A016 Azerbaijan








CWS06117A017 Bahamas








CWS06117A018 Bahrain








CWS06117A019 Bangladesh








CWS06117A020 Barbados








CWS06117A021 Belarus








CWS06117A022 Belgium








CWS06117A023 Belize








CWS06117A024 Benin








CWS06117A025 Bermuda








CWS06117A026 Bhutan








CWS06117A027 Bolivia








CWS06117A028 Bosnia/Herzegovina








CWS06117A029 Botswana








CWS06117A030 Bouvet Island








CWS06117A031 Brazil








CWS06117A032 British Indian Ocean








CWS06117A033 Brunei Darussalam








CWS06117A034 Bulgaria








CWS06117A035 Burkina Faso








CWS06117A036 Burundi








CWS06117A037 Cambodia








CWS06117A038 Cameroon








CWS06117A039 Canada








CWS06117A040 Cape Verde








CWS06117A041 Cayman Islands








CWS06117A042 Central African Rep.








CWS06117A043 Chad








CWS06117A044 Chile








CWS06117A045 China








CWS06117A046 Christmas Island








CWS06117A047 Cocos Islands








CWS06117A048 Colombia








CWS06117A049 Comoros








CWS06117A050 Congo








CWS06117A051 Congo, Democratic Rep.








CWS06117A052 Cook Islands








CWS06117A053 Costa Rica








CWS06117A054 Côte D'Ivoire








CWS06117A055 Croatia








CWS06117A056 Cuba








CWS06117A057 Cyprus








CWS06117A058 Czech Republic








CWS06117A059 Denmark








CWS06117A060 Djibouti








CWS06117A061 Dominica








CWS06117A062 Dominican Republic








CWS06117A063 East Timor








CWS06117A064 Ecuador








CWS06117A065 Egypt








CWS06117A066 El Salvador








CWS06117A067 Equatorial Guinea








CWS06117A068 Eritrea








CWS06117A069 Estonia








CWS06117A070 Ethiopia








CWS06117A071 Falkland Islands








CWS06117A072 Faroe Islands








CWS06117A073 Fiji








CWS06117A074 Finland








CWS06117A075 France








CWS06117A076 French Guiana








CWS06117A077 French Polynesia








CWS06117A078 French Southern Terr.








CWS06117A079 Gabon








CWS06117A080 Gambia








CWS06117A081 Georgia








CWS06117A082 Germany








CWS06117A083 Ghana








CWS06117A084 Gibraltar








CWS06117A085 Greece








CWS06117A086 Greenland








CWS06117A087 Grenada








CWS06117A088 Guadeloupe








CWS06117A089 Guam








CWS06117A090 Guatemala








CWS06117A091 Guinea








CWS06117A092 Guinea& Bissau








CWS06117A093 Guyana








CWS06117A094 Haiti








CWS06117A095 Heard/McDonald Isls.








CWS06117A096 Holy See/Vatican








CWS06117A097 Honduras








CWS06117A098 Hong Kong








CWS06117A099 Hungary








CWS06117A100 Iceland








CWS06117A101 India








CWS06117A102 Indonesia








CWS06117A103 Iran








CWS06117A104 Iraq








CWS06117A105 Ireland








CWS06117A106 Israel








CWS06117A107 Italy








CWS06117A108 Jamaica








CWS06117A109 Japan








CWS06117A110 Jordan








CWS06117A111 Kazakhstan








CWS06117A112 Kenya








CWS06117A113 Kiribati








CWS06117A114 Korea, North








CWS06117A115 Korea, South








CWS06117A116 Kuwait








CWS06117A117 Kyrgyzstan








CWS06117A118 Laos








CWS06117A119 Latvia








CWS06117A120 Lebanon








CWS06117A121 Lesotho








CWS06117A122 Liberia








CWS06117A123 Libya








CWS06117A124 Liechtenstein








CWS06117A125 Lithuania








CWS06117A126 Luxembourg








CWS06117A127 Macao








CWS06117A128 Macedonia








CWS06117A129 Madagascar








CWS06117A130 Malawi








CWS06117A131 Malaysia








CWS06117A132 Maldives








CWS06117A133 Mali








CWS06117A134 Malta








CWS06117A135 Marshall Islands








CWS06117A136 Martinique








CWS06117A137 Mauritania








CWS06117A138 Mauritius








CWS06117A139 Mayotte








CWS06117A140 Mexico








CWS06117A141 Micronesia








CWS06117A142 Moldova








CWS06117A143 Monaco








CWS06117A144 Mongolia








CWS06117A145 Montserrat








CWS06117A146 Morocco








CWS06117A147 Mozambique








CWS06117A148 Myanmar








CWS06117A149 Namibia








CWS06117A150 Nauru








CWS06117A151 Nepal








CWS06117A152 Netherlands








CWS06117A153 Netherlands Antilles








CWS06117A154 New Caledonia








CWS06117A155 New Zealand








CWS06117A156 Nicaragua








CWS06117A157 Niger








CWS06117A158 Nigeria








CWS06117A159 Niue








CWS06117A160 Norfolk Island








CWS06117A161 Northern Mariana Isls








CWS06117A162 Norway








CWS06117A163 Oman








CWS06117A164 Pakistan








CWS06117A165 Palau








CWS06117A166 Palestinian Territory








CWS06117A167 Panama








CWS06117A168 Papua New Guinea








CWS06117A169 Paraguay








CWS06117A170 Peru








CWS06117A171 Philippines








CWS06117A172 Pitcairn








CWS06117A173 Poland








CWS06117A174 Portugal








CWS06117A175 Puerto Rico








CWS06117A176 Qatar








CWS06117A177 Réunion








CWS06117A178 Romania








CWS06117A179 Russian Federation








CWS06117A180 Rwanda








CWS06117A181 Saint Helena








CWS06117A182 Saint Kitts/Nevis








CWS06117A183 Saint Lucia








CWS06117A184 Saint Pierre/Miquelon








CWS06117A185 Saint Vincent/Grenadines








CWS06117A186 Samoa








CWS06117A187 San Marino








CWS06117A188 Sao Tome/Principe








CWS06117A189 Saudi Arabia








CWS06117A190 Senegal








CWS06117A191 Seychelles








CWS06117A192 Sierra Leone








CWS06117A193 Singapore








CWS06117A194 Slovakia








CWS06117A195 Slovenia








CWS06117A196 Solomon Islands








CWS06117A197 Somalia








CWS06117A198 South Africa








CWS06117A199 S. Georgia/S. Sand. Isls








CWS06117A200 Spain








CWS06117A201 Sri Lanka








CWS06117A202 Sudan








CWS06117A203 Suriname








CWS06117A204 Svalbard/Jan Mayen








CWS06117A205 Swaziland








CWS06117A206 Sweden








CWS06117A207 Switzerland








CWS06117A208 Syria








CWS06117A209 Taiwan








CWS06117A210 Tajikistan








CWS06117A211 Tanzania








CWS06117A212 Thailand








CWS06117A213 Togo








CWS06117A214 Tokelau








CWS06117A215 Tonga








CWS06117A216 Trinidad and Tobago








CWS06117A217 Tunisia








CWS06117A218 Turkey








CWS06117A219 Turkmenistan








CWS06117A220 Turks and Caicos Isls








CWS06117A221 Tuvalu








CWS06117A222 Uganda








CWS06117A223 Ukraine








CWS06117A224 United Arab Emirates








CWS06117A225 United Kingdom








CWS06117A226 US Minor Outlying Isls








CWS06117A227 Uruguay








CWS06117A228 Uzbekistan








CWS06117A229 Vanuatu








CWS06117A230 Venezuela








CWS06117A231 Viet Nam








CWS06117A232 Virgin Islands, British








CWS06117A233 Virgin Islands, U.S.








CWS06117A234 Wallis and Futuna








CWS06117A235 Western Sahara








CWS06117A236 Yemen








CWS06117A237 Yugoslavia








CWS06117A238 Zambia








CWS06117A239 Zimbabwe





CWS06118
If you could suggest one change to improve the CDC Web site, what recommendation would you make?


Text area, no char limit
N
16. One Improvement

Sheet 6: SP Current Custom Qsts

Model Instance Name:


red & strike-through: DELETE






CDC (Jan 2011-present) - Spanish


underlined & italicized: RE-ORDER






MID: QEtRNNchocpRY99oZMsNZQ==

pink: ADDITION






Date: 3/1/2008
blue + -->: REWORDING


















CDC (Jan 2011-present) - Spanish CUSTOM QUESTION LIST
QID Skip Logic Label Question Text AnswerIDs (DOT) Answer Choices
(limited to 50 characters)
Skip to Type (select from list) Single or Multi Required
Y/N
Special Instructions CQ Label
SPCWS06063
¿Qué categoría describe mejor el tema de salud que usted está buscando? SPCWS06063A001 Enfermedades y trastornos (TDAH, defectos congénitos, cáncer, diabetes, síndrome alcohólico fetal, gripe, hepatitis, VIH/SIDA, tos convulsa, ETS, etc.) A Radio button, one-up vertical Single Y Skip Logic Group 1. Tema de salud está buscando



SPCWS06063A002 Vida saludable (seguridad alimentaria, salud ósea, actividad física, vacunas, genética, salud sexual, prevención de tabaquismo, etc.) B








SPCWS06063A004 Preparación y respuesta a emergencias (bioterrorismo, emergencias químicas y radioactivas, condiciones climáticas extremas, etc.) D








SPCWS06063A005 Lesiones, violencia y seguridad (seguridad de vehículos motorizados, lesión y conmoción cerebral traumáticas, caídas, abuso infantil, abuso de fármacos recetados, suicido, datos sobre lesiones, etc.) E








SPCWS06063A006 Salud ambiental (polución atmosférica, biomonitoreo, monóxido de carbono, plomo tóxico, sustancias tóxicas, moho, etc.) F








SPCWS06063A007 Salud laboral (asbesto, seguridad de químicos, construcción, minería, entornos de oficina, respiradores, etc.) G








SPCWS06063A009 Salud mundial (SIDA mundial, malaria, detección de enfermedades, poliomielitis, influenza, etc.) I








SPCWS06063A003 Salud del viajero (destinos, brotes epidémicos, vacunas de viaje, Libro Amarillo, etc.) C








SPCWS06063A008 Etapas vitales y poblaciones (infantes y niños, discapacidades, hombres, grupos minoritarios, embarazo, tercera edad, mujeres, etc.) H








SPCWS06063A010 Estado, tribus, local y territorial (The Public Health Workplace, planificación de programas, desarrollo profesional, apoyo a tribus, etc.) J








SPCWS06063A12 Brotes epidémicos (epidemias internacionales, epidemias en Estados Unidos, epidemias vinculadas a alimentos, etc.) L








SPCWS06063A013 Información sobre operaciones empresariales (subsidios, presupuesto de los Centros para el Control y la Prevención de Enfermedades (CDC), empleos en los CDC, etc.) X








SPCWS06063A011 Otro (indique cuál): K





SPCWS06064 K Indique el otro tema que está buscando:


Text area, no char limit

Skip Logic Group 1 Otro tema de salud
SPCWS06065 A Más específicamente, ¿qué tema de salud está buscando? SPCWS06065A001 TDAH
Radio button, one-up vertical Single Y Skip Logic Group 1.1 Enfermedades y trastornos



SPCWS06065A002 Artritis









SPCWS06065A003 Asma









SPCWS06065A004 Autismo









SPCWS06065A005 Defectos congénitos









SPCWS06065A006 Cáncer









SPCWS06065A007 Diabetes









SPCWS06065A008 Epilepsia









SPCWS06065A009 Síndrome alcohólico fetal









SPCWS06065A010 Gripe (influenza)









SPCWS06065A23 Enfermedades de las manos, pies y boca









SPCWS06065A011 Cardiopatía









SPCWS06065A012 Hepatitis









SPCWS06065A013 VIH/SIDA









SPCWS06065A24 VPH









SPCWS06065A026 Sarampión









SPCWS06065A014 Meningitis









SPCWS06065A015 EDRM (Estafilococo Dorado Resistente a la Meticilina)









SPCWS06065A027 Norovirus









SPCWS06065A016 Obesidad









SPCWS06065A028 Ojo rosado (conjuntivitis)









SPCWS06065A017 Salmonella









SPCWS06065A018 Enfermedades de transmisión sexual (VPH, clamidia, gonorrea, etc.)









SPCWS06065A25 Herpes zoster (culebrilla)









SPCWS06065A019 Accidente cerebrovascular (derrame cerebral)









SPCWS06065A020 Tuberculosis









SPCWS06065A021 Enfermedades relacionadas con el agua









SPCWS06065A029 Tosferina (pertussis)









SPCWS06065A022 Otro (indique cuál): L





SPCWS06066 L Indique el otro tema que está buscando:


Text area, no char limit

Skip Logic Group 1.1 Otras enfermedades y trastornos
SPCWS06067 B Más específicamente, ¿qué tema de salud está buscando? SPCWS06067A001 Envejecimiento
Radio button, one-up vertical Single Y
1.2 Vida saludable



SPCWS06067A002 Defectos congénitos









SPCWS06067A003 IMC (Índice de masa corporal)









SPCWS06067A004 Salud ósea









SPCWS06067A005 Lactancia materna









SPCWS06067A006 Desarrollo infantil









SPCWS06067A007 Consumo excesivo de alcohol









SPCWS06067A008 Seguridad alimentaria









SPCWS06067A009 Genética y genómica









SPCWS06067A010 Salud mental









SPCWS06067A011 Nutrición









SPCWS06067A012 Actividad y ejercicio físico









SPCWS06067A013 Salud reproductiva









SPCWS06067A014 Salud sexual









SPCWS06067A015 Sueño y trastornos del sueño









SPCWS06067A016 Tabaquismo y consumo de tabaco









SPCWS06067A017 Vacunas e inmunizaciones









SPCWS06067A018 Otro (indique cuál): M





SPCWS06068 M Indique el otro tema que está buscando:


Text area, no char limit

Skip Logic Group 1.2 Otro tema sobre vida saludable
SPCWS06069 C Más específicamente, ¿qué tema de salud está buscando? SPCWS06069A001 Libro Amarillo (Información de salud de los CDC para viajes internacionales)
Radio button, one-up vertical Single Y Skip Logic Group 1.3 Salud del viajero



SPCWS06069A002 Destinos









SPCWS06069A003 Enfermedades asociadas a viajes (incluyendo malaria y fiebre amarilla)









SPCWS06069A004 Enfermedades y lesiones en el extranjero (qué hacer si uno se enferma durante el viaje)









SPCWS06069A005 Preparación del viaje









SPCWS06069A006 Cómo mantenerse saludable y seguro (protección contra insectos, alimentos y agua seguros, guía de supervivencia)









SPCWS06069A007 Vacunas









SPCWS06069A008 Otro (indique cuál): N





SPCWS06070 N Indique el otro tema que está buscando:


Text area, no char limit

Skip Logic Group 1.3 Otro tema de salud del viajero
SPCWS06071 D Más específicamente, ¿qué tema de salud está buscando? SPCWS06071A001 Bioterrorismo (carbunco [ántrax], plagas, viruela)
Radio button, one-up vertical Single Y Skip Logic Group 1.4 Emergencia



SPCWS06071A002 Emergencias químicas (ricina, cloro, agentes neurotóxicos)









SPCWS06071A003 Cómo actuar en un desastre









SPCWS06071A004 Muertes masivas (explosiones, estallidos, lesiones)









SPCWS06071A005 Desastres naturales y condiciones climáticas extremas (terremotos, huracanes, volcanes, clima invernal)









SPCWS06071A006 Preparación y planificación de peligros









SPCWS06071A007 Emergencias radioactivas (bombas sucias, estallidos nucleares)









SPCWS06071A008 Brotes epidémicos e incidentes recientes (salmonella, melamina)









SPCWS06071A009 Vigilancia









SPCWS06071A010 Otro (indique cuál): O





SPCWS06072 O Indique el otro tema que está buscando:


Text area, no char limit

Skip Logic Group 1.4 Otro tema de emergencia
SPCWS06073 E Más específicamente, ¿qué tema de salud está buscando? SPCWS06073A001 Atención de casos agudos (respuesta a lesiones)
Radio button, one-up vertical Single Y
1.5 Lesiones



SPCWS06073A002 Lesiones en adolescentes









SPCWS06073A003 Abuso / maltrato infantil









SPCWS06073A004 Asfixia









SPCWS06073A005 Conmoción / lesiones cerebrales









SPCWS06073A006 Mordeduras de perro









SPCWS06073A007 Ahogamiento









SPCWS06073A008 Maltrato a ancianos









SPCWS06073A009 Lesiones por explosión y estallido









SPCWS06073A010 Caídas de adultos mayores









SPCWS06073A011 Lesiones asociadas a incendio









SPCWS06073A012 Pirotecnia









SPCWS06073A013 Violencia por parte del compañero íntimo









SPCWS06073A014 Muertes masivas









SPCWS06073A015 Lesiones por accidentes de vehículos motorizados









SPCWS06073A016 Envenenamiento









SPCWS06073A017 Cómo prevenir lesiones y violencia









SPCWS06073A018 Violencia sexual









SPCWS06073A019 Suicidio









SPCWS06073A020 Violencia









SPCWS06073A021 Otro (indique cuál): P





SPCWS06074 P Indique el otro tema que está buscando:


Text area, no char limit

Skip Logic Group 1.5 Otro tema sobre lesiones
SPCWS06075 F Más específicamente, ¿qué tema de salud está buscando? SPCWS06075A001 Calidad del aire
Radio button, one-up vertical Single Y
1.6 Medio ambiente



SPCWS06075A002 Asbesto









SPCWS06075A003 Asma









SPCWS06075A004 Biomonitoreo









SPCWS06075A005 Envenenamiento por monóxido de carbono









SPCWS06075A006 Prevención de envenenamiento por plomo en niños









SPCWS06075A007 Cambio climático









SPCWS06075A008 Salud en barcos crucero









SPCWS06075A009 Condiciones climáticas extremas









SPCWS06075A010 Moho









SPCWS06075A011 Desastres naturales









SPCWS06075A012 Cómo protegerse del sol









SPCWS06075A013 Estudios sobre radiación









SPCWS06075A014 Control de roedores









SPCWS06075A015 Tabaquismo y consumo de tabaco









SPCWS06075A016 Agua









SPCWS06075A017 Otro (indique cuál): Q





SPCWS06076 Q Indique el otro tema que está buscando:


Text area, no char limit

Skip Logic Group 1.6 Otro tema sobre el medio ambiente
SPCWS06077 G Más específicamente, ¿qué tema de salud está buscando? SPCWS06077A001 Asbesto
Radio button, one-up vertical Single Y Skip Logic Group 1.7 Lugar de trabajo



SPCWS06077A24 Enfermedades infecciosas transmitidas por vía sanguínea









SPCWS06077A003 Seguridad de químicos









SPCWS06077A004 Construcción









SPCWS06077A005 Seguridad eléctrica









SPCWS06077A25 Preparación y respuesta a emergencias









SPCWS06077A007 Ergonomía y trastornos musculoesqueléticos









SPCWS06077A008 Seguridad ocular









SPCWS06077A26 Caídas









SPCWS06077A010 Estrés por calor/estrés por frío









SPCWS06077A013 Seguridad de máquinas









SPCWS06077A014 Minería









SPCWS06077A016 Ruidos/Pérdida de la audición









SPCWS06077A017 Entornos de oficina









SPCWS06077A018 Indumentaria de protección









SPCWS06077A019 Respiradores









SPCWS06077A020 Estrés









SPCWS06077A021 Violencia









SPCWS06077A022 Seguridad y prevención en el lugar de trabajo









SPCWS06077A023 Otro (indique cuál): R





SPCWS06078 R Indique el otro tema que está buscando:


Text area, no char limit

Skip Logic Group 1.7 Otro tema sobre lugar de trabajo
SPCWS06079 H Más específicamente, ¿qué tema de salud está buscando? SPCWS06079A001 Adolescentes
Radio button, one-up vertical Single Y
1.8 Etapas vitales



SPCWS06079A002 Niños









SPCWS06079A12 Personas con discapacidad









SPCWS06079A003 Familia









SPCWS06079A013 Inmigrantes/refugiados









SPCWS06079A004 Infantes y bebés de 1 a 2 años









SPCWS06079A005 Hombres









SPCWS06079A014 Ejército









SPCWS06079A006 Adultos mayores y ancianos









SPCWS06079A007 Padres









SPCWS06079A008 Embarazo









SPCWS06079A009 Mujeres









SPCWS06079A010 Adultos jóvenes









SPCWS06079A011 Otro (indique cuál): H





SPCWS06080 S Indique el otro tema que está buscando:


Text area, no char limit

Skip Logic Group 1.8 Otro tema sobre etapas vitales
SPCWS06081 I Más específicamente, ¿qué tema de salud está buscando? SPCWS06081A010 Labor de los CDC en un país específico
Radio button, one-up vertical Single Y
1.9 Mundial



SPCWS06081A011 Esfuerzos de los CDC contra una enfermedad o amenaza de salud específica (por ej., malaria, poliomielitis, tabaco)









SPCWS06081A012 Financiamiento y presupuesto de los CDC









SPCWS06081A013 Estrategia y planes globales de salud de los CDC









SPCWS06081A001 Programa de capacitación en campo para epidemiólogos









SPCWS06081A002 Detección de enfermedades globales









SPCWS06081A003 Iniciativas globales de salud









SPCWS06081A014 Novedades sobre salud mundial









SPCWS06081A004 VIH/SIDA en el mundo









SPCWS06081A005 Inmunizaciones en el mundo









SPCWS06081A006 Haití









SPCWS06081A015 Información de salud sobre alguna enfermedad o tema sanitario específico (como ser, malaria, poliomielitis, tabaco)









SPCWS06081A016 Información sobre alguna división o programa específicos de los CDC en el Centro de Salud Global (CGH) de los CDC









SPCWS06081A017 Información sobre los Centro de Salud Global (CGH) de los CDC









SPCWS06081A007 Emergencia internacional y salud de refugiados









SPCWS06081A018 Oportunidades de trabajo









SPCWS06081A008 Parásitos









SPCWS06081A019 Información sobre viajes









SPCWS06081A020 Novedades sobre brotes epidémicos internacionales y otras emergencias en materia de salud pública









SPCWS06081A009 Otro (indique cuál): T





SPCWS06082 T Indique el otro tema que está buscando:


Text area, no char limit

Skip Logic Group 1.9 Otro tema mundial
SPCWS06083 J Más específicamente, ¿qué tema de salud está buscando? SPCWS06083A001 Mejores prácticas
Radio button, one-up vertical Single Y Skip Logic Group 1.10 Estado, tribu



SPCWS06083A002 Acuerdos de cooperación









SPCWS06083A003 Financiamiento y subsidios









SPCWS06083A004 Política









SPCWS06083A005 Estrategia y planificación









SPCWS06083A006 Capacitación









SPCWS06083A007 Otro (indique cuál): U





SPCWS06084 U Indique el otro tema que está buscando:


Text area, no char limit

Skip Logic Group 1.10 Otro tema sobre estado, tribu
SPACQWro0010097 L Más específicamente, ¿qué tema de salud está buscando? SPACQWro0010097A006 Brotes epidémicos de gripe
Radio button, one-up vertical Single Y Skip Logic Group 1.11 Brotes epidémicos



SPACQWro0010097A01 Brotes epidémicos asociados a viajes









SPACQWro0010097A02 Brotes epidémicos internacionales









SPACQWro0010097A03 Brotes epidémicos en Estados Unidos









SPACQWro0010097A04 Brotes epidémicos asociados a alimentos









SPACQWro0010097A05 Otro (indique cuál): V





SPACQWro0010098 V Indique el otro tema que está buscando:


Text area, no char limit

Skip Logic Group 1.11 Otro tema sobre brotes epidémicos
SPMAD0046182 X Más específicamente, ¿qué tema de salud está buscando? SPMAD0046182A001 Obtención de subsidios de parte de los CDC
Radio button, one-up vertical Single Y Skip Logic Group 1.12 Operaciones empresariales



SPMAD0046182A002 Cómo contratar con los CDC









SPMAD0046182A003 Tecnología de la información en los CDC









SPMAD0046182A004 Conocer más información sobre el presupuesto de los CDC









SPMAD0046182A005 Cómo solicitar un empleo en los CDC









SPMAD0046182A006 Diversidad y empleo igualitario en los CDC









SPMAD0046182A007 Cómo solicitar una beca en los CDC









SPMAD0046182A008 Cómo encontrar información sobre seguridad en laboratorios (bioseguridad)









SPMAD0046182A009 Conocer más información sobre las políticas de los CDC que regulan la investigación y la información compartida









SPMAD0046182A010 Cómo localizar eventos de los CDC para reclutar









SPMAD0046182A011 Cómo comenzar a trabajar en los CDC









SPMAD0046182A012
Y





SPMAD0046183 Y Indique el otro tema que está buscando:


Text area, no char limit

Skip Logic Group 1.12 Otro tema sobre operaciones empresariales
SPCWS06085
¿Cuál de las siguientes opciones describe mejor el tipo de información que está buscando? SPCWS06085A001 Información general sobre el tema de salud seleccionado
Radio button, one-up vertical Single Y Skip Logic Group 2. Tipo de información buscada



SPCWS06085A002 Información general sobre síntomas, causas, factores de riesgo, exámenes o tratamiento









SPCWS06085A003 Datos y estadísticas









SPCWS06085A004 Investigaciones, artículos, publicaciones y revistas científicos









SPCWS06085A005 Pautas y recomendaciones para proveedores de salud









SPCWS06085A006 Capacitación profesional para proveedores de salud, investigadores y profesionales de la salud pública, etc.









SPCWS06085A007 Materiales educativos









SPCWS06085A008 Campañas e iniciativas









SPCWS06085A009 Subsidios y oportunidades de financiamiento









SPCWS06085A010 Herramientas, aplicaciones de software, sistemas y otros recursos









SPCWS06085A011 Materiales de impresión (hojas informativas, folletos, afiches, etc.)









SPCWS06085A012 Productos multimedia (podcasts, videos, widgets, etc.)









SPCWS06085A013 Empleos y carreras









SPCWS06085A015 Infografías









SPCWS06085A014 Otro (indique cuál): A





SPCWS06086 A Indique el otro tipo de información que estaba buscando:


Text area, no char limit

Skip Logic Group 2. Otro tipo de información
SPCWS06087
¿Logró encontrar la información que estaba buscando? SPCWS06087A001
Radio button, one-up vertical
Y Skip Logic Group 3. Pude encontrar



SPCWS06087A002 Parcialmente A








SPCWS06087A003 No, sigo buscando en el sitio de los CDC A








SPCWS06087A004 No, voy a buscar en otro sitio web






SPCWS06088 A ¿Qué estaba buscando?


Text area, no char limit

Skip Logic Group 3. Otro tema No pude encontrar
SPACQOsl0003358
Pienso utilizar la información que encontré hoy: SPACQOsl0003358A01 Para mi propia salud o la de mi familia A Radio button, one-up vertical Single Y Skip Logic Group 4. Cómo la utilizaré



SPACQOsl0003358A02 Para mi amigo o un integrante de mi familia (que no vive en mi hogar)









SPACQOsl0003358A03 Para el consultorio de un médico/hospital









SPACQOsl0003358A04 Para un paciente o cliente









SPACQOsl0003358A05 Para una agencia de salud pública









SPACQOsl0003358A06 Para una institución investigadora









SPACQOsl0003358A07 Para una empresa / lugar de trabajo









SPACQOsl0003358A08 Para una institución educativa o para enseñar









SPACQOsl0003358A09 Para una escuela / proyecto de clase









SPACQOsl0003358A011 Para un informe o artículo de noticias









SPACQOsl0003358A10 Otro (indique cuál): B





SPACQWro0010091 A En base a la información que encontré, pienso hacer cambios en mi estilo de vida o el de mi familia: SPACQWro0010091A01 Totalmente de acuerdo
Radio button, one-up vertical Single Y Skip Logic Group 4.1 Cambio en el comportamiento



SPACQWro0010091A02 De acuerdo









SPACQWro0010091A03 En desacuerdo C








SPACQWro0010091A04 Totalmente en desacuerdo C








SPACQWro0010091A05 No corresponde






SPACQWro0010092 C ¿Por qué es poco probable que haga un cambio para mejorar su salud?


Text area, no char limit Single
Skip Logic Group 4.2 Cambio poco probable
SPACQOsl0003359 B Indique cómo utilizará la información que está buscando hoy:


Text area, no char limit

Skip Logic Group 4. Otro Cómo la utilizaré
SPACQOsl0004055
¿Accede usted a información de CDC a través de otros canales electrónicos? (Seleccione todas las opciones que correspondan): SPACQOsl0004055A16 Facebook
Checkbox, one-up vertical Multi Y OPS Group 6. Canales electrónicos (14.3.2011)



SPACQOsl0004055A17 Google+









SPACQOsl0004055A18 LinkedIn









SPACQOsl0004055A19 Twitter









SPACQOsl0004055A03 Sitios web móviles









SPACQOsl0004055A04 Aplicaciones móviles









SPACQOsl0004055A05 Mensajes de texto









SPACQOsl0004055A021 YouTube









SPACQOsl0004055A07 Podcasts









SPACQOsl0004055A09 Blogs









SPACQOsl0004055A10 eCards









SPACQOsl0004055A11 Widgets (es decir, módulo o aplicación que puede agregar a un sitio web o página web personalizada, como iGoogle o MyYahoo!)









SPACQOsl0004055A12 Actualizaciones de correo electrónico









SPACQOsl0004055A13 Agregadores RSS









SPACQOsl0004055A20 Pinterest









SPACQOsl0004055A022 Instagram









SPACQOsl0004055A14 Ninguna de las anteriores









SPACQOsl0004055A15 Otro (indique cuál):






SPMAD0046204 A Indique cuál:


Text area, no char limit
N Skip Logic Group 6.1 Otro Canales electrónicos (14.3.2011)
SPCWS06098
¿Con qué frecuencia utiliza el sitio web CDC.gov? SPCWS06098A001 A diario
Radio button, one-up vertical Single Y
9. Frecuencia



SPCWS06098A002 Todas las semanas









SPCWS06098A003 Todos los meses









SPCWS06098A004 Un par de veces al año









SPCWS06098A005 Aproximadamente una vez al año









SPCWS06098A006 Esta es la primera vez






SPCWS06099
¿Cuál de las opciones siguientes describe mejor el rol principal que lo llevó a visitar el sitio web CDC.gov en el día de hoy? SPCWS06099A001 Persona interesada en la salud
Radio button, one-up vertical Single Y Skip Logic Group 10. Rol



SPCWS06099A002 Viajero









SPCWS06099A003 Proveedor de salud (médico, enfermero, asistente de médico, enfermero profesional, farmacéutico u otro proveedor de salud) B, C








SPCWS06099A004 Empleado de una agencia de salud pública o profesional de salud pública D, E








SPCWS06099A005 Científico o investigador









SPCWS06099A006 Docente, maestro o instructor









SPCWS06099A007 Estudiante









SPCWS06099A008 Asesor en seguridad









SPCWS06099A009 Gerente de empresa









SPCWS06099A010 Periodista o trabajador de los medios









SPCWS06099A011 Socorrista









SPCWS06099A012 Funcionario de aplicación de la ley









SPCWS06099A013 Responsable de políticas, legislador o empleado









SPCWS06099A014 Concesionario









SPCWS06099A015 Empleado, personal o contratista de los CDC









SPCWS06099A016 Otro (indique cuál): A





SPCWS06100 A Indique su rol:


Text area, no char limit
N Skip Logic Group 10. Otro rol
SPCWS06101 B ¿Cuál de las siguientes opciones lo describe mejor? SPCWS06101A001 Médico que recibe pacientes activamente por lo menos 2 días a la semana
Radio button, one-up vertical Single Y
10.1 Rol de proveedor de salud



SPCWS06101A002 Médico principalmente a cargo de la realización de proyectos de investigación









SPCWS06101A007 Enfermero(a)









SPCWS06101A008 Enfermero(a) especializado(a)









SPCWS06101A004 Ayudante de médico









SPCWS06101A005 Farmacéutico o ayudante de farmacia









SPCWS06101A009 Auxiliar médico









SPCWS06101A010 Gerente de consultorio/clínica









SPCWS06101A006 Otro tipo de proveedor de salud (indique cuál): F





SPCWS06102 G Indique su rol:


Text area, no char limit
N Skip Logic Group 10.1 Otro rol de proveedor de salud
SPCWS06103 C ¿Cuál de las siguientes opciones describe mejor su trabajo? SPCWS06103A001 Hospital
Radio button, one-up vertical Single Y
10.2 Lugar del proveedor de salud



SPCWS06103A002 Consultorio médico grande









SPCWS06103A003 Consultorio médico pequeño









SPCWS06103A004 Organización sin fines de lucro









SPCWS06103A005 Institución de investigación









SPCWS06103A007 Clínica









SPCWS06103A006 Otro (indique cuál): G





SPCWS06104 G Indique dónde trabaja:


Text area, no char limit
N Skip Logic Group 10.2 Otro lugar del proveedor de salud
SPCWS06105 D ¿Cuál de las siguientes opciones lo describe mejor? SPCWS06105A001 Defensor de la salud pública
Radio button, one-up vertical Single Y
10.3 Rol de proveedor de salud pública



SPCWS06105A002 Docente de salud









SPCWS06105A003 Comunicador de salud









SPCWS06105A004 Gestión









SPCWS06105A08 Epidemiólogo









SPCWS06105A005 Científico de investigación









SPCWS06105A006 Personal administrativo









SPCWS06105A007 Otro (indique cuál): H





SPCWS06106 H Indique su rol:


Text area, no char limit
N Skip Logic Group 10.3 Otro rol de proveedor de salud pública
SPCWS06107 E ¿Cuál de las siguientes opciones describe mejor su trabajo? SPCWS06107A001 Sector público o comercial
Radio button, one-up vertical Single Y
10.4 Lugar del proveedor de salud pública



SPCWS06107A002 Organización sin fines de lucro









SPCWS06107A003 Agencia federal de salud pública









SPCWS06107A004 Agencia estatal de salud pública









SPCWS06107A005 Agencia municipal de salud pública









SPCWS06107A006 Agencia territorial de salud pública









SPCWS06107A007 Agencia tribal de salud pública









SPCWS06107A008 Otro (indique cuál): I





SPCWS06108 I Indique dónde trabaja:


Text area, no char limit
N Skip Logic Group 10.4 Otro lugar del proveedor de salud pública
SPMAD0046202 J ¿Cuál de las siguientes opciones lo describe mejor? SPMAD0046202A001 Padre
Radio button, one-up vertical Single Y
10.5 Personas físicas



SPMAD0046202A002 Profesional de la salud









SPMAD0046202A003 Persona que padece enfermedad/trastorno









SPMAD0046202A004 Embarazada









SPMAD0046202A005 Otra (indique cuál): I





SPMAD0046203 K Indique su rol:


Text area, no char limit
N Skip Logic Group 10.5 Otras personas físicas
SPCWS06109
¿Cuál de las siguientes fuentes lo llevó a visitar hoy el sitio? (Califique a las 3 principales, con el 1 para la más importante) SPCWS06109A001 Mensaje recibido directamente por los CDC en Facebook o Twitter
Drop down, select one Single Y Rank Group SV – Puesto 1


Puesto 1 (Obligatorio) Primer lugar: 1 (requerido) Mensaje o recomendación de un amigo en Facebook o Twitter









SPCWS06109A003 Vi un video en la página de YouTube de los CDC









SPCWS06109A005 Aviso en Facebook o Twitter



Randomize




SPCWS06109A017 Sitio móvil de los CDC









SPCWS06109A006 Mensajes de texto o alertas en el teléfono celular









SPCWS06109A018 Aplicaciones móviles









SPCWS06109A019 Escaneé un código QR









SPCWS06109A007 Recibí un mensaje instantáneo de alguien









SPCWS06109A008 Conozco el sitio/la agencia









SPCWS06109A009 Actualizaciones por correo electrónico de parte de la agencia









SPCWS06109A010 El sitio web está guardado como uno de mis favoritos









SPCWS06109A011 Resultados de motor de búsqueda









SPCWS06109A012 Recomendación de alguien que conozco









SPCWS06109A013 Aviso en TV, radio, diario o revista









SPCWS06109A014 Aviso en otro sitio web









SPCWS06109A015 No lo sé



Anchor Answer Choice




SPCWS06109A016 Otra



Anchor Answer Choice

SPCWS06110
Puesto 2 (Opcional) SPCWS06110A001 Mensaje recibido directamente por los CDC en Facebook o Twitter
Drop down, select one Single N Rank Group SV – Puesto 2



SPCWS06110A002 Mensaje o recomendación de un amigo en Facebook o Twitter









SPCWS06110A003 Vi un video en la página de YouTube de los CDC



Adjust Template/Style Sheet




SPCWS06110A005 Aviso en Facebook o Twitter









SPCWS06110A017 Sitio móvil de los CDC









SPCWS06110A006 Mensajes de texto o alertas en el teléfono celular









SPCWS06110A018 Aplicaciones móviles









SPCWS06110A019 Escaneé un código QR









SPCWS06110A007 Recibí un mensaje instantáneo de alguien









SPCWS06110A008 Conozco el sitio/la agencia









SPCWS06110A009 Actualizaciones por correo electrónico de parte de la agencia









SPCWS06110A010 El sitio web está guardado como uno de mis favoritos









SPCWS06110A011 Resultados de motor de búsqueda









SPCWS06110A012 Recomendación de alguien que conozco









SPCWS06110A013 Aviso en TV, radio, diario o revista









SPCWS06110A014 Aviso en otro sitio web









SPCWS06110A015 No lo sé



Anchor Answer Choice




SPCWS06110A016 Otra



Anchor Answer Choice

SPCWS06111
Puesto 3 (Opcional) SPCWS06111A001 Mensaje recibido directamente por los CDC en Facebook o Twitter
Drop down, select one Single N Rank Group SV – Puesto 3



SPCWS06111A002 Mensaje o recomendación de un amigo en Facebook o Twitter









SPCWS06111A003 Vi un video en la página de YouTube de los CDC



Adjust Template/Style Sheet




SPCWS06111A005 Aviso en Facebook o Twitter









SPCWS06111A017 Sitio móvil de los CDC









SPCWS06111A006 Mensajes de texto o alertas en el teléfono celular









SPCWS06111A018 Aplicaciones móviles









SPCWS06111A019 Escaneé un código QR









SPCWS06111A007 Recibí un mensaje instantáneo de alguien









SPCWS06111A008 Conozco el sitio/la agencia









SPCWS06111A009 Actualizaciones por correo electrónico de parte de la agencia









SPCWS06111A010 El sitio web está guardado como uno de mis favoritos









SPCWS06111A011 Resultados de motor de búsqueda









SPCWS06111A012 Recomendación de alguien que conozco









SPCWS06111A013 Aviso en TV, radio, diario o revista









SPCWS06111A014 Aviso en otro sitio web









SPCWS06111A015 No lo sé



Anchor Answer Choice




SPCWS06111A016 Otra



Anchor Answer Choice

SPCWS06112
Si oyó hablar de este sitio web en una red social, indique en qué sitio (por ej., Facebook, Twitter)


Text area, no char limit
N
SV – Otra red social
SPCWS06113
¿Qué edad tiene? SPCWS06113A001 19 años o menos
Radio button, one-up vertical Single Y
11. Edad



SPCWS06113A002 Entre 20 y 34 años









SPCWS06113A003 Entre 35 y 49 años









SPCWS06113A004 Entre 50 y 64 años









SPCWS06113A005 65 años o más









SPCWS06113A006 Prefiero no responder






SPCWS06114
¿Cómo se describiría a usted mismo? SPCWS06114A001 Blanco
Checkbox, one-up vertical Multi Y
12. Grupo étnico



SPCWS06114A002 Hispano o latino









SPCWS06114A003 Asiático









SPCWS06114A004 Afroamericano o negro









SPCWS06114A005 Indio americano o nativo de Alaska









SPCWS06114A006 Nativo de Hawai o de otra isla del Pacífico









SPCWS06114A007 Prefiero no responder






SPCWS06115
¿Cuál es el máximo nivel de estudios? SPCWS06115A001 Secundaria superior (High School) o nivel inferior
Radio button, one-up vertical Single Y
13. Educación



SPCWS06115A002 Algo de universidad









SPCWS06115A003 Título de universidad









SPCWS06115A004 Título de estudios avanzados









SPCWS06115A005 Prefiero no responder






SPCWS06116
¿Cuál es su sexo? SPCWS06116A001 Mujer
Radio button, one-up vertical Single Y
14. Género



SPCWS06116A002 Hombre









SPCWS06116A04 Transgénero









SPCWS06116A003 Prefiero no responder






SPCWS06117
¿Cuál es el país donde reside? SPCWS06117A001 Estados Unidos de América




15. País



SPCWS06117A002 Afganistán









SPCWS06117A003 Albania









SPCWS06117A004 Alemania









SPCWS06117A005 Andorra









SPCWS06117A006 Angola









SPCWS06117A007 Anguilla









SPCWS06117A008 Antártida









SPCWS06117A009 Antigua y Barbuda









SPCWS06117A010 Antillas Holandesas









SPCWS06117A011 Arabia Saudita









SPCWS06117A012 Argelia









SPCWS06117A013 Argentina









SPCWS06117A014 Armenia









SPCWS06117A015 Aruba









SPCWS06117A016 Australia









SPCWS06117A017 Austria









SPCWS06117A018 Azerbaiyán









SPCWS06117A019 Bahamas









SPCWS06117A020 Bahrein









SPCWS06117A021 Bangladesh









SPCWS06117A022 Barbados









SPCWS06117A023 Bélgica









SPCWS06117A024 Belice









SPCWS06117A025 Benín









SPCWS06117A026 Bielorrusia









SPCWS06117A027 Bolivia









SPCWS06117A028 Bosnia-Herzegovina









SPCWS06117A029 Botswana









SPCWS06117A030 Brasil









SPCWS06117A031 Brunei Darussalam









SPCWS06117A032 Bulgaria









SPCWS06117A033 Burkina Faso









SPCWS06117A034 Burundi









SPCWS06117A035 Bután









SPCWS06117A036 Cabo Verde









SPCWS06117A037 Camboya









SPCWS06117A038 Camerún









SPCWS06117A039 Canadá









SPCWS06117A040 Chad









SPCWS06117A041 Chile









SPCWS06117A042 China









SPCWS06117A043 Chipre









SPCWS06117A044 Colombia









SPCWS06117A045 Comoras









SPCWS06117A046 Congo









SPCWS06117A047 Corea del Norte









SPCWS06117A048 Corea del Sur









SPCWS06117A049 Costa de Marfil









SPCWS06117A050 Costa Rica









SPCWS06117A051 Croacia









SPCWS06117A052 Cuba









SPCWS06117A053 Dinamarca









SPCWS06117A054 Djibouti









SPCWS06117A055 Dominica









SPCWS06117A056 Ecuador









SPCWS06117A057 Egipto









SPCWS06117A058 El Salvador









SPCWS06117A059 Emiratos Árabes Unidos









SPCWS06117A060 Eritrea









SPCWS06117A061 Eslovaquia









SPCWS06117A062 Eslovenia









SPCWS06117A063 España









SPCWS06117A064 Estonia









SPCWS06117A065 Etiopía









SPCWS06117A066 Federación Rusa









SPCWS06117A067 Fiji









SPCWS06117A068 Filipinas









SPCWS06117A069 Finlandia









SPCWS06117A070 Francia









SPCWS06117A071 Gabón









SPCWS06117A072 Gambia









SPCWS06117A073 Georgia









SPCWS06117A074 Ghana









SPCWS06117A075 Gibraltar









SPCWS06117A076 Grecia









SPCWS06117A077 Grenada









SPCWS06117A078 Groenlandia









SPCWS06117A079 Guadeloupe









SPCWS06117A080 Guam









SPCWS06117A081 Guatemala









SPCWS06117A082 Guayana francesa









SPCWS06117A083 Guinea









SPCWS06117A084 Guinea Ecuatorial









SPCWS06117A085 Guinea-Bissau









SPCWS06117A086 Guyana









SPCWS06117A087 Haití









SPCWS06117A088 Holanda









SPCWS06117A089 Honduras









SPCWS06117A090 Hong Kong









SPCWS06117A091 Hungría









SPCWS06117A092 India









SPCWS06117A093 Indonesia









SPCWS06117A094 Irán









SPCWS06117A095 Iraq









SPCWS06117A096 Irlanda









SPCWS06117A097 Isla Bouvet









SPCWS06117A098 Isla Navidad









SPCWS06117A099 Isla Norfolk









SPCWS06117A100 Islandia









SPCWS06117A101 Islas Bermudas









SPCWS06117A102 Islas Caimán









SPCWS06117A103 Islas Cocos









SPCWS06117A104 Islas Cook









SPCWS06117A105 Islas Faroe









SPCWS06117A106 Islas Heard/McDonald









SPCWS06117A107 Islas Malvinas o Falkland









SPCWS06117A108 Islas Marianas del Norte









SPCWS06117A109 Islas Marshall









SPCWS06117A110 Islas Solomón









SPCWS06117A111 Islas Turcas y Caicos









SPCWS06117A112 Islas Ultramarinas de Estados Unidos









SPCWS06117A113 Islas Vírgenes, británicas









SPCWS06117A114 Islas Vírgenes, de EE. UU.









SPCWS06117A115 Israel









SPCWS06117A116 Italia









SPCWS06117A117 Jamaica









SPCWS06117A118 Japón









SPCWS06117A119 Jordania









SPCWS06117A120 Kazajstán









SPCWS06117A121 Kenya









SPCWS06117A122 Kirguistán









SPCWS06117A123 Kiribati









SPCWS06117A124 Kuwait









SPCWS06117A125 Laos









SPCWS06117A126 Latvia









SPCWS06117A127 Lesotho









SPCWS06117A128 Líbano









SPCWS06117A129 Liberia









SPCWS06117A130 Libia









SPCWS06117A131 Liechtenstein









SPCWS06117A132 Lituania









SPCWS06117A133 Luxemburgo









SPCWS06117A134 Macao









SPCWS06117A135 Macedonia









SPCWS06117A136 Madagascar









SPCWS06117A137 Malasia









SPCWS06117A138 Malawi









SPCWS06117A139 Maldivas









SPCWS06117A140 Mali









SPCWS06117A141 Malta









SPCWS06117A142 Marruecos









SPCWS06117A143 Martinica









SPCWS06117A144 Mauricio









SPCWS06117A145 Mauritania









SPCWS06117A146 Mayotte









SPCWS06117A147 México









SPCWS06117A148 Micronesia









SPCWS06117A149 Moldova









SPCWS06117A150 Mónaco









SPCWS06117A151 Mongolia









SPCWS06117A152 Montserrat









SPCWS06117A153 Mozambique









SPCWS06117A154 Myanmar









SPCWS06117A155 Namibia









SPCWS06117A156 Nauru









SPCWS06117A157 Nepal









SPCWS06117A158 Nicaragua









SPCWS06117A159 Níger









SPCWS06117A160 Nigeria









SPCWS06117A161 Niue









SPCWS06117A162 Noruega









SPCWS06117A163 Nueva Caledonia









SPCWS06117A164 Nueva Zelandia









SPCWS06117A165 Omán









SPCWS06117A166 Pakistán









SPCWS06117A167 Palau









SPCWS06117A168 Panamá









SPCWS06117A169 Papua Nueva Guinea









SPCWS06117A170 Paraguay









SPCWS06117A171 Perú









SPCWS06117A172 Pitcairn









SPCWS06117A173 Polinesia Francesa









SPCWS06117A174 Polonia









SPCWS06117A175 Portugal









SPCWS06117A176 Puerto Rico









SPCWS06117A177 Qatar









SPCWS06117A178 Reino Unido









SPCWS06117A179 República Centroafricana









SPCWS06117A180 República Checa









SPCWS06117A181 República Democrática del Congo









SPCWS06117A182 República Dominicana









SPCWS06117A183 Réunion









SPCWS06117A184 Ruanda









SPCWS06117A185 Rumania









SPCWS06117A186 S. Islas Georgia del sur y Sándwich del Sur









SPCWS06117A187 Sahara Occidental









SPCWS06117A188 Saint Kitts/Nevis









SPCWS06117A189 Saint Pierre/Miquelon









SPCWS06117A190 Samoa









SPCWS06117A191 Samoa Americana









SPCWS06117A192 San Marino









SPCWS06117A193 San Vicente y las Granadinas









SPCWS06117A194 Santa Elena









SPCWS06117A195 Santa Lucía









SPCWS06117A196 Santa Sede/Ciudad del Vaticano









SPCWS06117A197 Santo Tomé y Príncipe









SPCWS06117A198 Senegal









SPCWS06117A199 Seychelles









SPCWS06117A200 Sierra Leona









SPCWS06117A201 Singapur









SPCWS06117A202 Siria









SPCWS06117A203 Somalia









SPCWS06117A204 Sri Lanka









SPCWS06117A205 Sudáfrica









SPCWS06117A206 Sudán









SPCWS06117A207 Suecia









SPCWS06117A208 Suiza









SPCWS06117A209 Suriname









SPCWS06117A210 Islas Svalbard y Jan Mayen









SPCWS06117A211 Swazilandia









SPCWS06117A212 Tailandia









SPCWS06117A213 Taiwán









SPCWS06117A214 Tanzania









SPCWS06117A215 Tayikistán









SPCWS06117A216 Territorio británico del Océano Índico









SPCWS06117A217 Territorios Franceses del Sur









SPCWS06117A218 Territorios palestinos









SPCWS06117A219 Timor Oriental









SPCWS06117A220 Togo









SPCWS06117A221 Tokelau









SPCWS06117A222 Tonga









SPCWS06117A223 Trinidad y Tobago









SPCWS06117A224 Túnez









SPCWS06117A225 Turkmenistán









SPCWS06117A226 Turquía









SPCWS06117A227 Tuvalu









SPCWS06117A228 Ucrania









SPCWS06117A229 Uganda









SPCWS06117A230 Uruguay









SPCWS06117A231 Uzbekistán









SPCWS06117A232 Vanuatu









SPCWS06117A233 Venezuela









SPCWS06117A234 Vietnam









SPCWS06117A235 Wallis y Futuna









SPCWS06117A236 Yemen









SPCWS06117A237 Yugoslavia









SPCWS06117A238 Zambia









SPCWS06117A239 Zimbabwe






SPCWS06118
Si pudiera sugerir un cambio para mejorar el sitio web de los CDC, ¿qué recomendaría?


Text area, no char limit
N
16. Una mejora

Sheet 7: EE Custom Qsts (12-30-13)

Model Instance Name:


red & strike-through: DELETE





CDC (Jan 2011-present)


underlined & italicized: RE-ORDER





MID: Y9h8gZZ0ghx0VYtM1w8I8A==

pink: ADDITION





Date: 3/1/2008
blue + -->: REWORDING
















CDC (Jan 2011-present) CUSTOM QUESTION LIST
QID Skip Logic Label Question Text AnswerIDs (DOT) Answer Choices
(limited to 50 characters)
Skip to Type (select from list) Single or Multi Required
Y/N
Special Instructions CQ Label
CWS06063
Which category best describes the health topic you were looking for? CWS06063A001 Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, whooping cough, STDs…) A Radio button, one-up vertical Single Y Skip Logic Group 1. Health topic looking for



CWS06063A002 Healthy Living (food safety, bone health, physical activity, vaccines, genetics, sexual health, smoking prevention…) B







CWS06063A004 Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…) D







CWS06063A005 Injury, Violence & Safety (motor vehicle safety, traumatic brain injury and concussion, falls, child abuse, prescription drug abuse, suicide, injury data…) E







CWS06063A006 Environmental Health (air pollution, biomonitoring, carbon monoxide, toxic lead, toxic substances, mold…) F







CWS06063A007 Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…) G







CWS06063A009 Global Health (Global AIDS, malaria, disease detection, polio, influenza…) I








Traveler's Health (destinations, outbreaks, travel vaccinations, Yellow Book…) C







CWS06063A008 Life Stages & Populations (infant & child, disabilities, men, minorities, pregnancy, seniors, women...) H







CWS06063A010 State, Tribal, Local & Territorial (The Public Health Workplace, program planning, professional development, tribal support…) J








Outbreaks (International outbreaks, outbreaks in the United States, food-related outbreaks ...) W








Business Operations Information (Grants, CDC budget, CDC jobs…) X







CWS06063A011 Other, please specify: K




CWS06064 K Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1Oth Health Topic
CWS06065 A More specifically, what topic were you looking for? CWS06065A001 ADHD
Radio button, one-up vertical Single Y Skip Logic Group 1.1Diseases&Conditions



CWS06065A002 Arthritis








CWS06065A003 Asthma








CWS06065A004 Autism








CWS06065A005 Birth defects








CWS06065A006 Cancer








CWS06065A007 Diabetes








CWS06065A008 Epilepsy








CWS06065A009 Fetal alcohol syndrome








CWS06065A010 Flu (influenza)









Hand, foot and mouth disease








CWS06065A011 Heart disease








CWS06065A012 Hepatitis








CWS06065A013 HIV/AIDS









HPV









Measles








CWS06065A014 Meningitis








CWS06065A015 MRSA (Methicillin Resistant Staphylococcus Aureus)









Norovirus








CWS06065A016 Obesity









Pink eye (conjunctivitis)








CWS06065A017 Salmonella








CWS06065A018 Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)









Shingles








CWS06065A019 Stroke








CWS06065A020 Tuberculosis








CWS06065A021 Water-related diseases









Whooping cough (pertussis)








CWS06065A022 Other, please specify: L




CWS06066 L Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.1Oth Disease&Conditions
CWS06067 B More specifically, what topic were you looking for? CWS06067A001 Aging
Radio button, one-up vertical Single Y
1.2 Healthy Living



CWS06067A002 Birth defects








CWS06067A003 BMI (Body Mass Index)








CWS06067A004 Bone health








CWS06067A005 Breastfeeding








CWS06067A006 Child development








CWS06067A007 Excessive alcohol use








CWS06067A008 Food safety








CWS06067A009 Genetics and genomics








CWS06067A010 Mental health








CWS06067A011 Nutrition








CWS06067A012 Physical activity and exercise








CWS06067A013 Reproductive health








CWS06067A014 Sexual health








CWS06067A015 Sleep and sleep disorders








CWS06067A016 Smoking and tobacco use








CWS06067A017 Vaccines and immunizations








CWS06067A018 Other, please specify: M




CWS06068 M Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.2 Oth HealthyLiving
CWS06069 C More specifically, what topic were you looking for? CWS06069A001 Yellow Book (CDC Health Information for International Travel)
Radio button, one-up vertical Single Y Skip Logic Group 1.3 Travelers Health



CWS06069A002 Destinations








CWS06069A003 Diseases related to travel (including malaria and yellow fever)








CWS06069A004 Illness & injury abroad (what to do if you become sick while traveling)








CWS06069A005 Preparing for your trip








CWS06069A006 Staying healthy & safe (insect protection, safe food & water, survival guide)








CWS06069A007 Vaccinations








CWS06069A008 Other, please specify: N




CWS06070 N Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.3Oth Travelers Health
CWS06071 D More specifically, what topic were you looking for? CWS06071A001 Bioterrorism (anthrax, plague, smallpox)
Radio button, one-up vertical Single Y Skip Logic Group 1.4 Emergency



CWS06071A002 Chemical emergencies (ricin, chlorine, nerve agents)








CWS06071A003 Coping with a disaster








CWS06071A004 Mass casualties (explosions, blasts, injuries)








CWS06071A005 Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)








CWS06071A006 Preparation & planning for hazards








CWS06071A007 Radiation emergencies (dirty bombs, nuclear blasts)








CWS06071A008 Recent outbreaks & incidents (salmonella, melamine)








CWS06071A009 Surveillance








CWS06071A010 Other, please specify: O




CWS06072 O Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.4Oth Emergency
CWS06073 E More specifically, what topic were you looking for? CWS06073A001 Acute care (injury response)
Radio button, one-up vertical Single Y
1.5 Injury



CWS06073A002 Adolescent injuries








CWS06073A003 Child abuse / maltreatment








CWS06073A004 Choking








CWS06073A005 Concussion / brain injuries








CWS06073A006 Dog bites








CWS06073A007 Drowning








CWS06073A008 Elder maltreatment








CWS06073A009 Explosion and blast injuries








CWS06073A010 Falls among older adults








CWS06073A011 Fire-related injuries








CWS06073A012 Fireworks








CWS06073A013 Intimate partner violence








CWS06073A014 Mass casualties








CWS06073A015 Motor vehicle injuries








CWS06073A016 Poisoning








CWS06073A017 Preventing injury & violence








CWS06073A018 Sexual violence








CWS06073A019 Suicide








CWS06073A020 Violence








CWS06073A021 Other, please specify: P




CWS06074 P Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.5Oth Injury
CWS06075 F More specifically, what topic were you looking for? CWS06075A001 Air quality
Radio button, one-up vertical Single Y
1.6 Environmental



CWS06075A002 Asbestos








CWS06075A003 Asthma








CWS06075A004 Biomonitoring








CWS06075A005 Carbon monoxide poisoning








CWS06075A006 Childhood lead poisoning prevention








CWS06075A007 Climate change








CWS06075A008 Cruise ship health








CWS06075A009 Extreme weather conditions








CWS06075A010 Mold








CWS06075A011 Natural disasters








CWS06075A012 Protect yourself from the sun








CWS06075A013 Radiation studies








CWS06075A014 Rodent control








CWS06075A015 Smoking and tobacco use








CWS06075A016 Water








CWS06075A017 Other, please specify: Q




CWS06076 Q Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.6Oth Enviro
CWS06077 G More specifically, what topic were you looking for? CWS06077A001 Asbestos
Radio button, one-up vertical Single Y Skip Logic Group 1.7 Workplace




Blood borne Infectious Diseases








CWS06077A003 Chemical safety








CWS06077A004 Construction








CWS06077A005 Electrical safety









Emergency preparedness & Response








CWS06077A007 Ergonomics and Musculoskeletal Disorders








CWS06077A008 Eye safety









Falls








CWS06077A010 Heat Stress/Cold Stress








CWS06077A013 Machine safety








CWS06077A014 Mining








CWS06077A016 Noise/Hearing Loss








CWS06077A017 Office environments








CWS06077A018 Protective clothing








CWS06077A019 Respirators








CWS06077A020 Stress








CWS06077A021 Violence








CWS06077A022 Workplace safety & prevention








CWS06077A023 Other, please specify: R




CWS06078 R Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.7Oth Workplace
CWS06079 H More specifically, what topic were you looking for? CWS06079A001 Adolescents & teens
Radio button, one-up vertical Single Y
1.8 Lifestages



CWS06079A002 Children








CWS06079A12 People with disabilities








CWS06079A003 Family









Immigrants/refugees








CWS06079A004 Infants & toddlers








CWS06079A005 Men









Military








CWS06079A006 Older adults & seniors








CWS06079A007 Parents








CWS06079A008 Pregnancy








CWS06079A009 Women








CWS06079A010 Young adults








CWS06079A011 Other, please specify: H




CWS06080 S Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.8Oth Lifestages
CWS06081 I More specifically, what topic were you looking for?
CDC's work in a specific country
Radio button, one-up vertical Single Y
1.9 Global




CDC's efforts against a specific disease or health threat (e.g. malaria, polio, tobacco)









CDC funding and budget









CDC's global health strategy and plans








CWS06081A001 Field Epidemiologist Training Program








CWS06081A002 Global disease detection








CWS06081A003 Global health initiatives









Global health news








CWS06081A004 Global HIV/AIDS








CWS06081A005 Global immunizations








CWS06081A006 Haiti









Health information on a specific disease or health topic (e.g., malaria, polio, tobacco)









Information about a specific CDC division or program in CDC Center for Global Health (CGH)









Information about the CDC Center for Global Health (CGH) and its leadership








CWS06081A007 International emergency and refugee health









Job opportunities








CWS06081A008 Parasites









Travel information









Updates on international outbreaks or other public health emergencies








CWS06081A009 Other, please specify: T




CWS06082 T Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.9Oth Global
CWS06083 J More specifically, what topic were you looking for? CWS06083A001 Best practices
Radio button, one-up vertical Single Y Skip Logic Group 1.10 State Tribal



CWS06083A002 Cooperative agreements








CWS06083A003 Funding and grants








CWS06083A004 Policy








CWS06083A005 Strategy and planning








CWS06083A006 Training








CWS06083A007 Other, please specify: U




CWS06084 U Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.10Oth State Tribal
ACQWro0010097 W More specifically, what topic were you looking for?
Flu outbreaks
Radio button, one-up vertical Single Y Skip Logic Group 1.11 Outbreaks



ACQWro0010097A01 Travel-related outbreaks








ACQWro0010097A02 International outbreaks








ACQWro0010097A03 United States outbreaks








ACQWro0010097A04 Food-related outbreaks








ACQWro0010097A05 Other, please specify: V




ACQWro0010098 V Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.11Oth Outbreaks

X More specifically, what topic were you looking for?
Getting grants from CDC
Radio button, one-up vertical Single Y Skip Logic Group 1.12 Business Op




Contracting with CDC









Information technology at CDC









Learning more about CDC's budget









Applying for a job at CDC









Diversity and equal employment at CDC









Applying for a fellowship at CDC









Finding information about lab safety (biosafety)









Learning more about CDC policies governing research and information sharing









Locating CDC recruitment events









Starting work at CDC Y





Y Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.12Oth Business Op
CWS06085
Which of the following best describes the type of information you were looking for? CWS06085A001 General information about the health topic selected
Radio button, one-up vertical Single Y OPS Group 2. Type of Info Looking For



CWS06085A002 General information about symptoms, causes, risk factors, tests, or treatment








CWS06085A003 Data and statistics








CWS06085A004 Scientific research, articles, publications, and journals








CWS06085A005 Guidelines and recommendations for healthcare providers








CWS06085A006 Professional training for healthcare providers, researchers, public health professionals, etc.








CWS06085A007 Educational materials








CWS06085A008 Campaigns and initiatives








CWS06085A009 Grants and funding opportunities








CWS06085A010 Tools, software applications, systems, and other resources








CWS06085A011 Print materials (fact sheets, brochures, posters, etc.)








CWS06085A012 Multimedia products (podcasts, videos, widgets, etc.)








CWS06085A013 Jobs and careers









Info graphics








CWS06085A014 Other, please specify: A




CWS06086 A Please list the other type of information you were looking for:


Text area, no char limit

OPS Group 2.Oth Type of Info
CWS06087
Were you able to find what you were looking for? CWS06087A001 Yes
Radio button, one-up vertical
Y Skip Logic Group 3. Able to Find



CWS06087A002 Partially A







CWS06087A003 No, I'm still looking on the CDC site A








No, I'm going to look on another website





CWS06088 A What were you looking for?


Text area, no char limit

Skip Logic Group 3Oth. Unable to Find
ACQOsl0003358
I'm planning to use the information I found today: ACQOsl0003358A01 For my own health or my family's health A Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



ACQOsl0003358A02 For my friend or family member (not living in my household)








ACQOsl0003358A03 For a physician's office/hospital








ACQOsl0003358A04 For a patient or client








ACQOsl0003358A05 For a public health agency








ACQOsl0003358A06 For a research institution








ACQOsl0003358A07 For a business / workplace








ACQOsl0003358A08 For an educational institution or teaching purposes








ACQOsl0003358A09 For a school / class project









For a news report or article








ACQOsl0003358A10 Other, please specify: B




ACQWro0010091 A Based on the information I found, I am planning to make changes to my lifestyle or my family's lifestyle: ACQWro0010091A01 Strongly agree
Radio button, one-up vertical Single Y Skip Logic Group 4.1 Behavior Change



ACQWro0010091A02 Agree








ACQWro0010091A03 Disagree C







ACQWro0010091A04 Strongly disagree C







ACQWro0010091A05 Not applicable





ACQWro0010092 C Why are you unlikely to make a change to improve your health?


Text area, no char limit Single
Skip Logic Group 4.2Unlikely Change
ACQOsl0003359 B Please specify how you will use the information you are looking for today:


Text area, no char limit

Skip Logic Group 4.Oth How will use
ACQOsl0004055
Do you access information from CDC through other electronic channels? (Please select all that apply): ACQOsl0004055A16 Facebook
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



ACQOsl0004055A17 Google+








ACQOsl0004055A18 LinkedIn








ACQOsl0004055A19 Twitter








ACQOsl0004055A03 Mobile websites








ACQOsl0004055A04 Mobile applications or "apps"








ACQOsl0004055A05 Text messages








ACQOsl0004055A06 Online Videos









YouTube








ACQOsl0004055A07 Podcasts








ACQOsl0004055A09 Blogs








ACQOsl0004055A10 eCards








ACQOsl0004055A11 Widgets (i.e. module or application you can add to a website or personalized web page like iGoogle or MyYahoo!)








ACQOsl0004055A12 E-mail updates








ACQOsl0004055A13 RSS Feeds








ACQOsl0004055A20 Pinterest









Instagram








ACQOsl0004055A14 None of the above








ACQOsl0004055A15 Other, please specify:





CWS06098
How frequently do you use the CDC.gov Web site? CWS06098A001 Daily
Radio button, one-up vertical Single Y
9. Frequency



CWS06098A002 Weekly








CWS06098A003 Monthly








CWS06098A004 A couple times a year








CWS06098A005 About once a year








CWS06098A006 This is my first time





CWS06099
Which best describes the primary role that brought you to the CDC.gov Web site today? CWS06099A001 Individual interested in health J Radio button, one-up vertical Single Y Skip Logic Group 10. Role



CWS06099A002 Traveler








CWS06099A003 Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) B, C







CWS06099A004 Public health agency employee or public health professional D, E







CWS06099A005 Scientist or researcher








CWS06099A006 Educator, teacher or trainer








CWS06099A007 Student








CWS06099A008 Safety advisor








CWS06099A009 Business manager








CWS06099A010 Journalist or member of the media








CWS06099A011 Emergency responder








CWS06099A012 Law enforcement








CWS06099A013 Policymaker, legislator, or staff








CWS06099A014 Grantee








CWS06099A015 CDC Employee, staff, or contractor








CWS06099A016 Other, please specify: A




CWS06100 A Please list your role:


Text area, no char limit
N Skip Logic Group 10.Oth Role
CWS06101 B Which of the following best describes you? CWS06101A001 Physician, actively seeing patients at least 2 days a week
Radio button, one-up vertical Single Y
10.1 HCP Role



CWS06101A002 Physician, primarily conducting research projects








CWS06101A003 Nurse or nurse practitioner









Nurse









Nurse Practitioner








CWS06101A004 Physician assistant








CWS06101A005 Pharmacist or pharmaceutical assistant









Medical assistant









Office/clinic manager








CWS06101A006 Other type of healthcare provider, please specify: F




CWS06102 F Please list your role:


Text area, no char limit
N Skip Logic Group 10.1Oth HCP Role
CWS06103 C Which of the following best describes where you work? CWS06103A001 Hospital
Radio button, one-up vertical Single Y
10.2 HCP Location



CWS06103A002 Large medical practice








CWS06103A003 Small medical practice








CWS06103A004 Not-for-profit








CWS06103A005 Research institution









Clinic








CWS06103A006 Other, please specify: G




CWS06104 G Please list where you work:


Text area, no char limit
N Skip Logic Group 10.2Oth HCP Location
CWS06105 D Which of the following best describes you? CWS06105A001 Public health advocate
Radio button, one-up vertical Single Y
10.3 PHP Role



CWS06105A002 Health educator








CWS06105A003 Health communicator








CWS06105A004 Management









Epidemiologist








CWS06105A005 Research scientist








CWS06105A006 Administrative staff








CWS06105A007 Other, please specify: H




CWS06106 H Please list your role:


Text area, no char limit
N Skip Logic Group 10.3Oth PHP Role
CWS06107 E Which of the following best describes where you work? CWS06107A001 Public or commercial sector
Radio button, one-up vertical Single Y
10.4 PHP Location



CWS06107A002 Not-for-profit








CWS06107A003 Federal public health agency








CWS06107A004 State public health agency








CWS06107A005 Local public health agency








CWS06107A006 Territorial public health agency








CWS06107A007 Tribal public health agency








CWS06107A008 Other, please specify: I




CWS06108 I Please list where you work:


Text area, no char limit
N Skip Logic Group 10.4Oth PHP Location

J Which of the following best describes you?
Parent
Radio button, one-up vertical Single Y
10.5Individuals




Caregiver









Person with disease/condition









Pregnant









Other, please specify: I





K Please list your role


Text area, no char limit
N Skip Logic Group 10.5Oth Individuals
CWS06109
Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important)
Rank 1 (Required)
CWS06109A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



CWS06109A002 Message or recommendation from a friend on Facebook or Twitter








CWS06109A003 Video I saw on CDC's YouTube Page








CWS06109A005 Advertisement on Facebook, or Twitter



Randomize



CWS06109A017 CDC's mobile site








CWS06109A006 Mobile phone text messages or alerts








CWS06109A018 Mobile application or "app"








CWS06109A019 Scanned a QR code








CWS06109A007 Instant message from someone








CWS06109A008 Familiarity with site/agency








CWS06109A009 Email updates from the agency








CWS06109A010 Website is bookmarked








CWS06109A011 Search engine results








CWS06109A012 Word of mouth recommendation from someone I know








CWS06109A013 TV, radio, newspaper, or magazine advertising








CWS06109A014 Advertisement on another website








CWS06109A015 Don't know



Anchor Answer Choice



CWS06109A016 Other



Anchor Answer Choice
CWS06110
Rank 2 (Optional) CWS06110A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single N Rank Group SV - Rank 2



CWS06110A002 Message or recommendation from a friend on Facebook or Twitter








CWS06110A003 Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



CWS06110A005 Advertisement on Facebook, or Twitter








CWS06110A017 CDC's mobile site








CWS06110A006 Mobile phone text messages or alerts








CWS06110A018 Mobile application or "app"








CWS06110A019 Scanned a QR code








CWS06110A007 Instant message from someone








CWS06110A008 Familiarity with site/agency








CWS06110A009 Email updates from the agency








CWS06110A010 Website is bookmarked








CWS06110A011 Search engine results








CWS06110A012 Word of mouth recommendation from someone I know








CWS06110A013 TV, radio, newspaper, or magazine advertising








CWS06110A014 Advertisement on another website








CWS06110A015 Don't know



Anchor Answer Choice



CWS06110A016 Other



Anchor Answer Choice
CWS06111
Rank 3 (Optional) CWS06111A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single N Rank Group SV - Rank 3



CWS06111A002 Message or recommendation from a friend on Facebook or Twitter








CWS06111A003 Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



CWS06111A005 Advertisement on Facebook, or Twitter








CWS06111A017 CDC's mobile site








CWS06111A006 Mobile phone text messages or alerts








CWS06111A018 Mobile application or "app"








CWS06111A019 Scanned a QR code








CWS06111A007 Instant message from someone








CWS06111A008 Familiarity with site/agency








CWS06111A009 Email updates from the agency








CWS06111A010 Website is bookmarked








CWS06111A011 Search engine results








CWS06111A012 Word of mouth recommendation from someone I know








CWS06111A013 TV, radio, newspaper, or magazine advertising








CWS06111A014 Advertisement on another website








CWS06111A015 Don't know



Anchor Answer Choice



CWS06111A016 Other



Anchor Answer Choice
CWS06112
If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)


Text area, no char limit
N
SV - Other Social Network
CWS06113
How old are you? CWS06113A001 19 or under
Radio button, one-up vertical Single Y
11. Age



CWS06113A002 20-34 years old








CWS06113A003 35-49 years old








CWS06113A004 50-64 years old








CWS06113A005 65 or older








CWS06113A006 Prefer not to answer





CWS06114
How would you describe yourself? CWS06114A001 White
Checkbox, one-up vertical Multi Y
12. Ethnicity



CWS06114A002 Hispanic or Latino








CWS06114A003 Asian








CWS06114A004 Black or African American








CWS06114A005 American Indian or Alaska Native








CWS06114A006 Native Hawaiian or other Pacific Islander








CWS06114A007 Prefer not to answer





CWS06115
What is the highest level of education you have completed? CWS06115A001 High school or less
Radio button, one-up vertical Single Y
13. Education



CWS06115A002 Some college








CWS06115A003 College degree








CWS06115A004 Advanced degree








CWS06115A005 Prefer not to answer





CWS06116
What is your gender? CWS06116A001 Female
Radio button, one-up vertical Single Y
14. Gender



CWS06116A002 Male








CWS06116A04 Transgender








CWS06116A003 Prefer not to answer





CWS06117
What is your country of residence? CWS06117A001 USA


Y
15. Country



CWS06117A002 Afghanistan








CWS06117A003 Albania








CWS06117A004 Algeria








CWS06117A005 American Samoa








CWS06117A006 Andorra








CWS06117A007 Angola








CWS06117A008 Anguilla








CWS06117A009 Antarctica








CWS06117A010 Antigua and Barbuda








CWS06117A011 Argentina








CWS06117A012 Armenia








CWS06117A013 Aruba








CWS06117A014 Australia








CWS06117A015 Austria








CWS06117A016 Azerbaijan








CWS06117A017 Bahamas








CWS06117A018 Bahrain








CWS06117A019 Bangladesh








CWS06117A020 Barbados








CWS06117A021 Belarus








CWS06117A022 Belgium








CWS06117A023 Belize








CWS06117A024 Benin








CWS06117A025 Bermuda








CWS06117A026 Bhutan








CWS06117A027 Bolivia








CWS06117A028 Bosnia/Herzegovina








CWS06117A029 Botswana








CWS06117A030 Bouvet Island








CWS06117A031 Brazil








CWS06117A032 British Indian Ocean








CWS06117A033 Brunei Darussalam








CWS06117A034 Bulgaria








CWS06117A035 Burkina Faso








CWS06117A036 Burundi








CWS06117A037 Cambodia








CWS06117A038 Cameroon








CWS06117A039 Canada








CWS06117A040 Cape Verde








CWS06117A041 Cayman Islands








CWS06117A042 Central African Rep.








CWS06117A043 Chad








CWS06117A044 Chile








CWS06117A045 China








CWS06117A046 Christmas Island








CWS06117A047 Cocos Islands








CWS06117A048 Colombia








CWS06117A049 Comoros








CWS06117A050 Congo








CWS06117A051 Congo, Democratic Rep.








CWS06117A052 Cook Islands








CWS06117A053 Costa Rica








CWS06117A054 Côte D'Ivoire








CWS06117A055 Croatia








CWS06117A056 Cuba








CWS06117A057 Cyprus








CWS06117A058 Czech Republic








CWS06117A059 Denmark








CWS06117A060 Djibouti








CWS06117A061 Dominica








CWS06117A062 Dominican Republic








CWS06117A063 East Timor








CWS06117A064 Ecuador








CWS06117A065 Egypt








CWS06117A066 El Salvador








CWS06117A067 Equatorial Guinea








CWS06117A068 Eritrea








CWS06117A069 Estonia








CWS06117A070 Ethiopia








CWS06117A071 Falkland Islands








CWS06117A072 Faroe Islands








CWS06117A073 Fiji








CWS06117A074 Finland








CWS06117A075 France








CWS06117A076 French Guiana








CWS06117A077 French Polynesia








CWS06117A078 French Southern Terr.








CWS06117A079 Gabon








CWS06117A080 Gambia








CWS06117A081 Georgia








CWS06117A082 Germany








CWS06117A083 Ghana








CWS06117A084 Gibraltar








CWS06117A085 Greece








CWS06117A086 Greenland








CWS06117A087 Grenada








CWS06117A088 Guadeloupe








CWS06117A089 Guam








CWS06117A090 Guatemala








CWS06117A091 Guinea








CWS06117A092 Guinea& Bissau








CWS06117A093 Guyana








CWS06117A094 Haiti








CWS06117A095 Heard/McDonald Isls.








CWS06117A096 Holy See/Vatican








CWS06117A097 Honduras








CWS06117A098 Hong Kong








CWS06117A099 Hungary








CWS06117A100 Iceland








CWS06117A101 India








CWS06117A102 Indonesia








CWS06117A103 Iran








CWS06117A104 Iraq








CWS06117A105 Ireland








CWS06117A106 Israel








CWS06117A107 Italy








CWS06117A108 Jamaica








CWS06117A109 Japan








CWS06117A110 Jordan








CWS06117A111 Kazakhstan








CWS06117A112 Kenya








CWS06117A113 Kiribati








CWS06117A114 Korea, North








CWS06117A115 Korea, South








CWS06117A116 Kuwait








CWS06117A117 Kyrgyzstan








CWS06117A118 Laos








CWS06117A119 Latvia








CWS06117A120 Lebanon








CWS06117A121 Lesotho








CWS06117A122 Liberia








CWS06117A123 Libya








CWS06117A124 Liechtenstein








CWS06117A125 Lithuania








CWS06117A126 Luxembourg








CWS06117A127 Macao








CWS06117A128 Macedonia








CWS06117A129 Madagascar








CWS06117A130 Malawi








CWS06117A131 Malaysia








CWS06117A132 Maldives








CWS06117A133 Mali








CWS06117A134 Malta








CWS06117A135 Marshall Islands








CWS06117A136 Martinique








CWS06117A137 Mauritania








CWS06117A138 Mauritius








CWS06117A139 Mayotte








CWS06117A140 Mexico








CWS06117A141 Micronesia








CWS06117A142 Moldova








CWS06117A143 Monaco








CWS06117A144 Mongolia








CWS06117A145 Montserrat








CWS06117A146 Morocco








CWS06117A147 Mozambique








CWS06117A148 Myanmar








CWS06117A149 Namibia








CWS06117A150 Nauru








CWS06117A151 Nepal








CWS06117A152 Netherlands








CWS06117A153 Netherlands Antilles








CWS06117A154 New Caledonia








CWS06117A155 New Zealand








CWS06117A156 Nicaragua








CWS06117A157 Niger








CWS06117A158 Nigeria








CWS06117A159 Niue








CWS06117A160 Norfolk Island








CWS06117A161 Northern Mariana Isls








CWS06117A162 Norway








CWS06117A163 Oman








CWS06117A164 Pakistan








CWS06117A165 Palau








CWS06117A166 Palestinian Territory








CWS06117A167 Panama








CWS06117A168 Papua New Guinea








CWS06117A169 Paraguay








CWS06117A170 Peru








CWS06117A171 Philippines








CWS06117A172 Pitcairn








CWS06117A173 Poland








CWS06117A174 Portugal








CWS06117A175 Puerto Rico








CWS06117A176 Qatar








CWS06117A177 Réunion








CWS06117A178 Romania








CWS06117A179 Russian Federation








CWS06117A180 Rwanda








CWS06117A181 Saint Helena








CWS06117A182 Saint Kitts/Nevis








CWS06117A183 Saint Lucia








CWS06117A184 Saint Pierre/Miquelon








CWS06117A185 Saint Vincent/Grenadines








CWS06117A186 Samoa








CWS06117A187 San Marino








CWS06117A188 Sao Tome/Principe








CWS06117A189 Saudi Arabia








CWS06117A190 Senegal








CWS06117A191 Seychelles








CWS06117A192 Sierra Leone








CWS06117A193 Singapore








CWS06117A194 Slovakia








CWS06117A195 Slovenia








CWS06117A196 Solomon Islands








CWS06117A197 Somalia








CWS06117A198 South Africa








CWS06117A199 S. Georgia/S. Sand. Isls








CWS06117A200 Spain








CWS06117A201 Sri Lanka








CWS06117A202 Sudan








CWS06117A203 Suriname








CWS06117A204 Svalbard/Jan Mayen








CWS06117A205 Swaziland








CWS06117A206 Sweden








CWS06117A207 Switzerland








CWS06117A208 Syria








CWS06117A209 Taiwan








CWS06117A210 Tajikistan








CWS06117A211 Tanzania








CWS06117A212 Thailand








CWS06117A213 Togo








CWS06117A214 Tokelau








CWS06117A215 Tonga








CWS06117A216 Trinidad and Tobago








CWS06117A217 Tunisia








CWS06117A218 Turkey








CWS06117A219 Turkmenistan








CWS06117A220 Turks and Caicos Isls








CWS06117A221 Tuvalu








CWS06117A222 Uganda








CWS06117A223 Ukraine








CWS06117A224 United Arab Emirates








CWS06117A225 United Kingdom








CWS06117A226 US Minor Outlying Isls








CWS06117A227 Uruguay








CWS06117A228 Uzbekistan








CWS06117A229 Vanuatu








CWS06117A230 Venezuela








CWS06117A231 Viet Nam








CWS06117A232 Virgin Islands, British








CWS06117A233 Virgin Islands, U.S.








CWS06117A234 Wallis and Futuna








CWS06117A235 Western Sahara








CWS06117A236 Yemen








CWS06117A237 Yugoslavia








CWS06117A238 Zambia








CWS06117A239 Zimbabwe





CWS06118
If you could suggest one change to improve the CDC Web site, what recommendation would you make?


Text area, no char limit
N
16. One Improvement

Sheet 8: EE Custom Qsts (3-30-12)

Model Instance Name:


red & strike-through: DELETE





CDC (Jan 2011-present)


underlined & italicized: RE-ORDER





MID: Y9h8gZZ0ghx0VYtM1w8I8A==

pink: ADDITION





Date: 3/1/2008
blue + -->: REWORDING
















CDC (Jan 2011-present) CUSTOM QUESTION LIST
QID Skip Logic Label Question Text AnswerIDs (DOT) Answer Choices
(limited to 50 characters)
Skip to Type (select from list) Single or Multi Required
Y/N
Special Instructions CQ Label
CWS06063
Which category best describes the health topic you were looking for? CWS06063A001 Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, STDs…) A Radio button, one-up vertical Single Y Skip Logic Group 1. Health topic looking for



CWS06063A002 Healthy Living (food safety, bone health, physical activity, immunizations, genetics, sexual health, smoking prevention…) B







CWS06063A004 Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…) D







CWS06063A005 Injury, Violence & Safety (motor vehicle safety, traumatic brain injury and concussion, falls, child abuse, prescription drug abuse, suicide, injury data…) E







CWS06063A006 Environmental Health (air pollution, biomonitoring, carbon monoxide, toxic lead, toxic substances, mold…) F







CWS06063A007 Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…) G







CWS06063A009 Global Health (Global AIDS, malaria, disease detection, polio, influenza…) I








Traveler's Health (destinations, outbreaks, travel vaccinations, Yellow Book…) C







CWS06063A008 Life Stages & Populations (infant & child, disabilities, men, minorities, pregnancy, seniors, women...) H







CWS06063A010 State, Tribal, Local & Territorial (The Public Health Workplace, program planning, professional development, tribal support…) J








Outbreaks (International outbreaks, outbreaks in the United States, food-related outbreaks ...) W







CWS06063A011 Other, please specify: K




CWS06064 K Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1Oth Health Topic
CWS06065 A More specifically, what topic were you looking for? CWS06065A001 ADHD
Radio button, one-up vertical Single Y Skip Logic Group 1.1Diseases&Conditions



CWS06065A002 Arthritis








CWS06065A003 Asthma








CWS06065A004 Autism








CWS06065A005 Birth defects








CWS06065A006 Cancer








CWS06065A007 Diabetes








CWS06065A008 Epilepsy








CWS06065A009 Fetal alcohol syndrome








CWS06065A010 Flu (influenza)









Hand, foot and mouth disease








CWS06065A011 Heart disease








CWS06065A012 Hepatitis








CWS06065A013 HIV/AIDS









HPV








CWS06065A014 Meningitis








CWS06065A015 MRSA (Methicillin Resistant Staphylococcus Aureus)








CWS06065A016 Obesity








CWS06065A017 Salmonella








CWS06065A018 Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)









Shingles








CWS06065A019 Stroke








CWS06065A020 Tuberculosis








CWS06065A021 Water-related diseases








CWS06065A022 Other, please specify: L




CWS06066 L Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.1Oth Disease&Conditions
CWS06067 B More specifically, what topic were you looking for? CWS06067A001 Aging
Radio button, one-up vertical Single Y
1.2 Healthy Living



CWS06067A002 Birth defects








CWS06067A003 BMI (Body Mass Index)








CWS06067A004 Bone health








CWS06067A005 Breastfeeding








CWS06067A006 Child development








CWS06067A007 Excessive alcohol use








CWS06067A008 Food safety








CWS06067A009 Genetics and genomics








CWS06067A010 Mental health








CWS06067A011 Nutrition








CWS06067A012 Physical activity and exercise








CWS06067A013 Reproductive health








CWS06067A014 Sexual health








CWS06067A015 Sleep and sleep disorders








CWS06067A016 Smoking and tobacco use








CWS06067A017 Vaccines and immunizations








CWS06067A018 Other, please specify: M




CWS06068 M Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.2 Oth HealthyLiving
CWS06069 C More specifically, what topic were you looking for? CWS06069A001 Yellow Book (CDC Health Information for International Travel)
Radio button, one-up vertical Single Y Skip Logic Group 1.3 Travelers Health



CWS06069A002 Destinations








CWS06069A003 Diseases related to travel (including malaria and yellow fever)








CWS06069A004 Illness & injury abroad (what to do if you become sick while traveling)








CWS06069A005 Preparing for your trip








CWS06069A006 Staying healthy & safe (insect protection, safe food & water, survival guide)








CWS06069A007 Vaccinations








CWS06069A008 Other, please specify: N




CWS06070 N Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.3Oth Travelers Health
CWS06071 D More specifically, what topic were you looking for? CWS06071A001 Bioterrorism (anthrax, plague, smallpox)
Radio button, one-up vertical Single Y Skip Logic Group 1.4 Emergency



CWS06071A002 Chemical emergencies (ricin, chlorine, nerve agents)








CWS06071A003 Coping with a disaster








CWS06071A004 Mass casualties (explosions, blasts, injuries)








CWS06071A005 Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)








CWS06071A006 Preparation & planning for hazards








CWS06071A007 Radiation emergencies (dirty bombs, nuclear blasts)








CWS06071A008 Recent outbreaks & incidents (salmonella, melamine)








CWS06071A009 Surveillance








CWS06071A010 Other, please specify: O




CWS06072 O Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.4Oth Emergency
CWS06073 E More specifically, what topic were you looking for? CWS06073A001 Acute care (injury response)
Radio button, one-up vertical Single Y
1.5 Injury



CWS06073A002 Adolescent injuries








CWS06073A003 Child abuse / maltreatment








CWS06073A004 Choking








CWS06073A005 Concussion / brain injuries








CWS06073A006 Dog bites








CWS06073A007 Drowning








CWS06073A008 Elder maltreatment








CWS06073A009 Explosion and blast injuries








CWS06073A010 Falls among older adults








CWS06073A011 Fire-related injuries








CWS06073A012 Fireworks








CWS06073A013 Intimate partner violence








CWS06073A014 Mass casualties








CWS06073A015 Motor vehicle injuries








CWS06073A016 Poisoning








CWS06073A017 Preventing injury & violence








CWS06073A018 Sexual violence








CWS06073A019 Suicide








CWS06073A020 Violence








CWS06073A021 Other, please specify: P




CWS06074 P Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.5Oth Injury
CWS06075 F More specifically, what topic were you looking for? CWS06075A001 Air quality
Radio button, one-up vertical Single Y
1.6 Environmental



CWS06075A002 Asbestos








CWS06075A003 Asthma








CWS06075A004 Biomonitoring








CWS06075A005 Carbon monoxide poisoning








CWS06075A006 Childhood lead poisoning prevention








CWS06075A007 Climate change








CWS06075A008 Cruise ship health








CWS06075A009 Extreme weather conditions








CWS06075A010 Mold








CWS06075A011 Natural disasters








CWS06075A012 Protect yourself from the sun








CWS06075A013 Radiation studies








CWS06075A014 Rodent control








CWS06075A015 Smoking and tobacco use








CWS06075A016 Water








CWS06075A017 Other, please specify: Q




CWS06076 Q Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.6Oth Enviro
CWS06077 G More specifically, what topic were you looking for? CWS06077A001 Asbestos
Radio button, one-up vertical Single Y Skip Logic Group 1.7 Workplace




Blood borne Infectious Diseases








CWS06077A003 Chemical safety








CWS06077A004 Construction








CWS06077A005 Electrical safety









Emergency preparedness & Response








CWS06077A007 Ergonomics and Musculoskeletal Disorders








CWS06077A008 Eye safety









Falls








CWS06077A010 Heat Stress/Cold Stress








CWS06077A013 Machine safety








CWS06077A014 Mining








CWS06077A016 Noise/Hearing Loss








CWS06077A017 Office environments








CWS06077A018 Protective clothing








CWS06077A019 Respirators








CWS06077A020 Stress








CWS06077A021 Violence








CWS06077A022 Workplace safety & prevention








CWS06077A023 Other, please specify: R




CWS06078 R Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.7Oth Workplace
CWS06079 H More specifically, what topic were you looking for? CWS06079A001 Adolescents & teens
Radio button, one-up vertical Single Y
1.8 Lifestages



CWS06079A002 Children








CWS06079A12 People with disabilities








CWS06079A003 Family








CWS06079A004 Infants & toddlers








CWS06079A005 Men








CWS06079A006 Older adults & seniors








CWS06079A007 Parents








CWS06079A008 Pregnancy








CWS06079A009 Women








CWS06079A010 Young adults








CWS06079A011 Other, please specify: H




CWS06080 S Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.8Oth Lifestages
CWS06081 I More specifically, what topic were you looking for? CWS06081A001 Field Epidemiologist Training Program
Radio button, one-up vertical Single Y
1.9 Global



CWS06081A002 Global disease detection








CWS06081A003 Global health initiatives








CWS06081A004 Global HIV/AIDS








CWS06081A005 Global immunizations








CWS06081A006 Haiti








CWS06081A007 International emergency and refugee health








CWS06081A008 Parasites








CWS06081A009 Other, please specify: T




CWS06082 T Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.9Oth Global
CWS06083 J More specifically, what topic were you looking for? CWS06083A001 Best practices
Radio button, one-up vertical Single Y Skip Logic Group 1.10 State Tribal



CWS06083A002 Cooperative agreements








CWS06083A003 Funding and grants








CWS06083A004 Policy








CWS06083A005 Strategy and planning








CWS06083A006 Training








CWS06083A007 Other, please specify: U




CWS06084 U Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.10Oth State Tribal
ACQWro0010097 W More specifically, what topic were you looking for? ACQWro0010097A01 Travel-related outbreaks
Radio button, one-up vertical Single Y Skip Logic Group 1.11 Outbreaks



ACQWro0010097A02 International outbreaks








ACQWro0010097A03 United States outbreaks








ACQWro0010097A04 Food-related outbreaks








ACQWro0010097A05 Other, please specify: V




ACQWro0010098 V Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.11Oth Outbreaks
CWS06085
Which of the following best describes the type of information you were looking for? CWS06085A001 General information about the health topic selected
Radio button, one-up vertical Single Y OPS Group 2. Type of Info Looking For



CWS06085A002 General information about symptoms, causes, risk factors, tests, or treatment








CWS06085A003 Data and statistics








CWS06085A004 Scientific research, articles, publications, and journals








CWS06085A005 Guidelines and recommendations for healthcare providers








CWS06085A006 Professional training for healthcare providers, researchers, public health professionals, etc.








CWS06085A007 Educational materials








CWS06085A008 Campaigns and initiatives








CWS06085A009 Grants and funding opportunities








CWS06085A010 Tools, software applications, systems, and other resources








CWS06085A011 Print materials (fact sheets, brochures, posters, etc.)








CWS06085A012 Multimedia products (podcasts, videos, widgets, etc.)








CWS06085A013 Jobs and careers








CWS06085A014 Other, please specify: A




CWS06086 A Please list the other type of information you were looking for:


Text area, no char limit

OPS Group 2.Oth Type of Info
CWS06087
Were you able to find what you were looking for? CWS06087A001 Yes
Radio button, one-up vertical
Y Skip Logic Group 3. Able to Find



CWS06087A002 Partially A







CWS06087A003 No, I'm still looking A




CWS06088 A What were you looking for?


Text area, no char limit

Skip Logic Group 3Oth. Unable to Find
ACQOsl0003358
I'm planning to use the information I found today: ACQOsl0003358A01 For my own health or my family's health A Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



ACQOsl0003358A02 For my friend or family member (not living in my household)








ACQOsl0003358A03 For a physician's office/hospital








ACQOsl0003358A04 For a patient or client








ACQOsl0003358A05 For a public health agency








ACQOsl0003358A06 For a research institution








ACQOsl0003358A07 For a business / workplace








ACQOsl0003358A08 For an educational institution or teaching purposes








ACQOsl0003358A09 For a school / class project








ACQOsl0003358A10 Other, please specify: B




ACQWro0010091 A Based on the information I found, I am planning to make changes to my lifestyle or my family's lifestyle: ACQWro0010091A01 Strongly agree
Radio button, one-up vertical Single Y Skip Logic Group 4.1 Behavior Change



ACQWro0010091A02 Agree








ACQWro0010091A03 Disagree C







ACQWro0010091A04 Strongly disagree C







ACQWro0010091A05 Not applicable





ACQWro0010092 C Why are you unlikely to make a change to improve your health?


Text area, no char limit Single
Skip Logic Group 4.2Unlikely Change
ACQOsl0003359 B Please specify how you will use the information you are looking for today:


Text area, no char limit

Skip Logic Group 4.Oth How will use
ACQOsl0004055
Would you access information from CDC through other electronic channels or devices? (Please select all that apply): ACQOsl0004055A16 Facebook
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



ACQOsl0004055A17 Google+








ACQOsl0004055A18 LinkedIn








ACQOsl0004055A19 Twitter








ACQOsl0004055A03 Mobile websites








ACQOsl0004055A04 Mobile applications or "apps"








ACQOsl0004055A05 Text messages








ACQOsl0004055A06 Online Videos








ACQOsl0004055A07 Podcasts








ACQOsl0004055A09 Blogs








ACQOsl0004055A10 eCards








ACQOsl0004055A11 Widgets (i.e. module or application you can add to a website or personalized web page like iGoogle or MyYahoo!)








ACQOsl0004055A12 E-mail updates








ACQOsl0004055A13 RSS Feeds









Pinterest








ACQOsl0004055A14 None of the above








ACQOsl0004055A15 Other, please specify:





CWS06098
How frequently do you use the CDC.gov Web site? CWS06098A001 Daily
Radio button, one-up vertical Single Y
9. Frequency



CWS06098A002 Weekly








CWS06098A003 Monthly








CWS06098A004 A couple times a year








CWS06098A005 About once a year








CWS06098A006 This is my first time





CWS06099
Which best describes the primary role that brought you to the CDC.gov Web site today? CWS06099A001 Individual interested in health
Radio button, one-up vertical Single Y Skip Logic Group 10. Role



CWS06099A002 Traveler








CWS06099A003 Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) B, C







CWS06099A004 Public health agency employee or public health professional D, E







CWS06099A005 Scientist or researcher








CWS06099A006 Educator, teacher or trainer








CWS06099A007 Student








CWS06099A008 Safety advisor








CWS06099A009 Business manager








CWS06099A010 Journalist or member of the media








CWS06099A011 Emergency responder








CWS06099A012 Law enforcement








CWS06099A013 Policymaker, legislator, or staff








CWS06099A014 Grantee








CWS06099A015 CDC Employee, staff, or contractor








CWS06099A016 Other, please specify: A




CWS06100 A Please list your role:


Text area, no char limit
N Skip Logic Group 10.Oth Role
CWS06101 B Which of the following best describes you? CWS06101A001 Physician, actively seeing patients at least 2 days a week
Radio button, one-up vertical Single Y
10.1 HCP Role



CWS06101A002 Physician, primarily conducting research projects








CWS06101A003 Nurse or nurse practitioner








CWS06101A004 Physician’s assistant








CWS06101A005 Pharmacist or pharmaceutical assistant








CWS06101A006 Other type of healthcare provider, please specify: F




CWS06102 F Please list your role:


Text area, no char limit
N Skip Logic Group 10.1Oth HCP Role
CWS06103 C Which of the following best describes where you work? CWS06103A001 Hospital
Radio button, one-up vertical Single Y
10.2 HCP Location



CWS06103A002 Large medical practice








CWS06103A003 Small medical practice








CWS06103A004 Not-for-profit








CWS06103A005 Research institution








CWS06103A006 Other, please specify: G




CWS06104 G Please list where you work:


Text area, no char limit
N Skip Logic Group 10.2Oth HCP Location
CWS06105 D Which of the following best describes you? CWS06105A001 Public health advocate
Radio button, one-up vertical Single Y
10.3 PHP Role



CWS06105A002 Health educator








CWS06105A003 Health communicator








CWS06105A004 Management









Epidemiologist








CWS06105A005 Research scientist








CWS06105A006 Administrative staff








CWS06105A007 Other, please specify: H




CWS06106 H Please list your role:


Text area, no char limit
N Skip Logic Group 10.3Oth PHP Role
CWS06107 E Which of the following best describes where you work? CWS06107A001 Public or commercial sector
Radio button, one-up vertical Single Y
10.4 PHP Location



CWS06107A002 Not-for-profit








CWS06107A003 Federal public health agency








CWS06107A004 State public health agency








CWS06107A005 Local public health agency








CWS06107A006 Territorial public health agency








CWS06107A007 Tribal public health agency








CWS06107A008 Other, please specify: I




CWS06108 I Please list where you work:


Text area, no char limit
N Skip Logic Group 10.4Oth PHP Location
CWS06109
Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important)
Rank 1 (Required)
CWS06109A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



CWS06109A002 Message or recommendation from a friend on Facebook or Twitter








CWS06109A003 Video I saw on CDC's YouTube Page








CWS06109A005 Advertisement on Facebook, or Twitter



Randomize



CWS06109A017 CDC's mobile site








CWS06109A006 Mobile phone text messages or alerts








CWS06109A018 Mobile application or "app"








CWS06109A019 Scanned a QR code








CWS06109A007 Instant message from someone








CWS06109A008 Familiarity with site/agency








CWS06109A009 Email updates from the agency








CWS06109A010 Website is bookmarked








CWS06109A011 Search engine results








CWS06109A012 Word of mouth recommendation from someone I know








CWS06109A013 TV, radio, newspaper, or magazine advertising








CWS06109A014 Advertisement on another website








CWS06109A015 Don't know



Anchor Answer Choice



CWS06109A016 Other



Anchor Answer Choice
CWS06110
Rank 2 (Optional) CWS06110A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single N Rank Group SV - Rank 2



CWS06110A002 Message or recommendation from a friend on Facebook or Twitter








CWS06110A003 Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



CWS06110A005 Advertisement on Facebook, or Twitter








CWS06110A017 CDC's mobile site








CWS06110A006 Mobile phone text messages or alerts








CWS06110A018 Mobile application or "app"








CWS06110A019 Scanned a QR code








CWS06110A007 Instant message from someone








CWS06110A008 Familiarity with site/agency








CWS06110A009 Email updates from the agency








CWS06110A010 Website is bookmarked








CWS06110A011 Search engine results








CWS06110A012 Word of mouth recommendation from someone I know








CWS06110A013 TV, radio, newspaper, or magazine advertising








CWS06110A014 Advertisement on another website








CWS06110A015 Don't know



Anchor Answer Choice



CWS06110A016 Other



Anchor Answer Choice
CWS06111
Rank 3 (Optional) CWS06111A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single N Rank Group SV - Rank 3



CWS06111A002 Message or recommendation from a friend on Facebook or Twitter








CWS06111A003 Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



CWS06111A005 Advertisement on Facebook, or Twitter








CWS06111A017 CDC's mobile site








CWS06111A006 Mobile phone text messages or alerts








CWS06111A018 Mobile application or "app"








CWS06111A019 Scanned a QR code








CWS06111A007 Instant message from someone








CWS06111A008 Familiarity with site/agency








CWS06111A009 Email updates from the agency








CWS06111A010 Website is bookmarked








CWS06111A011 Search engine results








CWS06111A012 Word of mouth recommendation from someone I know








CWS06111A013 TV, radio, newspaper, or magazine advertising








CWS06111A014 Advertisement on another website








CWS06111A015 Don't know



Anchor Answer Choice



CWS06111A016 Other



Anchor Answer Choice
CWS06112
If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)


Text area, no char limit
N
SV - Other Social Network
CWS06113
How old are you? CWS06113A001 19 or under
Radio button, one-up vertical Single Y
11. Age



CWS06113A002 20-34 years old








CWS06113A003 35-49 years old








CWS06113A004 50-64 years old








CWS06113A005 65 or older








CWS06113A006 Prefer not to answer





CWS06114
How would you describe yourself? CWS06114A001 White
Checkbox, one-up vertical Multi Y
12. Ethnicity



CWS06114A002 Hispanic or Latino








CWS06114A003 Asian








CWS06114A004 Black or African American








CWS06114A005 American Indian or Alaska Native








CWS06114A006 Native Hawaiian or other Pacific Islander








CWS06114A007 Prefer not to answer





CWS06115
What is the highest level of education you have completed? CWS06115A001 High school or less
Radio button, one-up vertical Single Y
13. Education



CWS06115A002 Some college








CWS06115A003 College degree








CWS06115A004 Advanced degree








CWS06115A005 Prefer not to answer





CWS06116
What is your gender? CWS06116A001 Female
Radio button, one-up vertical Single Y
14. Gender



CWS06116A002 Male








CWS06116A04 Transgender








CWS06116A003 Prefer not to answer





CWS06117
What is your country of residence? CWS06117A001 USA


Y
15. Country



CWS06117A002 Afghanistan








CWS06117A003 Albania








CWS06117A004 Algeria








CWS06117A005 American Samoa








CWS06117A006 Andorra








CWS06117A007 Angola








CWS06117A008 Anguilla








CWS06117A009 Antarctica








CWS06117A010 Antigua and Barbuda








CWS06117A011 Argentina








CWS06117A012 Armenia








CWS06117A013 Aruba








CWS06117A014 Australia








CWS06117A015 Austria








CWS06117A016 Azerbaijan








CWS06117A017 Bahamas








CWS06117A018 Bahrain








CWS06117A019 Bangladesh








CWS06117A020 Barbados








CWS06117A021 Belarus








CWS06117A022 Belgium








CWS06117A023 Belize








CWS06117A024 Benin








CWS06117A025 Bermuda








CWS06117A026 Bhutan








CWS06117A027 Bolivia








CWS06117A028 Bosnia/Herzegovina








CWS06117A029 Botswana








CWS06117A030 Bouvet Island








CWS06117A031 Brazil








CWS06117A032 British Indian Ocean








CWS06117A033 Brunei Darussalam








CWS06117A034 Bulgaria








CWS06117A035 Burkina Faso








CWS06117A036 Burundi








CWS06117A037 Cambodia








CWS06117A038 Cameroon








CWS06117A039 Canada








CWS06117A040 Cape Verde








CWS06117A041 Cayman Islands








CWS06117A042 Central African Rep.








CWS06117A043 Chad








CWS06117A044 Chile








CWS06117A045 China








CWS06117A046 Christmas Island








CWS06117A047 Cocos Islands








CWS06117A048 Colombia








CWS06117A049 Comoros








CWS06117A050 Congo








CWS06117A051 Congo, Democratic Rep.








CWS06117A052 Cook Islands








CWS06117A053 Costa Rica








CWS06117A054 Côte D'Ivoire








CWS06117A055 Croatia








CWS06117A056 Cuba








CWS06117A057 Cyprus








CWS06117A058 Czech Republic








CWS06117A059 Denmark








CWS06117A060 Djibouti








CWS06117A061 Dominica








CWS06117A062 Dominican Republic








CWS06117A063 East Timor








CWS06117A064 Ecuador








CWS06117A065 Egypt








CWS06117A066 El Salvador








CWS06117A067 Equatorial Guinea








CWS06117A068 Eritrea








CWS06117A069 Estonia








CWS06117A070 Ethiopia








CWS06117A071 Falkland Islands








CWS06117A072 Faroe Islands








CWS06117A073 Fiji








CWS06117A074 Finland








CWS06117A075 France








CWS06117A076 French Guiana








CWS06117A077 French Polynesia








CWS06117A078 French Southern Terr.








CWS06117A079 Gabon








CWS06117A080 Gambia








CWS06117A081 Georgia








CWS06117A082 Germany








CWS06117A083 Ghana








CWS06117A084 Gibraltar








CWS06117A085 Greece








CWS06117A086 Greenland








CWS06117A087 Grenada








CWS06117A088 Guadeloupe








CWS06117A089 Guam








CWS06117A090 Guatemala








CWS06117A091 Guinea








CWS06117A092 Guinea& Bissau








CWS06117A093 Guyana








CWS06117A094 Haiti








CWS06117A095 Heard/McDonald Isls.








CWS06117A096 Holy See/Vatican








CWS06117A097 Honduras








CWS06117A098 Hong Kong








CWS06117A099 Hungary








CWS06117A100 Iceland








CWS06117A101 India








CWS06117A102 Indonesia








CWS06117A103 Iran








CWS06117A104 Iraq








CWS06117A105 Ireland








CWS06117A106 Israel








CWS06117A107 Italy








CWS06117A108 Jamaica








CWS06117A109 Japan








CWS06117A110 Jordan








CWS06117A111 Kazakhstan








CWS06117A112 Kenya








CWS06117A113 Kiribati








CWS06117A114 Korea, North








CWS06117A115 Korea, South








CWS06117A116 Kuwait








CWS06117A117 Kyrgyzstan








CWS06117A118 Laos








CWS06117A119 Latvia








CWS06117A120 Lebanon








CWS06117A121 Lesotho








CWS06117A122 Liberia








CWS06117A123 Libya








CWS06117A124 Liechtenstein








CWS06117A125 Lithuania








CWS06117A126 Luxembourg








CWS06117A127 Macao








CWS06117A128 Macedonia








CWS06117A129 Madagascar








CWS06117A130 Malawi








CWS06117A131 Malaysia








CWS06117A132 Maldives








CWS06117A133 Mali








CWS06117A134 Malta








CWS06117A135 Marshall Islands








CWS06117A136 Martinique








CWS06117A137 Mauritania








CWS06117A138 Mauritius








CWS06117A139 Mayotte








CWS06117A140 Mexico








CWS06117A141 Micronesia








CWS06117A142 Moldova








CWS06117A143 Monaco








CWS06117A144 Mongolia








CWS06117A145 Montserrat








CWS06117A146 Morocco








CWS06117A147 Mozambique








CWS06117A148 Myanmar








CWS06117A149 Namibia








CWS06117A150 Nauru








CWS06117A151 Nepal








CWS06117A152 Netherlands








CWS06117A153 Netherlands Antilles








CWS06117A154 New Caledonia








CWS06117A155 New Zealand








CWS06117A156 Nicaragua








CWS06117A157 Niger








CWS06117A158 Nigeria








CWS06117A159 Niue








CWS06117A160 Norfolk Island








CWS06117A161 Northern Mariana Isls








CWS06117A162 Norway








CWS06117A163 Oman








CWS06117A164 Pakistan








CWS06117A165 Palau








CWS06117A166 Palestinian Territory








CWS06117A167 Panama








CWS06117A168 Papua New Guinea








CWS06117A169 Paraguay








CWS06117A170 Peru








CWS06117A171 Philippines








CWS06117A172 Pitcairn








CWS06117A173 Poland








CWS06117A174 Portugal








CWS06117A175 Puerto Rico








CWS06117A176 Qatar








CWS06117A177 Réunion








CWS06117A178 Romania








CWS06117A179 Russian Federation








CWS06117A180 Rwanda








CWS06117A181 Saint Helena








CWS06117A182 Saint Kitts/Nevis








CWS06117A183 Saint Lucia








CWS06117A184 Saint Pierre/Miquelon








CWS06117A185 Saint Vincent/Grenadines








CWS06117A186 Samoa








CWS06117A187 San Marino








CWS06117A188 Sao Tome/Principe








CWS06117A189 Saudi Arabia








CWS06117A190 Senegal








CWS06117A191 Seychelles








CWS06117A192 Sierra Leone








CWS06117A193 Singapore








CWS06117A194 Slovakia








CWS06117A195 Slovenia








CWS06117A196 Solomon Islands








CWS06117A197 Somalia








CWS06117A198 South Africa








CWS06117A199 S. Georgia/S. Sand. Isls








CWS06117A200 Spain








CWS06117A201 Sri Lanka








CWS06117A202 Sudan








CWS06117A203 Suriname








CWS06117A204 Svalbard/Jan Mayen








CWS06117A205 Swaziland








CWS06117A206 Sweden








CWS06117A207 Switzerland








CWS06117A208 Syria








CWS06117A209 Taiwan








CWS06117A210 Tajikistan








CWS06117A211 Tanzania








CWS06117A212 Thailand








CWS06117A213 Togo








CWS06117A214 Tokelau








CWS06117A215 Tonga








CWS06117A216 Trinidad and Tobago








CWS06117A217 Tunisia








CWS06117A218 Turkey








CWS06117A219 Turkmenistan








CWS06117A220 Turks and Caicos Isls








CWS06117A221 Tuvalu








CWS06117A222 Uganda








CWS06117A223 Ukraine








CWS06117A224 United Arab Emirates








CWS06117A225 United Kingdom








CWS06117A226 US Minor Outlying Isls








CWS06117A227 Uruguay








CWS06117A228 Uzbekistan








CWS06117A229 Vanuatu








CWS06117A230 Venezuela








CWS06117A231 Viet Nam








CWS06117A232 Virgin Islands, British








CWS06117A233 Virgin Islands, U.S.








CWS06117A234 Wallis and Futuna








CWS06117A235 Western Sahara








CWS06117A236 Yemen








CWS06117A237 Yugoslavia








CWS06117A238 Zambia








CWS06117A239 Zimbabwe





CWS06118
If you could suggest one change to improve the CDC Web site, what recommendation would you make?


Text area, no char limit
N
16. One Improvement

Sheet 9: EE Current Custom Qsts (2-27-1)

Model Instance Name:


red & strike-through: DELETE





CDC (Jan 2011-present)


underlined & italicized: RE-ORDER





MID: Y9h8gZZ0ghx0VYtM1w8I8A==

pink: ADDITION





Date: 3/1/2008
blue + -->: REWORDING
















CDC (Jan 2011-present) CUSTOM QUESTION LIST
QID Skip Logic Label Question Text AnswerIDs (DOT) Answer Choices
(limited to 50 characters)
Skip to Type (select from list) Single or Multi Required
Y/N
Special Instructions CQ Label
CWS06063
Which category best describes the health topic you were looking for? CWS06063A001 Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, STDs…) A Radio button, one-up vertical Single Y Skip Logic Group 1. Health topic looking for



CWS06063A002 Healthy Living (food safety, bone health, physical activity, immunizations, genetics, sexual health, smoking prevention…) B







CWS06063A004 Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…) D







CWS06063A005 Injury, Violence & Safety (motor vehicle safety, traumatic brain injury and concussion, falls, child abuse, prescription drug abuse, suicide, injury data…) E







CWS06063A006 Environmental Health (air pollution, biomonitoring, carbon monoxide, toxic lead, toxic substances, mold…) F







CWS06063A007 Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…) G







CWS06063A009 Global Health (Global AIDS, malaria, disease detection, polio, influenza…) I








Traveler's Health (destinations, outbreaks, travel vaccinations, Yellow Book…) C







CWS06063A008 Life Stages & Populations (infant & child, disabilities, men, minorities, pregnancy, seniors, women...) H







CWS06063A010 State, Tribal, Local & Territorial (The Public Health Workplace, program planning, professional development, tribal support…) J








Outbreaks (International outbreaks, outbreaks in the United States, food-related outbreaks ...) W







CWS06063A011 Other, please specify: K




CWS06064 K Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1Oth Health Topic
CWS06065 A More specifically, what topic were you looking for? CWS06065A001 ADHD
Radio button, one-up vertical Single Y Skip Logic Group 1.1Diseases&Conditions



CWS06065A002 Arthritis








CWS06065A003 Asthma








CWS06065A004 Autism








CWS06065A005 Birth defects








CWS06065A006 Cancer








CWS06065A007 Diabetes








CWS06065A008 Epilepsy








CWS06065A009 Fetal alcohol syndrome








CWS06065A010 Flu (influenza)









Hand, foot and mouth disease








CWS06065A011 Heart disease








CWS06065A012 Hepatitis








CWS06065A013 HIV/AIDS









HPV








CWS06065A014 Meningitis








CWS06065A015 MRSA (Methicillin Resistant Staphylococcus Aureus)








CWS06065A016 Obesity








CWS06065A017 Salmonella








CWS06065A018 Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)









Shingles








CWS06065A019 Stroke








CWS06065A020 Tuberculosis








CWS06065A021 Water-related diseases








CWS06065A022 Other, please specify: L




CWS06066 L Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.1Oth Disease&Conditions
CWS06067 B More specifically, what topic were you looking for? CWS06067A001 Aging
Radio button, one-up vertical Single Y
1.2 Healthy Living



CWS06067A002 Birth defects








CWS06067A003 BMI (Body Mass Index)








CWS06067A004 Bone health








CWS06067A005 Breastfeeding








CWS06067A006 Child development








CWS06067A007 Excessive alcohol use








CWS06067A008 Food safety








CWS06067A009 Genetics and genomics








CWS06067A010 Mental health








CWS06067A011 Nutrition








CWS06067A012 Physical activity and exercise








CWS06067A013 Reproductive health








CWS06067A014 Sexual health








CWS06067A015 Sleep and sleep disorders








CWS06067A016 Smoking and tobacco use








CWS06067A017 Vaccines and immunizations








CWS06067A018 Other, please specify: M




CWS06068 M Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.2 Oth HealthyLiving
CWS06069 C More specifically, what topic were you looking for? CWS06069A001 Yellow Book (CDC Health Information for International Travel)
Radio button, one-up vertical Single Y Skip Logic Group 1.3 Travelers Health



CWS06069A002 Destinations








CWS06069A003 Diseases related to travel (including malaria and yellow fever)








CWS06069A004 Illness & injury abroad (what to do if you become sick while traveling)








CWS06069A005 Preparing for your trip








CWS06069A006 Staying healthy & safe (insect protection, safe food & water, survival guide)








CWS06069A007 Vaccinations








CWS06069A008 Other, please specify: N




CWS06070 N Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.3Oth Travelers Health
CWS06071 D More specifically, what topic were you looking for? CWS06071A001 Bioterrorism (anthrax, plague, smallpox)
Radio button, one-up vertical Single Y Skip Logic Group 1.4 Emergency



CWS06071A002 Chemical emergencies (ricin, chlorine, nerve agents)








CWS06071A003 Coping with a disaster








CWS06071A004 Mass casualties (explosions, blasts, injuries)








CWS06071A005 Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)








CWS06071A006 Preparation & planning for hazards








CWS06071A007 Radiation emergencies (dirty bombs, nuclear blasts)








CWS06071A008 Recent outbreaks & incidents (salmonella, melamine)








CWS06071A009 Surveillance








CWS06071A010 Other, please specify: O




CWS06072 O Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.4Oth Emergency
CWS06073 E More specifically, what topic were you looking for? CWS06073A001 Acute care (injury response)
Radio button, one-up vertical Single Y
1.5 Injury



CWS06073A002 Adolescent injuries








CWS06073A003 Child abuse / maltreatment








CWS06073A004 Choking








CWS06073A005 Concussion / brain injuries








CWS06073A006 Dog bites








CWS06073A007 Drowning








CWS06073A008 Elder maltreatment








CWS06073A009 Explosion and blast injuries








CWS06073A010 Falls among older adults








CWS06073A011 Fire-related injuries








CWS06073A012 Fireworks








CWS06073A013 Intimate partner violence








CWS06073A014 Mass casualties








CWS06073A015 Motor vehicle injuries








CWS06073A016 Poisoning








CWS06073A017 Preventing injury & violence








CWS06073A018 Sexual violence








CWS06073A019 Suicide








CWS06073A020 Violence








CWS06073A021 Other, please specify: P




CWS06074 P Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.5Oth Injury
CWS06075 F More specifically, what topic were you looking for? CWS06075A001 Air quality
Radio button, one-up vertical Single Y
1.6 Environmental



CWS06075A002 Asbestos








CWS06075A003 Asthma








CWS06075A004 Biomonitoring








CWS06075A005 Carbon monoxide poisoning








CWS06075A006 Childhood lead poisoning prevention








CWS06075A007 Climate change








CWS06075A008 Cruise ship health








CWS06075A009 Extreme weather conditions








CWS06075A010 Mold








CWS06075A011 Natural disasters








CWS06075A012 Protect yourself from the sun








CWS06075A013 Radiation studies








CWS06075A014 Rodent control








CWS06075A015 Smoking and tobacco use








CWS06075A016 Water








CWS06075A017 Other, please specify: Q




CWS06076 Q Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.6Oth Enviro
CWS06077 G More specifically, what topic were you looking for? CWS06077A001 Asbestos
Radio button, one-up vertical Single Y Skip Logic Group 1.7 Workplace




Blood borne Infectious Diseases








CWS06077A003 Chemical safety








CWS06077A004 Construction








CWS06077A005 Electrical safety









Emergency preparedness & Response








CWS06077A007 Ergonomics and Musculoskeletal Disorders








CWS06077A008 Eye safety









Falls








CWS06077A010 Heat Stress/Cold Stress








CWS06077A013 Machine safety








CWS06077A014 Mining








CWS06077A016 Noise/Hearing Loss








CWS06077A017 Office environments








CWS06077A018 Protective clothing








CWS06077A019 Respirators








CWS06077A020 Stress








CWS06077A021 Violence








CWS06077A022 Workplace safety & prevention








CWS06077A023 Other, please specify: R




CWS06078 R Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.7Oth Workplace
CWS06079 H More specifically, what topic were you looking for? CWS06079A001 Adolescents & teens
Radio button, one-up vertical Single Y
1.8 Lifestages



CWS06079A002 Children









People with disabilities








CWS06079A003 Family








CWS06079A004 Infants & toddlers








CWS06079A005 Men








CWS06079A006 Older adults & seniors








CWS06079A007 Parents








CWS06079A008 Pregnancy








CWS06079A009 Women








CWS06079A010 Young adults








CWS06079A011 Other, please specify: H




CWS06080 S Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.8Oth Lifestages
CWS06081 I More specifically, what topic were you looking for? CWS06081A001 Field Epidemiologist Training Program
Radio button, one-up vertical Single Y
1.9 Global



CWS06081A002 Global disease detection








CWS06081A003 Global health initiatives








CWS06081A004 Global HIV/AIDS








CWS06081A005 Global immunizations








CWS06081A006 Haiti








CWS06081A007 International emergency and refugee health








CWS06081A008 Parasites








CWS06081A009 Other, please specify: T




CWS06082 T Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.9Oth Global
CWS06083 J More specifically, what topic were you looking for? CWS06083A001 Best practices
Radio button, one-up vertical Single Y Skip Logic Group 1.10 State Tribal



CWS06083A002 Cooperative agreements








CWS06083A003 Funding and grants








CWS06083A004 Policy








CWS06083A005 Strategy and planning








CWS06083A006 Training








CWS06083A007 Other, please specify: U




CWS06084 U Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.10Oth State Tribal
ACQWro0010097 W More specifically, what topic were you looking for? ACQWro0010097A01 Travel-related outbreaks
Radio button, one-up vertical Single Y Skip Logic Group 1.11 Outbreaks



ACQWro0010097A02 International outbreaks








ACQWro0010097A03 United States outbreaks








ACQWro0010097A04 Food-related outbreaks








ACQWro0010097A05 Other, please specify: V




ACQWro0010098 V Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.11Oth Outbreaks
CWS06085
Which of the following best describes the type of information you were looking for? CWS06085A001 General information about the health topic selected
Radio button, one-up vertical Single Y OPS Group 2. Type of Info Looking For



CWS06085A002 General information about symptoms, causes, risk factors, tests, or treatment








CWS06085A003 Data and statistics








CWS06085A004 Scientific research, articles, publications, and journals








CWS06085A005 Guidelines and recommendations for healthcare providers








CWS06085A006 Professional training for healthcare providers, researchers, public health professionals, etc.








CWS06085A007 Educational materials








CWS06085A008 Campaigns and initiatives








CWS06085A009 Grants and funding opportunities








CWS06085A010 Tools, software applications, systems, and other resources








CWS06085A011 Print materials (fact sheets, brochures, posters, etc.)








CWS06085A012 Multimedia products (podcasts, videos, widgets, etc.)








CWS06085A013 Jobs and careers








CWS06085A014 Other, please specify: A




CWS06086 A Please list the other type of information you were looking for:


Text area, no char limit

OPS Group 2.Oth Type of Info
CWS06087
Were you able to find what you were looking for? CWS06087A001 Yes
Radio button, one-up vertical
Y Skip Logic Group 3. Able to Find



CWS06087A002 Partially A







CWS06087A003 No, I'm still looking A




CWS06088 A What were you looking for?


Text area, no char limit

Skip Logic Group 3Oth. Unable to Find
ACQOsl0003358
I'm planning to use the information I found today: ACQOsl0003358A01 For my own health or my family's health A Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



ACQOsl0003358A02 For my friend or family member (not living in my household)








ACQOsl0003358A03 For a physician's office/hospital








ACQOsl0003358A04 For a patient or client








ACQOsl0003358A05 For a public health agency








ACQOsl0003358A06 For a research institution








ACQOsl0003358A07 For a business / workplace








ACQOsl0003358A08 For an educational institution or teaching purposes








ACQOsl0003358A09 For a school / class project








ACQOsl0003358A10 Other, please specify: B




ACQWro0010091 A Based on the information I found, I am planning to make changes to my lifestyle or my family's lifestyle: ACQWro0010091A01 Strongly agree
Radio button, one-up vertical Single Y Skip Logic Group 4.1 Behavior Change



ACQWro0010091A02 Agree








ACQWro0010091A03 Disagree C







ACQWro0010091A04 Strongly disagree C







ACQWro0010091A05 Not applicable





ACQWro0010092 C Why are you unlikely to make a change to improve your health?


Text area, no char limit Single
Skip Logic Group 4.2Unlikely Change
ACQOsl0003359 B Please specify how you will use the information you are looking for today:


Text area, no char limit

Skip Logic Group 4.Oth How will use
ACQOsl0004055
Would you access information from CDC through other electronic channels or devices? (Please select all that apply): ACQOsl0004055A16 Facebook
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



ACQOsl0004055A17 Google+








ACQOsl0004055A18 LinkedIn








ACQOsl0004055A19 Twitter








ACQOsl0004055A03 Mobile websites








ACQOsl0004055A04 Mobile applications or "apps"








ACQOsl0004055A05 Text messages








ACQOsl0004055A06 Online Videos








ACQOsl0004055A07 Podcasts








ACQOsl0004055A09 Blogs








ACQOsl0004055A10 eCards








ACQOsl0004055A11 Widgets (i.e. module or application you can add to a website or personalized web page like iGoogle or MyYahoo!)








ACQOsl0004055A12 E-mail updates








ACQOsl0004055A13 RSS Feeds








ACQOsl0004055A14 None of the above








ACQOsl0004055A15 Other, please specify:





CWS06098
How frequently do you use the CDC.gov Web site? CWS06098A001 Daily
Radio button, one-up vertical Single Y
9. Frequency



CWS06098A002 Weekly








CWS06098A003 Monthly








CWS06098A004 A couple times a year








CWS06098A005 About once a year








CWS06098A006 This is my first time





CWS06099
Which best describes the primary role that brought you to the CDC.gov Web site today? CWS06099A001 Individual interested in health
Radio button, one-up vertical Single Y Skip Logic Group 10. Role



CWS06099A002 Traveler








CWS06099A003 Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) B, C







CWS06099A004 Public health agency employee or public health professional D, E







CWS06099A005 Scientist or researcher








CWS06099A006 Educator, teacher or trainer








CWS06099A007 Student








CWS06099A008 Safety advisor








CWS06099A009 Business manager








CWS06099A010 Journalist or member of the media








CWS06099A011 Emergency responder








CWS06099A012 Law enforcement








CWS06099A013 Policymaker, legislator, or staff








CWS06099A014 Grantee








CWS06099A015 CDC Employee, staff, or contractor








CWS06099A016 Other, please specify: A




CWS06100 A Please list your role:


Text area, no char limit
N Skip Logic Group 10.Oth Role
CWS06101 B Which of the following best describes you? CWS06101A001 Physician, actively seeing patients at least 2 days a week
Radio button, one-up vertical Single Y
10.1 HCP Role



CWS06101A002 Physician, primarily conducting research projects








CWS06101A003 Nurse or nurse practitioner








CWS06101A004 Physician’s assistant








CWS06101A005 Pharmacist or pharmaceutical assistant








CWS06101A006 Other type of healthcare provider, please specify: F




CWS06102 F Please list your role:


Text area, no char limit
N Skip Logic Group 10.1Oth HCP Role
CWS06103 C Which of the following best describes where you work? CWS06103A001 Hospital
Radio button, one-up vertical Single Y
10.2 HCP Location



CWS06103A002 Large medical practice








CWS06103A003 Small medical practice








CWS06103A004 Not-for-profit








CWS06103A005 Research institution








CWS06103A006 Other, please specify: G




CWS06104 G Please list where you work:


Text area, no char limit
N Skip Logic Group 10.2Oth HCP Location
CWS06105 D Which of the following best describes you? CWS06105A001 Public health advocate
Radio button, one-up vertical Single Y
10.3 PHP Role



CWS06105A002 Health educator








CWS06105A003 Health communicator








CWS06105A004 Management









Epidemiologist








CWS06105A005 Research scientist








CWS06105A006 Administrative staff








CWS06105A007 Other, please specify: H




CWS06106 H Please list your role:


Text area, no char limit
N Skip Logic Group 10.3Oth PHP Role
CWS06107 E Which of the following best describes where you work? CWS06107A001 Public or commercial sector
Radio button, one-up vertical Single Y
10.4 PHP Location



CWS06107A002 Not-for-profit








CWS06107A003 Federal public health agency








CWS06107A004 State public health agency








CWS06107A005 Local public health agency








CWS06107A006 Territorial public health agency








CWS06107A007 Tribal public health agency








CWS06107A008 Other, please specify: I




CWS06108 I Please list where you work:


Text area, no char limit
N Skip Logic Group 10.4Oth PHP Location
CWS06109
Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important)
Rank 1 (Required)
CWS06109A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



CWS06109A002 Message or recommendation from a friend on Facebook or Twitter








CWS06109A003 Video I saw on CDC's YouTube Page








CWS06109A005 Advertisement on Facebook, or Twitter



Randomize



CWS06109A017 CDC's mobile site








CWS06109A006 Mobile phone text messages or alerts








CWS06109A018 Mobile application or "app"








CWS06109A019 Scanned a QR code








CWS06109A007 Instant message from someone








CWS06109A008 Familiarity with site/agency








CWS06109A009 Email updates from the agency








CWS06109A010 Website is bookmarked








CWS06109A011 Search engine results








CWS06109A012 Word of mouth recommendation from someone I know








CWS06109A013 TV, radio, newspaper, or magazine advertising








CWS06109A014 Advertisement on another website








CWS06109A015 Don't know



Anchor Answer Choice



CWS06109A016 Other



Anchor Answer Choice
CWS06110
Rank 2 (Optional) CWS06110A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single N Rank Group SV - Rank 2



CWS06110A002 Message or recommendation from a friend on Facebook or Twitter








CWS06110A003 Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



CWS06110A005 Advertisement on Facebook, or Twitter








CWS06110A017 CDC's mobile site








CWS06110A006 Mobile phone text messages or alerts








CWS06110A018 Mobile application or "app"








CWS06110A019 Scanned a QR code








CWS06110A007 Instant message from someone








CWS06110A008 Familiarity with site/agency








CWS06110A009 Email updates from the agency








CWS06110A010 Website is bookmarked








CWS06110A011 Search engine results








CWS06110A012 Word of mouth recommendation from someone I know








CWS06110A013 TV, radio, newspaper, or magazine advertising








CWS06110A014 Advertisement on another website








CWS06110A015 Don't know



Anchor Answer Choice



CWS06110A016 Other



Anchor Answer Choice
CWS06111
Rank 3 (Optional) CWS06111A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single N Rank Group SV - Rank 3



CWS06111A002 Message or recommendation from a friend on Facebook or Twitter








CWS06111A003 Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



CWS06111A005 Advertisement on Facebook, or Twitter








CWS06111A017 CDC's mobile site








CWS06111A006 Mobile phone text messages or alerts








CWS06111A018 Mobile application or "app"








CWS06111A019 Scanned a QR code








CWS06111A007 Instant message from someone








CWS06111A008 Familiarity with site/agency








CWS06111A009 Email updates from the agency








CWS06111A010 Website is bookmarked








CWS06111A011 Search engine results








CWS06111A012 Word of mouth recommendation from someone I know








CWS06111A013 TV, radio, newspaper, or magazine advertising








CWS06111A014 Advertisement on another website








CWS06111A015 Don't know



Anchor Answer Choice



CWS06111A016 Other



Anchor Answer Choice
CWS06112
If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)


Text area, no char limit
N
SV - Other Social Network
CWS06113
How old are you? CWS06113A001 19 or under
Radio button, one-up vertical Single Y
11. Age



CWS06113A002 20-34 years old








CWS06113A003 35-49 years old








CWS06113A004 50-64 years old








CWS06113A005 65 or older








CWS06113A006 Prefer not to answer





CWS06114
How would you describe yourself? CWS06114A001 White
Checkbox, one-up vertical Multi Y
12. Ethnicity



CWS06114A002 Hispanic or Latino








CWS06114A003 Asian








CWS06114A004 Black or African American








CWS06114A005 American Indian or Alaska Native








CWS06114A006 Native Hawaiian or other Pacific Islander








CWS06114A007 Prefer not to answer





CWS06115
What is the highest level of education you have completed? CWS06115A001 High school or less
Radio button, one-up vertical Single Y
13. Education



CWS06115A002 Some college








CWS06115A003 College degree








CWS06115A004 Advanced degree








CWS06115A005 Prefer not to answer





CWS06116
What is your gender? CWS06116A001 Female
Radio button, one-up vertical Single Y
14. Gender



CWS06116A002 Male








CWS06116A04 Transgender








CWS06116A003 Prefer not to answer





CWS06117
What is your country of residence? CWS06117A001 USA


Y
15. Country



CWS06117A002 Afghanistan








CWS06117A003 Albania








CWS06117A004 Algeria








CWS06117A005 American Samoa








CWS06117A006 Andorra








CWS06117A007 Angola








CWS06117A008 Anguilla








CWS06117A009 Antarctica








CWS06117A010 Antigua and Barbuda








CWS06117A011 Argentina








CWS06117A012 Armenia








CWS06117A013 Aruba








CWS06117A014 Australia








CWS06117A015 Austria








CWS06117A016 Azerbaijan








CWS06117A017 Bahamas








CWS06117A018 Bahrain








CWS06117A019 Bangladesh








CWS06117A020 Barbados








CWS06117A021 Belarus








CWS06117A022 Belgium








CWS06117A023 Belize








CWS06117A024 Benin








CWS06117A025 Bermuda








CWS06117A026 Bhutan








CWS06117A027 Bolivia








CWS06117A028 Bosnia/Herzegovina








CWS06117A029 Botswana








CWS06117A030 Bouvet Island








CWS06117A031 Brazil








CWS06117A032 British Indian Ocean








CWS06117A033 Brunei Darussalam








CWS06117A034 Bulgaria








CWS06117A035 Burkina Faso








CWS06117A036 Burundi








CWS06117A037 Cambodia








CWS06117A038 Cameroon








CWS06117A039 Canada








CWS06117A040 Cape Verde








CWS06117A041 Cayman Islands








CWS06117A042 Central African Rep.








CWS06117A043 Chad








CWS06117A044 Chile








CWS06117A045 China








CWS06117A046 Christmas Island








CWS06117A047 Cocos Islands








CWS06117A048 Colombia








CWS06117A049 Comoros








CWS06117A050 Congo








CWS06117A051 Congo, Democratic Rep.








CWS06117A052 Cook Islands








CWS06117A053 Costa Rica








CWS06117A054 Côte D'Ivoire








CWS06117A055 Croatia








CWS06117A056 Cuba








CWS06117A057 Cyprus








CWS06117A058 Czech Republic








CWS06117A059 Denmark








CWS06117A060 Djibouti








CWS06117A061 Dominica








CWS06117A062 Dominican Republic








CWS06117A063 East Timor








CWS06117A064 Ecuador








CWS06117A065 Egypt








CWS06117A066 El Salvador








CWS06117A067 Equatorial Guinea








CWS06117A068 Eritrea








CWS06117A069 Estonia








CWS06117A070 Ethiopia








CWS06117A071 Falkland Islands








CWS06117A072 Faroe Islands








CWS06117A073 Fiji








CWS06117A074 Finland








CWS06117A075 France








CWS06117A076 French Guiana








CWS06117A077 French Polynesia








CWS06117A078 French Southern Terr.








CWS06117A079 Gabon








CWS06117A080 Gambia








CWS06117A081 Georgia








CWS06117A082 Germany








CWS06117A083 Ghana








CWS06117A084 Gibraltar








CWS06117A085 Greece








CWS06117A086 Greenland








CWS06117A087 Grenada








CWS06117A088 Guadeloupe








CWS06117A089 Guam








CWS06117A090 Guatemala








CWS06117A091 Guinea








CWS06117A092 Guinea& Bissau








CWS06117A093 Guyana








CWS06117A094 Haiti








CWS06117A095 Heard/McDonald Isls.








CWS06117A096 Holy See/Vatican








CWS06117A097 Honduras








CWS06117A098 Hong Kong








CWS06117A099 Hungary








CWS06117A100 Iceland








CWS06117A101 India








CWS06117A102 Indonesia








CWS06117A103 Iran








CWS06117A104 Iraq








CWS06117A105 Ireland








CWS06117A106 Israel








CWS06117A107 Italy








CWS06117A108 Jamaica








CWS06117A109 Japan








CWS06117A110 Jordan








CWS06117A111 Kazakhstan








CWS06117A112 Kenya








CWS06117A113 Kiribati








CWS06117A114 Korea, North








CWS06117A115 Korea, South








CWS06117A116 Kuwait








CWS06117A117 Kyrgyzstan








CWS06117A118 Laos








CWS06117A119 Latvia








CWS06117A120 Lebanon








CWS06117A121 Lesotho








CWS06117A122 Liberia








CWS06117A123 Libya








CWS06117A124 Liechtenstein








CWS06117A125 Lithuania








CWS06117A126 Luxembourg








CWS06117A127 Macao








CWS06117A128 Macedonia








CWS06117A129 Madagascar








CWS06117A130 Malawi








CWS06117A131 Malaysia








CWS06117A132 Maldives








CWS06117A133 Mali








CWS06117A134 Malta








CWS06117A135 Marshall Islands








CWS06117A136 Martinique








CWS06117A137 Mauritania








CWS06117A138 Mauritius








CWS06117A139 Mayotte








CWS06117A140 Mexico








CWS06117A141 Micronesia








CWS06117A142 Moldova








CWS06117A143 Monaco








CWS06117A144 Mongolia








CWS06117A145 Montserrat








CWS06117A146 Morocco








CWS06117A147 Mozambique








CWS06117A148 Myanmar








CWS06117A149 Namibia








CWS06117A150 Nauru








CWS06117A151 Nepal








CWS06117A152 Netherlands








CWS06117A153 Netherlands Antilles








CWS06117A154 New Caledonia








CWS06117A155 New Zealand








CWS06117A156 Nicaragua








CWS06117A157 Niger








CWS06117A158 Nigeria








CWS06117A159 Niue








CWS06117A160 Norfolk Island








CWS06117A161 Northern Mariana Isls








CWS06117A162 Norway








CWS06117A163 Oman








CWS06117A164 Pakistan








CWS06117A165 Palau








CWS06117A166 Palestinian Territory








CWS06117A167 Panama








CWS06117A168 Papua New Guinea








CWS06117A169 Paraguay








CWS06117A170 Peru








CWS06117A171 Philippines








CWS06117A172 Pitcairn








CWS06117A173 Poland








CWS06117A174 Portugal








CWS06117A175 Puerto Rico








CWS06117A176 Qatar








CWS06117A177 Réunion








CWS06117A178 Romania








CWS06117A179 Russian Federation








CWS06117A180 Rwanda








CWS06117A181 Saint Helena








CWS06117A182 Saint Kitts/Nevis








CWS06117A183 Saint Lucia








CWS06117A184 Saint Pierre/Miquelon








CWS06117A185 Saint Vincent/Grenadines








CWS06117A186 Samoa








CWS06117A187 San Marino








CWS06117A188 Sao Tome/Principe








CWS06117A189 Saudi Arabia








CWS06117A190 Senegal








CWS06117A191 Seychelles








CWS06117A192 Sierra Leone








CWS06117A193 Singapore








CWS06117A194 Slovakia








CWS06117A195 Slovenia








CWS06117A196 Solomon Islands








CWS06117A197 Somalia








CWS06117A198 South Africa








CWS06117A199 S. Georgia/S. Sand. Isls








CWS06117A200 Spain








CWS06117A201 Sri Lanka








CWS06117A202 Sudan








CWS06117A203 Suriname








CWS06117A204 Svalbard/Jan Mayen








CWS06117A205 Swaziland








CWS06117A206 Sweden








CWS06117A207 Switzerland








CWS06117A208 Syria








CWS06117A209 Taiwan








CWS06117A210 Tajikistan








CWS06117A211 Tanzania








CWS06117A212 Thailand








CWS06117A213 Togo








CWS06117A214 Tokelau








CWS06117A215 Tonga








CWS06117A216 Trinidad and Tobago








CWS06117A217 Tunisia








CWS06117A218 Turkey








CWS06117A219 Turkmenistan








CWS06117A220 Turks and Caicos Isls








CWS06117A221 Tuvalu








CWS06117A222 Uganda








CWS06117A223 Ukraine








CWS06117A224 United Arab Emirates








CWS06117A225 United Kingdom








CWS06117A226 US Minor Outlying Isls








CWS06117A227 Uruguay








CWS06117A228 Uzbekistan








CWS06117A229 Vanuatu








CWS06117A230 Venezuela








CWS06117A231 Viet Nam








CWS06117A232 Virgin Islands, British








CWS06117A233 Virgin Islands, U.S.








CWS06117A234 Wallis and Futuna








CWS06117A235 Western Sahara








CWS06117A236 Yemen








CWS06117A237 Yugoslavia








CWS06117A238 Zambia








CWS06117A239 Zimbabwe





CWS06118
If you could suggest one change to improve the CDC Web site, what recommendation would you make?


Text area, no char limit
N
16. One Improvement

Sheet 10: EE Custom Qsts (1-4-12)

Model Instance Name:


red & strike-through: DELETE





CDC (Jan 2011-present)


underlined & italicized: RE-ORDER





MID: Y9h8gZZ0ghx0VYtM1w8I8A==

pink: ADDITION





Date: 3/1/2008
blue + -->: REWORDING
















CDC (Jan 2011-present) CUSTOM QUESTION LIST
QID Skip Logic Label Question Text AnswerIDs (DOT) Answer Choices
(limited to 50 characters)
Skip to Type (select from list) Single or Multi Required
Y/N
Special Instructions CQ Label
CWS06063
Which category best describes the health topic you were looking for? CWS06063A001 Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, STDs…) A Radio button, one-up vertical Single Y Skip Logic Group 1. Health topic looking for



CWS06063A002 Healthy Living (food safety, bone health, physical activity, immunizations, genetics, sexual health, smoking prevention…) B







CWS06063A004 Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…) D







CWS06063A005 Injury, Violence & Safety (motor vehicle safety, traumatic brain injury and concussion, falls, child abuse, prescription drug abuse, suicide, injury data…) E







CWS06063A006 Environmental Health (air pollution, biomonitoring, carbon monoxide, toxic lead, toxic substances, mold…) F







CWS06063A007 Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…) G







CWS06063A009 Global Health (Global AIDS, malaria, disease detection, polio, influenza…) I








Traveler's Health (destinations, outbreaks, travel vaccinations, Yellow Book…) C







CWS06063A008 Life Stages & Populations (infant & child, men, minorities, pregnancy, seniors, women...) H







CWS06063A010 State, Tribal, Local & Territorial (The Public Health Workplace, program planning, professional development, tribal support…) J








Outbreaks (International outbreaks, outbreaks in the United States, food-related outbreaks ...) W







CWS06063A011 Other, please specify: K




CWS06064 K Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1Oth Health Topic
CWS06065 A More specifically, what topic were you looking for? CWS06065A001 ADHD
Radio button, one-up vertical Single Y Skip Logic Group 1.1Diseases&Conditions



CWS06065A002 Arthritis








CWS06065A003 Asthma








CWS06065A004 Autism








CWS06065A005 Birth defects








CWS06065A006 Cancer








CWS06065A007 Diabetes








CWS06065A008 Epilepsy








CWS06065A009 Fetal alcohol syndrome








CWS06065A010 Flu (influenza)









Hand, foot and mouth disease








CWS06065A011 Heart disease








CWS06065A012 Hepatitis








CWS06065A013 HIV/AIDS









HPV








CWS06065A014 Meningitis








CWS06065A015 MRSA (Methicillin Resistant Staphylococcus Aureus)








CWS06065A016 Obesity








CWS06065A017 Salmonella








CWS06065A018 Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)









Shingles








CWS06065A019 Stroke








CWS06065A020 Tuberculosis








CWS06065A021 Water-related diseases








CWS06065A022 Other, please specify: L




CWS06066 L Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.1Oth Disease&Conditions
CWS06067 B More specifically, what topic were you looking for? CWS06067A001 Aging
Radio button, one-up vertical Single Y
1.2 Healthy Living



CWS06067A002 Birth defects








CWS06067A003 BMI (Body Mass Index)








CWS06067A004 Bone health








CWS06067A005 Breastfeeding








CWS06067A006 Child development








CWS06067A007 Excessive alcohol use








CWS06067A008 Food safety








CWS06067A009 Genetics and genomics








CWS06067A010 Mental health








CWS06067A011 Nutrition








CWS06067A012 Physical activity and exercise








CWS06067A013 Reproductive health








CWS06067A014 Sexual health








CWS06067A015 Sleep and sleep disorders








CWS06067A016 Smoking and tobacco use








CWS06067A017 Vaccines and immunizations








CWS06067A018 Other, please specify: M




CWS06068 M Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.2 Oth HealthyLiving
CWS06069 C More specifically, what topic were you looking for? CWS06069A001 Yellow Book (CDC Health Information for International Travel)
Radio button, one-up vertical Single Y Skip Logic Group 1.3 Travelers Health



CWS06069A002 Destinations








CWS06069A003 Diseases related to travel (including malaria and yellow fever)








CWS06069A004 Illness & injury abroad (what to do if you become sick while traveling)








CWS06069A005 Preparing for your trip








CWS06069A006 Staying healthy & safe (insect protection, safe food & water, survival guide)








CWS06069A007 Vaccinations








CWS06069A008 Other, please specify: N




CWS06070 N Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.3Oth Travelers Health
CWS06071 D More specifically, what topic were you looking for? CWS06071A001 Bioterrorism (anthrax, plague, smallpox)
Radio button, one-up vertical Single Y Skip Logic Group 1.4 Emergency



CWS06071A002 Chemical emergencies (ricin, chlorine, nerve agents)








CWS06071A003 Coping with a disaster








CWS06071A004 Mass casualties (explosions, blasts, injuries)








CWS06071A005 Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)








CWS06071A006 Preparation & planning for hazards








CWS06071A007 Radiation emergencies (dirty bombs, nuclear blasts)








CWS06071A008 Recent outbreaks & incidents (salmonella, melamine)








CWS06071A009 Surveillance








CWS06071A010 Other, please specify: O




CWS06072 O Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.4Oth Emergency
CWS06073 E More specifically, what topic were you looking for? CWS06073A001 Acute care (injury response)
Radio button, one-up vertical Single Y
1.5 Injury



CWS06073A002 Adolescent injuries








CWS06073A003 Child abuse / maltreatment








CWS06073A004 Choking








CWS06073A005 Concussion / brain injuries








CWS06073A006 Dog bites








CWS06073A007 Drowning








CWS06073A008 Elder maltreatment








CWS06073A009 Explosion and blast injuries








CWS06073A010 Falls among older adults








CWS06073A011 Fire-related injuries








CWS06073A012 Fireworks








CWS06073A013 Intimate partner violence








CWS06073A014 Mass casualties








CWS06073A015 Motor vehicle injuries








CWS06073A016 Poisoning








CWS06073A017 Preventing injury & violence








CWS06073A018 Sexual violence








CWS06073A019 Suicide








CWS06073A020 Violence








CWS06073A021 Other, please specify: P




CWS06074 P Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.5Oth Injury
CWS06075 F More specifically, what topic were you looking for? CWS06075A001 Air quality
Radio button, one-up vertical Single Y
1.6 Environmental



CWS06075A002 Asbestos








CWS06075A003 Asthma








CWS06075A004 Biomonitoring








CWS06075A005 Carbon monoxide poisoning








CWS06075A006 Childhood lead poisoning prevention








CWS06075A007 Climate change








CWS06075A008 Cruise ship health








CWS06075A009 Extreme weather conditions








CWS06075A010 Mold








CWS06075A011 Natural disasters








CWS06075A012 Protect yourself from the sun








CWS06075A013 Radiation studies








CWS06075A014 Rodent control








CWS06075A015 Smoking and tobacco use








CWS06075A016 Water








CWS06075A017 Other, please specify: Q




CWS06076 Q Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.6Oth Enviro
CWS06077 G More specifically, what topic were you looking for? CWS06077A001 Asbestos
Radio button, one-up vertical Single Y Skip Logic Group 1.7 Workplace




Blood borne Infectious Diseases








CWS06077A003 Chemical safety








CWS06077A004 Construction








CWS06077A005 Electrical safety









Emergency preparedness & Response








CWS06077A007 Ergonomics and Musculoskeletal Disorders








CWS06077A008 Eye safety









Falls








CWS06077A010 Heat Stress/Cold Stress








CWS06077A013 Machine safety








CWS06077A014 Mining








CWS06077A016 Noise/Hearing Loss








CWS06077A017 Office environments








CWS06077A018 Protective clothing








CWS06077A019 Respirators








CWS06077A020 Stress








CWS06077A021 Violence








CWS06077A022 Workplace safety & prevention








CWS06077A023 Other, please specify: R




CWS06078 R Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.7Oth Workplace
CWS06079 H More specifically, what topic were you looking for? CWS06079A001 Adolescents & teens
Radio button, one-up vertical Single Y
1.8 Lifestages



CWS06079A002 Children








CWS06079A003 Family








CWS06079A004 Infants & toddlers








CWS06079A005 Men








CWS06079A006 Older adults & seniors








CWS06079A007 Parents








CWS06079A008 Pregnancy








CWS06079A009 Women








CWS06079A010 Young adults








CWS06079A011 Other, please specify: H




CWS06080 S Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.8Oth Lifestages
CWS06081 I More specifically, what topic were you looking for? CWS06081A001 Field Epidemiologist Training Program
Radio button, one-up vertical Single Y
1.9 Global



CWS06081A002 Global disease detection








CWS06081A003 Global health initiatives








CWS06081A004 Global HIV/AIDS








CWS06081A005 Global immunizations








CWS06081A006 Haiti








CWS06081A007 International emergency and refugee health








CWS06081A008 Parasites








CWS06081A009 Other, please specify: T




CWS06082 T Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.9Oth Global
CWS06083 J More specifically, what topic were you looking for? CWS06083A001 Best practices
Radio button, one-up vertical Single Y Skip Logic Group 1.10 State Tribal



CWS06083A002 Cooperative agreements








CWS06083A003 Funding and grants








CWS06083A004 Policy








CWS06083A005 Strategy and planning








CWS06083A006 Training








CWS06083A007 Other, please specify: U




CWS06084 U Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.10Oth State Tribal
ACQWro0010097 W More specifically, what topic were you looking for? ACQWro0010097A01 Travel-related outbreaks
Radio button, one-up vertical Single Y Skip Logic Group 1.11 Outbreaks



ACQWro0010097A02 International outbreaks








ACQWro0010097A03 United States outbreaks








ACQWro0010097A04 Food-related outbreaks








ACQWro0010097A05 Other, please specify: V




ACQWro0010098 V Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.11Oth Outbreaks
CWS06085
Which of the following best describes the type of information you were looking for? CWS06085A001 General information about the health topic selected
Radio button, one-up vertical Single Y OPS Group 2. Type of Info Looking For



CWS06085A002 General information about symptoms, causes, risk factors, tests, or treatment








CWS06085A003 Data and statistics








CWS06085A004 Scientific research, articles, publications, and journals








CWS06085A005 Guidelines and recommendations for healthcare providers








CWS06085A006 Professional training for healthcare providers, researchers, public health professionals, etc.








CWS06085A007 Educational materials








CWS06085A008 Campaigns and initiatives








CWS06085A009 Grants and funding opportunities








CWS06085A010 Tools, software applications, systems, and other resources








CWS06085A011 Print materials (fact sheets, brochures, posters, etc.)








CWS06085A012 Multimedia products (podcasts, videos, widgets, etc.)








CWS06085A013 Jobs and careers








CWS06085A014 Other, please specify: A




CWS06086 A Please list the other type of information you were looking for:


Text area, no char limit

OPS Group 2.Oth Type of Info
CWS06087
Were you able to find what you were looking for? CWS06087A001 Yes
Radio button, one-up vertical
Y Skip Logic Group 3. Able to Find



CWS06087A002 Partially A







CWS06087A003 No, I'm still looking A




CWS06088 A What were you looking for?


Text area, no char limit

Skip Logic Group 3Oth. Unable to Find
ACQOsl0003358
I'm planning to use the information I found today: ACQOsl0003358A01 For my own health or my family's health A Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



ACQOsl0003358A02 For my friend or family member (not living in my household)








ACQOsl0003358A03 For a physician's office/hospital








ACQOsl0003358A04 For a patient or client








ACQOsl0003358A05 For a public health agency








ACQOsl0003358A06 For a research institution








ACQOsl0003358A07 For a business / workplace








ACQOsl0003358A08 For an educational institution or teaching purposes








ACQOsl0003358A09 For a school / class project








ACQOsl0003358A10 Other, please specify: B




ACQWro0010091 A Based on the information I found, I am planning to make changes to my lifestyle or my family's lifestyle: ACQWro0010091A01 Strongly agree
Radio button, one-up vertical Single Y Skip Logic Group 4.1 Behavior Change



ACQWro0010091A02 Agree








ACQWro0010091A03 Disagree C







ACQWro0010091A04 Strongly disagree C







ACQWro0010091A05 Not applicable





ACQWro0010092 C Why are you unlikely to make a change to improve your health?


Text area, no char limit Single
Skip Logic Group 4.2Unlikely Change
ACQOsl0003359 B Please specify how you will use the information you are looking for today:


Text area, no char limit

Skip Logic Group 4.Oth How will use
ACQOsl0004055
Would you access information from CDC through other electronic channels or devices? (Please select all that apply): ACQOsl0004055A16 Facebook
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



ACQOsl0004055A17 Google+








ACQOsl0004055A18 LinkedIn








ACQOsl0004055A19 Twitter








ACQOsl0004055A03 Mobile websites








ACQOsl0004055A04 Mobile applications or "apps"








ACQOsl0004055A05 Text messages








ACQOsl0004055A06 Online Videos








ACQOsl0004055A07 Podcasts








ACQOsl0004055A08 Webinars








ACQOsl0004055A09 Blogs








ACQOsl0004055A10 eCards








ACQOsl0004055A11 Widgets (i.e. module or application you can add to a website or personalized web page like iGoogle or MyYahoo!)








ACQOsl0004055A12 E-mail updates








ACQOsl0004055A13 RSS Feeds








ACQOsl0004055A14 None of the above








ACQOsl0004055A15 Other, please specify:





CWS06098
How frequently do you use the CDC.gov Web site? CWS06098A001 Daily
Radio button, one-up vertical Single Y
9. Frequency



CWS06098A002 Weekly








CWS06098A003 Monthly








CWS06098A004 A couple times a year








CWS06098A005 About once a year








CWS06098A006 This is my first time





CWS06099
Which best describes the primary role that brought you to the CDC.gov Web site today? CWS06099A001 Individual interested in health
Radio button, one-up vertical Single Y Skip Logic Group 10. Role



CWS06099A002 Traveler








CWS06099A003 Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) B, C







CWS06099A004 Public health agency employee or public health professional D, E







CWS06099A005 Scientist or researcher








CWS06099A006 Educator, teacher or trainer








CWS06099A007 Student








CWS06099A008 Safety advisor








CWS06099A009 Business manager








CWS06099A010 Journalist or member of the media








CWS06099A011 Emergency responder








CWS06099A012 Law enforcement








CWS06099A013 Policymaker, legislator, or staff








CWS06099A014 Grantee








CWS06099A015 CDC Employee, staff, or contractor








CWS06099A016 Other, please specify: A




CWS06100 A Please list your role:


Text area, no char limit
N Skip Logic Group 10.Oth Role
CWS06101 B Which of the following best describes you? CWS06101A001 Physician, actively seeing patients at least 2 days a week
Radio button, one-up vertical Single Y
10.1 HCP Role



CWS06101A002 Physician, primarily conducting research projects








CWS06101A003 Nurse or nurse practitioner








CWS06101A004 Physician’s assistant








CWS06101A005 Pharmacist or pharmaceutical assistant








CWS06101A006 Other type of healthcare provider, please specify: F




CWS06102 F Please list your role:


Text area, no char limit
N Skip Logic Group 10.1Oth HCP Role
CWS06103 C Which of the following best describes where you work? CWS06103A001 Hospital
Radio button, one-up vertical Single Y
10.2 HCP Location



CWS06103A002 Large medical practice








CWS06103A003 Small medical practice








CWS06103A004 Not-for-profit








CWS06103A005 Research institution








CWS06103A006 Other, please specify: G




CWS06104 G Please list where you work:


Text area, no char limit
N Skip Logic Group 10.2Oth HCP Location
CWS06105 D Which of the following best describes you? CWS06105A001 Public health advocate
Radio button, one-up vertical Single Y
10.3 PHP Role



CWS06105A002 Health educator








CWS06105A003 Health communicator








CWS06105A004 Management









Epidemiologist








CWS06105A005 Research scientist








CWS06105A006 Administrative staff








CWS06105A007 Other, please specify: H




CWS06106 H Please list your role:


Text area, no char limit
N Skip Logic Group 10.3Oth PHP Role
CWS06107 E Which of the following best describes where you work? CWS06107A001 Public or commercial sector
Radio button, one-up vertical Single Y
10.4 PHP Location



CWS06107A002 Not-for-profit








CWS06107A003 Federal public health agency








CWS06107A004 State public health agency








CWS06107A005 Local public health agency








CWS06107A006 Territorial public health agency








CWS06107A007 Tribal public health agency








CWS06107A008 Other, please specify: I




CWS06108 I Please list where you work:


Text area, no char limit
N Skip Logic Group 10.4Oth PHP Location
CWS06109
Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important)
Rank 1 (Required)
CWS06109A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



CWS06109A002 Message or recommendation from a friend on Facebook or Twitter








CWS06109A003 Video I saw on CDC's YouTube Page








CWS06109A005 Advertisement on Facebook, or Twitter



Randomize



CWS06109A017 CDC's mobile site








CWS06109A006 Mobile phone text messages or alerts








CWS06109A018 Mobile application or "app"








CWS06109A019 Scanned a QR code








CWS06109A007 Instant message from someone








CWS06109A008 Familiarity with site/agency








CWS06109A009 Email updates from the agency








CWS06109A010 Website is bookmarked








CWS06109A011 Search engine results








CWS06109A012 Word of mouth recommendation from someone I know








CWS06109A013 TV, radio, newspaper, or magazine advertising








CWS06109A014 Advertisement on another website








CWS06109A015 Don't know



Anchor Answer Choice



CWS06109A016 Other



Anchor Answer Choice
CWS06110
Rank 2 (Optional) CWS06110A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single N Rank Group SV - Rank 2



CWS06110A002 Message or recommendation from a friend on Facebook or Twitter








CWS06110A003 Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



CWS06110A005 Advertisement on Facebook, or Twitter








CWS06110A017 CDC's mobile site








CWS06110A006 Mobile phone text messages or alerts








CWS06110A018 Mobile application or "app"








CWS06110A019 Scanned a QR code








CWS06110A007 Instant message from someone








CWS06110A008 Familiarity with site/agency








CWS06110A009 Email updates from the agency








CWS06110A010 Website is bookmarked








CWS06110A011 Search engine results








CWS06110A012 Word of mouth recommendation from someone I know








CWS06110A013 TV, radio, newspaper, or magazine advertising








CWS06110A014 Advertisement on another website








CWS06110A015 Don't know



Anchor Answer Choice



CWS06110A016 Other



Anchor Answer Choice
CWS06111
Rank 3 (Optional) CWS06111A001 Message directly from CDC on Facebook or Twitter
Drop down, select one Single N Rank Group SV - Rank 3



CWS06111A002 Message or recommendation from a friend on Facebook or Twitter








CWS06111A003 Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



CWS06111A005 Advertisement on Facebook, or Twitter








CWS06111A017 CDC's mobile site








CWS06111A006 Mobile phone text messages or alerts








CWS06111A018 Mobile application or "app"








CWS06111A019 Scanned a QR code








CWS06111A007 Instant message from someone








CWS06111A008 Familiarity with site/agency








CWS06111A009 Email updates from the agency








CWS06111A010 Website is bookmarked








CWS06111A011 Search engine results








CWS06111A012 Word of mouth recommendation from someone I know








CWS06111A013 TV, radio, newspaper, or magazine advertising








CWS06111A014 Advertisement on another website








CWS06111A015 Don't know



Anchor Answer Choice



CWS06111A016 Other



Anchor Answer Choice
CWS06112
If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)


Text area, no char limit
N
SV - Other Social Network
CWS06113
How old are you? CWS06113A001 19 or under
Radio button, one-up vertical Single Y
11. Age



CWS06113A002 20-34 years old








CWS06113A003 35-49 years old








CWS06113A004 50-64 years old








CWS06113A005 65 or older








CWS06113A006 Prefer not to answer





CWS06114
How would you describe yourself? CWS06114A001 White
Checkbox, one-up vertical Multi Y
12. Ethnicity



CWS06114A002 Hispanic or Latino








CWS06114A003 Asian








CWS06114A004 Black or African American








CWS06114A005 American Indian or Alaska Native








CWS06114A006 Native Hawaiian or other Pacific Islander








CWS06114A007 Prefer not to answer





CWS06115
What is the highest level of education you have completed? CWS06115A001 High school or less
Radio button, one-up vertical Single Y
13. Education



CWS06115A002 Some college








CWS06115A003 College degree








CWS06115A004 Advanced degree








CWS06115A005 Prefer not to answer





CWS06116
What is your gender? CWS06116A001 Female
Radio button, one-up vertical Single Y
14. Gender



CWS06116A002 Male








CWS06116A04 Transgender








CWS06116A003 Prefer not to answer





CWS06117
What is your country of residence? CWS06117A001 USA


Y
15. Country



CWS06117A002 Afghanistan








CWS06117A003 Albania








CWS06117A004 Algeria








CWS06117A005 American Samoa








CWS06117A006 Andorra








CWS06117A007 Angola








CWS06117A008 Anguilla








CWS06117A009 Antarctica








CWS06117A010 Antigua and Barbuda








CWS06117A011 Argentina








CWS06117A012 Armenia








CWS06117A013 Aruba








CWS06117A014 Australia








CWS06117A015 Austria








CWS06117A016 Azerbaijan








CWS06117A017 Bahamas








CWS06117A018 Bahrain








CWS06117A019 Bangladesh








CWS06117A020 Barbados








CWS06117A021 Belarus








CWS06117A022 Belgium








CWS06117A023 Belize








CWS06117A024 Benin








CWS06117A025 Bermuda








CWS06117A026 Bhutan








CWS06117A027 Bolivia








CWS06117A028 Bosnia/Herzegovina








CWS06117A029 Botswana








CWS06117A030 Bouvet Island








CWS06117A031 Brazil








CWS06117A032 British Indian Ocean








CWS06117A033 Brunei Darussalam








CWS06117A034 Bulgaria








CWS06117A035 Burkina Faso








CWS06117A036 Burundi








CWS06117A037 Cambodia








CWS06117A038 Cameroon








CWS06117A039 Canada








CWS06117A040 Cape Verde








CWS06117A041 Cayman Islands








CWS06117A042 Central African Rep.








CWS06117A043 Chad








CWS06117A044 Chile








CWS06117A045 China








CWS06117A046 Christmas Island








CWS06117A047 Cocos Islands








CWS06117A048 Colombia








CWS06117A049 Comoros








CWS06117A050 Congo








CWS06117A051 Congo, Democratic Rep.








CWS06117A052 Cook Islands








CWS06117A053 Costa Rica








CWS06117A054 Côte D'Ivoire








CWS06117A055 Croatia








CWS06117A056 Cuba








CWS06117A057 Cyprus








CWS06117A058 Czech Republic








CWS06117A059 Denmark








CWS06117A060 Djibouti








CWS06117A061 Dominica








CWS06117A062 Dominican Republic








CWS06117A063 East Timor








CWS06117A064 Ecuador








CWS06117A065 Egypt








CWS06117A066 El Salvador








CWS06117A067 Equatorial Guinea








CWS06117A068 Eritrea








CWS06117A069 Estonia








CWS06117A070 Ethiopia








CWS06117A071 Falkland Islands








CWS06117A072 Faroe Islands








CWS06117A073 Fiji








CWS06117A074 Finland








CWS06117A075 France








CWS06117A076 French Guiana








CWS06117A077 French Polynesia








CWS06117A078 French Southern Terr.








CWS06117A079 Gabon








CWS06117A080 Gambia








CWS06117A081 Georgia








CWS06117A082 Germany








CWS06117A083 Ghana








CWS06117A084 Gibraltar








CWS06117A085 Greece








CWS06117A086 Greenland








CWS06117A087 Grenada








CWS06117A088 Guadeloupe








CWS06117A089 Guam








CWS06117A090 Guatemala








CWS06117A091 Guinea








CWS06117A092 Guinea& Bissau








CWS06117A093 Guyana








CWS06117A094 Haiti








CWS06117A095 Heard/McDonald Isls.








CWS06117A096 Holy See/Vatican








CWS06117A097 Honduras








CWS06117A098 Hong Kong








CWS06117A099 Hungary








CWS06117A100 Iceland








CWS06117A101 India








CWS06117A102 Indonesia








CWS06117A103 Iran








CWS06117A104 Iraq








CWS06117A105 Ireland








CWS06117A106 Israel








CWS06117A107 Italy








CWS06117A108 Jamaica








CWS06117A109 Japan








CWS06117A110 Jordan








CWS06117A111 Kazakhstan








CWS06117A112 Kenya








CWS06117A113 Kiribati








CWS06117A114 Korea, North








CWS06117A115 Korea, South








CWS06117A116 Kuwait








CWS06117A117 Kyrgyzstan








CWS06117A118 Laos








CWS06117A119 Latvia








CWS06117A120 Lebanon








CWS06117A121 Lesotho








CWS06117A122 Liberia








CWS06117A123 Libya








CWS06117A124 Liechtenstein








CWS06117A125 Lithuania








CWS06117A126 Luxembourg








CWS06117A127 Macao








CWS06117A128 Macedonia








CWS06117A129 Madagascar








CWS06117A130 Malawi








CWS06117A131 Malaysia








CWS06117A132 Maldives








CWS06117A133 Mali








CWS06117A134 Malta








CWS06117A135 Marshall Islands








CWS06117A136 Martinique








CWS06117A137 Mauritania








CWS06117A138 Mauritius








CWS06117A139 Mayotte








CWS06117A140 Mexico








CWS06117A141 Micronesia








CWS06117A142 Moldova








CWS06117A143 Monaco








CWS06117A144 Mongolia








CWS06117A145 Montserrat








CWS06117A146 Morocco








CWS06117A147 Mozambique








CWS06117A148 Myanmar








CWS06117A149 Namibia








CWS06117A150 Nauru








CWS06117A151 Nepal








CWS06117A152 Netherlands








CWS06117A153 Netherlands Antilles








CWS06117A154 New Caledonia








CWS06117A155 New Zealand








CWS06117A156 Nicaragua








CWS06117A157 Niger








CWS06117A158 Nigeria








CWS06117A159 Niue








CWS06117A160 Norfolk Island








CWS06117A161 Northern Mariana Isls








CWS06117A162 Norway








CWS06117A163 Oman








CWS06117A164 Pakistan








CWS06117A165 Palau








CWS06117A166 Palestinian Territory








CWS06117A167 Panama








CWS06117A168 Papua New Guinea








CWS06117A169 Paraguay








CWS06117A170 Peru








CWS06117A171 Philippines








CWS06117A172 Pitcairn








CWS06117A173 Poland








CWS06117A174 Portugal








CWS06117A175 Puerto Rico








CWS06117A176 Qatar








CWS06117A177 Réunion








CWS06117A178 Romania








CWS06117A179 Russian Federation








CWS06117A180 Rwanda








CWS06117A181 Saint Helena








CWS06117A182 Saint Kitts/Nevis








CWS06117A183 Saint Lucia








CWS06117A184 Saint Pierre/Miquelon








CWS06117A185 Saint Vincent/Grenadines








CWS06117A186 Samoa








CWS06117A187 San Marino








CWS06117A188 Sao Tome/Principe








CWS06117A189 Saudi Arabia








CWS06117A190 Senegal








CWS06117A191 Seychelles








CWS06117A192 Sierra Leone








CWS06117A193 Singapore








CWS06117A194 Slovakia








CWS06117A195 Slovenia








CWS06117A196 Solomon Islands








CWS06117A197 Somalia








CWS06117A198 South Africa








CWS06117A199 S. Georgia/S. Sand. Isls








CWS06117A200 Spain








CWS06117A201 Sri Lanka








CWS06117A202 Sudan








CWS06117A203 Suriname








CWS06117A204 Svalbard/Jan Mayen








CWS06117A205 Swaziland








CWS06117A206 Sweden








CWS06117A207 Switzerland








CWS06117A208 Syria








CWS06117A209 Taiwan








CWS06117A210 Tajikistan








CWS06117A211 Tanzania








CWS06117A212 Thailand








CWS06117A213 Togo








CWS06117A214 Tokelau








CWS06117A215 Tonga








CWS06117A216 Trinidad and Tobago








CWS06117A217 Tunisia








CWS06117A218 Turkey








CWS06117A219 Turkmenistan








CWS06117A220 Turks and Caicos Isls








CWS06117A221 Tuvalu








CWS06117A222 Uganda








CWS06117A223 Ukraine








CWS06117A224 United Arab Emirates








CWS06117A225 United Kingdom








CWS06117A226 US Minor Outlying Isls








CWS06117A227 Uruguay








CWS06117A228 Uzbekistan








CWS06117A229 Vanuatu








CWS06117A230 Venezuela








CWS06117A231 Viet Nam








CWS06117A232 Virgin Islands, British








CWS06117A233 Virgin Islands, U.S.








CWS06117A234 Wallis and Futuna








CWS06117A235 Western Sahara








CWS06117A236 Yemen








CWS06117A237 Yugoslavia








CWS06117A238 Zambia








CWS06117A239 Zimbabwe





CWS06118
If you could suggest one change to improve the CDC Web site, what recommendation would you make?


Text area, no char limit
N
16. One Improvement

Sheet 11: EE Custom Qsts (12-28-11)

Model Instance Name:

red & strike-through: DELETE





CDC (Jan 2011-present)

underlined & italicized: RE-ORDER





MID: Y9h8gZZ0ghx0VYtM1w8I8A==
pink: ADDITION





Date: 3/1/2008 blue + -->: REWORDING















CDC (Jan 2011-present) CUSTOM QUESTION LIST
QID 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
CWS06063
Which category best describes the health topic you were looking for? Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, STDs…) A Radio button, one-up vertical Single Y Skip Logic Group 1. Health topic looking for



Healthy Living (food safety, bone health, physical activity, immunizations, genetics, sexual health, smoking prevention…) B







Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…) D







Injury, Violence & Safety (motor vehicle safety, traumatic brain injury and concussion, falls, child abuse, prescription drug abuse, falls, fires, poisoning, suicide, injury data youth violence…) E







Environmental Health (air pollution, biomonitoring, carbon monoxide, toxic lead, toxic substances, mold, water quality, climate change…) F







Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…) G







Global Health (Global Health Initiative, global disease detection, Field Epidemiologist Training Program, parasites, global HIV/AIDS, international emergency and refugee health, Haiti…) (AIDS, malaria, disease detection, polio, influenza…) I







Traveler's Health (destinations, outbreaks, travel vaccinations, Yellow Book…) C







Life Stages & Populations (infant & child, men, minorities, pregnancy, seniors, women...) H







State, Tribal, Local & Territorial(funding and grants, cooperative agreements, strategy and planning, policy, training, best practices …) (The Public Health Workplace, program planning, professional development, tribal support…) J







Outbreaks (International outbreaks, outbreaks in the United States, food-related outbreaks ...) W







Other, please specify: K




CWS06064 K Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1Oth Health Topic
CWS06065 A More specifically, what topic were you looking for? ADHD
Radio button, one-up vertical Single Y Skip Logic Group 1.1Diseases&Conditions



Arthritis








Asthma








Autism








Birth defects








Cancer








Diabetes








Epilepsy








Fetal alcohol syndrome








Flu (influenza)








Hand, foot and mouth disease








Heart disease








Hepatitis








HIV/AIDS








HPV








Meningitis








MRSA (Methicillin Resistant Staphylococcus Aureus)








Obesity








Salmonella








Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)








Shingles








Stroke








Tuberculosis








Water-related diseases








Other, please specify: L




CWS06066 L Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.1Oth Disease&Conditions
CWS06067 B More specifically, what topic were you looking for? Aging
Radio button, one-up vertical Single Y
1.2 Healthy Living



Birth defects








BMI (Body Mass Index)








Bone health








Breastfeeding








Child development








Excessive alcohol use








Food safety








Genetics and genomics








Mental health








Nutrition








Physical activity and exercise








Reproductive health








Sexual health








Sleep and sleep disorders








Smoking and tobacco use








Vaccines and immunizations








Other, please specify: M




CWS06068 M Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.2 Oth HealthyLiving
CWS06069 C More specifically, what topic were you looking for? Yellow Book (CDC Health Information for International Travel)
Radio button, one-up vertical Single Y Skip Logic Group 1.3 Travelers Health



Destinations








Diseases related to travel (including malaria and yellow fever)








Illness & injury abroad (what to do if you become sick while traveling)








Preparing for your trip








Staying healthy & safe (insect protection, safe food & water, survival guide)








Vaccinations








Other, please specify: N




CWS06070 N Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.3Oth Travelers Health
CWS06071 D More specifically, what topic were you looking for? Bioterrorism (anthrax, plague, smallpox)
Radio button, one-up vertical Single Y Skip Logic Group 1.4 Emergency



Chemical emergencies (ricin, chlorine, nerve agents)








Coping with a disaster








Mass casualties (explosions, blasts, injuries)








Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)








Preparation & planning for hazards








Radiation emergencies (dirty bombs, nuclear blasts)








Recent outbreaks & incidents (salmonella, melamine)








Surveillance








Other, please specify: O




CWS06072 O Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.4Oth Emergency
CWS06073 E More specifically, what topic were you looking for? Acute care (injury response)
Radio button, one-up vertical Single Y
1.5 Injury



Adolescent injuries








Child abuse / maltreatment








Choking








Concussion / brain injuries








Dog bites








Drowning








Elder maltreatment








Explosion and blast injuries








Falls among older adults








Fire-related injuries








Fireworks








Intimate partner violence








Mass casualties








Motor vehicle injuries








Poisoning








Preventing injury & violence








Sexual violence








Suicide








Violence








Other, please specify: P




CWS06074 P Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.5Oth Injury
CWS06075 F More specifically, what topic were you looking for? Air quality
Radio button, one-up vertical Single Y
1.6 Environmental



Asbestos








Asthma








Biomonitoring








Carbon monoxide poisoning








Childhood lead poisoning prevention








Climate change








Cruise ship health








Extreme weather conditions








Mold








Natural disasters








Protect yourself from the sun








Radiation studies








Rodent control








Smoking and tobacco use








Water








Other, please specify: Q




CWS06076 Q Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.6Oth Enviro
CWS06077 G More specifically, what topic were you looking for? Asbestos
Radio button, one-up vertical Single Y Skip Logic Group 1.7 Workplace



Blood borne Infectious Diseases








Carpal tunnel syndrome








Chemical safety








Construction








Electrical safety








Emergency responders








Emergency preparedness & Response








Ergonomics and Musculoskeletal Disorders








Eye safety








Falls








Hearing loss








Heat Stress/Cold Stress








Laboratory safety








Lead








Machine safety








Mining








Motor vehicle safety








Noise/Hearing Loss








Office environments








Protective clothing








Respirators








Stress








Violence








Workplace safety & prevention








Other, please specify: R




CWS06078 R Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.7Oth Workplace
CWS06079 H More specifically, what topic were you looking for? Adolescents & teens
Radio button, one-up vertical Single Y
1.8 Lifestages



Children








Family








Infants & toddlers








Men








Older adults & seniors








Parents








Pregnancy








Women








Young adults








Other, please specify: H




CWS06080 S Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.8Oth Lifestages
CWS06081 I More specifically, what topic were you looking for? Field Epidemiologist Training Program
Radio button, one-up vertical Single Y
1.9 Global



Global disease detection








Global health initiatives








Global HIV/AIDS








Global immunizations








Haiti








International emergency and refugee health








Parasites








Other, please specify: T




CWS06082 T Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.9Oth Global
CWS06083 J More specifically, what topic were you looking for? Best practices
Radio button, one-up vertical Single Y Skip Logic Group 1.10 State Tribal



Cooperative agreements








Funding and grants








Policy








Strategy and planning








Training








Other, please specify: U




CWS06084 U Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.10Oth State Tribal

W More specifically, what topic were you looking for? Travel-related outbreaks
Radio button, one-up vertical Single Y Skip Logic Group 1.11 Outbreaks



International outbreaks








United States outbreaks








Food-related outbreaks








Other, please specify: V





V Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.11Oth Outbreaks
CWS06085
Which of the following best describes the type of information you were looking for? General information about the health topic selected
Radio button, one-up vertical Single Y OPS Group 2. Type of Info Looking For



General information about symptoms, causes, risk factors, tests, or treatment








Data and statistics








Scientific research, articles, publications, and journals








Guidelines and recommendations for healthcare providers








Professional training for healthcare providers, researchers, public health professionals, etc.








Educational materials








Campaigns and initiatives








Grants and funding opportunities








Tools, software applications, systems, and other resources








Print materials (fact sheets, brochures, posters, etc.)








Multimedia products (podcasts, videos, widgets, etc.)








Jobs and careers








Other, please specify: A




CWS06086 A Please list the other type of information you were looking for:

Text area, no char limit

OPS Group 2.Oth Type of Info
CWS06087
Were you able to find what you were looking for? Yes
Radio button, one-up vertical
Y Skip Logic Group 3. Able to Find



Partially A







No, I'm still looking A




CWS06088 A What were you looking for?

Text area, no char limit

Skip Logic Group 3Oth. Unable to Find
ACQOsl0003358
I'm planning to use the information I found today: For my own health or my family's health A Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



For my friend or family member (not living in my household)








For a physician's office/hospital








For a patient or client








For a public health agency








For a research institution








For a business / workplace








For an educational institution or teaching purposes








For a school / class project








Other, please specify: B





A Based on the information I found, I am planning to make changes to my lifestyle or my family's lifestyle: Strongly agree
Radio button, one-up vertical Single Y Skip Logic Group 4.1 Behavior Change



Agree








Disagree C







Strongly disagree C







Not applicable






C Why are you unlikely to make a change to improve your health?

Text area, no char limit Single
Skip Logic Group 4.2Unlikely Change
ACQOsl0003359 B Please specify how you will use the information you are looking for today:

Text area, no char limit

Skip Logic Group 4.Oth How will use
CWS06091
Based on the information you found, how likely are you to make changes to your lifestyle to improve your health? Very Likely E Radio button, one-up vertical Single Y Skip Logic Group 5. Behavior Change



Likely E







Unlikely C







Very Unlikely C




CWS06092 C Why are you unlikely to make a change to improve your health? I need more information (need to do more research).
Radio button, one-up vertical Single Y Skip Logic Group 5.1 Unlikely -Why



I’m not ready to make a change yet.








I’m already following the recommendations / living a healthy lifestyle.








Other, please specify: D




CWS06093 D Why are you unlikely to make a change:

Text area, no char limit

Skip Logic Group 5.1 Oth Unlikely Why
CWS06094 E What change are you planning to make?

Text area, no char limit

Skip Logic Group 5.2 Likely Change
ACQOsl0004055
Would you access information from CDC through other electronic channels or devices? (Please select all that apply): Social Networks (i.e. Facebook)
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



Mirco-blogging sites (i.e. Twitter)








Facebook








Google+








LinkedIn








Twitter








Mobile websites








Mobile applications or "apps"








Text messages








Online Videos








Podcasts








Webinars








Blogs








eCards








Widgets (i.e. module or application you can add to a website or personalized web page like iGoogle or MyYahoo!)








E-mail updates








RSS Feeds








None of the above








Other, please specify: A




ACQOsl0004056 A Please specify the other electronic channels or devices:




OPS Group 6. Oth Elect Channel (3.14.2011)
CWS06095
In the last year, which of the following activities have you done?  [Please select all that apply]: Listened to audio or podcasts on CDC.gov
Checkbox, one-up vertical Multi Y
6. SM CDC Activities



Watched a video on CDC.gov or CDC’s YouTube Page








Visited or “liked” CDC’s Facebook page 








Followed one of CDC’s Twitter profiles








Signed up for email updates on CDC.gov








Sent a CDC eCard to someone








Used CDC’s mobile Web site (m.cdc.gov) or a CDC mobile application (“app”)








Subscribed to CDC’s text messaging program








Read one of the blogs on CDC.gov








Used one of CDC’s widgets








Used CDC’s Public Health Image Library (PHIL)








Downloaded one of CDC’s buttons or badges








Participated in a contest or challenge CDC is sponsoring








None of the above 





CWS06096
In the last three months, which of the following general activities have you done online?  [Please select all that apply]: Participated in online social networks (Facebook, MySpace, etc.) 
Checkbox, one-up vertical Multi Y
7. SM Gen Activities



Used micro-blogging sites (Twitter, Tumblr, Jaiku, etc.)








Browsed through online photo galleries 








Watched videos on a Web site 








Uploaded videos to a Web site (YouTube) 








Listened to podcasts or audio on a Web site 








Signed up to receive email updates from a Web site 








Subscribed to RSS feeds








Used personalized Web pages (My Yahoo!, iGoogle, etc.) 








Added a widget, button, or badge to your personalized Web page 








Read blogs or Wikis 








Wrote a blog or contributed to Wikis 








Posted comments, ratings, or reviews on a Web site 








Sent an eCard to someone








Bookmarked or tagged Web sites (using social bookmarking sites as Digg) 








Participated in virtual worlds (Second Life, Whyville, etc.)   








None of the above 





CWS06097
In the last three months, which of the following activities have you done using your mobile phone or device?  [Please select all that apply]: Sent or received text messages
Checkbox, one-up vertical Multi Y
8. Mobile Activities



Browsed Web sites








Sent or received email








Downloaded an application (“app”)








Watched videos








Recorded videos








Took pictures








Played a game








Listened to music








None of the above





CWS06098
How frequently do you use the CDC.gov Web site? Daily
Radio button, one-up vertical Single Y
9. Frequency



Weekly








Monthly








A couple times a year








About once a year








This is my first time





CWS06099
Which best describes the primary role that brought you to the CDC.gov Web site today? Individual interested in health
Radio button, one-up vertical Single Y Skip Logic Group 10. Role



Traveler








Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) B, C







Public health agency employee or public health professional D, E







Scientist or researcher








Educator, teacher or trainer








Student








Safety advisor








Business manager








Journalist or member of the media








Emergency responder








Law enforcement








Policymaker, legislator, or staff








Grantee








CDC Employee, staff, or contractor








Other, please specify: A




CWS06100 A Please list your role:

Text area, no char limit
N Skip Logic Group 10.Oth Role
CWS06101 B Which of the following best describes you? Physician, actively seeing patients at least 2 days a week
Radio button, one-up vertical Single Y
10.1 HCP Role



Physician, primarily conducting research projects








Nurse or nurse practitioner








Physician’s assistant








Pharmacist or pharmaceutical assistant








Other type of healthcare provider, please specify: F




CWS06102 F Please list your role:

Text area, no char limit
N Skip Logic Group 10.1Oth HCP Role
CWS06103 C Which of the following best describes where you work? Hospital
Radio button, one-up vertical Single Y
10.2 HCP Location



Large medical practice








Small medical practice








Not-for-profit








Research institution








Other, please specify: G




CWS06104 G Please list where you work:

Text area, no char limit
N Skip Logic Group 10.2Oth HCP Location
CWS06105 D Which of the following best describes you? Public health advocate
Radio button, one-up vertical Single Y
10.3 PHP Role



Health educator








Health communicator








Management








Epidemiologist








Research scientist








Administrative staff








Other, please specify: H




CWS06106 H Please list your role:

Text area, no char limit
N Skip Logic Group 10.3Oth PHP Role
CWS06107 E Which of the following best describes where you work? Public or commercial sector
Radio button, one-up vertical Single Y
10.4 PHP Location



Not-for-profit








Federal public health agency








State public health agency








Local public health agency








Territorial public health agency








Tribal public health agency








Other, please specify: I




CWS06108 I Please list where you work:

Text area, no char limit
N Skip Logic Group 10.4Oth PHP Location
CWS06109
Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important)
Rank 1 (Required)
Message directly from CDC on Facebook or Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Message or recommendation from a friend on Facebook or Twitter








Video I saw on CDC's YouTube Page








A blog or discussion forum



Adjust Template/Style Sheet



Advertisement on Facebook, or Twitter



Randomize



CDC's mobile site








Mobile phone text messages or alerts








Mobile application or "app"








Scanned a QR code








Instant message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06110
Rank 2 (Optional) Message directly from CDC on Facebook or Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Message or recommendation from a friend on Facebook or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, or Twitter








CDC's mobile site








Mobile phone text messages or alerts








Mobile application or "app"








Scanned a QR code








Instant message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06111
Rank 3 (Optional) Message directly from CDC on Facebook or Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Message or recommendation from a friend on Facebook or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, or Twitter








CDC's mobile site








Mobile phone text messages or alerts








Mobile application or "app"








Scanned a QR code








Instant message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06112
If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
CWS06113
How old are you? 19 or under
Radio button, one-up vertical Single Y
11. Age



20-34 years old








35-49 years old








50-64 years old








65 or older








Prefer not to answer





CWS06114
How would you describe yourself? White
Checkbox, one-up vertical Multi Y
12. Ethnicity



Hispanic or Latino








Asian








Black or African American








American Indian or Alaska Native








Native Hawaiian or other Pacific Islander








Prefer not to answer





CWS06115
What is the highest level of education you have completed? High school or less
Radio button, one-up vertical Single Y
13. Education



Some college








College degree








Advanced degree








Prefer not to answer





CWS06116
What is your gender? Female
Radio button, one-up vertical Single Y
14. Gender



Male








Transgender








Prefer not to answer





CWS06117
What is your country of residence? USA


Y
15. Country



Afghanistan








Albania








Algeria








American Samoa








Andorra








Angola








Anguilla








Antarctica








Antigua and Barbuda








Argentina








Armenia








Aruba








Australia








Austria








Azerbaijan








Bahamas








Bahrain








Bangladesh








Barbados








Belarus








Belgium








Belize








Benin








Bermuda








Bhutan








Bolivia








Bosnia/Herzegovina








Botswana








Bouvet Island








Brazil








British Indian Ocean








Brunei Darussalam








Bulgaria








Burkina Faso








Burundi








Cambodia








Cameroon








Canada








Cape Verde








Cayman Islands








Central African Rep.








Chad








Chile








China








Christmas Island








Cocos Islands








Colombia








Comoros








Congo








Congo, Democratic Rep.








Cook Islands








Costa Rica








Côte D'Ivoire








Croatia








Cuba








Cyprus








Czech Republic








Denmark








Djibouti








Dominica








Dominican Republic








East Timor








Ecuador








Egypt








El Salvador








Equatorial Guinea








Eritrea








Estonia








Ethiopia








Falkland Islands








Faroe Islands








Fiji








Finland








France








French Guiana








French Polynesia








French Southern Terr.








Gabon








Gambia








Georgia








Germany








Ghana








Gibraltar








Greece








Greenland








Grenada








Guadeloupe








Guam








Guatemala








Guinea








Guinea& Bissau








Guyana








Haiti








Heard/McDonald Isls.








Holy See/Vatican








Honduras








Hong Kong








Hungary








Iceland








India








Indonesia








Iran








Iraq








Ireland








Israel








Italy








Jamaica








Japan








Jordan








Kazakhstan








Kenya








Kiribati








Korea, North








Korea, South








Kuwait








Kyrgyzstan








Laos








Latvia








Lebanon








Lesotho








Liberia








Libya








Liechtenstein








Lithuania








Luxembourg








Macao








Macedonia








Madagascar








Malawi








Malaysia








Maldives








Mali








Malta








Marshall Islands








Martinique








Mauritania








Mauritius








Mayotte








Mexico








Micronesia








Moldova








Monaco








Mongolia








Montserrat








Morocco








Mozambique








Myanmar








Namibia








Nauru








Nepal








Netherlands








Netherlands Antilles








New Caledonia








New Zealand








Nicaragua








Niger








Nigeria








Niue








Norfolk Island








Northern Mariana Isls








Norway








Oman








Pakistan








Palau








Palestinian Territory








Panama








Papua New Guinea








Paraguay








Peru








Philippines








Pitcairn








Poland








Portugal








Puerto Rico








Qatar








Réunion








Romania








Russian Federation








Rwanda








Saint Helena








Saint Kitts/Nevis








Saint Lucia








Saint Pierre/Miquelon








Saint Vincent/Grenadines








Samoa








San Marino








Sao Tome/Principe








Saudi Arabia








Senegal








Seychelles








Sierra Leone








Singapore








Slovakia








Slovenia








Solomon Islands








Somalia








South Africa








S. Georgia/S. Sand. Isls








Spain








Sri Lanka








Sudan








Suriname








Svalbard/Jan Mayen








Swaziland








Sweden








Switzerland








Syria








Taiwan








Tajikistan








Tanzania








Thailand








Togo








Tokelau








Tonga








Trinidad and Tobago








Tunisia








Turkey








Turkmenistan








Turks and Caicos Isls








Tuvalu








Uganda








Ukraine








United Arab Emirates








United Kingdom








US Minor Outlying Isls








Uruguay








Uzbekistan








Vanuatu








Venezuela








Viet Nam








Virgin Islands, British








Virgin Islands, U.S.








Wallis and Futuna








Western Sahara








Yemen








Yugoslavia








Zambia








Zimbabwe





CWS06118
If you could suggest one change to improve the CDC Web site, what recommendation would you make?

Text area, no char limit
N
16. One Improvement

Sheet 12: SP Custom Qsts (12-30-13)

Model Instance Name:

red & strike-through: DELETE






CDC (Jan 2011-present) - Spanish

underlined & italicized: RE-ORDER






MID: QEtRNNchocpRY99oZMsNZQ==
pink: ADDITION






Date: 3/1/2008 blue + -->: REWORDING

















CDC (Jan 2011-present) - Spanish CUSTOM QUESTION LIST
QID 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
SPCWS06063
¿Qué categoría describe mejor el tema de salud que está buscando? Enfermedades y afecciones (TDAH, defectos de nacimiento, cáncer, diabetes, síndrome alcohólico fetal, influenza o gripe, hepatitis, VIH/sida, ETS...) A Radio button, one-up vertical Single Y Skip Logic Group Health Topic



Vida saludable (seguridad de los alimentos, salud de los huesos, actividad física, vacunas, genética, salud sexual, prevención del tabaquismo...) B








Preparación y respuesta para casos de emergencias (bioterrorismo, emergencias por sustancias químicas y radiación, mal tiempo…) D








Lesiones, violencia y seguridad (seguridad en vehículos automotores, lesiones y conmociones cerebrales traumáticas, caídas, abuso infantil, abuso de medicinas recetadas, suicidio, datos sobre lesiones…) E








Salud ambiental (contaminación del aire, biomonitorización, monóxido de carbono, plomo, sustancias tóxicas, moho…) F








Salud ocupacional (asbesto, seguridad de sustancias químicas, construcción, minería, entornos de oficinas, respiradores…) G








Salud global (Sida en el mundo, paludismo o malaria, detección de enfermedades, poliomielitis, influenza o gripe) I








Salud del viajero (destinos, brotes, vacunas para viajeros, el libro Amarillo o Yellow Book…) C








Etapas de la vida y poblaciones (bebés y niños, Discapacidades, hombres, minorías, embarazo, ancianos, mujeres...) H








Sector estatal, tribal, local y territorial (área de trabajo de la salud pública, planeación de programas, desarrollo profesional, apoyo tribal...) J








Brotes (brotes internacionales, brotes en los Estados Unidos, brotes relacionados con los alimentos…) L








Otro, por favor especifique: K





SPCWS06064 K Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Health Topic
SPCWS06065 A ¿Qué tema buscaba en específico? TDAH
Radio button, one-up vertical Single Y Skip Logic Group DiseaseCond



Artritis









Asma









Autismo









Defectos de nacimiento o congénitos









Cáncer









Diabetes









Epilepsia









Síndrome alcohólico fetal









Influenza (gripe)









Enfermedad de manos, pies y boca









Enfermedades cardiacas









Hepatitis









VIH/Sida









VPH









Meningitis









SARM (Staphylococcus Aureus resistente a la meticilina)









Obesidad









Salmonella









Enfermedades transmitidas sexualmente (VPH, clamidia, gonorrea, etc.)









Culebrilla o herpes zóster









Accidentes cerebrovasculares









Tuberculosis









Enfermedades relacionadas con el agua









Otro, por favor especifique: L





SPCWS06066 L Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth diseascond
SPCWS06067 B ¿Qué tema buscaba en específico? Envejecimiento
Radio button, one-up vertical Single Y
Healthy Living



Defectos de nacimiento o congénitos









IMC (Índice de masa corporal)









Salud de los huesos









Lactancia materna









Desarrollo infantil









Consumo excesivo del alcohol









Higiene de los alimentos









Genética y genómica









Salud mental









Nutrición









Actividad física y ejercicio









Salud reproductiva









Salud sexual









Sueño y trastornos del sueño









Tabaquismo









Vacunas e inmunización









Otro, por favor especifique: M





SPCWS06068 M Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group

SPCWS06069 C ¿Qué tema buscaba en específico? Guía Amarilla del Viajero (Información de salud de los CDC para los viajeros internacionales)
Radio button, one-up vertical Single Y Skip Logic Group Travelers Health



Destinos









Enfermedades relacionadas con los viajes (como paludismo o malaria y fiebre amarilla)









Enfermedades y lesiones en el extranjero (qué hacer si se enferma durante su viaje)









Preparación para un viaje









Cómo mantenerse seguro y saludable (protección contra insectos, agua y alimentos seguros y guía de supervivencia)









Vacunas









Otro, por favor especifique: N





SPCWS06070 N Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Travelers
SPCWS06071 D ¿Qué tema buscaba en específico? Bioterrorismo (carbunco o anthrax, peste, viruela)
Radio button, one-up vertical Single Y Skip Logic Group Emerg Prepare



Emergencias con sustancias químicas (ricina, cloro, agentes nerviosos)









Cómo hacerle frente a un desastre









Víctimas masivas (explosiones, ondas expansivas, lesiones)









Desastres naturales y mal tiempo (terremotos, huracanes, volcanes, ola invernal)









Preparación y planificación de riesgos









Emergencias por radiación ("bombas sucias", explosiones nucleares)









Brotes e incidentes recientes (salmonella, melamina)









Vigilancia epidemiológica









Otro, por favor especifique: O





SPCWS06072 O Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Emerg
SPCWS06073 E ¿Qué tema buscaba en específico? Cuidados agudos (respuesta a lesiones)
Radio button, one-up vertical Single Y
Injury



Lesiones en adolescentes









Abuso o maltrato infantil









Asfixia









Conmociones o lesiones cerebrales









Mordeduras de perro









Ahogamientos









Maltrato de ancianos









Lesiones por explosiones y onda expansiva









Caídas en adultos de edad avanzada









Lesiones producidas por el fuego









Fuegos artificiales









Violencia de pareja









Victimas masivas









Lesiones relacionadas con vehículos automotores









Intoxicación y envenenamiento









Prevención de lesiones y violencia









Violencia sexual









Suicidio









Violencia









Otro, por favor especifique: P





SPCWS06074 P Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Injury
SPCWS06075 F ¿Qué tema buscaba en específico? Calidad del aire
Radio button, one-up vertical Single Y
Enviro



Asbesto









Asma









Biomonitorización









Envenamiento con monóxido de carbono









Prevención del envenenamiento infantil por plomo









Cambio climático









Salud en los cruceros









Condiciones climáticas extremas









Moho









Desastres naturales









Protección contra el sol









Estudios sobre la radiación









Control de roedores









Tabaquismo









Agua









Otro, por favor especifique: Q





SPCWS06076 Q Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Enviro
SPCWS06077 G ¿Qué tema buscaba en específico? Asbesto
Radio button, one-up vertical Single Y Skip Logic Group Workplace



Infecciones transmitidas por la sangre









Seguridad de sustancias químicas









Construcción









Seguridad eléctrica









Preparación y respuesta a emergencias









Trastornos ergonómicos y musculoesqueléticos









Protección de los ojos









Caídas









Estrés por calor/frío









seguridad con maquinaria









Minería









Ruido/pérdida auditiva









Entornos de oficina









Ropa de protección









Respiradores









Estrés









Violencia









Prevención y seguridad en el sitio de trabajo









Otro, por favor especifique: R





SPCWS06078 R Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Workplace
SPCWS06079 H ¿Qué tema buscaba en específico? Adolescentes
Radio button, one-up vertical Single Y
Life



Niños









Personas con discapacidades









Familias









Bebés y niños pequeños









Hombres









Adultos mayores y ancianos









Padres









Embarazo









Mujeres









Adultos jóvenes









Otro, por favor especifique: H





SPCWS06080 S Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Life
SPCWS06081 I ¿Qué tema buscaba en específico? Programa de capacitación de epidemiólogos de campo
Radio button, one-up vertical Single Y
Global



Detección global de enfermedades









Iniciativas de salud global









VIH/sida en el mundo









Vacunación global









Haití









Programa Internacional de Emergencia y Salud de los Refugiados









Parásitos









Otro, por favor especifique: T





SPCWS06082 T Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Global
SPCWS06083 J ¿Qué tema buscaba en específico? Mejores prácticas
Radio button, one-up vertical Single Y Skip Logic Group State Tribal



Acuerdos de cooperación









Financiamiento y subvenciones









Políticas









Estrategias y planeación









Capacitación









Otro, por favor especifique: U





SPCWS06084 U Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth State Tribal
SPACQWro0010097 L ¿Qué tema buscaba en específico? Brotes relacionados con viajes
Radio button, one-up vertical Single Y Skip Logic Group 1.11 Outbreaks



Brotes internacionales









Brotes en los Estados Unidos









Brotes relacionados con los alimentos









Otro, por favor especifique: V





SPACQWro0010098 V Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group 1.11Oth Outbreaks
SPCWS06085
¿Cuál de los siguientes describe mejor el tipo de información que buscaba? Información general del tema de salud seleccionado
Radio button, one-up vertical Single Y OPS Group Type of Info



Información general sobre síntomas, causas, factores de riesgo, pruebas o tratamientos









Datos y estadísticas









Investigaciones científicas, artículos, publicaciones y revistas









Directrices y recomendaciones para personal de atención médica









Capacitación profesional para personal de atención médica, investigadores, profesionales de salud pública, etc.









Materiales educativos









Campañas e iniciativas









Subvenciones y oportunidades de financiamiento









Herramientas, programas informáticos, sistemas y otros recursos









Materiales impresos (hojas informativas, folletos, afiches, etc.)









Materiales de multimedia (podcasts, videos, widgets, etc.)









Empleos y desarrollo profesional









Otro, por favor especifique: A





SPCWS06086 A Indique el otro tipo de información que buscaba:

Text area, no char limit

OPS Group Other Info
SPCWS06087
¿Pudo encontrar lo que buscaba?
Radio button, one-up vertical
Y Skip Logic Group Find Info



Parcialmente A








No, todavía sigo buscando. A





SPCWS06088 A ¿Qué información estaba buscando?

Text area, no char limit

Skip Logic Group Unable to Find
SPACQOsl0003358
Planeo usar la información que encuentre hoy para: Mi propia salud o la de mi familia A Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



Mi amigo o familiar (que no vive conmigo)









Para un consultorio médico / hospital









Para un paciente o cliente









Para una agencia de salud pública









Para una institución de investigación









Para una empresa / sitio de trabajo









Para una institución educativa o para enseñanza









Para una escuela / para una clase









Otro, especifique B





SPACQWro0010091 A Con base en la información que encontré, planeo hacer cambios en mi estilo de vida o el de mi familia: Completamente de acuerdo
Radio button, one-up vertical Single Y Skip Logic Group 4.1 Behavior Change



De acuerdo









En desacuerdo C








Completamente en desacuerdo C








No corresponde






SPACQWro0010092 C ¿Por qué es muy poco probable que haga algún cambio para mejorar su salud?

Text area, no char limit Single
Skip Logic Group 4.2Unlikely Change
SPACQOsl0003359 B Por favor, especifique de qué manera utilizará la información que está buscando hoy:

Text area, no char limit

Skip Logic Group 4.Oth How will use
SPACQOsl0004055
¿Consultaría la información de los CDC a través de otros canales o aparatos electrónicos? [Seleccione todas las opciones que correspondan]: Facebook
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



Google+









LinkedIn









Twitter









Sitio web móvil









Aplicaciones móviles o "apps"









Mensajes de texto









Videos en línea









Podcasts









Blogs









Tarjetas electrónicas









Widgets (es decir, un módulo o aplicación que puede añadir a su sitio web o página personalizada de Internet como iGoogle o MyYahoo!)









Actualizaciones por correo electrónico









Canales RSS









Pinterest









Nada de lo anterior









Otro, por favor especifique:






SPCWS06098
¿Con qué frecuencia utiliza usted el sitio web CDC en Español ? Diariamente
Radio button, one-up vertical Single Y
Frequency



Semanalmente









Mensualmente









Un par de veces al año









Alrededor de una vez al año









Esta es mi primera vez






SPCWS06099
¿Cuál describe mejor la razón principal para visitar hoy el sitio web CDC.gov? Persona interesada en temas de salud
Radio button, one-up vertical Single Y Skip Logic Group Role



Viajero









Profesional de atención médica (doctor, enfermera, asistente médico, personal de enfermería especializado, farmaceuta u otro prestador de atención médica) B, C








Empleado de una agencia de salud pública o profesional de salud pública D, E








Científico o investigador









Educador maestro o instructor









Estudiante









Asesor de temas de seguridad









Gerente de empresa









Periodista o miembro de los medios de comunicación









Personal de respuesta a emergencias









Personal de seguridad pública









Funcionario oficial, legislador o miembro de su personal









Becario/beneficiario de subvención









Empleado, contratista o personal de los CDC









Otro, por favor especifique: A





SPCWS06100 A Indique su función:

Text area, no char limit
N Skip Logic Group Provider role
SPCWS06101 B ¿Cuál de las siguientes opciones le describe mejor? Médico que da consultas por lo menos 2 días a la semana
Radio button, one-up vertical Single Y





Médico, principalmente realizando investigaciones









Personal de enfermería









Asistente médico









Farmaceuta o asistente de farmaceuta









Otro tipo de profesional de atención médica, por favor especifique: F





SPCWS06102 G Indique su función:

Text area, no char limit
N Skip Logic Group Other Provider
SPCWS06103 C ¿Cuál de las siguientes opciones describe mejor su sitio de trabajo? Hospital
Radio button, one-up vertical Single Y
Provider Location



Consultorio médico grande









Consultorio médico pequeño









Organización sin ánimo de lucro









Institución que realiza investigaciones









Otro, por favor especifique: G





SPCWS06104 G Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Prov Location
SPCWS06105 D ¿Cuál de las siguientes opciones le describe mejor? Promotor de salud pública
Radio button, one-up vertical Single Y





Educador de temas de salud









Comunicador de temas de salud









Administrador









Epidemiólogo









Científico investigador









Personal administrativo









Otro, por favor especifique: H





SPCWS06106 H Indique su función:

Text area, no char limit
N Skip Logic Group Other Public
SPCWS06107 E ¿Cuál de los siguientes describe el lugar donde trabaja? Sector público o comercial
Radio button, one-up vertical Single Y





Organización sin ánimo de lucro









Agencia de salud pública federal









Agencia de salud pública estatal









Agencia de salud pública local









Agencia de salud pública territorial









Agencia de salud pública tribal









Otro, por favor especifique: I





SPCWS06108 I Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Pub Location
SPCWS06109
¿Cuál de las siguientes fuentes le motivó a visitar hoy este sitio web? [Designe los 3 principales, asignando el número 1 al más importante]:
Primer lugar: 1 (requerido)
Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube









Anuncio en Facebook o Twitter



Randomize




Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06110
Segundo lugar: 2 (opcional) Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




Anuncio en Facebook o Twitter









Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06111
Tercer lugar: 2 (opcional) Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




Anuncio en Facebook o Twitter









Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06112
Si escuchó sobre este sitio web en una de las redes sociales, especifique el sitio (p. ej., Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
SPCWS06113
¿Qué edad tiene? 19 años o menos
Radio button, one-up vertical Single Y
Age



20-34 años de edad









35-49 años de edad









50-64 años de edad









65 años o más









Prefiero no contestar






SPCWS06114
¿Cómo se describiría usted? Blanco
Checkbox, one-up vertical Multi Y
Ethnicity



Hispano o latino









Asiático









Negro o afroamericano









Indoamericano o nativo de Alaska









Nativo de Hawái o de otras islas del Pacífico









Prefiero no contestar






SPCWS06115
¿Cuál es el nivel más alto de estudios que ha completado? Escuela secundaria superior (high school) o menos
Radio button, one-up vertical Single Y
Education



Algunos estudios universitarios









Graduado universitario









Posgrado









Prefiero no contestar






SPCWS06116
¿Cuál es su sexo? Femenino
Radio button, one-up vertical Single Y
Gender



Masculino









Transgénero









Prefiero no contestar

















SPCWS06117
¿En qué país reside? Estados Unidos




Country



Afganistán









Albania









Alemania









Andorra









Angola









Anguilla









Antártida









Antigua y Barbuda









Antillas Holandesas









Arabia Saudita









Argelia









Argentina









Armenia









Aruba









Australia









Austria









Azerbaiyán









Bahamas









Bahrein









Bangladesh









Barbados









Bélgica









Belice









Benín









Bielorrusia









Bolivia









Bosnia-Herzegovina









Botswana









Brasil









Brunei Darussalam









Bulgaria









Burkina Faso









Burundi









Bután









Cabo Verde









Camboya









Camerún









Canadá









Chad









Chile









China









Chipre









Colombia









Comoras









Congo









Corea del Norte









Corea del Sur









Costa de Marfil









Costa Rica









Croacia









Cuba









Dinamarca









Djibouti









Dominica









Ecuador









Egipto









El Salvador









Emiratos Árabes Unidos









Eritrea









Eslovaquia









Eslovenia









España









Estonia









Etiopía









Federación Rusa









Fiji









Filipinas









Finlandia









Francia









Gabón









Gambia









Georgia









Ghana









Gibraltar









Grecia









Grenada









Groenlandia









Guadeloupe









Guam









Guatemala









Guayana francesa









Guinea









Guinea Ecuatorial









Guinea-Bissau









Guyana









Haití









Holanda









Honduras









Hong Kong









Hungría









India









Indonesia









Irán









Iraq









Irlanda









Isla Bouvet









Isla Navidad









Isla Norfolk









Islandia









Islas Bermudas









Islas Caimán









Islas Cocos









Islas Cook









Islas Faroe









Islas Heard/McDonald









Islas Malvinas o Falkland









Islas Marianas del Norte









Islas Marshall









Islas Solomón









Islas Turcas y Caicos









Islas Ultramarinas de Estados Unidos









Islas Vírgenes, británicas









Islas Vírgenes, de EE. UU.









Israel









Italia









Jamaica









Japón









Jordania









Kazajstán









Kenya









Kirguistán









Kiribati









Kuwait









Laos









Latvia









Lesotho









Líbano









Liberia









Libia









Liechtenstein









Lituania









Luxemburgo









Macao









Macedonia









Madagascar









Malasia









Malawi









Maldivas









Mali









Malta









Marruecos









Martinica









Mauricio









Mauritania









Mayotte









México









Micronesia









Moldova









Mónaco









Mongolia









Montserrat









Mozambique









Myanmar









Namibia









Nauru









Nepal









Nicaragua









Níger









Nigeria









Niue









Noruega









Nueva Caledonia









Nueva Zelandia









Omán









Pakistán









Palau









Panamá









Papua Nueva Guinea









Paraguay









Perú









Pitcairn









Polinesia Francesa









Polonia









Portugal









Puerto Rico









Qatar









Reino Unido









República Centroafricana









República Checa









República Democrática del Congo









República Dominicana









Réunion









Ruanda









Rumania









S. Islas Georgia del sur y Sándwich del Sur









Sahara Occidental









Saint Kitts/Nevis









Saint Pierre/Miquelon









Samoa









Samoa Americana









San Marino









San Vicente y las Granadinas









Santa Elena









Santa Lucía









Santa Sede/Ciudad del Vaticano









Santo Tomé y Príncipe









Senegal









Seychelles









Sierra Leona









Singapur









Siria









Somalia









Sri Lanka









Sudáfrica









Sudán









Suecia









Suiza









Suriname









Islas Svalbard y Jan Mayen









Swazilandia









Tailandia









Taiwán









Tanzania









Tayikistán









Territorio británico del Océano Índico









Territorios Franceses del Sur









Territorios palestinos









Timor Oriental









Togo









Tokelau









Tonga









Trinidad y Tobago









Túnez









Turkmenistán









Turquía









Tuvalu









Ucrania









Uganda









Uruguay









Uzbekistán









Vanuatu









Venezuela









Vietnam









Wallis y Futuna









Yemen









Yugoslavia









Zambia









Zimbabwe






SPCWS06118
Si pudiera sugerir un cambio para mejorar el sitio web de los CDC, ¿cuál sería su recomendación?

Text area, no char limit
N
One Improvement

Sheet 13: SP Custom Qsts (3-30-12)

Model Instance Name:

red & strike-through: DELETE






CDC (Jan 2011-present) - Spanish

underlined & italicized: RE-ORDER






MID: QEtRNNchocpRY99oZMsNZQ==
pink: ADDITION






Date: 3/1/2008 blue + -->: REWORDING

















CDC (Jan 2011-present) - Spanish CUSTOM QUESTION LIST
QID 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
SPCWS06063
¿Qué categoría describe mejor el tema de salud que está buscando? Enfermedades y afecciones (TDAH, defectos de nacimiento, cáncer, diabetes, síndrome alcohólico fetal, influenza o gripe, hepatitis, VIH/sida, ETS...) A Radio button, one-up vertical Single Y Skip Logic Group Health Topic



Vida saludable (seguridad de los alimentos, salud de los huesos, actividad física, vacunas, genética, salud sexual, prevención del tabaquismo...) B








Preparación y respuesta para casos de emergencias (bioterrorismo, emergencias por sustancias químicas y radiación, mal tiempo…) D








Lesiones, violencia y seguridad (seguridad en vehículos automotores, lesiones y conmociones cerebrales traumáticas, caídas, abuso infantil, abuso de medicinas recetadas, suicidio, datos sobre lesiones…) E








Salud ambiental (contaminación del aire, biomonitorización, monóxido de carbono, plomo, sustancias tóxicas, moho…) F








Salud ocupacional (asbesto, seguridad de sustancias químicas, construcción, minería, entornos de oficinas, respiradores…) G








Salud global (Sida en el mundo, paludismo o malaria, detección de enfermedades, poliomielitis, influenza o gripe) I








Salud del viajero (destinos, brotes, vacunas para viajeros, el libro Amarillo o Yellow Book…) C








Etapas de la vida y poblaciones (bebés y niños, Discapacidades, hombres, minorías, embarazo, ancianos, mujeres...) H








Sector estatal, tribal, local y territorial (área de trabajo de la salud pública, planeación de programas, desarrollo profesional, apoyo tribal...) J








Brotes (brotes internacionales, brotes en los Estados Unidos, brotes relacionados con los alimentos…) L








Otro, por favor especifique: K





SPCWS06064 K Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Health Topic
SPCWS06065 A ¿Qué tema buscaba en específico? TDAH
Radio button, one-up vertical Single Y Skip Logic Group DiseaseCond



Artritis









Asma









Autismo









Defectos de nacimiento o congénitos









Cáncer









Diabetes









Epilepsia









Síndrome alcohólico fetal









Influenza (gripe)









Enfermedad de manos, pies y boca









Enfermedades cardiacas









Hepatitis









VIH/Sida









VPH









Meningitis









SARM (Staphylococcus Aureus resistente a la meticilina)









Obesidad









Salmonella









Enfermedades transmitidas sexualmente (VPH, clamidia, gonorrea, etc.)









Culebrilla o herpes zóster









Accidentes cerebrovasculares









Tuberculosis









Enfermedades relacionadas con el agua









Otro, por favor especifique: L





SPCWS06066 L Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth diseascond
SPCWS06067 B ¿Qué tema buscaba en específico? Envejecimiento
Radio button, one-up vertical Single Y
Healthy Living



Defectos de nacimiento o congénitos









IMC (Índice de masa corporal)









Salud de los huesos









Lactancia materna









Desarrollo infantil









Consumo excesivo del alcohol









Higiene de los alimentos









Genética y genómica









Salud mental









Nutrición









Actividad física y ejercicio









Salud reproductiva









Salud sexual









Sueño y trastornos del sueño









Tabaquismo









Vacunas e inmunización









Otro, por favor especifique: M





SPCWS06068 M Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group

SPCWS06069 C ¿Qué tema buscaba en específico? Guía Amarilla del Viajero (Información de salud de los CDC para los viajeros internacionales)
Radio button, one-up vertical Single Y Skip Logic Group Travelers Health



Destinos









Enfermedades relacionadas con los viajes (como paludismo o malaria y fiebre amarilla)









Enfermedades y lesiones en el extranjero (qué hacer si se enferma durante su viaje)









Preparación para un viaje









Cómo mantenerse seguro y saludable (protección contra insectos, agua y alimentos seguros y guía de supervivencia)









Vacunas









Otro, por favor especifique: N





SPCWS06070 N Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Travelers
SPCWS06071 D ¿Qué tema buscaba en específico? Bioterrorismo (carbunco o anthrax, peste, viruela)
Radio button, one-up vertical Single Y Skip Logic Group Emerg Prepare



Emergencias con sustancias químicas (ricina, cloro, agentes nerviosos)









Cómo hacerle frente a un desastre









Víctimas masivas (explosiones, ondas expansivas, lesiones)









Desastres naturales y mal tiempo (terremotos, huracanes, volcanes, ola invernal)









Preparación y planificación de riesgos









Emergencias por radiación ("bombas sucias", explosiones nucleares)









Brotes e incidentes recientes (salmonella, melamina)









Vigilancia epidemiológica









Otro, por favor especifique: O





SPCWS06072 O Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Emerg
SPCWS06073 E ¿Qué tema buscaba en específico? Cuidados agudos (respuesta a lesiones)
Radio button, one-up vertical Single Y
Injury



Lesiones en adolescentes









Abuso o maltrato infantil









Asfixia









Conmociones o lesiones cerebrales









Mordeduras de perro









Ahogamientos









Maltrato de ancianos









Lesiones por explosiones y onda expansiva









Caídas en adultos de edad avanzada









Lesiones producidas por el fuego









Fuegos artificiales









Violencia de pareja









Victimas masivas









Lesiones relacionadas con vehículos automotores









Intoxicación y envenenamiento









Prevención de lesiones y violencia









Violencia sexual









Suicidio









Violencia









Otro, por favor especifique: P





SPCWS06074 P Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Injury
SPCWS06075 F ¿Qué tema buscaba en específico? Calidad del aire
Radio button, one-up vertical Single Y
Enviro



Asbesto









Asma









Biomonitorización









Envenamiento con monóxido de carbono









Prevención del envenenamiento infantil por plomo









Cambio climático









Salud en los cruceros









Condiciones climáticas extremas









Moho









Desastres naturales









Protección contra el sol









Estudios sobre la radiación









Control de roedores









Tabaquismo









Agua









Otro, por favor especifique: Q





SPCWS06076 Q Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Enviro
SPCWS06077 G ¿Qué tema buscaba en específico? Asbesto
Radio button, one-up vertical Single Y Skip Logic Group Workplace



Infecciones transmitidas por la sangre









Seguridad de sustancias químicas









Construcción









Seguridad eléctrica









Preparación y respuesta a emergencias









Trastornos ergonómicos y musculoesqueléticos









Protección de los ojos









Caídas









Estrés por calor/frío









seguridad con maquinaria









Minería









Ruido/pérdida auditiva









Entornos de oficina









Ropa de protección









Respiradores









Estrés









Violencia









Prevención y seguridad en el sitio de trabajo









Otro, por favor especifique: R





SPCWS06078 R Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Workplace
SPCWS06079 H ¿Qué tema buscaba en específico? Adolescentes
Radio button, one-up vertical Single Y
Life



Niños









Personas con discapacidades









Familias









Bebés y niños pequeños









Hombres









Adultos mayores y ancianos









Padres









Embarazo









Mujeres









Adultos jóvenes









Otro, por favor especifique: H





SPCWS06080 S Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Life
SPCWS06081 I ¿Qué tema buscaba en específico? Programa de capacitación de epidemiólogos de campo
Radio button, one-up vertical Single Y
Global



Detección global de enfermedades









Iniciativas de salud global









VIH/sida en el mundo









Vacunación global









Haití









Programa Internacional de Emergencia y Salud de los Refugiados









Parásitos









Otro, por favor especifique: T





SPCWS06082 T Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Global
SPCWS06083 J ¿Qué tema buscaba en específico? Mejores prácticas
Radio button, one-up vertical Single Y Skip Logic Group State Tribal



Acuerdos de cooperación









Financiamiento y subvenciones









Políticas









Estrategias y planeación









Capacitación









Otro, por favor especifique: U





SPCWS06084 U Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth State Tribal
SPACQWro0010097 L ¿Qué tema buscaba en específico? Brotes relacionados con viajes
Radio button, one-up vertical Single Y Skip Logic Group 1.11 Outbreaks



Brotes internacionales









Brotes en los Estados Unidos









Brotes relacionados con los alimentos









Otro, por favor especifique: V





SPACQWro0010098 V Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group 1.11Oth Outbreaks
SPCWS06085
¿Cuál de los siguientes describe mejor el tipo de información que buscaba? Información general del tema de salud seleccionado
Radio button, one-up vertical Single Y OPS Group Type of Info



Información general sobre síntomas, causas, factores de riesgo, pruebas o tratamientos









Datos y estadísticas









Investigaciones científicas, artículos, publicaciones y revistas









Directrices y recomendaciones para personal de atención médica









Capacitación profesional para personal de atención médica, investigadores, profesionales de salud pública, etc.









Materiales educativos









Campañas e iniciativas









Subvenciones y oportunidades de financiamiento









Herramientas, programas informáticos, sistemas y otros recursos









Materiales impresos (hojas informativas, folletos, afiches, etc.)









Materiales de multimedia (podcasts, videos, widgets, etc.)









Empleos y desarrollo profesional









Otro, por favor especifique: A





SPCWS06086 A Indique el otro tipo de información que buscaba:

Text area, no char limit

OPS Group Other Info
SPCWS06087
¿Pudo encontrar lo que buscaba?
Radio button, one-up vertical
Y Skip Logic Group Find Info



Parcialmente A








No, todavía sigo buscando. A





SPCWS06088 A ¿Qué información estaba buscando?

Text area, no char limit

Skip Logic Group Unable to Find
SPACQOsl0003358
Planeo usar la información que encuentre hoy para: Mi propia salud o la de mi familia A Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



Mi amigo o familiar (que no vive conmigo)









Para un consultorio médico / hospital









Para un paciente o cliente









Para una agencia de salud pública









Para una institución de investigación









Para una empresa / sitio de trabajo









Para una institución educativa o para enseñanza









Para una escuela / para una clase









Otro, especifique B





SPACQWro0010091 A Con base en la información que encontré, planeo hacer cambios en mi estilo de vida o el de mi familia: Completamente de acuerdo
Radio button, one-up vertical Single Y Skip Logic Group 4.1 Behavior Change



De acuerdo









En desacuerdo C








Completamente en desacuerdo C








No corresponde






SPACQWro0010092 C ¿Por qué es muy poco probable que haga algún cambio para mejorar su salud?

Text area, no char limit Single
Skip Logic Group 4.2Unlikely Change
SPACQOsl0003359 B Por favor, especifique de qué manera utilizará la información que está buscando hoy:

Text area, no char limit

Skip Logic Group 4.Oth How will use
SPACQOsl0004055
¿Consultaría la información de los CDC a través de otros canales o aparatos electrónicos? [Seleccione todas las opciones que correspondan]: Facebook
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



Google+









LinkedIn









Twitter









Sitio web móvil









Aplicaciones móviles o "apps"









Mensajes de texto









Videos en línea









Podcasts









Blogs









Tarjetas electrónicas









Widgets (es decir, un módulo o aplicación que puede añadir a su sitio web o página personalizada de Internet como iGoogle o MyYahoo!)









Actualizaciones por correo electrónico









Canales RSS









Nada de lo anterior









Otro, por favor especifique:






SPCWS06098
¿Con qué frecuencia utiliza usted el sitio web CDC en Español ? Diariamente
Radio button, one-up vertical Single Y
Frequency



Semanalmente









Mensualmente









Un par de veces al año









Alrededor de una vez al año









Esta es mi primera vez






SPCWS06099
¿Cuál describe mejor la razón principal para visitar hoy el sitio web CDC.gov? Persona interesada en temas de salud
Radio button, one-up vertical Single Y Skip Logic Group Role



Viajero









Profesional de atención médica (doctor, enfermera, asistente médico, personal de enfermería especializado, farmaceuta u otro prestador de atención médica) B, C








Empleado de una agencia de salud pública o profesional de salud pública D, E








Científico o investigador









Educador maestro o instructor









Estudiante









Asesor de temas de seguridad









Gerente de empresa









Periodista o miembro de los medios de comunicación









Personal de respuesta a emergencias









Personal de seguridad pública









Funcionario oficial, legislador o miembro de su personal









Becario/beneficiario de subvención









Empleado, contratista o personal de los CDC









Otro, por favor especifique: A





SPCWS06100 A Indique su función:

Text area, no char limit
N Skip Logic Group Provider role
SPCWS06101 B ¿Cuál de las siguientes opciones le describe mejor? Médico que da consultas por lo menos 2 días a la semana
Radio button, one-up vertical Single Y





Médico, principalmente realizando investigaciones









Personal de enfermería









Asistente médico









Farmaceuta o asistente de farmaceuta









Otro tipo de profesional de atención médica, por favor especifique: F





SPCWS06102 G Indique su función:

Text area, no char limit
N Skip Logic Group Other Provider
SPCWS06103 C ¿Cuál de las siguientes opciones describe mejor su sitio de trabajo? Hospital
Radio button, one-up vertical Single Y
Provider Location



Consultorio médico grande









Consultorio médico pequeño









Organización sin ánimo de lucro









Institución que realiza investigaciones









Otro, por favor especifique: G





SPCWS06104 G Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Prov Location
SPCWS06105 D ¿Cuál de las siguientes opciones le describe mejor? Promotor de salud pública
Radio button, one-up vertical Single Y





Educador de temas de salud









Comunicador de temas de salud









Administrador









Epidemiólogo









Científico investigador









Personal administrativo









Otro, por favor especifique: H





SPCWS06106 H Indique su función:

Text area, no char limit
N Skip Logic Group Other Public
SPCWS06107 E ¿Cuál de los siguientes describe el lugar donde trabaja? Sector público o comercial
Radio button, one-up vertical Single Y





Organización sin ánimo de lucro









Agencia de salud pública federal









Agencia de salud pública estatal









Agencia de salud pública local









Agencia de salud pública territorial









Agencia de salud pública tribal









Otro, por favor especifique: I





SPCWS06108 I Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Pub Location
SPCWS06109
¿Cuál de las siguientes fuentes le motivó a visitar hoy este sitio web? [Designe los 3 principales, asignando el número 1 al más importante]:
Primer lugar: 1 (requerido)
Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube









Anuncio en Facebook o Twitter



Randomize




Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06110
Segundo lugar: 2 (opcional) Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




Anuncio en Facebook o Twitter









Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06111
Tercer lugar: 2 (opcional) Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




Anuncio en Facebook o Twitter









Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06112
Si escuchó sobre este sitio web en una de las redes sociales, especifique el sitio (p. ej., Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
SPCWS06113
¿Qué edad tiene? 19 años o menos
Radio button, one-up vertical Single Y
Age



20-34 años de edad









35-49 años de edad









50-64 años de edad









65 años o más









Prefiero no contestar






SPCWS06114
¿Cómo se describiría usted? Blanco
Checkbox, one-up vertical Multi Y
Ethnicity



Hispano o latino









Asiático









Negro o afroamericano









Indoamericano o nativo de Alaska









Nativo de Hawái o de otras islas del Pacífico









Prefiero no contestar






SPCWS06115
¿Cuál es el nivel más alto de estudios que ha completado? Escuela secundaria superior (high school) o menos
Radio button, one-up vertical Single Y
Education



Algunos estudios universitarios









Graduado universitario









Posgrado









Prefiero no contestar






SPCWS06116
¿Cuál es su sexo? Femenino
Radio button, one-up vertical Single Y
Gender



Masculino









Transgénero









Prefiero no contestar

















SPCWS06117
¿En qué país reside? Estados Unidos




Country



Afganistán









Albania









Alemania









Andorra









Angola









Anguilla









Antártida









Antigua y Barbuda









Antillas Holandesas









Arabia Saudita









Argelia









Argentina









Armenia









Aruba









Australia









Austria









Azerbaiyán









Bahamas









Bahrein









Bangladesh









Barbados









Bélgica









Belice









Benín









Bielorrusia









Bolivia









Bosnia-Herzegovina









Botswana









Brasil









Brunei Darussalam









Bulgaria









Burkina Faso









Burundi









Bután









Cabo Verde









Camboya









Camerún









Canadá









Chad









Chile









China









Chipre









Colombia









Comoras









Congo









Corea del Norte









Corea del Sur









Costa de Marfil









Costa Rica









Croacia









Cuba









Dinamarca









Djibouti









Dominica









Ecuador









Egipto









El Salvador









Emiratos Árabes Unidos









Eritrea









Eslovaquia









Eslovenia









España









Estonia









Etiopía









Federación Rusa









Fiji









Filipinas









Finlandia









Francia









Gabón









Gambia









Georgia









Ghana









Gibraltar









Grecia









Grenada









Groenlandia









Guadeloupe









Guam









Guatemala









Guayana francesa









Guinea









Guinea Ecuatorial









Guinea-Bissau









Guyana









Haití









Holanda









Honduras









Hong Kong









Hungría









India









Indonesia









Irán









Iraq









Irlanda









Isla Bouvet









Isla Navidad









Isla Norfolk









Islandia









Islas Bermudas









Islas Caimán









Islas Cocos









Islas Cook









Islas Faroe









Islas Heard/McDonald









Islas Malvinas o Falkland









Islas Marianas del Norte









Islas Marshall









Islas Solomón









Islas Turcas y Caicos









Islas Ultramarinas de Estados Unidos









Islas Vírgenes, británicas









Islas Vírgenes, de EE. UU.









Israel









Italia









Jamaica









Japón









Jordania









Kazajstán









Kenya









Kirguistán









Kiribati









Kuwait









Laos









Latvia









Lesotho









Líbano









Liberia









Libia









Liechtenstein









Lituania









Luxemburgo









Macao









Macedonia









Madagascar









Malasia









Malawi









Maldivas









Mali









Malta









Marruecos









Martinica









Mauricio









Mauritania









Mayotte









México









Micronesia









Moldova









Mónaco









Mongolia









Montserrat









Mozambique









Myanmar









Namibia









Nauru









Nepal









Nicaragua









Níger









Nigeria









Niue









Noruega









Nueva Caledonia









Nueva Zelandia









Omán









Pakistán









Palau









Panamá









Papua Nueva Guinea









Paraguay









Perú









Pitcairn









Polinesia Francesa









Polonia









Portugal









Puerto Rico









Qatar









Reino Unido









República Centroafricana









República Checa









República Democrática del Congo









República Dominicana









Réunion









Ruanda









Rumania









S. Islas Georgia del sur y Sándwich del Sur









Sahara Occidental









Saint Kitts/Nevis









Saint Pierre/Miquelon









Samoa









Samoa Americana









San Marino









San Vicente y las Granadinas









Santa Elena









Santa Lucía









Santa Sede/Ciudad del Vaticano









Santo Tomé y Príncipe









Senegal









Seychelles









Sierra Leona









Singapur









Siria









Somalia









Sri Lanka









Sudáfrica









Sudán









Suecia









Suiza









Suriname









Islas Svalbard y Jan Mayen









Swazilandia









Tailandia









Taiwán









Tanzania









Tayikistán









Territorio británico del Océano Índico









Territorios Franceses del Sur









Territorios palestinos









Timor Oriental









Togo









Tokelau









Tonga









Trinidad y Tobago









Túnez









Turkmenistán









Turquía









Tuvalu









Ucrania









Uganda









Uruguay









Uzbekistán









Vanuatu









Venezuela









Vietnam









Wallis y Futuna









Yemen









Yugoslavia









Zambia









Zimbabwe






SPCWS06118
Si pudiera sugerir un cambio para mejorar el sitio web de los CDC, ¿cuál sería su recomendación?

Text area, no char limit
N
One Improvement

Sheet 14: SP Custom Qsts (2-27-12)

Model Instance Name:

red & strike-through: DELETE






CDC (Jan 2011-present) - Spanish

underlined & italicized: RE-ORDER






MID: QEtRNNchocpRY99oZMsNZQ==
pink: ADDITION






Date: 3/1/2008 blue + -->: REWORDING

















CDC (Jan 2011-present) - Spanish CUSTOM QUESTION LIST
QID 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
SPCWS06063
¿Qué categoría describe mejor el tema de salud que está buscando? Enfermedades y afecciones (TDAH, defectos de nacimiento, cáncer, diabetes, síndrome alcohólico fetal, influenza o gripe, hepatitis, VIH/sida, ETS...) A Radio button, one-up vertical Single Y Skip Logic Group Health Topic



Vida saludable (seguridad de los alimentos, salud de los huesos, actividad física, vacunas, genética, salud sexual, prevención del tabaquismo...) B








Preparación y respuesta para casos de emergencias (bioterrorismo, emergencias por sustancias químicas y radiación, mal tiempo…) D








Lesiones, violencia y seguridad (seguridad en vehículos automotores, lesiones y conmociones cerebrales traumáticas, caídas, abuso infantil, abuso de medicinas recetadas, suicidio, datos sobre lesiones…) E








Salud ambiental (contaminación del aire, biomonitorización, monóxido de carbono, plomo, sustancias tóxicas, moho…) F








Salud ocupacional (asbesto, seguridad de sustancias químicas, construcción, minería, entornos de oficinas, respiradores…) G








Salud global (Sida en el mundo, paludismo o malaria, detección de enfermedades, poliomielitis, influenza o gripe) I








Salud del viajero (destinos, brotes, vacunas para viajeros, el libro Amarillo o Yellow Book…) C








Etapas de la vida y poblaciones (bebés y niños, Discapacidades, hombres, minorías, embarazo, ancianos, mujeres...) H








Sector estatal, tribal, local y territorial (área de trabajo de la salud pública, planeación de programas, desarrollo profesional, apoyo tribal...) J








Brotes (brotes internacionales, brotes en los Estados Unidos, brotes relacionados con los alimentos…) L








Otro, por favor especifique: K





SPCWS06064 K Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Health Topic
SPCWS06065 A ¿Qué tema buscaba en específico? TDAH
Radio button, one-up vertical Single Y Skip Logic Group DiseaseCond



Artritis









Asma









Autismo









Defectos de nacimiento o congénitos









Cáncer









Diabetes









Epilepsia









Síndrome alcohólico fetal









Influenza (gripe)









Enfermedad de manos, pies y boca









Enfermedades cardiacas









Hepatitis









VIH/Sida









VPH









Meningitis









SARM (Staphylococcus Aureus resistente a la meticilina)









Obesidad









Salmonella









Enfermedades transmitidas sexualmente (VPH, clamidia, gonorrea, etc.)









Culebrilla o herpes zóster









Accidentes cerebrovasculares









Tuberculosis









Enfermedades relacionadas con el agua









Otro, por favor especifique: L





SPCWS06066 L Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth diseascond
SPCWS06067 B ¿Qué tema buscaba en específico? Envejecimiento
Radio button, one-up vertical Single Y
Healthy Living



Defectos de nacimiento o congénitos









IMC (Índice de masa corporal)









Salud de los huesos









Lactancia materna









Desarrollo infantil









Consumo excesivo del alcohol









Higiene de los alimentos









Genética y genómica









Salud mental









Nutrición









Actividad física y ejercicio









Salud reproductiva









Salud sexual









Sueño y trastornos del sueño









Tabaquismo









Vacunas e inmunización









Otro, por favor especifique: M





SPCWS06068 M Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group

SPCWS06069 C ¿Qué tema buscaba en específico? Guía Amarilla del Viajero (Información de salud de los CDC para los viajeros internacionales)
Radio button, one-up vertical Single Y Skip Logic Group Travelers Health



Destinos









Enfermedades relacionadas con los viajes (como paludismo o malaria y fiebre amarilla)









Enfermedades y lesiones en el extranjero (qué hacer si se enferma durante su viaje)









Preparación para un viaje









Cómo mantenerse seguro y saludable (protección contra insectos, agua y alimentos seguros y guía de supervivencia)









Vacunas









Otro, por favor especifique: N





SPCWS06070 N Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Travelers
SPCWS06071 D ¿Qué tema buscaba en específico? Bioterrorismo (carbunco o anthrax, peste, viruela)
Radio button, one-up vertical Single Y Skip Logic Group Emerg Prepare



Emergencias con sustancias químicas (ricina, cloro, agentes nerviosos)









Cómo hacerle frente a un desastre









Víctimas masivas (explosiones, ondas expansivas, lesiones)









Desastres naturales y mal tiempo (terremotos, huracanes, volcanes, ola invernal)









Preparación y planificación de riesgos









Emergencias por radiación ("bombas sucias", explosiones nucleares)









Brotes e incidentes recientes (salmonella, melamina)









Vigilancia epidemiológica









Otro, por favor especifique: O





SPCWS06072 O Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Emerg
SPCWS06073 E ¿Qué tema buscaba en específico? Cuidados agudos (respuesta a lesiones)
Radio button, one-up vertical Single Y
Injury



Lesiones en adolescentes









Abuso o maltrato infantil









Asfixia









Conmociones o lesiones cerebrales









Mordeduras de perro









Ahogamientos









Maltrato de ancianos









Lesiones por explosiones y onda expansiva









Caídas en adultos de edad avanzada









Lesiones producidas por el fuego









Fuegos artificiales









Violencia de pareja









Victimas masivas









Lesiones relacionadas con vehículos automotores









Intoxicación y envenenamiento









Prevención de lesiones y violencia









Violencia sexual









Suicidio









Violencia









Otro, por favor especifique: P





SPCWS06074 P Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Injury
SPCWS06075 F ¿Qué tema buscaba en específico? Calidad del aire
Radio button, one-up vertical Single Y
Enviro



Asbesto









Asma









Biomonitorización









Envenamiento con monóxido de carbono









Prevención del envenenamiento infantil por plomo









Cambio climático









Salud en los cruceros









Condiciones climáticas extremas









Moho









Desastres naturales









Protección contra el sol









Estudios sobre la radiación









Control de roedores









Tabaquismo









Agua









Otro, por favor especifique: Q





SPCWS06076 Q Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Enviro
SPCWS06077 G ¿Qué tema buscaba en específico? Asbesto
Radio button, one-up vertical Single Y Skip Logic Group Workplace



Infecciones transmitidas por la sangre









Seguridad de sustancias químicas









Construcción









Seguridad eléctrica









Preparación y respuesta a emergencias









Trastornos ergonómicos y musculoesqueléticos









Protección de los ojos









Caídas









Estrés por calor/frío









seguridad con maquinaria









Minería









Ruido/pérdida auditiva









Entornos de oficina









Ropa de protección









Respiradores









Estrés









Violencia









Prevención y seguridad en el sitio de trabajo









Otro, por favor especifique: R





SPCWS06078 R Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Workplace
SPCWS06079 H ¿Qué tema buscaba en específico? Adolescentes
Radio button, one-up vertical Single Y
Life



Niños









Personas con discapacidades









Familias









Bebés y niños pequeños









Hombres









Adultos mayores y ancianos









Padres









Embarazo









Mujeres









Adultos jóvenes









Otro, por favor especifique: H





SPCWS06080 S Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Life
SPCWS06081 I ¿Qué tema buscaba en específico? Programa de capacitación de epidemiólogos de campo
Radio button, one-up vertical Single Y
Global



Detección global de enfermedades









Iniciativas de salud global









VIH/sida en el mundo









Vacunación global









Haití









Programa Internacional de Emergencia y Salud de los Refugiados









Parásitos









Otro, por favor especifique: T





SPCWS06082 T Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Global
SPCWS06083 J ¿Qué tema buscaba en específico? Mejores prácticas
Radio button, one-up vertical Single Y Skip Logic Group State Tribal



Acuerdos de cooperación









Financiamiento y subvenciones









Políticas









Estrategias y planeación









Capacitación









Otro, por favor especifique: U





SPCWS06084 U Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth State Tribal
SPACQWro0010097 L ¿Qué tema buscaba en específico? Brotes relacionados con viajes
Radio button, one-up vertical Single Y Skip Logic Group 1.11 Outbreaks



Brotes internacionales









Brotes en los Estados Unidos









Brotes relacionados con los alimentos









Otro, por favor especifique: V





SPACQWro0010098 V Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group 1.11Oth Outbreaks
SPCWS06085
¿Cuál de los siguientes describe mejor el tipo de información que buscaba? Información general del tema de salud seleccionado
Radio button, one-up vertical Single Y OPS Group Type of Info



Información general sobre síntomas, causas, factores de riesgo, pruebas o tratamientos









Datos y estadísticas









Investigaciones científicas, artículos, publicaciones y revistas









Directrices y recomendaciones para personal de atención médica









Capacitación profesional para personal de atención médica, investigadores, profesionales de salud pública, etc.









Materiales educativos









Campañas e iniciativas









Subvenciones y oportunidades de financiamiento









Herramientas, programas informáticos, sistemas y otros recursos









Materiales impresos (hojas informativas, folletos, afiches, etc.)









Materiales de multimedia (podcasts, videos, widgets, etc.)









Empleos y desarrollo profesional









Otro, por favor especifique: A





SPCWS06086 A Indique el otro tipo de información que buscaba:

Text area, no char limit

OPS Group Other Info
SPCWS06087
¿Pudo encontrar lo que buscaba?
Radio button, one-up vertical
Y Skip Logic Group Find Info



Parcialmente A








No, todavía sigo buscando. A





SPCWS06088 A ¿Qué información estaba buscando?

Text area, no char limit

Skip Logic Group Unable to Find
SPACQOsl0003358
Planeo usar la información que encuentre hoy para: Mi propia salud o la de mi familia A Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



Mi amigo o familiar (que no vive conmigo)









Para un consultorio médico / hospital









Para un paciente o cliente









Para una agencia de salud pública









Para una institución de investigación









Para una empresa / sitio de trabajo









Para una institución educativa o para enseñanza









Para una escuela / para una clase









Otro, especifique B





SPACQWro0010091 A Con base en la información que encontré, planeo hacer cambios en mi estilo de vida o el de mi familia: Completamente de acuerdo
Radio button, one-up vertical Single Y Skip Logic Group 4.1 Behavior Change



De acuerdo









En desacuerdo C








Completamente en desacuerdo C








No corresponde






SPACQWro0010092 C ¿Por qué es muy poco probable que haga algún cambio para mejorar su salud?

Text area, no char limit Single
Skip Logic Group 4.2Unlikely Change
SPACQOsl0003359 B Por favor, especifique de qué manera utilizará la información que está buscando hoy:

Text area, no char limit

Skip Logic Group 4.Oth How will use
SPACQOsl0004055
¿Consultaría la información de los CDC a través de otros canales o aparatos electrónicos? [Seleccione todas las opciones que correspondan]: Facebook
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



Google+









LinkedIn









Twitter









Sitio web móvil









Aplicaciones móviles o "apps"









Mensajes de texto









Videos en línea









Podcasts









Blogs









Tarjetas electrónicas









Widgets (es decir, un módulo o aplicación que puede añadir a su sitio web o página personalizada de Internet como iGoogle o MyYahoo!)









Actualizaciones por correo electrónico









Canales RSS









Nada de lo anterior









Otro, por favor especifique:






SPCWS06098
¿Con qué frecuencia utiliza usted el sitio web CDC en Español ? Diariamente
Radio button, one-up vertical Single Y
Frequency



Semanalmente









Mensualmente









Un par de veces al año









Alrededor de una vez al año









Esta es mi primera vez






SPCWS06099
¿Cuál describe mejor la razón principal para visitar hoy el sitio web CDC.gov? Persona interesada en temas de salud
Radio button, one-up vertical Single Y Skip Logic Group Role



Viajero









Profesional de atención médica (doctor, enfermera, asistente médico, personal de enfermería especializado, farmaceuta u otro prestador de atención médica) B, C








Empleado de una agencia de salud pública o profesional de salud pública D, E








Científico o investigador









Educador maestro o instructor









Estudiante









Asesor de temas de seguridad









Gerente de empresa









Periodista o miembro de los medios de comunicación









Personal de respuesta a emergencias









Personal de seguridad pública









Funcionario oficial, legislador o miembro de su personal









Becario/beneficiario de subvención









Empleado, contratista o personal de los CDC









Otro, por favor especifique: A





SPCWS06100 A Indique su función:

Text area, no char limit
N Skip Logic Group Provider role
SPCWS06101 B ¿Cuál de las siguientes opciones le describe mejor? Médico que da consultas por lo menos 2 días a la semana
Radio button, one-up vertical Single Y





Médico, principalmente realizando investigaciones









Personal de enfermería









Asistente médico









Farmaceuta o asistente de farmaceuta









Otro tipo de profesional de atención médica, por favor especifique: F





SPCWS06102 G Indique su función:

Text area, no char limit
N Skip Logic Group Other Provider
SPCWS06103 C ¿Cuál de las siguientes opciones describe mejor su sitio de trabajo? Hospital
Radio button, one-up vertical Single Y
Provider Location



Consultorio médico grande









Consultorio médico pequeño









Organización sin ánimo de lucro









Institución que realiza investigaciones









Otro, por favor especifique: G





SPCWS06104 G Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Prov Location
SPCWS06105 D ¿Cuál de las siguientes opciones le describe mejor? Promotor de salud pública
Radio button, one-up vertical Single Y





Educador de temas de salud









Comunicador de temas de salud









Administrador









Epidemiólogo









Científico investigador









Personal administrativo









Otro, por favor especifique: H





SPCWS06106 H Indique su función:

Text area, no char limit
N Skip Logic Group Other Public
SPCWS06107 E ¿Cuál de los siguientes describe el lugar donde trabaja? Sector público o comercial
Radio button, one-up vertical Single Y





Organización sin ánimo de lucro









Agencia de salud pública federal









Agencia de salud pública estatal









Agencia de salud pública local









Agencia de salud pública territorial









Agencia de salud pública tribal









Otro, por favor especifique: I





SPCWS06108 I Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Pub Location
SPCWS06109
¿Cuál de las siguientes fuentes le motivó a visitar hoy este sitio web? [Designe los 3 principales, asignando el número 1 al más importante]:
Primer lugar: 1 (requerido)
Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube









Anuncio en Facebook o Twitter



Randomize




Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06110
Segundo lugar: 2 (opcional) Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




Anuncio en Facebook o Twitter









Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06111
Tercer lugar: 2 (opcional) Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




Anuncio en Facebook o Twitter









Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06112
Si escuchó sobre este sitio web en una de las redes sociales, especifique el sitio (p. ej., Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
SPCWS06113
¿Qué edad tiene? 19 años o menos
Radio button, one-up vertical Single Y
Age



20-34 años de edad









35-49 años de edad









50-64 años de edad









65 años o más









Prefiero no contestar






SPCWS06114
¿Cómo se describiría usted? Blanco
Checkbox, one-up vertical Multi Y
Ethnicity



Hispano o latino









Asiático









Negro o afroamericano









Indoamericano o nativo de Alaska









Nativo de Hawái o de otras islas del Pacífico









Prefiero no contestar






SPCWS06115
¿Cuál es el nivel más alto de estudios que ha completado? Escuela secundaria superior (high school) o menos
Radio button, one-up vertical Single Y
Education



Algunos estudios universitarios









Graduado universitario









Posgrado









Prefiero no contestar






SPCWS06116
¿Cuál es su sexo? Femenino
Radio button, one-up vertical Single Y
Gender



Masculino









Transgénero









Prefiero no contestar

















SPCWS06117
¿En qué país reside? Estados Unidos




Country



Afganistán









Albania









Alemania









Andorra









Angola









Anguilla









Antártida









Antigua y Barbuda









Antillas Holandesas









Arabia Saudita









Argelia









Argentina









Armenia









Aruba









Australia









Austria









Azerbaiyán









Bahamas









Bahrein









Bangladesh









Barbados









Bélgica









Belice









Benín









Bielorrusia









Bolivia









Bosnia-Herzegovina









Botswana









Brasil









Brunei Darussalam









Bulgaria









Burkina Faso









Burundi









Bután









Cabo Verde









Camboya









Camerún









Canadá









Chad









Chile









China









Chipre









Colombia









Comoras









Congo









Corea del Norte









Corea del Sur









Costa de Marfil









Costa Rica









Croacia









Cuba









Dinamarca









Djibouti









Dominica









Ecuador









Egipto









El Salvador









Emiratos Árabes Unidos









Eritrea









Eslovaquia









Eslovenia









España









Estonia









Etiopía









Federación Rusa









Fiji









Filipinas









Finlandia









Francia









Gabón









Gambia









Georgia









Ghana









Gibraltar









Grecia









Grenada









Groenlandia









Guadeloupe









Guam









Guatemala









Guayana francesa









Guinea









Guinea Ecuatorial









Guinea-Bissau









Guyana









Haití









Holanda









Honduras









Hong Kong









Hungría









India









Indonesia









Irán









Iraq









Irlanda









Isla Bouvet









Isla Navidad









Isla Norfolk









Islandia









Islas Bermudas









Islas Caimán









Islas Cocos









Islas Cook









Islas Faroe









Islas Heard/McDonald









Islas Malvinas o Falkland









Islas Marianas del Norte









Islas Marshall









Islas Solomón









Islas Turcas y Caicos









Islas Ultramarinas de Estados Unidos









Islas Vírgenes, británicas









Islas Vírgenes, de EE. UU.









Israel









Italia









Jamaica









Japón









Jordania









Kazajstán









Kenya









Kirguistán









Kiribati









Kuwait









Laos









Latvia









Lesotho









Líbano









Liberia









Libia









Liechtenstein









Lituania









Luxemburgo









Macao









Macedonia









Madagascar









Malasia









Malawi









Maldivas









Mali









Malta









Marruecos









Martinica









Mauricio









Mauritania









Mayotte









México









Micronesia









Moldova









Mónaco









Mongolia









Montserrat









Mozambique









Myanmar









Namibia









Nauru









Nepal









Nicaragua









Níger









Nigeria









Niue









Noruega









Nueva Caledonia









Nueva Zelandia









Omán









Pakistán









Palau









Panamá









Papua Nueva Guinea









Paraguay









Perú









Pitcairn









Polinesia Francesa









Polonia









Portugal









Puerto Rico









Qatar









Reino Unido









República Centroafricana









República Checa









República Democrática del Congo









República Dominicana









Réunion









Ruanda









Rumania









S. Islas Georgia del sur y Sándwich del Sur









Sahara Occidental









Saint Kitts/Nevis









Saint Pierre/Miquelon









Samoa









Samoa Americana









San Marino









San Vicente y las Granadinas









Santa Elena









Santa Lucía









Santa Sede/Ciudad del Vaticano









Santo Tomé y Príncipe









Senegal









Seychelles









Sierra Leona









Singapur









Siria









Somalia









Sri Lanka









Sudáfrica









Sudán









Suecia









Suiza









Suriname









Islas Svalbard y Jan Mayen









Swazilandia









Tailandia









Taiwán









Tanzania









Tayikistán









Territorio británico del Océano Índico









Territorios Franceses del Sur









Territorios palestinos









Timor Oriental









Togo









Tokelau









Tonga









Trinidad y Tobago









Túnez









Turkmenistán









Turquía









Tuvalu









Ucrania









Uganda









Uruguay









Uzbekistán









Vanuatu









Venezuela









Vietnam









Wallis y Futuna









Yemen









Yugoslavia









Zambia









Zimbabwe






SPCWS06118
Si pudiera sugerir un cambio para mejorar el sitio web de los CDC, ¿cuál sería su recomendación?

Text area, no char limit
N
One Improvement

Sheet 15: SP Custom Qsts (1-4-12)

Model Instance Name:

red & strike-through: DELETE






CDC (Jan 2011-present) - Spanish

underlined & italicized: RE-ORDER






MID: QEtRNNchocpRY99oZMsNZQ==
pink: ADDITION






Date: 3/1/2008 blue + -->: REWORDING

















CDC (Jan 2011-present) - Spanish CUSTOM QUESTION LIST
QID 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
SPCWS06063
¿Qué categoría describe mejor el tema de salud que está buscando? Enfermedades y afecciones (TDAH, defectos de nacimiento, cáncer, diabetes, síndrome alcohólico fetal, influenza o gripe, hepatitis, VIH/sida, ETS...) A Radio button, one-up vertical Single Y Skip Logic Group Health Topic



Vida saludable (seguridad de los alimentos, salud de los huesos, actividad física, vacunas, genética, salud sexual, prevención del tabaquismo...) B








Preparación y respuesta para casos de emergencias (bioterrorismo, emergencias por sustancias químicas y radiación, mal tiempo…) D








Lesiones, violencia y seguridad (seguridad en vehículos automotores, lesiones y conmociones cerebrales traumáticas, caídas, abuso infantil, abuso de medicinas recetadas, suicidio, datos sobre lesiones…) E








Salud ambiental (contaminación del aire, biomonitorización, monóxido de carbono, plomo, sustancias tóxicas, moho…) F








Salud ocupacional (asbesto, seguridad de sustancias químicas, construcción, minería, entornos de oficinas, respiradores…) G








Salud global (Sida en el mundo, paludismo o malaria, detección de enfermedades, poliomielitis, influenza o gripe) I








Salud del viajero (destinos, brotes, vacunas para viajeros, el libro Amarillo o Yellow Book…) C








Etapas de la vida y poblaciones (bebés y niños, hombres, minorías, embarazo, ancianos, mujeres...) H








Sector estatal, tribal, local y territorial (área de trabajo de la salud pública, planeación de programas, desarrollo profesional, apoyo tribal...) J








Brotes (brotes internacionales, brotes en los Estados Unidos, brotes relacionados con los alimentos…) L








Otro, por favor especifique: K





SPCWS06064 K Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Health Topic
SPCWS06065 A ¿Qué tema buscaba en específico? TDAH
Radio button, one-up vertical Single Y Skip Logic Group DiseaseCond



Artritis









Asma









Autismo









Defectos de nacimiento o congénitos









Cáncer









Diabetes









Epilepsia









Síndrome alcohólico fetal









Influenza (gripe)









Enfermedad de manos, pies y boca









Enfermedades cardiacas









Hepatitis









VIH/Sida









VPH









Meningitis









SARM (Staphylococcus Aureus resistente a la meticilina)









Obesidad









Salmonella









Enfermedades transmitidas sexualmente (VPH, clamidia, gonorrea, etc.)









Culebrilla o herpes zóster









Accidentes cerebrovasculares









Tuberculosis









Enfermedades relacionadas con el agua









Otro, por favor especifique: L





SPCWS06066 L Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth diseascond
SPCWS06067 B ¿Qué tema buscaba en específico? Envejecimiento
Radio button, one-up vertical Single Y
Healthy Living



Defectos de nacimiento o congénitos









IMC (Índice de masa corporal)









Salud de los huesos









Lactancia materna









Desarrollo infantil









Consumo excesivo del alcohol









Higiene de los alimentos









Genética y genómica









Salud mental









Nutrición









Actividad física y ejercicio









Salud reproductiva









Salud sexual









Sueño y trastornos del sueño









Tabaquismo









Vacunas e inmunización









Otro, por favor especifique: M





SPCWS06068 M Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group

SPCWS06069 C ¿Qué tema buscaba en específico? Guía Amarilla del Viajero (Información de salud de los CDC para los viajeros internacionales)
Radio button, one-up vertical Single Y Skip Logic Group Travelers Health



Destinos









Enfermedades relacionadas con los viajes (como paludismo o malaria y fiebre amarilla)









Enfermedades y lesiones en el extranjero (qué hacer si se enferma durante su viaje)









Preparación para un viaje









Cómo mantenerse seguro y saludable (protección contra insectos, agua y alimentos seguros y guía de supervivencia)









Vacunas









Otro, por favor especifique: N





SPCWS06070 N Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Travelers
SPCWS06071 D ¿Qué tema buscaba en específico? Bioterrorismo (carbunco o anthrax, peste, viruela)
Radio button, one-up vertical Single Y Skip Logic Group Emerg Prepare



Emergencias con sustancias químicas (ricina, cloro, agentes nerviosos)









Cómo hacerle frente a un desastre









Víctimas masivas (explosiones, ondas expansivas, lesiones)









Desastres naturales y mal tiempo (terremotos, huracanes, volcanes, ola invernal)









Preparación y planificación de riesgos









Emergencias por radiación ("bombas sucias", explosiones nucleares)









Brotes e incidentes recientes (salmonella, melamina)









Vigilancia epidemiológica









Otro, por favor especifique: O





SPCWS06072 O Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Emerg
SPCWS06073 E ¿Qué tema buscaba en específico? Cuidados agudos (respuesta a lesiones)
Radio button, one-up vertical Single Y
Injury



Lesiones en adolescentes









Abuso o maltrato infantil









Asfixia









Conmociones o lesiones cerebrales









Mordeduras de perro









Ahogamientos









Maltrato de ancianos









Lesiones por explosiones y onda expansiva









Caídas en adultos de edad avanzada









Lesiones producidas por el fuego









Fuegos artificiales









Violencia de pareja









Victimas masivas









Lesiones relacionadas con vehículos automotores









Intoxicación y envenenamiento









Prevención de lesiones y violencia









Violencia sexual









Suicidio









Violencia









Otro, por favor especifique: P





SPCWS06074 P Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Injury
SPCWS06075 F ¿Qué tema buscaba en específico? Calidad del aire
Radio button, one-up vertical Single Y
Enviro



Asbesto









Asma









Biomonitorización









Envenamiento con monóxido de carbono









Prevención del envenenamiento infantil por plomo









Cambio climático









Salud en los cruceros









Condiciones climáticas extremas









Moho









Desastres naturales









Protección contra el sol









Estudios sobre la radiación









Control de roedores









Tabaquismo









Agua









Otro, por favor especifique: Q





SPCWS06076 Q Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Enviro
SPCWS06077 G ¿Qué tema buscaba en específico? Asbesto
Radio button, one-up vertical Single Y Skip Logic Group Workplace



Infecciones transmitidas por la sangre









Seguridad de sustancias químicas









Construcción









Seguridad eléctrica









Preparación y respuesta a emergencias









Trastornos ergonómicos y musculoesqueléticos









Protección de los ojos









Caídas









Estrés por calor/frío









seguridad con maquinaria









Minería









Ruido/pérdida auditiva









Entornos de oficina









Ropa de protección









Respiradores









Estrés









Violencia









Prevención y seguridad en el sitio de trabajo









Otro, por favor especifique: R





SPCWS06078 R Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Workplace
SPCWS06079 H ¿Qué tema buscaba en específico? Adolescentes
Radio button, one-up vertical Single Y
Life



Niños









Familias









Bebés y niños pequeños









Hombres









Adultos mayores y ancianos









Padres









Embarazo









Mujeres









Adultos jóvenes









Otro, por favor especifique: H





SPCWS06080 S Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Life
SPCWS06081 I ¿Qué tema buscaba en específico? Programa de capacitación de epidemiólogos de campo
Radio button, one-up vertical Single Y
Global



Detección global de enfermedades









Iniciativas de salud global









VIH/sida en el mundo









Vacunación global









Haití









Programa Internacional de Emergencia y Salud de los Refugiados









Parásitos









Otro, por favor especifique: T





SPCWS06082 T Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Global
SPCWS06083 J ¿Qué tema buscaba en específico? Mejores prácticas
Radio button, one-up vertical Single Y Skip Logic Group State Tribal



Acuerdos de cooperación









Financiamiento y subvenciones









Políticas









Estrategias y planeación









Capacitación









Otro, por favor especifique: U





SPCWS06084 U Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth State Tribal
SPACQWro0010097 L ¿Qué tema buscaba en específico? Brotes relacionados con viajes
Radio button, one-up vertical Single Y Skip Logic Group 1.11 Outbreaks



Brotes internacionales









Brotes en los Estados Unidos









Brotes relacionados con los alimentos









Otro, por favor especifique: V





SPACQWro0010098 V Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group 1.11Oth Outbreaks
SPCWS06085
¿Cuál de los siguientes describe mejor el tipo de información que buscaba? Información general del tema de salud seleccionado
Radio button, one-up vertical Single Y OPS Group Type of Info



Información general sobre síntomas, causas, factores de riesgo, pruebas o tratamientos









Datos y estadísticas









Investigaciones científicas, artículos, publicaciones y revistas









Directrices y recomendaciones para personal de atención médica









Capacitación profesional para personal de atención médica, investigadores, profesionales de salud pública, etc.









Materiales educativos









Campañas e iniciativas









Subvenciones y oportunidades de financiamiento









Herramientas, programas informáticos, sistemas y otros recursos









Materiales impresos (hojas informativas, folletos, afiches, etc.)









Materiales de multimedia (podcasts, videos, widgets, etc.)









Empleos y desarrollo profesional









Otro, por favor especifique: A





SPCWS06086 A Indique el otro tipo de información que buscaba:

Text area, no char limit

OPS Group Other Info
SPCWS06087
¿Pudo encontrar lo que buscaba?
Radio button, one-up vertical
Y Skip Logic Group Find Info



Parcialmente A








No, todavía sigo buscando. A





SPCWS06088 A ¿Qué información estaba buscando?

Text area, no char limit

Skip Logic Group Unable to Find
SPACQOsl0003358
Planeo usar la información que encuentre hoy para: Mi propia salud o la de mi familia A Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



Mi amigo o familiar (que no vive conmigo)









Para un consultorio médico / hospital









Para un paciente o cliente









Para una agencia de salud pública









Para una institución de investigación









Para una empresa / sitio de trabajo









Para una institución educativa o para enseñanza









Para una escuela / para una clase









Otro, especifique B





SPACQWro0010091 A Con base en la información que encontré, planeo hacer cambios en mi estilo de vida o el de mi familia: Completamente de acuerdo
Radio button, one-up vertical Single Y Skip Logic Group 4.1 Behavior Change



De acuerdo









En desacuerdo C








Completamente en desacuerdo C








No corresponde






SPACQWro0010092 C ¿Por qué es muy poco probable que haga algún cambio para mejorar su salud?

Text area, no char limit Single
Skip Logic Group 4.2Unlikely Change
SPACQOsl0003359 B Por favor, especifique de qué manera utilizará la información que está buscando hoy:

Text area, no char limit

Skip Logic Group 4.Oth How will use
SPACQOsl0004055
¿Consultaría la información de los CDC a través de otros canales o aparatos electrónicos? [Seleccione todas las opciones que correspondan]: Facebook
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



Google+









LinkedIn









Twitter









Sitio web móvil









Aplicaciones móviles o "apps"









Mensajes de texto









Videos en línea









Podcasts









Webinars









Blogs









Tarjetas electrónicas









Widgets (es decir, un módulo o aplicación que puede añadir a su sitio web o página personalizada de Internet como iGoogle o MyYahoo!)









Actualizaciones por correo electrónico









Canales RSS









Nada de lo anterior









Otro, por favor especifique:






SPCWS06098
¿Con qué frecuencia utiliza usted el sitio web CDC en Español ? Diariamente
Radio button, one-up vertical Single Y
Frequency



Semanalmente









Mensualmente









Un par de veces al año









Alrededor de una vez al año









Esta es mi primera vez






SPCWS06099
¿Cuál describe mejor la razón principal para visitar hoy el sitio web CDC.gov? Persona interesada en temas de salud
Radio button, one-up vertical Single Y Skip Logic Group Role



Viajero









Profesional de atención médica (doctor, enfermera, asistente médico, personal de enfermería especializado, farmaceuta u otro prestador de atención médica) B, C








Empleado de una agencia de salud pública o profesional de salud pública D, E








Científico o investigador









Educador maestro o instructor









Estudiante









Asesor de temas de seguridad









Gerente de empresa









Periodista o miembro de los medios de comunicación









Personal de respuesta a emergencias









Personal de seguridad pública









Funcionario oficial, legislador o miembro de su personal









Becario/beneficiario de subvención









Empleado, contratista o personal de los CDC









Otro, por favor especifique: A





SPCWS06100 A Indique su función:

Text area, no char limit
N Skip Logic Group Provider role
SPCWS06101 B ¿Cuál de las siguientes opciones le describe mejor? Médico que da consultas por lo menos 2 días a la semana
Radio button, one-up vertical Single Y





Médico, principalmente realizando investigaciones









Personal de enfermería









Asistente médico









Farmaceuta o asistente de farmaceuta









Otro tipo de profesional de atención médica, por favor especifique: F





SPCWS06102 G Indique su función:

Text area, no char limit
N Skip Logic Group Other Provider
SPCWS06103 C ¿Cuál de las siguientes opciones describe mejor su sitio de trabajo? Hospital
Radio button, one-up vertical Single Y
Provider Location



Consultorio médico grande









Consultorio médico pequeño









Organización sin ánimo de lucro









Institución que realiza investigaciones









Otro, por favor especifique: G





SPCWS06104 G Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Prov Location
SPCWS06105 D ¿Cuál de las siguientes opciones le describe mejor? Promotor de salud pública
Radio button, one-up vertical Single Y





Educador de temas de salud









Comunicador de temas de salud









Administrador









Epidemiólogo









Científico investigador









Personal administrativo









Otro, por favor especifique: H





SPCWS06106 H Indique su función:

Text area, no char limit
N Skip Logic Group Other Public
SPCWS06107 E ¿Cuál de los siguientes describe el lugar donde trabaja? Sector público o comercial
Radio button, one-up vertical Single Y





Organización sin ánimo de lucro









Agencia de salud pública federal









Agencia de salud pública estatal









Agencia de salud pública local









Agencia de salud pública territorial









Agencia de salud pública tribal









Otro, por favor especifique: I





SPCWS06108 I Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Pub Location
SPCWS06109
¿Cuál de las siguientes fuentes le motivó a visitar hoy este sitio web? [Designe los 3 principales, asignando el número 1 al más importante]:
Primer lugar: 1 (requerido)
Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube









Anuncio en Facebook o Twitter



Randomize




Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06110
Segundo lugar: 2 (opcional) Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




Anuncio en Facebook o Twitter









Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06111
Tercer lugar: 2 (opcional) Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




Anuncio en Facebook o Twitter









Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06112
Si escuchó sobre este sitio web en una de las redes sociales, especifique el sitio (p. ej., Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
SPCWS06113
¿Qué edad tiene? 19 años o menos
Radio button, one-up vertical Single Y
Age



20-34 años de edad









35-49 años de edad









50-64 años de edad









65 años o más









Prefiero no contestar






SPCWS06114
¿Cómo se describiría usted? Blanco
Checkbox, one-up vertical Multi Y
Ethnicity



Hispano o latino









Asiático









Negro o afroamericano









Indoamericano o nativo de Alaska









Nativo de Hawái o de otras islas del Pacífico









Prefiero no contestar






SPCWS06115
¿Cuál es el nivel más alto de estudios que ha completado? Escuela secundaria superior (high school) o menos
Radio button, one-up vertical Single Y
Education



Algunos estudios universitarios









Graduado universitario









Posgrado









Prefiero no contestar






SPCWS06116
¿Cuál es su sexo? Femenino
Radio button, one-up vertical Single Y
Gender



Masculino









Transgénero









Prefiero no contestar

















SPCWS06117
¿En qué país reside? Estados Unidos




Country



Afganistán









Albania









Alemania









Andorra









Angola









Anguilla









Antártida









Antigua y Barbuda









Antillas Holandesas









Arabia Saudita









Argelia









Argentina









Armenia









Aruba









Australia









Austria









Azerbaiyán









Bahamas









Bahrein









Bangladesh









Barbados









Bélgica









Belice









Benín









Bielorrusia









Bolivia









Bosnia-Herzegovina









Botswana









Brasil









Brunei Darussalam









Bulgaria









Burkina Faso









Burundi









Bután









Cabo Verde









Camboya









Camerún









Canadá









Chad









Chile









China









Chipre









Colombia









Comoras









Congo









Corea del Norte









Corea del Sur









Costa de Marfil









Costa Rica









Croacia









Cuba









Dinamarca









Djibouti









Dominica









Ecuador









Egipto









El Salvador









Emiratos Árabes Unidos









Eritrea









Eslovaquia









Eslovenia









España









Estonia









Etiopía









Federación Rusa









Fiji









Filipinas









Finlandia









Francia









Gabón









Gambia









Georgia









Ghana









Gibraltar









Grecia









Grenada









Groenlandia









Guadeloupe









Guam









Guatemala









Guayana francesa









Guinea









Guinea Ecuatorial









Guinea-Bissau









Guyana









Haití









Holanda









Honduras









Hong Kong









Hungría









India









Indonesia









Irán









Iraq









Irlanda









Isla Bouvet









Isla Navidad









Isla Norfolk









Islandia









Islas Bermudas









Islas Caimán









Islas Cocos









Islas Cook









Islas Faroe









Islas Heard/McDonald









Islas Malvinas o Falkland









Islas Marianas del Norte









Islas Marshall









Islas Solomón









Islas Turcas y Caicos









Islas Ultramarinas de Estados Unidos









Islas Vírgenes, británicas









Islas Vírgenes, de EE. UU.









Israel









Italia









Jamaica









Japón









Jordania









Kazajstán









Kenya









Kirguistán









Kiribati









Kuwait









Laos









Latvia









Lesotho









Líbano









Liberia









Libia









Liechtenstein









Lituania









Luxemburgo









Macao









Macedonia









Madagascar









Malasia









Malawi









Maldivas









Mali









Malta









Marruecos









Martinica









Mauricio









Mauritania









Mayotte









México









Micronesia









Moldova









Mónaco









Mongolia









Montserrat









Mozambique









Myanmar









Namibia









Nauru









Nepal









Nicaragua









Níger









Nigeria









Niue









Noruega









Nueva Caledonia









Nueva Zelandia









Omán









Pakistán









Palau









Panamá









Papua Nueva Guinea









Paraguay









Perú









Pitcairn









Polinesia Francesa









Polonia









Portugal









Puerto Rico









Qatar









Reino Unido









República Centroafricana









República Checa









República Democrática del Congo









República Dominicana









Réunion









Ruanda









Rumania









S. Islas Georgia del sur y Sándwich del Sur









Sahara Occidental









Saint Kitts/Nevis









Saint Pierre/Miquelon









Samoa









Samoa Americana









San Marino









San Vicente y las Granadinas









Santa Elena









Santa Lucía









Santa Sede/Ciudad del Vaticano









Santo Tomé y Príncipe









Senegal









Seychelles









Sierra Leona









Singapur









Siria









Somalia









Sri Lanka









Sudáfrica









Sudán









Suecia









Suiza









Suriname









Islas Svalbard y Jan Mayen









Swazilandia









Tailandia









Taiwán









Tanzania









Tayikistán









Territorio británico del Océano Índico









Territorios Franceses del Sur









Territorios palestinos









Timor Oriental









Togo









Tokelau









Tonga









Trinidad y Tobago









Túnez









Turkmenistán









Turquía









Tuvalu









Ucrania









Uganda









Uruguay









Uzbekistán









Vanuatu









Venezuela









Vietnam









Wallis y Futuna









Yemen









Yugoslavia









Zambia









Zimbabwe






SPCWS06118
Si pudiera sugerir un cambio para mejorar el sitio web de los CDC, ¿cuál sería su recomendación?

Text area, no char limit
N
One Improvement

Sheet 16: SP Custom Qsts (12-28-11)

Model Instance Name:

red & strike-through: DELETE






CDC (Jan 2011-present) - Spanish

underlined & italicized: RE-ORDER






MID: QEtRNNchocpRY99oZMsNZQ==
pink: ADDITION






Date: 3/1/2008 blue + -->: REWORDING

















CDC (Jan 2011-present) - Spanish CUSTOM QUESTION LIST
QID 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
SPCWS06063
¿Qué categoría describe mejor el tema de salud que está buscando? Enfermedades y afecciones (TDAH, defectos de nacimiento, cáncer, diabetes, síndrome alcohólico fetal, influenza o gripe, hepatitis, VIH/sida, ETS...) A Radio button, one-up vertical Single Y Skip Logic Group Health Topic



Vida saludable (seguridad de los alimentos, salud de los huesos, actividad física, vacunas, genética, salud sexual, prevención del tabaquismo...) B








Preparación y respuesta para casos de emergencias (bioterrorismo, emergencias por sustancias químicas y radiación, mal tiempo…) D








Lesiones, violencia y seguridad (seguridad en vehículos automotores, lesiones y conmociones cerebrales traumáticas, caídas, abuso infantil, abuso de medicinas recetadas, suicidio, datos sobre lesiones…) E








Salud ambiental (contaminación del aire, biomonitorización, monóxido de carbono, plomo, sustancias tóxicas, moho…) F








Salud ocupacional (asbesto, seguridad de sustancias químicas, construcción, minería, entornos de oficinas, respiradores…) G








Salud global (Sida en el mundo, paludismo o malaria, detección de enfermedades, poliomielitis, influenza o gripe) I








Salud del viajero (destinos, brotes, vacunas para viajeros, el libro Amarillo o Yellow Book…) C








Etapas de la vida y poblaciones (bebés y niños, hombres, minorías, embarazo, ancianos, mujeres...) H








Sector estatal, tribal, local y territorial (área de trabajo de la salud pública, planeación de programas, desarrollo profesional, apoyo tribal...) J








Brotes (brotes internacionales, brotes en los Estados Unidos, brotes relacionados con los alimentos…) L








Otro, por favor especifique: K





SPCWS06064 K Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Health Topic
SPCWS06065 A ¿Qué tema buscaba en específico? TDAH
Radio button, one-up vertical Single Y Skip Logic Group DiseaseCond



Artritis









Asma









Autismo









Defectos de nacimiento o congénitos









Cáncer









Diabetes









Epilepsia









Síndrome alcohólico fetal









Influenza (gripe)









Enfermedad de manos, pies y boca









Enfermedades cardiacas









Hepatitis









VIH/Sida









VPH









Meningitis









SARM (Staphylococcus Aureus resistente a la meticilina)









Obesidad









Salmonella









Enfermedades transmitidas sexualmente (VPH, clamidia, gonorrea, etc.)









Culebrilla o herpes zóster









Accidentes cerebrovasculares









Tuberculosis









Enfermedades relacionadas con el agua









Otro, por favor especifique: L





SPCWS06066 L Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth diseascond
SPCWS06067 B ¿Qué tema buscaba en específico? Envejecimiento
Radio button, one-up vertical Single Y
Healthy Living



Defectos de nacimiento o congénitos









IMC (Índice de masa corporal)









Salud de los huesos









Lactancia materna









Desarrollo infantil









Consumo excesivo del alcohol









Higiene de los alimentos









Genética y genómica









Salud mental









Nutrición









Actividad física y ejercicio









Salud reproductiva









Salud sexual









Sueño y trastornos del sueño









Tabaquismo









Vacunas e inmunización









Otro, por favor especifique: M





SPCWS06068 M Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group

SPCWS06069 C ¿Qué tema buscaba en específico? Guía Amarilla del Viajero (Información de salud de los CDC para los viajeros internacionales)
Radio button, one-up vertical Single Y Skip Logic Group Travelers Health



Destinos









Enfermedades relacionadas con los viajes (como paludismo o malaria y fiebre amarilla)









Enfermedades y lesiones en el extranjero (qué hacer si se enferma durante su viaje)









Preparación para un viaje









Cómo mantenerse seguro y saludable (protección contra insectos, agua y alimentos seguros y guía de supervivencia)









Vacunas









Otro, por favor especifique: N





SPCWS06070 N Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Travelers
SPCWS06071 D ¿Qué tema buscaba en específico? Bioterrorismo (carbunco o anthrax, peste, viruela)
Radio button, one-up vertical Single Y Skip Logic Group Emerg Prepare



Emergencias con sustancias químicas (ricina, cloro, agentes nerviosos)









Cómo hacerle frente a un desastre









Víctimas masivas (explosiones, ondas expansivas, lesiones)









Desastres naturales y mal tiempo (terremotos, huracanes, volcanes, ola invernal)









Preparación y planificación de riesgos









Emergencias por radiación ("bombas sucias", explosiones nucleares)









Brotes e incidentes recientes (salmonella, melamina)









Vigilancia epidemiológica









Otro, por favor especifique: O





SPCWS06072 O Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Emerg
SPCWS06073 E ¿Qué tema buscaba en específico? Cuidados agudos (respuesta a lesiones)
Radio button, one-up vertical Single Y
Injury



Lesiones en adolescentes









Abuso o maltrato infantil









Asfixia









Conmociones o lesiones cerebrales









Mordeduras de perro









Ahogamientos









Maltrato de ancianos









Lesiones por explosiones y onda expansiva









Caídas en adultos de edad avanzada









Lesiones producidas por el fuego









Fuegos artificiales









Violencia de pareja









Victimas masivas









Lesiones relacionadas con vehículos automotores









Intoxicación y envenenamiento









Prevención de lesiones y violencia









Violencia sexual









Suicidio









Violencia









Otro, por favor especifique: P





SPCWS06074 P Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Injury
SPCWS06075 F ¿Qué tema buscaba en específico? Calidad del aire
Radio button, one-up vertical Single Y
Enviro



Asbesto









Asma









Biomonitorización









Envenamiento con monóxido de carbono









Prevención del envenenamiento infantil por plomo









Cambio climático









Salud en los cruceros









Condiciones climáticas extremas









Moho









Desastres naturales









Protección contra el sol









Estudios sobre la radiación









Control de roedores









Tabaquismo









Agua









Otro, por favor especifique: Q





SPCWS06076 Q Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Enviro
SPCWS06077 G ¿Qué tema buscaba en específico? Asbesto
Radio button, one-up vertical Single Y Skip Logic Group Workplace



Infecciones transmitidas por la sangre









Síndrome del túnel carpiano









Seguridad de sustancias químicas









Construcción









Seguridad eléctrica









Preparación y respuesta a emergencias









Personal de respuesta a emergencias









Trastornos ergonómicos y musculoesqueléticos









Protección de los ojos









Caídas









Pérdida de la audición









Estrés por calor/frío









Seguridad en el laboratorio









Plomo









Seguirdad con maquinaria









Minería









Seguridad en vehículos automotores









Ruido/pérdida auditiva









Entornos de oficina









Ropa de protección









Respiradores









Estrés









Violencia









Prevención y seguridad en el sitio de trabajo









Otro, por favor especifique: R





SPCWS06078 R Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Workplace
SPCWS06079 H ¿Qué tema buscaba en específico? Adolescentes
Radio button, one-up vertical Single Y
Life



Niños









Familias









Bebés y niños pequeños









Hombres









Adultos mayores y ancianos









Padres









Embarazo









Mujeres









Adultos jóvenes









Otro, por favor especifique: H





SPCWS06080 S Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Life
SPCWS06081 I ¿Qué tema buscaba en específico? Programa de capacitación de epidemiólogos de campo
Radio button, one-up vertical Single Y
Global



Detección global de enfermedades









Iniciativas de salud global









VIH/sida en el mundo









Vacunación global









Haití









Programa Internacional de Emergencia y Salud de los Refugiados









Parásitos









Otro, por favor especifique: T





SPCWS06082 T Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Global
SPCWS06083 J ¿Qué tema buscaba en específico? Mejores prácticas
Radio button, one-up vertical Single Y Skip Logic Group State Tribal



Acuerdos de cooperación









Financiamiento y subvenciones









Políticas









Estrategias y planeación









Capacitación









Otro, por favor especifique: U





SPCWS06084 U Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth State Tribal

L ¿Qué tema buscaba en específico? Brotes relacionados con viajes
Radio button, one-up vertical Single Y Skip Logic Group 1.11 Outbreaks



Brotes internacionales









Brotes en los Estados Unidos









Brotes relacionados con los alimentos









Otro, por favor especifique: V






V Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group 1.11Oth Outbreaks
SPCWS06085
¿Cuál de los siguientes describe mejor el tipo de información que buscaba? Información general del tema de salud seleccionado
Radio button, one-up vertical Single Y OPS Group Type of Info



Información general sobre síntomas, causas, factores de riesgo, pruebas o tratamientos









Datos y estadísticas









Investigaciones científicas, artículos, publicaciones y revistas









Directrices y recomendaciones para personal de atención médica









Capacitación profesional para personal de atención médica, investigadores, profesionales de salud pública, etc.









Materiales educativos









Campañas e iniciativas









Subvenciones y oportunidades de financiamiento









Herramientas, programas informáticos, sistemas y otros recursos









Materiales impresos (hojas informativas, folletos, afiches, etc.)









Materiales de multimedia (podcasts, videos, widgets, etc.)









Empleos y desarrollo profesional









Otro, por favor especifique: A





SPCWS06086 A Indique el otro tipo de información que buscaba:

Text area, no char limit

OPS Group Other Info
SPCWS06087
¿Pudo encontrar lo que buscaba?
Radio button, one-up vertical
Y Skip Logic Group Find Info



Parcialmente A








No, todavía sigo buscando. A





SPCWS06088 A ¿Qué información estaba buscando?

Text area, no char limit

Skip Logic Group Unable to Find
SPACQOsl0003358
Planeo usar la información que encuentre hoy para: Mi propia salud o la de mi familia A Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



Mi amigo o familiar (que no vive conmigo)









Para un consultorio médico / hospital









Para un paciente o cliente









Para una agencia de salud pública









Para una institución de investigación









Para una empresa / sitio de trabajo









Para una institución educativa o para enseñanza









Para una escuela / para una clase









Otro, especifique B






A Con base en la información que encontré, planeo hacer cambios en mi estilo de vida o el de mi familia: Completamente de acuerdo
Radio button, one-up vertical Single Y Skip Logic Group 4.1 Behavior Change



De acuerdo









En desacuerdo C








Completamente en desacuerdo C








No corresponde







C ¿Por qué es muy poco probable que haga algún cambio para mejorar su salud?

Text area, no char limit Single
Skip Logic Group 4.2Unlikely Change
SPACQOsl0003359 B Por favor, especifique de qué manera utilizará la información que está buscando hoy:

Text area, no char limit

Skip Logic Group 4.Oth How will use
SPCWS06091
Con base en la información que encontró, ¿qué probabilidad tiene de hacer cambios en su estilo de vida para mejorar su salud? Muy probable E Radio button, one-up vertical Single Y Skip Logic Group Change



Probablemente sí E








Probablemente no C








Muy poco probable C





SPCWS06092 C ¿Por qué es muy poco probable que haga algún cambio para mejorar su salud? Necesito más información (necesito averiguar más).
Radio button, one-up vertical Single Y Skip Logic Group Unlikely Change



No estoy listo para hacer el cambio todavía.









Ya estoy siguiendo las recomendaciones / tengo un estilo de vida saludable.









Otro, por favor especifique: D





SPCWS06093 D ¿Por qué razón es probable que no haga ningún cambio?:

Text area, no char limit

Skip Logic Group Open Unlikely Change
SPCWS06094 E ¿Qué cambio planea hacer?

Text area, no char limit

Skip Logic Group Open Change
SPACQOsl0004055
¿Consultaría la información de los CDC a través de otros canales o aparatos electrónicos? [Seleccione todas las opciones que correspondan]: Redes sociales (como Facebook)
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



Sitios de micro-blogging (como Twitter)









Facebook









Google+









LinkedIn









Twitter









Sitio web móvil









Aplicaciones móviles o "apps"









Mensajes de texto









Videos en línea









Podcasts









Webinars









Blogs









Tarjetas electrónicas









Widgets (es decir, un módulo o aplicación que puede añadir a su sitio web o página personalizada de Internet como iGoogle o MyYahoo!)









Actualizaciones por correo electrónico









Canales RSS









Nada de lo anterior









Otro, por favor especifique: A





SPACQOsl0004056 A Por favor especifique cuáles otros canales o aparatos electrónicos:




OPS Group 6. Oth Elect Channel (3.14.2011)
SPCWS06095
En el último año, ¿cuál de las siguientes actividades ha realizado? [Seleccione todas las que aplican]: Escuchó un podcast o una emisión en CDC.gov
Checkbox, one-up vertical Multi Y
SM CDC Activities



Vio un video en CDC.gov o la página de los CDC en YouTube









Visitó o "le gustó" la página de los CDC en Facebook









Siguió uno de los perfiles sociales de los CDC en Twitter









Se suscribió para recibir actualizaciones de CDC.gov por correo electrónico









Envió a alguien una tarjeta electrónica de los CDC









Usó el sitio web móvil de los CDC (m.cdc.gov) o una aplicación móvil de los CDC ("app")









Se suscribió a un programa de mensajes de texto de los CDC









Leyó uno de los blogs en CDC.gov









Usó uno de los widgets de CDC









Usó la Biblioteca de Imágenes de Salud Pública (PHIL) de los CDC









Descargó uno de los botones o letreros de los CDC









Participó en un concurso o en una competencia patrocinada por los CDC









Nada de lo anterior






SPCWS06096
En los últimos tres meses, ¿cuál de las siguientes actividades generales ha realizado en Internet? [Seleccione todas las que aplican]: Participó en sitios de interacción social en línea (Facebook, MySpace, etc.)
Checkbox, one-up vertical Multi Y
SM Activities



Usó sitios de "microblogging"(Twitter, Tumblr, Jaiku, etc.)









Exploró galerías de fotos en línea









Vio videos en un sitio web









Cargó videos en un sitio web (YouTube)









Escuchó podcasts o emisiones de audio en un sitio web









Se suscribió para recibir actualizaciones de un sitio web por correo electrónico









Se suscribió a canales RSS









Usó páginas de Internet personalizadas (My Yahoo!, iGoogle, etc.)









Añadió un widget o un gadget a su página web personalizada









Leyó blogs o wikis









Escribió un blog o colaboró en wikis









Publicó comentarios, calificaciones o reseñas en un sitio web









Envió una tarjeta electrónica a alguien:









Marcó como favoritos o etiquetó sitios de web (usando sitios sociales para clasificar como Digg)









Participó en mundos virtuales (Second Life, Whyville, etc.)









Nada de lo anterior






SPCWS06097
En los últimos tres meses, ¿cuál de las siguientes actividades generales ha realizado con su teléfono celular o aparato móvil? [Seleccione todas las que aplican]: Envió o recibió mensajes de texto
Checkbox, one-up vertical Multi Y
SM Mobile Activities



Exploró sitios web









Envió o recibió correos electrónicos









Descargó una aplicación ("app")









Vio videos









Grabó videos









Tomó fotos









Jugó un juego en línea









Escuchó música









Nada de lo anterior






SPCWS06098
¿Con qué frecuencia utiliza usted el sitio web CDC en Español ? Diariamente
Radio button, one-up vertical Single Y
Frequency



Semanalmente









Mensualmente









Un par de veces al año









Alrededor de una vez al año









Esta es mi primera vez






SPCWS06099
¿Cuál describe mejor la razón principal para visitar hoy el sitio web CDC.gov? Persona interesada en temas de salud
Radio button, one-up vertical Single Y Skip Logic Group Role



Viajero









Profesional de atención médica (doctor, enfermera, asistente médico, personal de enfermería especializado, farmaceuta u otro prestador de atención médica) B, C








Empleado de una agencia de salud pública o profesional de salud pública D, E








Científico o investigador









Educador maestro o instructor









Estudiante









Asesor de temas de seguridad









Gerente de empresa









Periodista o miembro de los medios de comunicación









Personal de respuesta a emergencias









Personal de seguridad pública









Funcionario oficial, legislador o miembro de su personal









Becario/beneficiario de subvención









Empleado, contratista o personal de los CDC









Otro, por favor especifique: A





SPCWS06100 A Indique su función:

Text area, no char limit
N Skip Logic Group Provider role
SPCWS06101 B ¿Cuál de las siguientes opciones le describe mejor? Médico que da consultas por lo menos 2 días a la semana
Radio button, one-up vertical Single Y





Médico, principalmente realizando investigaciones









Personal de enfermería









Asistente médico









Farmaceuta o asistente de farmaceuta









Otro tipo de profesional de atención médica, por favor especifique: F





SPCWS06102 G Indique su función:

Text area, no char limit
N Skip Logic Group Other Provider
SPCWS06103 C ¿Cuál de las siguientes opciones describe mejor su sitio de trabajo? Hospital
Radio button, one-up vertical Single Y
Provider Location



Consultorio médico grande









Consultorio médico pequeño









Organización sin ánimo de lucro









Institución que realiza investigaciones









Otro, por favor especifique: G





SPCWS06104 G Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Prov Location
SPCWS06105 D ¿Cuál de las siguientes opciones le describe mejor? Promotor de salud pública
Radio button, one-up vertical Single Y





Educador de temas de salud









Comunicador de temas de salud









Administrador









Epidemiólogo









Científico investigador









Personal administrativo









Otro, por favor especifique: H





SPCWS06106 H Indique su función:

Text area, no char limit
N Skip Logic Group Other Public
SPCWS06107 E ¿Cuál de los siguientes describe el lugar donde trabaja? Sector público o comercial
Radio button, one-up vertical Single Y





Organización sin ánimo de lucro









Agencia de salud pública federal









Agencia de salud pública estatal









Agencia de salud pública local









Agencia de salud pública territorial









Agencia de salud pública tribal









Otro, por favor especifique: I





SPCWS06108 I Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Pub Location
SPCWS06109
¿Cuál de las siguientes fuentes le motivó a visitar hoy este sitio web? [Designe los 3 principales, asignando el número 1 al más importante]:
Primer lugar: 1 (requerido)
Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube









A blog or discussion forum



Adjust Template/Style Sheet




Anuncio en Facebook o Twitter



Randomize




Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06110
Segundo lugar: 2 (opcional) Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




A blog or discussion forum



Randomize




Anuncio en Facebook o Twitter









Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06111
Tercer lugar: 2 (opcional) Mensaje directo de los CDC en Facebook o Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Mensaje o recomendación de un amigo en Facebook o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




A blog or discussion forum



Randomize




Anuncio en Facebook o Twitter









Sitio web móvil de los CDC









Alertas o mensajes de texto en el teléfono celular









Aplicaciones móviles o "apps"









Escaneo de un código QR









Mensaje instantáneo "IM" de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06112
Si escuchó sobre este sitio web en una de las redes sociales, especifique el sitio (p. ej., Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
SPCWS06113
¿Qué edad tiene? 19 años o menos
Radio button, one-up vertical Single Y
Age



20-34 años de edad









35-49 años de edad









50-64 años de edad









65 años o más









Prefiero no contestar






SPCWS06114
¿Cómo se describiría usted? Blanco
Checkbox, one-up vertical Multi Y
Ethnicity



Hispano o latino









Asiático









Negro o afroamericano









Indoamericano o nativo de Alaska









Nativo de Hawái o de otras islas del Pacífico









Prefiero no contestar






SPCWS06115
¿Cuál es el nivel más alto de estudios que ha completado? Escuela secundaria superior (high school) o menos
Radio button, one-up vertical Single Y
Education



Algunos estudios universitarios









Graduado universitario









Posgrado









Prefiero no contestar






SPCWS06116
¿Cuál es su sexo? Femenino
Radio button, one-up vertical Single Y
Gender



Masculino









Transgénero









Prefiero no contestar

















SPCWS06117
¿En qué país reside? Estados Unidos




Country



Afganistán









Albania









Alemania









Andorra









Angola









Anguilla









Antártida









Antigua y Barbuda









Antillas Holandesas









Arabia Saudita









Argelia









Argentina









Armenia









Aruba









Australia









Austria









Azerbaiyán









Bahamas









Bahrein









Bangladesh









Barbados









Bélgica









Belice









Benín









Bielorrusia









Bolivia









Bosnia-Herzegovina









Botswana









Brasil









Brunei Darussalam









Bulgaria









Burkina Faso









Burundi









Bután









Cabo Verde









Camboya









Camerún









Canadá









Chad









Chile









China









Chipre









Colombia









Comoras









Congo









Corea del Norte









Corea del Sur









Costa de Marfil









Costa Rica









Croacia









Cuba









Dinamarca









Djibouti









Dominica









Ecuador









Egipto









El Salvador









Emiratos Árabes Unidos









Eritrea









Eslovaquia









Eslovenia









España









Estonia









Etiopía









Federación Rusa









Fiji









Filipinas









Finlandia









Francia









Gabón









Gambia









Georgia









Ghana









Gibraltar









Grecia









Grenada









Groenlandia









Guadeloupe









Guam









Guatemala









Guayana francesa









Guinea









Guinea Ecuatorial









Guinea-Bissau









Guyana









Haití









Holanda









Honduras









Hong Kong









Hungría









India









Indonesia









Irán









Iraq









Irlanda









Isla Bouvet









Isla Navidad









Isla Norfolk









Islandia









Islas Bermudas









Islas Caimán









Islas Cocos









Islas Cook









Islas Faroe









Islas Heard/McDonald









Islas Malvinas o Falkland









Islas Marianas del Norte









Islas Marshall









Islas Solomón









Islas Turcas y Caicos









Islas Ultramarinas de Estados Unidos









Islas Vírgenes, británicas









Islas Vírgenes, de EE. UU.









Israel









Italia









Jamaica









Japón









Jordania









Kazajstán









Kenya









Kirguistán









Kiribati









Kuwait









Laos









Latvia









Lesotho









Líbano









Liberia









Libia









Liechtenstein









Lituania









Luxemburgo









Macao









Macedonia









Madagascar









Malasia









Malawi









Maldivas









Mali









Malta









Marruecos









Martinica









Mauricio









Mauritania









Mayotte









México









Micronesia









Moldova









Mónaco









Mongolia









Montserrat









Mozambique









Myanmar









Namibia









Nauru









Nepal









Nicaragua









Níger









Nigeria









Niue









Noruega









Nueva Caledonia









Nueva Zelandia









Omán









Pakistán









Palau









Panamá









Papua Nueva Guinea









Paraguay









Perú









Pitcairn









Polinesia Francesa









Polonia









Portugal









Puerto Rico









Qatar









Reino Unido









República Centroafricana









República Checa









República Democrática del Congo









República Dominicana









Réunion









Ruanda









Rumania









S. Islas Georgia del sur y Sándwich del Sur









Sahara Occidental









Saint Kitts/Nevis









Saint Pierre/Miquelon









Samoa









Samoa Americana









San Marino









San Vicente y las Granadinas









Santa Elena









Santa Lucía









Santa Sede/Ciudad del Vaticano









Santo Tomé y Príncipe









Senegal









Seychelles









Sierra Leona









Singapur









Siria









Somalia









Sri Lanka









Sudáfrica









Sudán









Suecia









Suiza









Suriname









Islas Svalbard y Jan Mayen









Swazilandia









Tailandia









Taiwán









Tanzania









Tayikistán









Territorio británico del Océano Índico









Territorios Franceses del Sur









Territorios palestinos









Timor Oriental









Togo









Tokelau









Tonga









Trinidad y Tobago









Túnez









Turkmenistán









Turquía









Tuvalu









Ucrania









Uganda









Uruguay









Uzbekistán









Vanuatu









Venezuela









Vietnam









Wallis y Futuna









Yemen









Yugoslavia









Zambia









Zimbabwe






SPCWS06118
Si pudiera sugerir un cambio para mejorar el sitio web de los CDC, ¿cuál sería su recomendación?

Text area, no char limit
N
One Improvement

Sheet 17: English Equiv CQs 7-28-11

Model Instance Name:

red & strike-through: DELETE





CDC (Jan 2011-present)

underlined & italicized: RE-ORDER





MID: Y9h8gZZ0ghx0VYtM1w8I8A==
pink: ADDITION





Date: 3/1/2008 blue + -->: REWORDING















CDC (Jan 2011-present) CUSTOM QUESTION LIST
QID 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
CWS06063
Which category best describes the health topic you were looking for? Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, STDs…) A Radio button, one-up vertical Single Y Skip Logic Group 1. Health topic looking for



Healthy Living (food safety, bone health, physical activity, immunizations, genetics, smoking prevention…) B







Traveler's Health (destinations, outbreaks, travel vaccinations, Yellow Book…) C







Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…) D







Injury, Violence & Safety (brain injury, child abuse, falls, fires, poisoning, suicide, youth violence…) E







Environmental Health (air pollution, carbon monoxide, lead, mold, water quality, climate change…) F







Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…) G







Life Stages & Populations (infant & child, men, minorities, pregnancy, seniors, women...) H







Global Health (Global Health Initiative, global disease detection, Field Epidemiologist Training Program, parasites, global HIV/AIDS, international emergency and refugee health, Haiti…) I







State, Tribal, Local or Territorial Support (funding and grants, cooperative agreements, strategy and planning, policy, training, best practices …) J







Other, please specify: K




CWS06064 K Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1Oth Health Topic
CWS06065 A More specifically, what topic were you looking for? ADHD
Radio button, one-up vertical Single Y Skip Logic Group 1.1Diseases&Conditions



Arthritis








Asthma








Autism








Birth defects








Cancer








Diabetes








Epilepsy








Fetal alcohol syndrome








Flu (influenza)








Heart disease








Hepatitis








HIV/AIDS








Meningitis








MRSA (Methicillin Resistant Staphylococcus Aureus)








Obesity








Salmonella








Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)








Stroke








Tuberculosis








Water-related diseases








Other, please specify: L




CWS06066 L Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.1Oth Disease&Conditions
CWS06067 B More specifically, what topic were you looking for? Aging
Radio button, one-up vertical Single Y
1.2 Healthy Living



Birth defects








BMI (Body Mass Index)








Bone health








Breastfeeding








Child development








Excessive alcohol use








Food safety








Genetics and genomics








Mental health








Nutrition








Physical activity and exercise








Reproductive health








Sexual health








Sleep and sleep disorders








Smoking and tobacco use








Vaccines and immunizations








Other, please specify: M




CWS06068 M Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.2 Oth HealthyLiving
CWS06069 C More specifically, what topic were you looking for? Yellow Book (CDC Health Information for International Travel)
Radio button, one-up vertical Single Y Skip Logic Group 1.3 Travelers Health



Destinations








Diseases related to travel (including malaria and yellow fever)








Illness & injury abroad (what to do if you become sick while traveling)








Preparing for your trip








Staying healthy & safe (insect protection, safe food & water, survival guide)








Vaccinations








Other, please specify: N




CWS06070 N Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.3Oth Travelers Health
CWS06071 D More specifically, what topic were you looking for? Bioterrorism (anthrax, plague, smallpox)
Radio button, one-up vertical Single Y Skip Logic Group 1.4 Emergency



Chemical emergencies (ricin, chlorine, nerve agents)








Coping with a disaster








Mass casualties (explosions, blasts, injuries)








Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)








Preparation & planning for hazards








Radiation emergencies (dirty bombs, nuclear blasts)








Recent outbreaks & incidents (salmonella, melamine)








Surveillance








Other, please specify: O




CWS06072 O Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.4Oth Emergency
CWS06073 E More specifically, what topic were you looking for? Acute care (injury response)
Radio button, one-up vertical Single Y
1.5 Injury



Adolescent injuries








Child abuse / maltreatment








Choking








Concussion / brain injuries








Dog bites








Drowning








Elder maltreatment








Explosion and blast injuries








Falls among older adults








Fire-related injuries








Fireworks








Intimate partner violence








Mass casualties








Motor vehicle injuries








Poisoning








Preventing injury & violence








Sexual violence








Suicide








Violence








Other, please specify: P




CWS06074 P Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.5Oth Injury
CWS06075 F More specifically, what topic were you looking for? Air quality
Radio button, one-up vertical Single Y
1.6 Environmental



Asbestos








Asthma








Biomonitoring








Carbon monoxide poisoning








Childhood lead poisoning prevention








Climate change








Cruise ship health








Extreme weather conditions








Mold








Natural disasters








Protect yourself from the sun








Radiation studies








Rodent control








Smoking and tobacco use








Water








Other, please specify: Q




CWS06076 Q Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.6Oth Enviro
CWS06077 G More specifically, what topic were you looking for? Asbestos
Radio button, one-up vertical Single Y Skip Logic Group 1.7 Workplace



Carpal tunnel syndrome








Chemical safety








Construction








Electrical safety








Emergency responders








Ergonomics








Eye safety








Hearing loss








Heat stress








Laboratory safety








Lead








Machine safety








Mining








Motor vehicle safety








Noise








Office environments








Protective clothing








Respirators








Stress








Violence








Workplace safety & prevention








Other, please specify: R




CWS06078 R Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.7Oth Workplace
CWS06079 H More specifically, what topic were you looking for? Adolescents & teens
Radio button, one-up vertical Single Y
1.8 Lifestages



Children








Family








Infants & toddlers








Men








Older adults & seniors








Parents








Pregnancy








Women








Young adults








Other, please specify: H




CWS06080 S Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.8Oth Lifestages
CWS06081 I More specifically, what topic were you looking for? Field Epidemiologist Training Program
Radio button, one-up vertical Single Y
1.9 Global



Global disease detection








Global health initiatives








Global HIV/AIDS








Global immunizations








Haiti








International emergency and refugee health








Parasites








Other, please specify: T




CWS06082 T Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.9Oth Global
CWS06083 J More specifically, what topic were you looking for? Best practices
Radio button, one-up vertical Single Y Skip Logic Group 1.10 State Tribal



Cooperative agreements








Funding and grants








Policy








Strategy and planning








Training








Other, please specify: U




CWS06084 U Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.10Oth State Tribal
CWS06085
Which of the following best describes the type of information you were looking for? General information about the health topic selected
Radio button, one-up vertical Single Y OPS Group 2. Type of Info Looking For



General information about symptoms, causes, risk factors, tests, or treatment








Data and statistics








Scientific research, articles, publications, and journals








Guidelines and recommendations for healthcare providers








Professional training for healthcare providers, researchers, public health professionals, etc.








Educational materials








Campaigns and initiatives








Grants and funding opportunities








Tools, software applications, systems, and other resources








Print materials (fact sheets, brochures, posters, etc.)








Multimedia products (podcasts, videos, widgets, etc.)








Jobs and careers








Other, please specify: A




CWS06086 A Please list the other type of information you were looking for:

Text area, no char limit

OPS Group 2.Oth Type of Info
CWS06087
Were you able to find what you were looking for? Yes
Radio button, one-up vertical
Y Skip Logic Group 3. Able to Find



Partially A







No, I'm still looking A




CWS06088 A What were you looking for?

Text area, no char limit

Skip Logic Group 3Oth. Unable to Find
ACQOsl0003358
How are you primarily planning to use the information you are looking for today? For my own health
Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



For my family member or friend








For a physician's office/hospital








For a patient or client








For a public health agency








For a research institution








For a business / workplace








For an educational institution or teaching purposes








For a school / class project








Other, please specify: B




ACQOsl0003359 B Please specify how you will use the information you are looking for today:

Text area, no char limit

Skip Logic Group 4.Oth How will use
CWS06091
Based on the information you found, how likely are you to make changes to your lifestyle to improve your health? Very Likely E Radio button, one-up vertical Single Y Skip Logic Group 5. Behavior Change



Likely E







Unlikely C







Very Unlikely C




CWS06092 C Why are you unlikely to make a change to improve your health? I need more information (need to do more research).
Radio button, one-up vertical Single Y Skip Logic Group 5.1 Unlikely -Why



I’m not ready to make a change yet.








I’m already following the recommendations / living a healthy lifestyle.








Other, please specify: D




CWS06093 D Why are you unlikely to make a change:

Text area, no char limit

Skip Logic Group 5.1 Oth Unlikely Why
CWS06094 E What change are you planning to make?

Text area, no char limit

Skip Logic Group 5.2 Likely Change
ACQOsl0004055
Would you like to receive information from CDC through other electronic channels or devices? [Please select all that apply]: Social Networks (i.e. Facebook)
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



Mirco-blogging sites (i.e. Twitter)








Mobile websites








Mobile applications








Text messages








Online Videos








Podcasts








Webinars








Blogs








eCards








Widgets (i.e. module or application you can add to a website or personalized web page like iGoogle or MyYahoo!)








E-mail updates








RSS Feeds








None of the above








Other, please specify: A




ACQOsl0004056 A Please specify the other electronic channels or devices:




OPS Group 6. Oth Elect Channel (3.14.2011)
CWS06095
In the last year, which of the following activities have you done?  [Please select all that apply]: Listened to audio or podcasts on CDC.gov
Checkbox, one-up vertical Multi Y
6. SM CDC Activities



Watched a video on CDC.gov or CDC’s YouTube Page








Visited or “liked” CDC’s Facebook page 








Followed one of CDC’s Twitter profiles








Signed up for email updates on CDC.gov








Sent a CDC eCard to someone








Used CDC’s mobile Web site (m.cdc.gov) or a CDC mobile application (“app”)








Subscribed to CDC’s text messaging program








Read one of the blogs on CDC.gov








Used one of CDC’s widgets








Used CDC’s Public Health Image Library (PHIL)








Downloaded one of CDC’s buttons or badges








Participated in a contest or challenge CDC is sponsoring








None of the above 





CWS06096
In the last three months, which of the following general activities have you done online?  [Please select all that apply]: Participated in online social networks (Facebook, MySpace, etc.) 
Checkbox, one-up vertical Multi Y
7. SM Gen Activities



Used micro-blogging sites (Twitter, Tumblr, Jaiku, etc.)








Browsed through online photo galleries 








Watched videos on a Web site 








Uploaded videos to a Web site (YouTube) 








Listened to podcasts or audio on a Web site 








Signed up to receive email updates from a Web site 








Subscribed to RSS feeds








Used personalized Web pages (My Yahoo!, iGoogle, etc.) 








Added a widget, button, or badge to your personalized Web page 








Read blogs or Wikis 








Wrote a blog or contributed to Wikis 








Posted comments, ratings, or reviews on a Web site 








Sent an eCard to someone








Bookmarked or tagged Web sites (using social bookmarking sites as Digg) 








Participated in virtual worlds (Second Life, Whyville, etc.)   








None of the above 





CWS06097
In the last three months, which of the following activities have you done using your mobile phone or device?  [Please select all that apply]: Sent or received text messages
Checkbox, one-up vertical Multi Y
8. Mobile Activities



Browsed Web sites








Sent or received email








Downloaded an application (“app”)








Watched videos








Recorded videos








Took pictures








Played a game








Listened to music








None of the above





CWS06098
How frequently do you use the CDC.gov Web site? Daily
Radio button, one-up vertical Single Y
9. Frequency



Weekly








Monthly








A couple times a year








About once a year








This is my first time





CWS06099
Which best describes the primary role that brought you to the CDC.gov Web site today? Individual interested in health
Radio button, one-up vertical Single Y Skip Logic Group 10. Role



Traveler








Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) B, C







Public health agency employee or public health professional D, E







Scientist or researcher








Educator or teacher








Student








Safety advisor








Business manager








Journalist or member of the media








Emergency responder








Law enforcement








Policymaker, legislator, or staff








Grantee








CDC Employee, staff, or contractor








Other, please specify: A




CWS06100 A Please list your role:

Text area, no char limit
N Skip Logic Group 10.Oth Role
CWS06101 B Which of the following best describes you? Physician, actively seeing patients at least 2 days a week
Radio button, one-up vertical Single Y
10.1 HCP Role



Physician, primarily conducting research projects








Nurse or nurse practitioner








Physician’s assistant








Pharmacist or pharmaceutical assistant








Other type of healthcare provider, please specify: F




CWS06102 F Please list your role:

Text area, no char limit
N Skip Logic Group 10.1Oth HCP Role
CWS06103 C Which of the following best describes where you work? Hospital
Radio button, one-up vertical Single Y
10.2 HCP Location



Large medical practice








Small medical practice








Not-for-profit








Research institution








Other, please specify: G




CWS06104 G Please list where you work:

Text area, no char limit
N Skip Logic Group 10.2Oth HCP Location
CWS06105 D Which of the following best describes you? Public health advocate
Radio button, one-up vertical Single Y
10.3 PHP Role



Health educator








Health communicator








Management








Epidemiologist








Research scientist








Administrative staff








Other, please specify: H




CWS06106 H Please list your role:

Text area, no char limit
N Skip Logic Group 10.3Oth PHP Role
CWS06107 E Which of the following best describes where you work? Public or commercial sector
Radio button, one-up vertical Single Y
10.4 PHP Location



Not-for-profit








Federal public health agency








State public health agency








Local public health agency








Territorial public health agency








Tribal public health agency








Other, please specify: I




CWS06108 I Please list where you work:

Text area, no char limit
N Skip Logic Group 10.4Oth PHP Location
CWS06109
Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important)
Rank 1 (Required)
Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page








A blog or discussion forum



Adjust Template/Style Sheet



Advertisement on Facebook, MySpace, or Twitter



Randomize



Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06110
Rank 2 (Optional) Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, MySpace, or Twitter








Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06111
Rank 3 (Optional) Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, MySpace, or Twitter








Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06112
If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
CWS06113
How old are you? 19 or under
Radio button, one-up vertical Single Y
11. Age



20-34 years old








35-49 years old








50-64 years old








65 or older








Prefer not to answer





CWS06114
How would you describe yourself? White
Checkbox, one-up vertical Multi Y
12. Ethnicity



Hispanic or Latino








Asian








Black or African American








American Indian or Alaska Native








Native Hawaiian or other Pacific Islander








Prefer not to answer





CWS06115
What is the highest level of education you have completed? High school or less
Radio button, one-up vertical Single Y
13. Education



Some college








College degree








Advanced degree








Prefer not to answer





CWS06116
What is your gender? Female
Radio button, one-up vertical Single Y
14. Gender



Male








Prefer not to answer





CWS06117
What is your country of residence? USA


Y
15. Country



Afghanistan








Albania








Algeria








American Samoa








Andorra








Angola








Anguilla








Antarctica








Antigua and Barbuda








Argentina








Armenia








Aruba








Australia








Austria








Azerbaijan








Bahamas








Bahrain








Bangladesh








Barbados








Belarus








Belgium








Belize








Benin








Bermuda








Bhutan








Bolivia








Bosnia/Herzegovina








Botswana








Bouvet Island








Brazil








British Indian Ocean








Brunei Darussalam








Bulgaria








Burkina Faso








Burundi








Cambodia








Cameroon








Canada








Cape Verde








Cayman Islands








Central African Rep.








Chad








Chile








China








Christmas Island








Cocos Islands








Colombia








Comoros








Congo








Congo, Democratic Rep.








Cook Islands








Costa Rica








Côte D'Ivoire








Croatia








Cuba








Cyprus








Czech Republic








Denmark








Djibouti








Dominica








Dominican Republic








East Timor








Ecuador








Egypt








El Salvador








Equatorial Guinea








Eritrea








Estonia








Ethiopia








Falkland Islands








Faroe Islands








Fiji








Finland








France








French Guiana








French Polynesia








French Southern Terr.








Gabon








Gambia








Georgia








Germany








Ghana








Gibraltar








Greece








Greenland








Grenada








Guadeloupe








Guam








Guatemala








Guinea








Guinea& Bissau








Guyana








Haiti








Heard/McDonald Isls.








Holy See/Vatican








Honduras








Hong Kong








Hungary








Iceland








India








Indonesia








Iran








Iraq








Ireland








Israel








Italy








Jamaica








Japan








Jordan








Kazakhstan








Kenya








Kiribati








Korea, North








Korea, South








Kuwait








Kyrgyzstan








Laos








Latvia








Lebanon








Lesotho








Liberia








Libya








Liechtenstein








Lithuania








Luxembourg








Macao








Macedonia








Madagascar








Malawi








Malaysia








Maldives








Mali








Malta








Marshall Islands








Martinique








Mauritania








Mauritius








Mayotte








Mexico








Micronesia








Moldova








Monaco








Mongolia








Montserrat








Morocco








Mozambique








Myanmar








Namibia








Nauru








Nepal








Netherlands








Netherlands Antilles








New Caledonia








New Zealand








Nicaragua








Niger








Nigeria








Niue








Norfolk Island








Northern Mariana Isls








Norway








Oman








Pakistan








Palau








Palestinian Territory








Panama








Papua New Guinea








Paraguay








Peru








Philippines








Pitcairn








Poland








Portugal








Puerto Rico








Qatar








Réunion








Romania








Russian Federation








Rwanda








Saint Helena








Saint Kitts/Nevis








Saint Lucia








Saint Pierre/Miquelon








Saint Vincent/Grenadines








Samoa








San Marino








Sao Tome/Principe








Saudi Arabia








Senegal








Seychelles








Sierra Leone








Singapore








Slovakia








Slovenia








Solomon Islands








Somalia








South Africa








S. Georgia/S. Sand. Isls








Spain








Sri Lanka








Sudan








Suriname








Svalbard/Jan Mayen








Swaziland








Sweden








Switzerland








Syria








Taiwan








Tajikistan








Tanzania








Thailand








Togo








Tokelau








Tonga








Trinidad and Tobago








Tunisia








Turkey








Turkmenistan








Turks and Caicos Isls








Tuvalu








Uganda








Ukraine








United Arab Emirates








United Kingdom








US Minor Outlying Isls








Uruguay








Uzbekistan








Vanuatu








Venezuela








Viet Nam








Virgin Islands, British








Virgin Islands, U.S.








Wallis and Futuna








Western Sahara








Yemen








Yugoslavia








Zambia








Zimbabwe





CWS06118
If you could suggest one change to improve the CDC Web site, what recommendation would you make?

Text area, no char limit
N
16. One Improvement

Sheet 18: English Equiv CQs 3-14-11

Model Instance Name:


red & strike-through: DELETE





CDC (Jan 2011-present)


underlined & italicized: RE-ORDER





MID: Y9h8gZZ0ghx0VYtM1w8I8A==

pink: ADDITION





Date: 3/1/2008
blue + -->: REWORDING
















CDC (Jan 2011-present) CUSTOM QUESTION LIST
QID Skip Logic Label Question Text AnswerIDs (DOT) Answer Choices
(limited to 50 characters)
Skip to Type (select from list) Single or Multi Required
Y/N
Special Instructions CQ Label
CWS06063
Which category best describes the health topic you were looking for? CWS06063A001 Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, STDs…) A Radio button, one-up vertical Single Y Skip Logic Group 1. Health topic looking for



CWS06063A002 Healthy Living (food safety, bone health, physical activity, immunizations, genetics, smoking prevention…) B







CWS06063A003 Traveler's Health (destinations, outbreaks, travel vaccinations, Yellow Book…) C







CWS06063A004 Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…) D







CWS06063A005 Injury, Violence & Safety (brain injury, child abuse, falls, fires, poisoning, suicide, youth violence…) E







CWS06063A006 Environmental Health (air pollution, carbon monoxide, lead, mold, water quality, climate change…) F







CWS06063A007 Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…) G







CWS06063A008 Life Stages & Populations (infant & child, men, minorities, pregnancy, seniors, women...) H







CWS06063A009 Global Health (Global Health Initiative, global disease detection, Field Epidemiologist Training Program, parasites, global HIV/AIDS, international emergency and refugee health, Haiti…) I







CWS06063A010 State, Tribal, Local or Territorial Support (funding and grants, cooperative agreements, strategy and planning, policy, training, best practices …) J







CWS06063A011 Other, please specify: K




CWS06064 K Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1Oth Health Topic
CWS06065 A More specifically, what topic were you looking for? CWS06065A001 ADHD
Radio button, one-up vertical Single Y Skip Logic Group 1.1Diseases&Conditions



CWS06065A002 Arthritis








CWS06065A003 Asthma








CWS06065A004 Autism








CWS06065A005 Birth defects








CWS06065A006 Cancer








CWS06065A007 Diabetes








CWS06065A008 Epilepsy








CWS06065A009 Fetal alcohol syndrome








CWS06065A010 Flu (influenza)








CWS06065A011 Heart disease








CWS06065A012 Hepatitis








CWS06065A013 HIV/AIDS








CWS06065A014 Meningitis








CWS06065A015 MRSA (Methicillin Resistant Staphylococcus Aureus)








CWS06065A016 Obesity








CWS06065A017 Salmonella








CWS06065A018 Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)








CWS06065A019 Stroke








CWS06065A020 Tuberculosis








CWS06065A021 Water-related diseases








CWS06065A022 Other, please specify: L




CWS06066 L Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.1Oth Disease&Conditions
CWS06067 B More specifically, what topic were you looking for? CWS06067A001 Aging
Radio button, one-up vertical Single Y
1.2 Healthy Living



CWS06067A002 Birth defects








CWS06067A003 BMI (Body Mass Index)








CWS06067A004 Bone health








CWS06067A005 Breastfeeding








CWS06067A006 Child development








CWS06067A007 Excessive alcohol use








CWS06067A008 Food safety








CWS06067A009 Genetics and genomics








CWS06067A010 Mental health








CWS06067A011 Nutrition








CWS06067A012 Physical activity and exercise








CWS06067A013 Reproductive health








CWS06067A014 Sexual health








CWS06067A015 Sleep and sleep disorders








CWS06067A016 Smoking and tobacco use








CWS06067A017 Vaccines and immunizations








CWS06067A018 Other, please specify: M




CWS06068 M Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.2 Oth HealthyLiving
CWS06069 C More specifically, what topic were you looking for? CWS06069A001 2010 Yellow Book
Radio button, one-up vertical Single Y Skip Logic Group 1.3 Travelers Health



CWS06069A002 Destinations








CWS06069A003 Diseases related to travel (including malaria and yellow fever)








CWS06069A004 Illness & injury abroad (what to do if you become sick while traveling)








CWS06069A005 Preparing for your trip








CWS06069A006 Staying healthy & safe (insect protection, safe food & water, survival guide)








CWS06069A007 Vaccinations








CWS06069A008 Other, please specify: N




CWS06070 N Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.3Oth Travelers Health
CWS06071 D More specifically, what topic were you looking for? CWS06071A001 Bioterrorism (anthrax, plague, smallpox)
Radio button, one-up vertical Single Y Skip Logic Group 1.4 Emergency



CWS06071A002 Chemical emergencies (ricin, chlorine, nerve agents)








CWS06071A003 Coping with a disaster








CWS06071A004 Mass casualties (explosions, blasts, injuries)








CWS06071A005 Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)








CWS06071A006 Preparation & planning for hazards








CWS06071A007 Radiation emergencies (dirty bombs, nuclear blasts)








CWS06071A008 Recent outbreaks & incidents (salmonella, melamine)








CWS06071A009 Surveillance








CWS06071A010 Other, please specify: O




CWS06072 O Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.4Oth Emergency
CWS06073 E More specifically, what topic were you looking for? CWS06073A001 Acute care (injury response)
Radio button, one-up vertical Single Y
1.5 Injury



CWS06073A002 Adolescent injuries








CWS06073A003 Child abuse / maltreatment








CWS06073A004 Choking








CWS06073A005 Concussion / brain injuries








CWS06073A006 Dog bites








CWS06073A007 Drowning








CWS06073A008 Elder maltreatment








CWS06073A009 Explosion and blast injuries








CWS06073A010 Falls among older adults








CWS06073A011 Fire-related injuries








CWS06073A012 Fireworks








CWS06073A013 Intimate partner violence








CWS06073A014 Mass casualties








CWS06073A015 Motor vehicle injuries








CWS06073A016 Poisoning








CWS06073A017 Preventing injury & violence








CWS06073A018 Sexual violence








CWS06073A019 Suicide








CWS06073A020 Violence








CWS06073A021 Other, please specify: P




CWS06074 P Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.5Oth Injury
CWS06075 F More specifically, what topic were you looking for? CWS06075A001 Air quality
Radio button, one-up vertical Single Y
1.6 Environmental



CWS06075A002 Asbestos








CWS06075A003 Asthma








CWS06075A004 Biomonitoring








CWS06075A005 Carbon monoxide poisoning








CWS06075A006 Childhood lead poisoning prevention








CWS06075A007 Climate change








CWS06075A008 Cruise ship health








CWS06075A009 Extreme weather conditions








CWS06075A010 Mold








CWS06075A011 Natural disasters








CWS06075A012 Protect yourself from the sun








CWS06075A013 Radiation studies








CWS06075A014 Rodent control








CWS06075A015 Smoking and tobacco use








CWS06075A016 Water








CWS06075A017 Other, please specify: Q




CWS06076 Q Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.6Oth Enviro
CWS06077 G More specifically, what topic were you looking for? CWS06077A001 Asbestos
Radio button, one-up vertical Single Y Skip Logic Group 1.7 Workplace



CWS06077A002 Carpal tunnel syndrome








CWS06077A003 Chemical safety








CWS06077A004 Construction








CWS06077A005 Electrical safety








CWS06077A006 Emergency responders








CWS06077A007 Ergonomics








CWS06077A008 Eye safety








CWS06077A009 Hearing loss








CWS06077A010 Heat stress








CWS06077A011 Laboratory safety








CWS06077A012 Lead








CWS06077A013 Machine safety








CWS06077A014 Mining








CWS06077A015 Motor vehicle safety








CWS06077A016 Noise








CWS06077A017 Office environments








CWS06077A018 Protective clothing








CWS06077A019 Respirators








CWS06077A020 Stress








CWS06077A021 Violence








CWS06077A022 Workplace safety & prevention








CWS06077A023 Other, please specify: R




CWS06078 R Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.7Oth Workplace
CWS06079 H More specifically, what topic were you looking for? CWS06079A001 Adolescents & teens
Radio button, one-up vertical Single Y
1.8 Lifestages



CWS06079A002 Children








CWS06079A003 Family








CWS06079A004 Infants & toddlers








CWS06079A005 Men








CWS06079A006 Older adults & seniors








CWS06079A007 Parents








CWS06079A008 Pregnancy








CWS06079A009 Women








CWS06079A010 Young adults








CWS06079A011 Other, please specify: H




CWS06080 S Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.8Oth Lifestages
CWS06081 I More specifically, what topic were you looking for? CWS06081A001 Field Epidemiologist Training Program
Radio button, one-up vertical Single Y
1.9 Global



CWS06081A002 Global disease detection








CWS06081A003 Global health initiatives








CWS06081A004 Global HIV/AIDS








CWS06081A005 Global immunizations








CWS06081A006 Haiti








CWS06081A007 International emergency and refugee health








CWS06081A008 Parasites








CWS06081A009 Other, please specify: T




CWS06082 T Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.9Oth Global
CWS06083 J More specifically, what topic were you looking for? CWS06083A001 Best practices
Radio button, one-up vertical Single Y Skip Logic Group 1.10 State Tribal



CWS06083A002 Cooperative agreements








CWS06083A003 Funding and grants








CWS06083A004 Policy








CWS06083A005 Strategy and planning








CWS06083A006 Training








CWS06083A007 Other, please specify: U




CWS06084 U Please list the other topic you were looking for:


Text area, no char limit

Skip Logic Group 1.10Oth State Tribal
CWS06085
Which of the following best describes the type of information you were looking for? CWS06085A001 General information about the health topic selected
Radio button, one-up vertical Single Y OPS Group 2. Type of Info Looking For



CWS06085A002 General information about symptoms, causes, risk factors, tests, or treatment








CWS06085A003 Data and statistics








CWS06085A004 Scientific research, articles, publications, and journals








CWS06085A005 Guidelines and recommendations for healthcare providers








CWS06085A006 Professional training for healthcare providers, researchers, public health professionals, etc.








CWS06085A007 Educational materials








CWS06085A008 Campaigns and initiatives








CWS06085A009 Grants and funding opportunities








CWS06085A010 Tools, software applications, systems, and other resources








CWS06085A011 Print materials (fact sheets, brochures, posters, etc.)








CWS06085A012 Multimedia products (podcasts, videos, widgets, etc.)








CWS06085A013 Jobs and careers








CWS06085A014 Other, please specify: A




CWS06086 A Please list the other type of information you were looking for:


Text area, no char limit

OPS Group 2.Oth Type of Info
CWS06087
Were you able to find what you were looking for? CWS06087A001 Yes
Radio button, one-up vertical
Y Skip Logic Group 3. Able to Find



CWS06087A002 Partially A







CWS06087A003 No, I'm still looking A




CWS06088 A What were you looking for?


Text area, no char limit

Skip Logic Group 3Oth. Unable to Find
ACQOsl0003358
How are you primarily planning to use the information you are looking for today? ACQOsl0003358A01 For my own health
Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



ACQOsl0003358A02 For my family member or friend








ACQOsl0003358A03 For a physician's office/hospital








ACQOsl0003358A04 For a patient or client








ACQOsl0003358A05 For a public health agency








ACQOsl0003358A06 For a research institution








ACQOsl0003358A07 For a business / workplace








ACQOsl0003358A08 For an educational institution or teaching purposes








ACQOsl0003358A09 For a school / class project








ACQOsl0003358A10 Other, please specify: B




ACQOsl0003359 B Please specify how you will use the information you are looking for today:


Text area, no char limit

Skip Logic Group 4.Oth How will use
CWS06091
Based on the information you found, how likely are you to make changes to your lifestyle to improve your health? CWS06091A001 Very Likely E Radio button, one-up vertical Single Y Skip Logic Group 5. Behavior Change



CWS06091A002 Likely E







CWS06091A003 Unlikely C







CWS06091A004 Very Unlikely C




CWS06092 C Why are you unlikely to make a change to improve your health? CWS06092A001 I need more information (need to do more research).
Radio button, one-up vertical Single Y Skip Logic Group 5.1 Unlikely -Why



CWS06092A002 I’m not ready to make a change yet.








CWS06092A003 I’m already following the recommendations / living a healthy lifestyle.








CWS06092A004 Other, please specify: D




CWS06093 D Why are you unlikely to make a change:


Text area, no char limit

Skip Logic Group 5.1 Oth Unlikely Why
CWS06094 E What change are you planning to make?


Text area, no char limit

Skip Logic Group 5.2 Likely Change
ACQOsl0004055
Would you like to receive information from CDC through other electronic channels or devices? [Please select all that apply]: ACQOsl0004055A01 Social Networks (i.e. Facebook)
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



ACQOsl0004055A02 Mirco-blogging sites (i.e. Twitter)








ACQOsl0004055A03 Mobile websites








ACQOsl0004055A04 Mobile applications








ACQOsl0004055A05 Text messages








ACQOsl0004055A06 Online Videos








ACQOsl0004055A07 Podcasts








ACQOsl0004055A08 Webinars








ACQOsl0004055A09 Blogs








ACQOsl0004055A10 eCards








ACQOsl0004055A11 Widgets (i.e. module or application you can add to a website or personalized web page like iGoogle or MyYahoo!)








ACQOsl0004055A12 E-mail updates








ACQOsl0004055A13 RSS Feeds








ACQOsl0004055A14 None of the above








ACQOsl0004055A15 Other, please specify: A




ACQOsl0004056 A Please specify the other electronic channels or devices:





OPS Group 6. Oth Elect Channel (3.14.2011)
CWS06095
In the last year, which of the following activities have you done?  [Please select all that apply]: CWS06095A001 Listened to audio or podcasts on CDC.gov
Checkbox, one-up vertical Multi Y
6. SM CDC Activities



CWS06095A002 Watched a video on CDC.gov or CDC’s YouTube Page








CWS06095A003 Visited or “liked” CDC’s Facebook page 








CWS06095A004 Followed one of CDC’s Twitter profiles








CWS06095A005 Signed up for email updates on CDC.gov








CWS06095A006 Sent a CDC eCard to someone








CWS06095A007 Used CDC’s mobile Web site (m.cdc.gov) or a CDC mobile application (“app”)








CWS06095A008 Subscribed to CDC’s text messaging program








CWS06095A009 Read one of the blogs on CDC.gov








CWS06095A010 Used one of CDC’s widgets








CWS06095A011 Used CDC’s Public Health Image Library (PHIL)








CWS06095A012 Downloaded one of CDC’s buttons or badges








CWS06095A013 Participated in a contest or challenge CDC is sponsoring








CWS06095A014 None of the above 





CWS06096
In the last three months, which of the following general activities have you done online?  [Please select all that apply]: CWS06096A001 Participated in online social networks (Facebook, MySpace, etc.) 
Checkbox, one-up vertical Multi Y
7. SM Gen Activities



CWS06096A002 Used micro-blogging sites (Twitter, Tumblr, Jaiku, etc.)








CWS06096A003 Browsed through online photo galleries 








CWS06096A004 Watched videos on a Web site 








CWS06096A005 Uploaded videos to a Web site (YouTube) 








CWS06096A006 Listened to podcasts or audio on a Web site 








CWS06096A007 Signed up to receive email updates from a Web site 








CWS06096A008 Subscribed to RSS feeds








CWS06096A009 Used personalized Web pages (My Yahoo!, iGoogle, etc.) 








CWS06096A010 Added a widget, button, or badge to your personalized Web page 








CWS06096A011 Read blogs or Wikis 








CWS06096A012 Wrote a blog or contributed to Wikis 








CWS06096A013 Posted comments, ratings, or reviews on a Web site 








CWS06096A014 Sent an eCard to someone








CWS06096A015 Bookmarked or tagged Web sites (using social bookmarking sites as Digg) 








CWS06096A016 Participated in virtual worlds (Second Life, Whyville, etc.)   








CWS06096A017 None of the above 





CWS06097
In the last three months, which of the following activities have you done using your mobile phone or device?  [Please select all that apply]: CWS06097A001 Sent or received text messages
Checkbox, one-up vertical Multi Y
8. Mobile Activities



CWS06097A002 Browsed Web sites








CWS06097A003 Sent or received email








CWS06097A004 Downloaded an application (“app”)








CWS06097A005 Watched videos








CWS06097A006 Recorded videos








CWS06097A007 Took pictures








CWS06097A008 Played a game








CWS06097A009 Listened to music








CWS06097A010 None of the above





CWS06098
How frequently do you use the CDC.gov Web site? CWS06098A001 Daily
Radio button, one-up vertical Single Y
9. Frequency



CWS06098A002 Weekly








CWS06098A003 Monthly








CWS06098A004 A couple times a year








CWS06098A005 About once a year








CWS06098A006 This is my first time





CWS06099
Which best describes the primary role that brought you to the CDC.gov Web site today? CWS06099A001 Individual interested in health
Radio button, one-up vertical Single Y Skip Logic Group 10. Role



CWS06099A002 Traveler








CWS06099A003 Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) B, C







CWS06099A004 Public health agency employee or public health professional D, E







CWS06099A005 Scientist or researcher








CWS06099A006 Educator or teacher








CWS06099A007 Student








CWS06099A008 Safety advisor








CWS06099A009 Business manager








CWS06099A010 Journalist or member of the media








CWS06099A011 Emergency responder








CWS06099A012 Law enforcement








CWS06099A013 Policymaker, legislator, or staff








CWS06099A014 Grantee








CWS06099A015 CDC Employee, staff, or contractor








CWS06099A016 Other, please specify: A




CWS06100 A Please list your role:


Text area, no char limit
N Skip Logic Group 10.Oth Role
CWS06101 B Which of the following best describes you? CWS06101A001 Physician, actively seeing patients at least 2 days a week
Radio button, one-up vertical Single Y
10.1 HCP Role



CWS06101A002 Physician, primarily conducting research projects








CWS06101A003 Nurse or nurse practitioner








CWS06101A004 Physician’s assistant








CWS06101A005 Pharmacist or pharmaceutical assistant








CWS06101A006 Other type of healthcare provider, please specify: F




CWS06102 F Please list your role:


Text area, no char limit
N Skip Logic Group 10.1Oth HCP Role
CWS06103 C Which of the following best describes where you work? CWS06103A001 Hospital
Radio button, one-up vertical Single Y
10.2 HCP Location



CWS06103A002 Large medical practice








CWS06103A003 Small medical practice








CWS06103A004 Not-for-profit








CWS06103A005 Research institution








CWS06103A006 Other, please specify: G




CWS06104 G Please list where you work:


Text area, no char limit
N Skip Logic Group 10.2Oth HCP Location
CWS06105 D Which of the following best describes you? CWS06105A001 Public health advocate
Radio button, one-up vertical Single Y
10.3 PHP Role



CWS06105A002 Health educator








CWS06105A003 Health communicator








CWS06105A004 Management









Epidemiologist








CWS06105A005 Research scientist








CWS06105A006 Administrative staff








CWS06105A007 Other, please specify: H




CWS06106 H Please list your role:


Text area, no char limit
N Skip Logic Group 10.3Oth PHP Role
CWS06107 E Which of the following best describes where you work? CWS06107A001 Public or commercial sector
Radio button, one-up vertical Single Y
10.4 PHP Location



CWS06107A002 Not-for-profit








CWS06107A003 Federal public health agency








CWS06107A004 State public health agency








CWS06107A005 Local public health agency








CWS06107A006 Territorial public health agency








CWS06107A007 Tribal public health agency








CWS06107A008 Other, please specify: I




CWS06108 I Please list where you work:


Text area, no char limit
N Skip Logic Group 10.4Oth PHP Location
CWS06109
Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important)
Rank 1 (Required)
CWS06109A001 Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



CWS06109A002 Message or recommendation from a friend on Facebook, MySpace, or Twitter








CWS06109A003 Video I saw on CDC's YouTube Page








CWS06109A004 A blog or discussion forum



Adjust Template/Style Sheet



CWS06109A005 Advertisement on Facebook, MySpace, or Twitter



Randomize



CWS06109A006 Mobile phone text messages or alerts








CWS06109A007 Instant Message from someone








CWS06109A008 Familiarity with site/agency








CWS06109A009 Email updates from the agency








CWS06109A010 Website is bookmarked








CWS06109A011 Search engine results








CWS06109A012 Word of mouth recommendation from someone I know








CWS06109A013 TV, radio, newspaper, or magazine advertising








CWS06109A014 Advertisement on another Website








CWS06109A015 Don't know



Anchor Answer Choice



CWS06109A016 Other



Anchor Answer Choice
CWS06110
Rank 2 (Optional) CWS06110A001 Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 2



CWS06110A002 Message or recommendation from a friend on Facebook, MySpace, or Twitter








CWS06110A003 Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



CWS06110A004 A blog or discussion forum



Randomize



CWS06110A005 Advertisement on Facebook, MySpace, or Twitter








CWS06110A006 Mobile phone text messages or alerts








CWS06110A007 Instant Message from someone








CWS06110A008 Familiarity with site/agency








CWS06110A009 Email updates from the agency








CWS06110A010 Website is bookmarked








CWS06110A011 Search engine results








CWS06110A012 Word of mouth recommendation from someone I know








CWS06110A013 TV, radio, newspaper, or magazine advertising








CWS06110A014 Advertisement on another Website








CWS06110A015 Don't know



Anchor Answer Choice



CWS06110A016 Other



Anchor Answer Choice
CWS06111
Rank 3 (Optional) CWS06111A001 Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 3



CWS06111A002 Message or recommendation from a friend on Facebook, MySpace, or Twitter








CWS06111A003 Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



CWS06111A004 A blog or discussion forum



Randomize



CWS06111A005 Advertisement on Facebook, MySpace, or Twitter








CWS06111A006 Mobile phone text messages or alerts








CWS06111A007 Instant Message from someone








CWS06111A008 Familiarity with site/agency








CWS06111A009 Email updates from the agency








CWS06111A010 Website is bookmarked








CWS06111A011 Search engine results








CWS06111A012 Word of mouth recommendation from someone I know








CWS06111A013 TV, radio, newspaper, or magazine advertising








CWS06111A014 Advertisement on another Website








CWS06111A015 Don't know



Anchor Answer Choice



CWS06111A016 Other



Anchor Answer Choice
CWS06112
If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)


Text area, no char limit
N
SV - Other Social Network
CWS06113
How old are you? CWS06113A001 19 or under
Radio button, one-up vertical Single Y
11. Age



CWS06113A002 20-34 years old








CWS06113A003 35-49 years old








CWS06113A004 50-64 years old








CWS06113A005 65 or older








CWS06113A006 Prefer not to answer





CWS06114
How would you describe yourself? CWS06114A001 White
Checkbox, one-up vertical Multi Y
12. Ethnicity



CWS06114A002 Hispanic or Latino








CWS06114A003 Asian








CWS06114A004 Black or African American








CWS06114A005 American Indian or Alaska Native








CWS06114A006 Native Hawaiian or other Pacific Islander








CWS06114A007 Prefer not to answer





CWS06115
What is the highest level of education you have completed? CWS06115A001 High school or less
Radio button, one-up vertical Single Y
13. Education



CWS06115A002 Some college








CWS06115A003 College degree








CWS06115A004 Advanced degree








CWS06115A005 Prefer not to answer





CWS06116
What is your gender? CWS06116A001 Female
Radio button, one-up vertical Single Y
14. Gender



CWS06116A002 Male








CWS06116A003 Prefer not to answer





CWS06117
What is your country of residence? CWS06117A001 USA


Y
15. Country



CWS06117A002 Afghanistan








CWS06117A003 Albania








CWS06117A004 Algeria








CWS06117A005 American Samoa








CWS06117A006 Andorra








CWS06117A007 Angola








CWS06117A008 Anguilla








CWS06117A009 Antarctica








CWS06117A010 Antigua and Barbuda








CWS06117A011 Argentina








CWS06117A012 Armenia








CWS06117A013 Aruba








CWS06117A014 Australia








CWS06117A015 Austria








CWS06117A016 Azerbaijan








CWS06117A017 Bahamas








CWS06117A018 Bahrain








CWS06117A019 Bangladesh








CWS06117A020 Barbados








CWS06117A021 Belarus








CWS06117A022 Belgium








CWS06117A023 Belize








CWS06117A024 Benin








CWS06117A025 Bermuda








CWS06117A026 Bhutan








CWS06117A027 Bolivia








CWS06117A028 Bosnia/Herzegovina








CWS06117A029 Botswana








CWS06117A030 Bouvet Island








CWS06117A031 Brazil








CWS06117A032 British Indian Ocean








CWS06117A033 Brunei Darussalam








CWS06117A034 Bulgaria








CWS06117A035 Burkina Faso








CWS06117A036 Burundi








CWS06117A037 Cambodia








CWS06117A038 Cameroon








CWS06117A039 Canada








CWS06117A040 Cape Verde








CWS06117A041 Cayman Islands








CWS06117A042 Central African Rep.








CWS06117A043 Chad








CWS06117A044 Chile








CWS06117A045 China








CWS06117A046 Christmas Island








CWS06117A047 Cocos Islands








CWS06117A048 Colombia








CWS06117A049 Comoros








CWS06117A050 Congo








CWS06117A051 Congo, Democratic Rep.








CWS06117A052 Cook Islands








CWS06117A053 Costa Rica








CWS06117A054 Côte D'Ivoire








CWS06117A055 Croatia








CWS06117A056 Cuba








CWS06117A057 Cyprus








CWS06117A058 Czech Republic








CWS06117A059 Denmark








CWS06117A060 Djibouti








CWS06117A061 Dominica








CWS06117A062 Dominican Republic








CWS06117A063 East Timor








CWS06117A064 Ecuador








CWS06117A065 Egypt








CWS06117A066 El Salvador








CWS06117A067 Equatorial Guinea








CWS06117A068 Eritrea








CWS06117A069 Estonia








CWS06117A070 Ethiopia








CWS06117A071 Falkland Islands








CWS06117A072 Faroe Islands








CWS06117A073 Fiji








CWS06117A074 Finland








CWS06117A075 France








CWS06117A076 French Guiana








CWS06117A077 French Polynesia








CWS06117A078 French Southern Terr.








CWS06117A079 Gabon








CWS06117A080 Gambia








CWS06117A081 Georgia








CWS06117A082 Germany








CWS06117A083 Ghana








CWS06117A084 Gibraltar








CWS06117A085 Greece








CWS06117A086 Greenland








CWS06117A087 Grenada








CWS06117A088 Guadeloupe








CWS06117A089 Guam








CWS06117A090 Guatemala








CWS06117A091 Guinea








CWS06117A092 Guinea& Bissau








CWS06117A093 Guyana








CWS06117A094 Haiti








CWS06117A095 Heard/McDonald Isls.








CWS06117A096 Holy See/Vatican








CWS06117A097 Honduras








CWS06117A098 Hong Kong








CWS06117A099 Hungary








CWS06117A100 Iceland








CWS06117A101 India








CWS06117A102 Indonesia








CWS06117A103 Iran








CWS06117A104 Iraq








CWS06117A105 Ireland








CWS06117A106 Israel








CWS06117A107 Italy








CWS06117A108 Jamaica








CWS06117A109 Japan








CWS06117A110 Jordan








CWS06117A111 Kazakhstan








CWS06117A112 Kenya








CWS06117A113 Kiribati








CWS06117A114 Korea, North








CWS06117A115 Korea, South








CWS06117A116 Kuwait








CWS06117A117 Kyrgyzstan








CWS06117A118 Laos








CWS06117A119 Latvia








CWS06117A120 Lebanon








CWS06117A121 Lesotho








CWS06117A122 Liberia








CWS06117A123 Libya








CWS06117A124 Liechtenstein








CWS06117A125 Lithuania








CWS06117A126 Luxembourg








CWS06117A127 Macao








CWS06117A128 Macedonia








CWS06117A129 Madagascar








CWS06117A130 Malawi








CWS06117A131 Malaysia








CWS06117A132 Maldives








CWS06117A133 Mali








CWS06117A134 Malta








CWS06117A135 Marshall Islands








CWS06117A136 Martinique








CWS06117A137 Mauritania








CWS06117A138 Mauritius








CWS06117A139 Mayotte








CWS06117A140 Mexico








CWS06117A141 Micronesia








CWS06117A142 Moldova








CWS06117A143 Monaco








CWS06117A144 Mongolia








CWS06117A145 Montserrat








CWS06117A146 Morocco








CWS06117A147 Mozambique








CWS06117A148 Myanmar








CWS06117A149 Namibia








CWS06117A150 Nauru








CWS06117A151 Nepal








CWS06117A152 Netherlands








CWS06117A153 Netherlands Antilles








CWS06117A154 New Caledonia








CWS06117A155 New Zealand








CWS06117A156 Nicaragua








CWS06117A157 Niger








CWS06117A158 Nigeria








CWS06117A159 Niue








CWS06117A160 Norfolk Island








CWS06117A161 Northern Mariana Isls








CWS06117A162 Norway








CWS06117A163 Oman








CWS06117A164 Pakistan








CWS06117A165 Palau








CWS06117A166 Palestinian Territory








CWS06117A167 Panama








CWS06117A168 Papua New Guinea








CWS06117A169 Paraguay








CWS06117A170 Peru








CWS06117A171 Philippines








CWS06117A172 Pitcairn








CWS06117A173 Poland








CWS06117A174 Portugal








CWS06117A175 Puerto Rico








CWS06117A176 Qatar








CWS06117A177 Réunion








CWS06117A178 Romania








CWS06117A179 Russian Federation








CWS06117A180 Rwanda








CWS06117A181 Saint Helena








CWS06117A182 Saint Kitts/Nevis








CWS06117A183 Saint Lucia








CWS06117A184 Saint Pierre/Miquelon








CWS06117A185 Saint Vincent/Grenadines








CWS06117A186 Samoa








CWS06117A187 San Marino








CWS06117A188 Sao Tome/Principe








CWS06117A189 Saudi Arabia








CWS06117A190 Senegal








CWS06117A191 Seychelles








CWS06117A192 Sierra Leone








CWS06117A193 Singapore








CWS06117A194 Slovakia








CWS06117A195 Slovenia








CWS06117A196 Solomon Islands








CWS06117A197 Somalia








CWS06117A198 South Africa








CWS06117A199 S. Georgia/S. Sand. Isls








CWS06117A200 Spain








CWS06117A201 Sri Lanka








CWS06117A202 Sudan








CWS06117A203 Suriname








CWS06117A204 Svalbard/Jan Mayen








CWS06117A205 Swaziland








CWS06117A206 Sweden








CWS06117A207 Switzerland








CWS06117A208 Syria








CWS06117A209 Taiwan








CWS06117A210 Tajikistan








CWS06117A211 Tanzania








CWS06117A212 Thailand








CWS06117A213 Togo








CWS06117A214 Tokelau








CWS06117A215 Tonga








CWS06117A216 Trinidad and Tobago








CWS06117A217 Tunisia








CWS06117A218 Turkey








CWS06117A219 Turkmenistan








CWS06117A220 Turks and Caicos Isls








CWS06117A221 Tuvalu








CWS06117A222 Uganda








CWS06117A223 Ukraine








CWS06117A224 United Arab Emirates








CWS06117A225 United Kingdom








CWS06117A226 US Minor Outlying Isls








CWS06117A227 Uruguay








CWS06117A228 Uzbekistan








CWS06117A229 Vanuatu








CWS06117A230 Venezuela








CWS06117A231 Viet Nam








CWS06117A232 Virgin Islands, British








CWS06117A233 Virgin Islands, U.S.








CWS06117A234 Wallis and Futuna








CWS06117A235 Western Sahara








CWS06117A236 Yemen








CWS06117A237 Yugoslavia








CWS06117A238 Zambia








CWS06117A239 Zimbabwe





CWS06118
If you could suggest one change to improve the CDC Web site, what recommendation would you make?


Text area, no char limit
N
16. One Improvement

Sheet 19: English Equiv CQs 1-24-11

Model Instance Name:

red & strike-through: DELETE





CDC (Jan 2011-present)

underlined & italicized: RE-ORDER





MID: Y9h8gZZ0ghx0VYtM1w8I8A==
pink: ADDITION





Date: 3/1/2008 blue + -->: REWORDING















CDC (Jan 2011-present) CUSTOM QUESTION LIST
QID 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
CWS06063
Which category best describes the health topic you were looking for? Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, STDs…) A Radio button, one-up vertical Single Y Skip Logic Group 1. Health topic looking for



Healthy Living (food safety, bone health, physical activity, immunizations, genetics, smoking prevention…) B







Traveler Health (destinations, outbreaks, travel vaccinations, Yellow Book…) C







Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…) D







Injury, Violence & Safety (brain injury, child abuse, falls, fires, poisoning, suicide, youth violence…) E







Environmental Health (air pollution, carbon monoxide, lead, mold, water quality, climate change…) F







Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…) G







Life Stages & Populations (infant & child, men, minorities, pregnancy, seniors, women...) H







Global Health (Global Health Initiative, global disease detection, Field Epidemiologist Training Program, parasites, global HIV/AIDS, international emergency and refugee health, Haiti…) I







State, Tribal, Local or Territorial Support (funding and grants, cooperative agreements, strategy and planning, policy, training, best practices …) J







Other, please specify: K




CWS06064 K Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1Oth Health Topic
CWS06065 A More specifically, what topic were you looking for? ADHD
Radio button, one-up vertical Single Y Skip Logic Group 1.1Diseases&Conditions



Arthritis








Asthma








Autism








Birth defects








Cancer








Diabetes








Epilepsy








Fetal alcohol syndrome








Flu (influenza)








Heart disease








Hepatitis








HIV/AIDS








Meningitis








MRSA (Methicillin Resistant Staphylococcus Aureus)








Obesity








Salmonella








Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)








Stroke








Tuberculosis








Water-related diseases








Other, please specify: L




CWS06066 L Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.1Oth Disease&Conditions
CWS06067 B More specifically, what topic were you looking for? Aging
Radio button, one-up vertical Single Y
1.2 Healthy Living



Birth defects








BMI (Body Mass Index)








Bone health








Breastfeeding








Child development








Excessive alcohol use








Food safety








Genetics and genomics








Mental health








Nutrition








Physical activity and exercise








Reproductive health








Sexual health








Sleep and sleep disorders








Smoking and tobacco use








Vaccines and immunizations








Other, please specify: M




CWS06068 M Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.2 Oth HealthyLiving
CWS06069 C More specifically, what topic were you looking for? 2010 Yellow Book
Radio button, one-up vertical Single Y Skip Logic Group 1.3 Travelers Health



Destinations








Diseases related to travel (including malaria and yellow fever)








Illness & injury abroad (what to do if you become sick while traveling)








Preparing for your trip








Staying healthy & safe (insect protection, safe food & water, survival guide)








Vaccinations








Other, please specify: N




CWS06070 N Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.3Oth Travelers Health
CWS06071 D More specifically, what topic were you looking for? Bioterrorism (anthrax, plague, smallpox)
Radio button, one-up vertical Single Y Skip Logic Group 1.4 Emergency



Chemical emergencies (ricin, chlorine, nerve agents)








Coping with a disaster








Mass casualties (explosions, blasts, injuries)








Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)








Preparation & planning for hazards








Radiation emergencies (dirty bombs, nuclear blasts)








Recent outbreaks & incidents (salmonella, melamine)








Surveillance








Other, please specify: O




CWS06072 O Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.4Oth Emergency
CWS06073 E More specifically, what topic were you looking for? Acute care (injury response)
Radio button, one-up vertical Single Y
1.5 Injury



Adolescent injuries








Child abuse / maltreatment








Choking








Concussion / brain injuries








Dog bites








Drowning








Elder maltreatment








Explosion and blast injuries








Falls among older adults








Fire-related injuries








Fireworks








Intimate partner violence








Mass casualties








Motor vehicle injuries








Poisoning








Preventing injury & violence








Sexual violence








Suicide








Violence








Other, please specify: P




CWS06074 P Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.5Oth Injury
CWS06075 F More specifically, what topic were you looking for? Air quality
Radio button, one-up vertical Single Y
1.6 Environmental



Asbestos








Asthma








Biomonitoring








Carbon monoxide poisoning








Childhood lead poisoning prevention








Climate change








Cruise ship health








Extreme weather conditions








Mold








Natural disasters








Protect yourself from the sun








Radiation studies








Rodent control








Smoking and tobacco use








Water








Other, please specify: Q




CWS06076 Q Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.6Oth Enviro
CWS06077 G More specifically, what topic were you looking for? Asbestos
Radio button, one-up vertical Single Y Skip Logic Group 1.7 Workplace



Carpal tunnel syndrome








Chemical safety








Construction








Electrical safety








Emergency responders








Ergonomics








Eye safety








Hearing loss








Heat stress








Laboratory safety








Lead








Machine safety








Mining








Motor vehicle safety








Noise








Office environments








Protective clothing








Respirators








Stress








Violence








Workplace safety & prevention








Other, please specify: R




CWS06078 R Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.7Oth Workplace
CWS06079 H More specifically, what topic were you looking for? Adolescents & teens
Radio button, one-up vertical Single Y
1.8 Lifestages



Children








Family








Infants & toddlers








Men








Older adults & seniors








Parents








Pregnancy








Women








Young adults








Other, please specify: H




CWS06080 S Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.8Oth Lifestages
CWS06081 I More specifically, what topic were you looking for? Field Epidemiologist Training Program
Radio button, one-up vertical Single Y
1.9 Global



Global disease detection








Global health initiatives








Global HIV/AIDS








Global immunizations








Haiti








International emergency and refugee health








Parasites








Other, please specify: T




CWS06082 T Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.9Oth Global
CWS06083 J More specifically, what topic were you looking for? Best practices
Radio button, one-up vertical Single Y Skip Logic Group 1.10 State Tribal



Cooperative agreements








Funding and grants








Policy








Strategy and planning








Training








Other, please specify: U




CWS06084 U Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group 1.10Oth State Tribal
CWS06085
Which of the following best describes the type of information you were looking for? General information about the health topic selected
Radio button, one-up vertical Single Y OPS Group 2. Type of Info Looking For



General information about symptoms, causes, risk factors, tests, or treatment








Data and statistics








Scientific research, articles, publications, and journals








Guidelines and recommendations for healthcare providers








Professional training for healthcare providers, researchers, public health professionals, etc.








Educational materials








Campaigns and initiatives








Grants and funding opportunities








Tools, software applications, systems, and other resources








Print materials (fact sheets, brochures, posters, etc.)








Multimedia products (podcasts, videos, widgets, etc.)








Jobs and careers








Other, please specify: A




CWS06086 A Please list the other type of information you were looking for:

Text area, no char limit

OPS Group 2.Oth Type of Info
CWS06087
Were you able to find what you were looking for? Yes
Radio button, one-up vertical
Y Skip Logic Group 3. Able to Find



Partially A







No, I'm still looking A




CWS06088 A What were you looking for?

Text area, no char limit

Skip Logic Group 3Oth. Unable to Find
CWS06089
Who will use the information you are looking for today? I will use it myself. A Radio button, one-up vertical Single Y Skip Logic Group Info Usage



I’m looking for a friend or family member.








I’m looking for a patient or client.








I’m looking for a public health agency.








Other, please specify: B




CWS06090 B Who will use the information:

Text area, no char limit

Skip Logic Group Info Usage Other
ACQOsl0003358
How are you primarily planning to use the information you are looking for today? For my own health
Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



For my family member or friend








For a physician's office/hospital








For a patient or client








For a public health agency








For a research institution








For a business / workplace








For an educational institution or teaching purposes








For a school / class project








Other, please specify: B




ACQOsl0003359 B Please specify how you will use the information you are looking for today:

Text area, no char limit

Skip Logic Group 4.Oth How will use
CWS06091 A Based on the information you found, how likely are you to make changes to your lifestyle to improve your health? Very Likely E Radio button, one-up vertical Single Y Skip Logic Group 5. Behavior Change



Likely E







Unlikely C







Very Unlikely C




CWS06092 C Why are you unlikely to make a change to improve your health? I need more information (need to do more research).
Radio button, one-up vertical Single Y Skip Logic Group 5.1 Unlikely -Why



I’m not ready to make a change yet.








I’m already following the recommendations / living a healthy lifestyle.








Other, please specify: D




CWS06093 D Why are you unlikely to make a change:

Text area, no char limit

Skip Logic Group 5.1 Oth Unlikely Why
CWS06094 E What change are you planning to make?

Text area, no char limit

Skip Logic Group 5.2 Likely Change
CWS06095
In the last year, which of the following activities have you done?  [Please select all that apply]: Listened to audio or podcasts on CDC.gov
Checkbox, one-up vertical Multi Y
6. SM CDC Activities



Watched a video on CDC.gov or CDC’s YouTube Page








Visited or “liked” CDC’s Facebook page 








Followed one of CDC’s Twitter profiles








Signed up for email updates on CDC.gov








Sent a CDC eCard to someone








Used CDC’s mobile Web site (m.cdc.gov) or a CDC mobile application (“app”)








Subscribed to CDC’s text messaging program








Read one of the blogs on CDC.gov








Used one of CDC’s widgets








Used CDC’s Public Health Image Library (PHIL)








Downloaded one of CDC’s buttons or badges








Participated in a contest or challenge CDC is sponsoring








None of the above 





CWS06096
In the last three months, which of the following general activities have you done online?  [Please select all that apply]: Participated in online social networks (Facebook, MySpace, etc.) 
Checkbox, one-up vertical Multi Y
7. SM Gen Activities



Used micro-blogging sites (Twitter, Tumblr, Jaiku, etc.)








Browsed through online photo galleries 








Watched videos on a Web site 








Uploaded videos to a Web site (YouTube) 








Listened to podcasts or audio on a Web site 








Signed up to receive email updates from a Web site 








Subscribed to RSS feeds








Used personalized Web pages (My Yahoo!, iGoogle, etc.) 








Added a widget, button, or badge to your personalized Web page 








Read blogs or Wikis 








Wrote a blog or contributed to Wikis 








Posted comments, ratings, or reviews on a Web site 








Sent an eCard to someone








Bookmarked or tagged Web sites (using social bookmarking sites as Digg) 








Participated in virtual worlds (Second Life, Whyville, etc.)   








None of the above 





CWS06097
In the last three months, which of the following activities have you done using your mobile phone or device?  [Please select all that apply]: Sent or received text messages
Checkbox, one-up vertical Multi Y
8. Mobile Activities



Browsed Web sites








Sent or received email








Downloaded an application (“app”)








Watched videos








Recorded videos








Took pictures








Played a game








Listened to music








None of the above





CWS06098
How frequently do you use the CDC.gov Web site? Daily
Radio button, one-up vertical Single Y
9. Frequency



Weekly








Monthly








A couple times a year








About once a year








This is my first time





CWS06099
Which best describes the primary role that brought you to the CDC.gov Web site today? Individual interested in health
Radio button, one-up vertical Single Y Skip Logic Group 10. Role



Traveler








Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) B, C







Public health agency employee or public health professional D, E







Scientist or researcher








Educator or teacher








Student








Safety advisor








Business manager








Journalist or member of the media








Emergency responder








Law enforcement








Policymaker, legislator, or staff








Grantee








CDC Employee, staff, or contractor








Other, please specify: A




CWS06100 A Please list your role:

Text area, no char limit
N Skip Logic Group 10.Oth Role
CWS06101 B Which of the following best describes you? Physician, actively seeing patients at least 2 days a week
Radio button, one-up vertical Single Y
10.1 HCP Role



Physician, primarily conducting research projects








Nurse or nurse practitioner








Physician’s assistant








Pharmacist or pharmaceutical assistant








Other type of healthcare provider, please specify: F




CWS06102 F Please list your role:

Text area, no char limit
N Skip Logic Group 10.1Oth HCP Role
CWS06103 C Which of the following best describes where you work? Hospital
Radio button, one-up vertical Single Y
10.2 HCP Location



Large medical practice








Small medical practice








Not-for-profit








Research institution








Other, please specify: G




CWS06104 G Please list where you work:

Text area, no char limit
N Skip Logic Group 10.2Oth HCP Location
CWS06105 D Which of the following best describes you? Public health advocate
Radio button, one-up vertical Single Y
10.3 PHP Role



Health educator








Health communicator








Management








Epidemiologist








Research scientist








Administrative staff








Other, please specify: H




CWS06106 H Please list your role:

Text area, no char limit
N Skip Logic Group 10.3Oth PHP Role
CWS06107 E Which of the following best describes where you work? Public or commercial sector
Radio button, one-up vertical Single Y
10.4 PHP Location



Not-for-profit








Federal public health agency








State public health agency








Local public health agency








Territorial public health agency








Tribal public health agency








Other, please specify: I




CWS06108 I Please list where you work:

Text area, no char limit
N Skip Logic Group 10.4Oth PHP Location
CWS06109
Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important)
Rank 1 (Required)
Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page








A blog or discussion forum



Adjust Template/Style Sheet



Advertisement on Facebook, MySpace, or Twitter



Randomize



Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06110
Rank 2 (Optional) Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, MySpace, or Twitter








Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06111
Rank 3 (Optional) Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, MySpace, or Twitter








Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06112
If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
CWS06113
How old are you? 19 or under
Radio button, one-up vertical Single Y
11. Age



20-34 years old








35-49 years old








50-64 years old








65 or older








Prefer not to answer





CWS06114
How would you describe yourself? White
Checkbox, one-up vertical Multi Y
12. Ethnicity



Hispanic or Latino








Asian








Black or African American








American Indian or Alaska Native








Native Hawaiian or other Pacific Islander








Prefer not to answer





CWS06115
What is the highest level of education you have completed? High school or less
Radio button, one-up vertical Single Y
13. Education



Some college








College degree








Advanced degree








Prefer not to answer





CWS06116
What is your gender? Female
Radio button, one-up vertical Single Y
14. Gender



Male








Prefer not to answer





CWS06117
What is your country of residence? USA


Y
15. Country



Afghanistan








Albania








Algeria








American Samoa








Andorra








Angola








Anguilla








Antarctica








Antigua and Barbuda








Argentina








Armenia








Aruba








Australia








Austria








Azerbaijan








Bahamas








Bahrain








Bangladesh








Barbados








Belarus








Belgium








Belize








Benin








Bermuda








Bhutan








Bolivia








Bosnia/Herzegovina








Botswana








Bouvet Island








Brazil








British Indian Ocean








Brunei Darussalam








Bulgaria








Burkina Faso








Burundi








Cambodia








Cameroon








Canada








Cape Verde








Cayman Islands








Central African Rep.








Chad








Chile








China








Christmas Island








Cocos Islands








Colombia








Comoros








Congo








Congo, Democratic Rep.








Cook Islands








Costa Rica








Côte D'Ivoire








Croatia








Cuba








Cyprus








Czech Republic








Denmark








Djibouti








Dominica








Dominican Republic








East Timor








Ecuador








Egypt








El Salvador








Equatorial Guinea








Eritrea








Estonia








Ethiopia








Falkland Islands








Faroe Islands








Fiji








Finland








France








French Guiana








French Polynesia








French Southern Terr.








Gabon








Gambia








Georgia








Germany








Ghana








Gibraltar








Greece








Greenland








Grenada








Guadeloupe








Guam








Guatemala








Guinea








Guinea& Bissau








Guyana








Haiti








Heard/McDonald Isls.








Holy See/Vatican








Honduras








Hong Kong








Hungary








Iceland








India








Indonesia








Iran








Iraq








Ireland








Israel








Italy








Jamaica








Japan








Jordan








Kazakhstan








Kenya








Kiribati








Korea, North








Korea, South








Kuwait








Kyrgyzstan








Laos








Latvia








Lebanon








Lesotho








Liberia








Libya








Liechtenstein








Lithuania








Luxembourg








Macao








Macedonia








Madagascar








Malawi








Malaysia








Maldives








Mali








Malta








Marshall Islands








Martinique








Mauritania








Mauritius








Mayotte








Mexico








Micronesia








Moldova








Monaco








Mongolia








Montserrat








Morocco








Mozambique








Myanmar








Namibia








Nauru








Nepal








Netherlands








Netherlands Antilles








New Caledonia








New Zealand








Nicaragua








Niger








Nigeria








Niue








Norfolk Island








Northern Mariana Isls








Norway








Oman








Pakistan








Palau








Palestinian Territory








Panama








Papua New Guinea








Paraguay








Peru








Philippines








Pitcairn








Poland








Portugal








Puerto Rico








Qatar








Réunion








Romania








Russian Federation








Rwanda








Saint Helena








Saint Kitts/Nevis








Saint Lucia








Saint Pierre/Miquelon








Saint Vincent/Grenadines








Samoa








San Marino








Sao Tome/Principe








Saudi Arabia








Senegal








Seychelles








Sierra Leone








Singapore








Slovakia








Slovenia








Solomon Islands








Somalia








South Africa








S. Georgia/S. Sand. Isls








Spain








Sri Lanka








Sudan








Suriname








Svalbard/Jan Mayen








Swaziland








Sweden








Switzerland








Syria








Taiwan








Tajikistan








Tanzania








Thailand








Togo








Tokelau








Tonga








Trinidad and Tobago








Tunisia








Turkey








Turkmenistan








Turks and Caicos Isls








Tuvalu








Uganda








Ukraine








United Arab Emirates








United Kingdom








US Minor Outlying Isls








Uruguay








Uzbekistan








Vanuatu








Venezuela








Viet Nam








Virgin Islands, British








Virgin Islands, U.S.








Wallis and Futuna








Western Sahara








Yemen








Yugoslavia








Zambia








Zimbabwe





CWS06118
If you could suggest one change to improve the CDC Web site, what recommendation would you make?

Text area, no char limit
N
16. One Improvement

Sheet 20: Custom Qsts EE 1-13-11

Model Instance Name:

red & strike-through: DELETE





CDC (Jan 2011-present)

underlined & italicized: RE-ORDER





MID: Y9h8gZZ0ghx0VYtM1w8I8A==
pink: ADDITION





Date: 3/1/2008 blue + -->: REWORDING















CDC (Jan 2011-present) CUSTOM QUESTION LIST
QID 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
CWS06063
Which category best describes the health topic you were looking for? Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, STDs…) A Radio button, one-up vertical Single Y Skip Logic Group Health Topic



Healthy Living (food safety, bone health, physical activity, immunizations, genetics, smoking prevention…) B







Traveler Health (destinations, outbreaks, travel vaccinations, Yellow Book…) C







Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…) D







Injury, Violence & Safety (brain injury, child abuse, falls, fires, poisoning, suicide, youth violence…) E







Environmental Health (air pollution, carbon monoxide, lead, mold, water quality, climate change…) F







Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…) G







Life Stages & Populations (infant & child, men, minorities, pregnancy, seniors, women...) H







Global Health (Global Health Initiative, global disease detection, Field Epidemiologist Training Program, parasites, global HIV/AIDS, international emergency and refugee health, Haiti…) I







State, Tribal, Local or Territorial Support (funding and grants, cooperative agreements, strategy and planning, policy, training, best practices …) J







Other, please specify: K




CWS06064 K Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Other Health Topic
CWS06065 A More specifically, what topic were you looking for? ADHD
Radio button, one-up vertical Single Y Skip Logic Group DiseaseCond



Arthritis








Asthma








Autism








Birth defects








Cancer








Diabetes








Epilepsy








Fetal alcohol syndrome








Flu (influenza)








Heart disease








Hepatitis








HIV/AIDS








Meningitis








MRSA (Methicillin Resistant Staphylococcus Aureus)








Obesity








Salmonella








Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)








Stroke








Tuberculosis








Water-related diseases








Other, please specify: L




CWS06066 L Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth diseascond
CWS06067 B More specifically, what topic were you looking for? Aging
Radio button, one-up vertical Single Y
Healthy Living



Birth defects








BMI (Body Mass Index)








Bone health








Breastfeeding








Child development








Excessive alcohol use








Food safety








Genetics and genomics








Mental health








Nutrition








Physical activity and exercise








Reproductive health








Sexual health








Sleep and sleep disorders








Smoking and tobacco use








Vaccines and immunizations








Other, please specify: M




CWS06068 M Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group
CWS06069 C More specifically, what topic were you looking for? 2010 Yellow Book
Radio button, one-up vertical Single Y Skip Logic Group Travelers Health



Destinations








Diseases related to travel (including malaria and yellow fever)








Illness & injury abroad (what to do if you become sick while traveling)








Preparing for your trip








Staying healthy & safe (insect protection, safe food & water, survival guide)








Vaccinations








Other, please specify: N




CWS06070 N Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Other Travelers
CWS06071 D More specifically, what topic were you looking for? Bioterrorism (anthrax, plague, smallpox)
Radio button, one-up vertical Single Y Skip Logic Group Emerg Prepare



Chemical emergencies (ricin, chlorine, nerve agents)








Coping with a disaster








Mass casualties (explosions, blasts, injuries)








Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)








Preparation & planning for hazards








Radiation emergencies (dirty bombs, nuclear blasts)








Recent outbreaks & incidents (salmonella, melamine)








Surveillance








Other, please specify: O




CWS06072 O Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Other Emerg
CWS06073 E More specifically, what topic were you looking for? Acute care (injury response)
Radio button, one-up vertical Single Y
Injury



Adolescent injuries








Child abuse / maltreatment








Choking








Concussion / brain injuries








Dog bites








Drowning








Elder maltreatment








Explosion and blast injuries








Falls among older adults








Fire-related injuries








Fireworks








Intimate partner violence








Mass casualties








Motor vehicle injuries








Poisoning








Preventing injury & violence








Sexual violence








Suicide








Violence








Other, please specify: P




CWS06074 P Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Injury
CWS06075 F More specifically, what topic were you looking for? Air quality
Radio button, one-up vertical Single Y
Enviro



Asbestos








Asthma








Biomonitoring








Carbon monoxide poisoning








Childhood lead poisoning prevention








Climate change








Cruise ship health








Extreme weather conditions








Mold








Natural disasters








Protect yourself from the sun








Radiation studies








Rodent control








Smoking and tobacco use








Water








Other, please specify: Q




CWS06076 Q Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Enviro
CWS06077 G More specifically, what topic were you looking for? Asbestos
Radio button, one-up vertical Single Y Skip Logic Group Workplace



Carpal tunnel syndrome








Chemical safety








Construction








Electrical safety








Emergency responders








Ergonomics








Eye safety








Hearing loss








Heat stress








Laboratory safety








Lead








Machine safety








Mining








Motor vehicle safety








Noise








Office environments








Protective clothing








Respirators








Stress








Violence








Workplace safety & prevention








Other, please specify: R




CWS06078 R Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Workplace
CWS06079 H More specifically, what topic were you looking for? Adolescents & teens
Radio button, one-up vertical Single Y
Life



Children








Family








Infants & toddlers








Men








Older adults & seniors








Parents








Pregnancy








Women








Young adults








Other, please specify: H




CWS06080 S Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Life
CWS06081 I More specifically, what topic were you looking for? Field Epidemiologist Training Program
Radio button, one-up vertical Single Y
Global



Global disease detection








Global health initiatives








Global HIV/AIDS








Global immunizations








Haiti








International emergency and refugee health








Parasites








Other, please specify: T




CWS06082 T Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Global
CWS06083 J More specifically, what topic were you looking for? Best practices
Radio button, one-up vertical Single Y Skip Logic Group State Tribal



Cooperative agreements








Funding and grants








Policy








Strategy and planning








Training








Other, please specify: U




CWS06084 U Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth State Tribal
CWS06085
Which of the following best describes the type of information you were looking for? General information about the health topic selected
Radio button, one-up vertical Single Y OPS Group Type of Info



General information about symptoms, causes, risk factors, tests, or treatment








Data and statistics








Scientific research, articles, publications, and journals








Guidelines and recommendations for healthcare providers








Professional training for healthcare providers, researchers, public health professionals, etc.








Educational materials








Campaigns and initiatives








Grants and funding opportunities








Tools, software applications, systems, and other resources








Print materials (fact sheets, brochures, posters, etc.)








Multimedia products (podcasts, videos, widgets, etc.)








Jobs and careers








Other, please specify: A




CWS06086 A Please list the other type of information you were looking for:

Text area, no char limit

OPS Group Other Info
CWS06087
Were you able to find what you were looking for? Yes
Radio button, one-up vertical
Y Skip Logic Group Find Info



Partially A







No, I'm still looking A




CWS06088 A What were you looking for?

Text area, no char limit

Skip Logic Group Unable to Find
CWS06089
Who will use the information you are looking for today? I will use it myself. A Radio button, one-up vertical Single Y Skip Logic Group Info Usage



I’m looking for a friend or family member.








I’m looking for a patient or client.








I’m looking for a public health agency.








Other, please specify: B




CWS06090 B Who will use the information:

Text area, no char limit

Skip Logic Group Info Usage Other
CWS06091 A Based on the information you found, how likely are you to make changes to your lifestyle to improve your health? Very Unlikely C Radio button, one-up vertical Single Y Skip Logic Group Change



Unlikely C







Likely E







Very Likely E




CWS06092 C Why are you unlikely to make a change to improve your health? I need more information (need to do more research).
Radio button, one-up vertical Single Y Skip Logic Group Unlikely Change



I’m not ready to make a change yet.








I’m already following the recommendations / living a healthy lifestyle.








Other, please specify: D




CWS06093 D Why are you unlikely to make a change:

Text area, no char limit

Skip Logic Group Open Unlikely Change
CWS06094 E What change are you planning to make?

Text area, no char limit

Skip Logic Group Open Change
CWS06095
In the last year, which of the following activities have you done?  [Please select all that apply]: Listened to audio or podcasts on CDC.gov
Checkbox, one-up vertical Multi Y
SM CDC Activities



Watched a video on CDC.gov or CDC’s YouTube Page








Visited or “liked” CDC’s Facebook page 








Followed one of CDC’s Twitter profiles








Signed up for email updates on CDC.gov








Sent a CDC eCard to someone








Used CDC’s mobile Web site (m.cdc.gov) or a CDC mobile application (“app”)








Subscribed to CDC’s text messaging program








Read one of the blogs on CDC.gov








Used one of CDC’s widgets








Used CDC’s Public Health Image Library (PHIL)








Downloaded one of CDC’s buttons or badges








Participated in a contest or challenge CDC is sponsoring








None of the above 





CWS06096
In the last three months, which of the following general activities have you done online?  [Please select all that apply]: Participated in online social networks (Facebook, MySpace, etc.) 
Checkbox, one-up vertical Multi Y
SM Activities



Used micro-blogging sites (Twitter, Tumblr, Jaiku, etc.)








Browsed through online photo galleries 








Watched videos on a Web site 








Uploaded videos to a Web site (YouTube) 








Listened to podcasts or audio on a Web site 








Signed up to receive email updates from a Web site 








Subscribed to RSS feeds








Used personalized Web pages (My Yahoo!, iGoogle, etc.) 








Added a widget, button, or badge to your personalized Web page 








Read blogs or Wikis 








Wrote a blog or contributed to Wikis 








Posted comments, ratings, or reviews on a Web site 








Sent an eCard to someone








Bookmarked or tagged Web sites (using social bookmarking sites as Digg) 








Participated in virtual worlds (Second Life, Whyville, etc.)   








None of the above 





CWS06097
In the last three months, which of the following activities have you done using your mobile phone or device?  [Please select all that apply]: Sent or received text messages
Checkbox, one-up vertical Multi Y
SM Mobile Activities



Browsed Web sites








Sent or received email








Downloaded an application (“app”)








Watched videos








Recorded videos








Took pictures








Played a game








Listened to music








None of the above





CWS06098
How frequently do you use the CDC.gov Web site? Daily
Radio button, one-up vertical Single Y
Frequency



Weekly








Monthly








A couple times a year








About once a year








This is my first time





CWS06099
Which best describes the primary role that brought you to the CDC.gov Web site today? Individual interested in health
Radio button, one-up vertical Single Y Skip Logic Group Role



Traveler








Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) B, C







Public health agency employee or public health professional D, E







Scientist or researcher








Educator or teacher








Student








Safety advisor








Business manager








Journalist or member of the media








Emergency responder








Law enforcement








Policymaker, legislator, or staff








Grantee








CDC Employee, staff, or contractor








Other, please specify: A




CWS06100 A Please list the other reason you are on the site:

Text area, no char limit
N Skip Logic Group Provider role
CWS06101 B Which of the following best describes you? Physician, actively seeing patients at least 2 days a week
Radio button, one-up vertical Single Y




Physician, primarily conducting research projects








Nurse or nurse practitioner








Physician’s assistant








Pharmacist or pharmaceutical assistant








Other type of healthcare provider, please specify: F




CWS06102 G Please list your role:

Text area, no char limit
N Skip Logic Group Other Provider
CWS06103 C Which of the following best describes where you work? Hospital
Radio button, one-up vertical Single Y
Provider Location



Large medical practice








Small medical practice








Not-for-profit








Research institution








Other, please specify: G




CWS06104 G Please list where you work:

Text area, no char limit
N Skip Logic Group Other Prov Location
CWS06105 D Which of the following best describes you? Public health advocate
Radio button, one-up vertical Single Y




Health educator








Health communicator








Management








Research scientist








Administrative staff








Other, please specify: H




CWS06106 H Please list your role:

Text area, no char limit
N Skip Logic Group Other Public
CWS06107 E Which of the following best describes where you work? Public or commercial sector
Radio button, one-up vertical Single Y




Not-for-profit








Federal public health agency








State public health agency








Local public health agency








Territorial public health agency








Tribal public health agency








Other, please specify: I




CWS06108 I Please list where you work:

Text area, no char limit
N Skip Logic Group Other Pub Location
CWS06109
Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important)
Rank 1 (Required)
Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page








A blog or discussion forum



Adjust Template/Style Sheet



Advertisement on Facebook, MySpace, or Twitter



Randomize



Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06110
Rank 2 (Optional) Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, MySpace, or Twitter








Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06111
Rank 3 (Optional) Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, MySpace, or Twitter








Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
CWS06112
If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
CWS06113
How old are you? 19 or under
Radio button, one-up vertical Single Y
Age



20-34 years old








35-49 years old








50-64 years old








65 or older








Prefer not to answer





CWS06114
How would you describe yourself? White
Checkbox, one-up vertical Multi Y
Ethnicity



Hispanic or Latino








Asian








Black or African American








American Indian or Alaska Native








Native Hawaiian or other Pacific Islander








Prefer not to answer





CWS06115
What is the highest level of education you have completed? High school or less
Radio button, one-up vertical Single Y
Education



Some college








College degree








Advanced degree








Prefer not to answer





CWS06116
What is your gender? Female
Radio button, one-up vertical Single Y
Gender



Male








Prefer not to answer















CWS06117
What is your country of residence? USA


Y
Country



Afghanistan








Albania








Algeria








American Samoa








Andorra








Angola








Anguilla








Antarctica








Antigua and Barbuda








Argentina








Armenia








Aruba








Australia








Austria








Azerbaijan








Bahamas








Bahrain








Bangladesh








Barbados








Belarus








Belgium








Belize








Benin








Bermuda








Bhutan








Bolivia








Bosnia/Herzegovina








Botswana








Bouvet Island








Brazil








British Indian Ocean








Brunei Darussalam








Bulgaria








Burkina Faso








Burundi








Cambodia








Cameroon








Canada








Cape Verde








Cayman Islands








Central African Rep.








Chad








Chile








China








Christmas Island








Cocos Islands








Colombia








Comoros








Congo








Congo, Democratic Rep.








Cook Islands








Costa Rica








Côte D'Ivoire








Croatia








Cuba








Cyprus








Czech Republic








Denmark








Djibouti








Dominica








Dominican Republic








East Timor








Ecuador








Egypt








El Salvador








Equatorial Guinea








Eritrea








Estonia








Ethiopia








Falkland Islands








Faroe Islands








Fiji








Finland








France








French Guiana








French Polynesia








French Southern Terr.








Gabon








Gambia








Georgia








Germany








Ghana








Gibraltar








Greece








Greenland








Grenada








Guadeloupe








Guam








Guatemala








Guinea








Guinea& Bissau








Guyana








Haiti








Heard/McDonald Isls.








Holy See/Vatican








Honduras








Hong Kong








Hungary








Iceland








India








Indonesia








Iran








Iraq








Ireland








Israel








Italy








Jamaica








Japan








Jordan








Kazakhstan








Kenya








Kiribati








Korea, North








Korea, South








Kuwait








Kyrgyzstan








Laos








Latvia








Lebanon








Lesotho








Liberia








Libya








Liechtenstein








Lithuania








Luxembourg








Macao








Macedonia








Madagascar








Malawi








Malaysia








Maldives








Mali








Malta








Marshall Islands








Martinique








Mauritania








Mauritius








Mayotte








Mexico








Micronesia








Moldova








Monaco








Mongolia








Montserrat








Morocco








Mozambique








Myanmar








Namibia








Nauru








Nepal








Netherlands








Netherlands Antilles








New Caledonia








New Zealand








Nicaragua








Niger








Nigeria








Niue








Norfolk Island








Northern Mariana Isls








Norway








Oman








Pakistan








Palau








Palestinian Territory








Panama








Papua New Guinea








Paraguay








Peru








Philippines








Pitcairn








Poland








Portugal








Puerto Rico








Qatar








Réunion








Romania








Russian Federation








Rwanda








Saint Helena








Saint Kitts/Nevis








Saint Lucia








Saint Pierre/Miquelon








Saint Vincent/Grenadines








Samoa








San Marino








Sao Tome/Principe








Saudi Arabia








Senegal








Seychelles








Sierra Leone








Singapore








Slovakia








Slovenia








Solomon Islands








Somalia








South Africa








S. Georgia/S. Sand. Isls








Spain








Sri Lanka








Sudan








Suriname








Svalbard/Jan Mayen








Swaziland








Sweden








Switzerland








Syria








Taiwan








Tajikistan








Tanzania








Thailand








Togo








Tokelau








Tonga








Trinidad and Tobago








Tunisia








Turkey








Turkmenistan








Turks and Caicos Isls








Tuvalu








Uganda








Ukraine








United Arab Emirates








United Kingdom








US Minor Outlying Isls








Uruguay








Uzbekistan








Vanuatu








Venezuela








Viet Nam








Virgin Islands, British








Virgin Islands, U.S.








Wallis and Futuna








Western Sahara








Yemen








Yugoslavia








Zambia








Zimbabwe





CWS06118
If you could suggest one change to improve the CDC Web site, what recommendation would you make?

Text area, no char limit
N
One Improvement

Sheet 21: English Custom Qsts

Model Instance Name:

red & strike-through: DELETE





CDC (Jan 2011-present) - English

underlined & italicized: RE-ORDER





MID: 9U0B0ZRZoIdc1hE89hM0IA==
pink: ADDITION





Date: 3/1/2008 blue + -->: REWORDING















CDC (Jan 2011-present) - English CUSTOM QUESTION LIST
QID 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
ENCWS06063
Which category best describes the health topic you were looking for? Diseases and Conditions (ADHD, birth defects, cancer, diabetes, fetal alcohol syndrome, flu, hepatitis, HIV/AIDS, STDs…) A Radio button, one-up vertical Single Y Skip Logic Group Health Topic



Healthy Living (food safety, bone health, physical activity, immunizations, genetics, smoking prevention…) B







Traveler's Health (destinations, outbreaks, travel vaccinations, Yellow Book…) C







Emergency Preparedness & Response (bioterrorism, chemical & radiation emergencies, severe weather…) D







Injury, Violence & Safety (brain injury, child abuse, falls, fires, poisoning, suicide, youth violence…) E







Environmental Health (air pollution, carbon monoxide, lead, mold, water quality, climate change…) F







Workplace Health (asbestos, chemical safety, construction, mining, office environments, respirators…) G







Life Stages & Populations (infant & child, men, minorities, pregnancy, seniors, women...) H







Global Health (Global Health Initiative, global disease detection, Field Epidemiologist Training Program, parasites, global HIV/AIDS, international emergency and refugee health, Haiti…) I







State, Tribal, Local or Territorial Support (funding and grants, cooperative agreements, strategy and planning, policy, training, best practices …) J







Other, please specify: K




ENCWS06064 K Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Other Health Topic
ENCWS06065 A More specifically, what topic were you looking for? ADHD
Radio button, one-up vertical Single Y Skip Logic Group DiseaseCond



Arthritis








Asthma








Autism








Birth defects








Cancer








Diabetes








Epilepsy








Fetal alcohol syndrome








Flu (influenza)








Heart disease








Hepatitis








HIV/AIDS








Meningitis








MRSA (Methicillin Resistant Staphylococcus Aureus)








Obesity








Salmonella








Sexually transmitted diseases (HPV, chlamydia, gonorrhea, etc.)








Stroke








Tuberculosis








Water-related diseases








Other, please specify: L




ENCWS06066 L Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth diseascond
ENCWS06067 B More specifically, what topic were you looking for? Aging
Radio button, one-up vertical Single Y
Healthy Living



Birth defects








BMI (Body Mass Index)








Bone health








Breastfeeding








Child development








Excessive alcohol use








Food safety








Genetics and genomics








Mental health








Nutrition








Physical activity and exercise








Reproductive health








Sexual health








Sleep and sleep disorders








Smoking and tobacco use








Vaccines and immunizations








Other, please specify: M




ENCWS06068 M Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group
ENCWS06069 C More specifically, what topic were you looking for? Yellow Book (CDC Health Information for International Travel)
Radio button, one-up vertical Single Y Skip Logic Group Travelers Health



Destinations








Diseases related to travel (including malaria and yellow fever)








Illness & injury abroad (what to do if you become sick while traveling)








Preparing for your trip








Staying healthy & safe (insect protection, safe food & water, survival guide)








Vaccinations








Other, please specify: N




ENCWS06070 N Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Other Travelers
ENCWS06071 D More specifically, what topic were you looking for? Bioterrorism (anthrax, plague, smallpox)
Radio button, one-up vertical Single Y Skip Logic Group Emerg Prepare



Chemical emergencies (ricin, chlorine, nerve agents)








Coping with a disaster








Mass casualties (explosions, blasts, injuries)








Natural disasters & severe weather (earthquakes, hurricanes, volcanoes, winter weather)








Preparation & planning for hazards








Radiation emergencies (dirty bombs, nuclear blasts)








Recent outbreaks & incidents (salmonella, melamine)








Surveillance








Other, please specify: O




ENCWS06072 O Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Other Emerg
ENCWS06073 E More specifically, what topic were you looking for? Acute care (injury response)
Radio button, one-up vertical Single Y
Injury



Adolescent injuries








Child abuse / maltreatment








Choking








Concussion / brain injuries








Dog bites








Drowning








Elder maltreatment








Explosion and blast injuries








Falls among older adults








Fire-related injuries








Fireworks








Intimate partner violence








Mass casualties








Motor vehicle injuries








Poisoning








Preventing injury & violence








Sexual violence








Suicide








Violence








Other, please specify: P




ENCWS06074 P Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Injury
ENCWS06075 F More specifically, what topic were you looking for? Air quality
Radio button, one-up vertical Single Y
Enviro



Asbestos








Asthma








Biomonitoring








Carbon monoxide poisoning








Childhood lead poisoning prevention








Climate change








Cruise ship health








Extreme weather conditions








Mold








Natural disasters








Protect yourself from the sun








Radiation studies








Rodent control








Smoking and tobacco use








Water








Other, please specify: Q




ENCWS06076 Q Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Enviro
ENCWS06077 G More specifically, what topic were you looking for? Asbestos
Radio button, one-up vertical Single Y Skip Logic Group Workplace



Carpal tunnel syndrome








Chemical safety








Construction








Electrical safety








Emergency responders








Ergonomics








Eye safety








Hearing loss








Heat stress








Laboratory safety








Lead








Machine safety








Mining








Motor vehicle safety








Noise








Office environments








Protective clothing








Respirators








Stress








Violence








Workplace safety & prevention








Other, please specify: R




ENCWS06078 R Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Workplace
ENCWS06079 H More specifically, what topic were you looking for? Adolescents & teens
Radio button, one-up vertical Single Y
Life



Children








Family








Infants & toddlers








Men








Older adults & seniors








Parents








Pregnancy








Women








Young adults








Other, please specify: H




ENCWS06080 S Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Life
ENCWS06081 I More specifically, what topic were you looking for? Field Epidemiologist Training Program
Radio button, one-up vertical Single Y
Global



Global disease detection








Global health initiatives








Global HIV/AIDS








Global immunizations








Haiti








International emergency and refugee health








Parasites








Other, please specify: T




ENCWS06082 T Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth Global
ENCWS06083 J More specifically, what topic were you looking for? Best practices
Radio button, one-up vertical Single Y Skip Logic Group State Tribal



Cooperative agreements








Funding and grants








Policy








Strategy and planning








Training








Other, please specify: U




ENCWS06084 U Please list the other topic you were looking for:

Text area, no char limit

Skip Logic Group Oth State Tribal
ENCWS06085
Which of the following best describes the type of information you were looking for? General information about the health topic selected
Radio button, one-up vertical Single Y OPS Group Type of Info



General information about symptoms, causes, risk factors, tests, or treatment








Data and statistics








Scientific research, articles, publications, and journals








Guidelines and recommendations for healthcare providers








Professional training for healthcare providers, researchers, public health professionals, etc.








Educational materials








Campaigns and initiatives








Grants and funding opportunities








Tools, software applications, systems, and other resources








Print materials (fact sheets, brochures, posters, etc.)








Multimedia products (podcasts, videos, widgets, etc.)








Jobs and careers








Other, please specify: A




ENCWS06086 A Please list the other type of information you were looking for:

Text area, no char limit

OPS Group Other Info
ENCWS06087
Were you able to find what you were looking for? Yes
Radio button, one-up vertical
Y Skip Logic Group Find Info



Partially A







No, I'm still looking A




ENCWS06088 A What were you looking for?

Text area, no char limit

Skip Logic Group Unable to Find
ENACQOsl0003358
How are you primarily planning to use the information you are looking for today? For my own health
Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



For my family member or friend








For a physician's office/hospital








For a patient or client








For a public health agency








For a research institution








For a business / workplace








For an educational institution or teaching purposes








For a school / class project








Other, please specify: B




ENACQOsl0003359 B Please specify how you will use the information you are looking for today:

Text area, no char limit

Skip Logic Group 4.Oth How will use
ENCWS06091
Based on the information you found, how likely are you to make changes to your lifestyle to improve your health? Very Likely E Radio button, one-up vertical Single Y Skip Logic Group Change



Likely E







Unlikely C







Very Unlikely C




ENCWS06092 C Why are you unlikely to make a change to improve your health? I need more information (need to do more research).
Radio button, one-up vertical Single Y Skip Logic Group Unlikely Change



I’m not ready to make a change yet.








I’m already following the recommendations / living a healthy lifestyle.








Other, please specify: D




ENCWS06093 D Why are you unlikely to make a change:

Text area, no char limit

Skip Logic Group Open Unlikely Change
ENCWS06094 E What change are you planning to make?

Text area, no char limit

Skip Logic Group Open Change
ENACQOsl0004055
Would you like to receive information from CDC through other electronic channels or devices? [Please select all that apply]: Social Networks (i.e. Facebook)
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



Mirco-blogging sites (i.e. Twitter)








Mobile websites








Mobile applications








Text messages








Online Videos








Podcasts








Webinars








Blogs








eCards








Widgets (i.e. module or application you can add to a website or personalized web page like iGoogle or MyYahoo!)








E-mail updates








RSS Feeds








None of the above








Other, please specify: A




ENACQOsl0004056 A Please specify the other electronic channels or devices:




OPS Group 6. Oth Elect Channel (3.14.2011)
ENCWS06095
In the last year, which of the following activities have you done?  [Please select all that apply]: Listened to audio or podcasts on CDC.gov
Checkbox, one-up vertical Multi Y
SM CDC Activities



Watched a video on CDC.gov or CDC’s YouTube Page








Visited or “liked” CDC’s Facebook page 








Followed one of CDC’s Twitter profiles








Signed up for email updates on CDC.gov








Sent a CDC eCard to someone








Used CDC’s mobile Web site (m.cdc.gov) or a CDC mobile application (“app”)








Subscribed to CDC’s text messaging program








Read one of the blogs on CDC.gov








Used one of CDC’s widgets








Used CDC’s Public Health Image Library (PHIL)








Downloaded one of CDC’s buttons or badges








Participated in a contest or challenge CDC is sponsoring








None of the above 





ENCWS06096
In the last three months, which of the following general activities have you done online?  [Please select all that apply]: Participated in online social networks (Facebook, MySpace, etc.) 
Checkbox, one-up vertical Multi Y
SM Activities



Used micro-blogging sites (Twitter, Tumblr, Jaiku, etc.)








Browsed through online photo galleries 








Watched videos on a Web site 








Uploaded videos to a Web site (YouTube) 








Listened to podcasts or audio on a Web site 








Signed up to receive email updates from a Web site 








Subscribed to RSS feeds








Used personalized Web pages (My Yahoo!, iGoogle, etc.) 








Added a widget, button, or badge to your personalized Web page 








Read blogs or Wikis 








Wrote a blog or contributed to Wikis 








Posted comments, ratings, or reviews on a Web site 








Sent an eCard to someone








Bookmarked or tagged Web sites (using social bookmarking sites as Digg) 








Participated in virtual worlds (Second Life, Whyville, etc.)   








None of the above 





ENCWS06097
In the last three months, which of the following activities have you done using your mobile phone or device?  [Please select all that apply]: Sent or received text messages
Checkbox, one-up vertical Multi Y
SM Mobile Activities



Browsed Web sites








Sent or received email








Downloaded an application (“app”)








Watched videos








Recorded videos








Took pictures








Played a game








Listened to music








None of the above





ENCWS06098
How frequently do you use the CDC.gov Web site? Daily
Radio button, one-up vertical Single Y
Frequency



Weekly








Monthly








A couple times a year








About once a year








This is my first time





ENCWS06099
Which best describes the primary role that brought you to the CDC.gov Web site today? Individual interested in health
Radio button, one-up vertical Single Y Skip Logic Group Role



Traveler








Healthcare provider (physician, nurse, physician’s assistant, nurse practitioner, pharmacist, or other healthcare provider) B, C







Public health agency employee or public health professional D, E







Scientist or researcher








Educator or teacher








Student








Safety advisor








Business manager








Journalist or member of the media








Emergency responder








Law enforcement








Policymaker, legislator, or staff








Grantee








CDC Employee, staff, or contractor








Other, please specify: A




ENCWS06100 A Please list your role:

Text area, no char limit
N Skip Logic Group Provider role
ENCWS06101 B Which of the following best describes you? Physician, actively seeing patients at least 2 days a week
Radio button, one-up vertical Single Y




Physician, primarily conducting research projects








Nurse or nurse practitioner








Physician’s assistant








Pharmacist or pharmaceutical assistant








Other type of healthcare provider, please specify: F




ENCWS06102 F Please list your role:

Text area, no char limit
N Skip Logic Group Other Provider
ENCWS06103 C Which of the following best describes where you work? Hospital
Radio button, one-up vertical Single Y
Provider Location



Large medical practice








Small medical practice








Not-for-profit








Research institution








Other, please specify: G




ENCWS06104 G Please list where you work:

Text area, no char limit
N Skip Logic Group Other Prov Location
ENCWS06105 D Which of the following best describes you? Public health advocate
Radio button, one-up vertical Single Y




Health educator








Health communicator








Management








Epidemiologist








Research scientist








Administrative staff








Other, please specify: H




ENCWS06106 H Please list your role:

Text area, no char limit
N Skip Logic Group Other Public
ENCWS06107 E Which of the following best describes where you work? Public or commercial sector
Radio button, one-up vertical Single Y




Not-for-profit








Federal public health agency








State public health agency








Local public health agency








Territorial public health agency








Tribal public health agency








Other, please specify: I




ENCWS06108 I Please list where you work:

Text area, no char limit
N Skip Logic Group Other Pub Location
ENCWS06109
Which of the following sources drove you to visit the site today? (Please rank the top 3, with number 1 being the most important)
Rank 1 (Required)
Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page








A blog or discussion forum



Adjust Template/Style Sheet



Advertisement on Facebook, MySpace, or Twitter



Randomize



Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
ENCWS06110
Rank 2 (Optional) Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, MySpace, or Twitter








Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
ENCWS06111
Rank 3 (Optional) Message directly from CDC on Facebook, MySpace, or Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Message or recommendation from a friend on Facebook, MySpace, or Twitter








Video I saw on CDC's YouTube Page



Adjust Template/Style Sheet



A blog or discussion forum



Randomize



Advertisement on Facebook, MySpace, or Twitter








Mobile phone text messages or alerts








Instant Message from someone








Familiarity with site/agency








Email updates from the agency








Website is bookmarked








Search engine results








Word of mouth recommendation from someone I know








TV, radio, newspaper, or magazine advertising








Advertisement on another Website








Don't know



Anchor Answer Choice



Other



Anchor Answer Choice
ENCWS06112
If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
ENCWS06113
How old are you? 19 or under
Radio button, one-up vertical Single Y
Age



20-34 years old








35-49 years old








50-64 years old








65 or older








Prefer not to answer





ENCWS06114
How would you describe yourself? White
Checkbox, one-up vertical Multi Y
Ethnicity



Hispanic or Latino








Asian








Black or African American








American Indian or Alaska Native








Native Hawaiian or other Pacific Islander








Prefer not to answer





ENCWS06115
What is the highest level of education you have completed? High school or less
Radio button, one-up vertical Single Y
Education



Some college








College degree








Advanced degree








Prefer not to answer





ENCWS06116
What is your gender? Female
Radio button, one-up vertical Single Y
Gender



Male








Prefer not to answer















ENCWS06117
What is your country of residence? USA


Y
Country



Afghanistan








Albania








Algeria








American Samoa








Andorra








Angola








Anguilla








Antarctica








Antigua and Barbuda








Argentina








Armenia








Aruba








Australia








Austria








Azerbaijan








Bahamas








Bahrain








Bangladesh








Barbados








Belarus








Belgium








Belize








Benin








Bermuda








Bhutan








Bolivia








Bosnia/Herzegovina








Botswana








Bouvet Island








Brazil








British Indian Ocean








Brunei Darussalam








Bulgaria








Burkina Faso








Burundi








Cambodia








Cameroon








Canada








Cape Verde








Cayman Islands








Central African Rep.








Chad








Chile








China








Christmas Island








Cocos Islands








Colombia








Comoros








Congo








Congo, Democratic Rep.








Cook Islands








Costa Rica








Côte D'Ivoire








Croatia








Cuba








Cyprus








Czech Republic








Denmark








Djibouti








Dominica








Dominican Republic








East Timor








Ecuador








Egypt








El Salvador








Equatorial Guinea








Eritrea








Estonia








Ethiopia








Falkland Islands








Faroe Islands








Fiji








Finland








France








French Guiana








French Polynesia








French Southern Terr.








Gabon








Gambia








Georgia








Germany








Ghana








Gibraltar








Greece








Greenland








Grenada








Guadeloupe








Guam








Guatemala








Guinea








Guinea& Bissau








Guyana








Haiti








Heard/McDonald Isls.








Holy See/Vatican








Honduras








Hong Kong








Hungary








Iceland








India








Indonesia








Iran








Iraq








Ireland








Israel








Italy








Jamaica








Japan








Jordan








Kazakhstan








Kenya








Kiribati








Korea, North








Korea, South








Kuwait








Kyrgyzstan








Laos








Latvia








Lebanon








Lesotho








Liberia








Libya








Liechtenstein








Lithuania








Luxembourg








Macao








Macedonia








Madagascar








Malawi








Malaysia








Maldives








Mali








Malta








Marshall Islands








Martinique








Mauritania








Mauritius








Mayotte








Mexico








Micronesia








Moldova








Monaco








Mongolia








Montserrat








Morocco








Mozambique








Myanmar








Namibia








Nauru








Nepal








Netherlands








Netherlands Antilles








New Caledonia








New Zealand








Nicaragua








Niger








Nigeria








Niue








Norfolk Island








Northern Mariana Isls








Norway








Oman








Pakistan








Palau








Palestinian Territory








Panama








Papua New Guinea








Paraguay








Peru








Philippines








Pitcairn








Poland








Portugal








Puerto Rico








Qatar








Réunion








Romania








Russian Federation








Rwanda








Saint Helena








Saint Kitts/Nevis








Saint Lucia








Saint Pierre/Miquelon








Saint Vincent/Grenadines








Samoa








San Marino








Sao Tome/Principe








Saudi Arabia








Senegal








Seychelles








Sierra Leone








Singapore








Slovakia








Slovenia








Solomon Islands








Somalia








South Africa








S. Georgia/S. Sand. Isls








Spain








Sri Lanka








Sudan








Suriname








Svalbard/Jan Mayen








Swaziland








Sweden








Switzerland








Syria








Taiwan








Tajikistan








Tanzania








Thailand








Togo








Tokelau








Tonga








Trinidad and Tobago








Tunisia








Turkey








Turkmenistan








Turks and Caicos Isls








Tuvalu








Uganda








Ukraine








United Arab Emirates








United Kingdom








US Minor Outlying Isls








Uruguay








Uzbekistan








Vanuatu








Venezuela








Viet Nam








Virgin Islands, British








Virgin Islands, U.S.








Wallis and Futuna








Western Sahara








Yemen








Yugoslavia








Zambia








Zimbabwe





ENCWS06118
If you could suggest one change to improve the CDC Web site, what recommendation would you make?

Text area, no char limit
N
One Improvement

Sheet 22: Spanish Custom Qsts

Model Instance Name:

red & strike-through: DELETE






CDC (Jan 2011-present) - Spanish

underlined & italicized: RE-ORDER






MID: QEtRNNchocpRY99oZMsNZQ==
pink: ADDITION






Date: 3/1/2008 blue + -->: REWORDING

















CDC (Jan 2011-present) - Spanish CUSTOM QUESTION LIST
QID 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
SPCWS06063
¿Qué categoría describe mejor el tema de salud que está buscando? Enfermedades y afecciones (TDAH, defectos de nacimiento, cáncer, diabetes, síndrome alcohólico fetal, influenza o gripe, VIH/sida, ETS...) A Radio button, one-up vertical Single Y Skip Logic Group Health Topic



Vida saludable (seguridad de los alimentos, salud de los huesos, actividad física, vacunas, genética, prevención del tabaquismo...) B








Salud del viajero (destinos, brotes, vacunas para viajeros, el libro Amarillo o Yellow Book…) C








Preparación y respuesta para casos de emergencias (bioterrorismo, emergencias por sustancias químicas y radiación, mal tiempo…) D








Lesiones, violencia y seguridad (lesiones cerebrales, abuso infantil, caídas, incendios, envenenamientos e intoxicaciones, suicidio, violencia juvenil...) E








Salud ambiental (contaminación del aire, monóxido de carbono, plomo, moho, calidad del agua, cambio climático…) F








Salud ocupacional (asbesto, seguridad de sustancias químicas, construcción, minería, entornos de oficinas, respiradores…) G








Etapas de la vida y poblaciones (bebés y niños, hombres, minorías, embarazos, ancianos, mujeres...) H








Salud global (Iniciativa de salud global, detección de enfermedades globales, Programa de Capacitación de Epidemiólogos de Campo, parásitos, VIH/sida en el mundo, Programa internacional de emergencia y salud de los refugiados, Haití…) I








Apoyo a nivel estatal, tribal, local o territorial (financiamiento y subvenciones, acuerdos de cooperación, estrategia y planificación, políticas, capacitación, mejores prácticas…) J








Otro, por favor especifique: K





SPCWS06064 K Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Health Topic
SPCWS06065 A ¿Qué tema buscaba en específico? TDAH
Radio button, one-up vertical Single Y Skip Logic Group DiseaseCond



Artritis









Asma









Autismo









Defectos de nacimiento o congénitos









Cáncer









Diabetes









Epilepsia









Síndrome alcohólico fetal









Influenza (gripe)









Enfermedades cardiacas









Hepatitis









VIH/Sida









Meningitis









SARM (Staphylococcus Aureus resistente a la meticilina)









Obesidad









Salmonella









Enfermedades transmitidas sexualmente (VPH, clamidia, gonorrea, etc.)









Accidentes cerebrovasculares









Tuberculosis









Enfermedades relacionadas con el agua









Otro, por favor especifique: L





SPCWS06066 L Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth diseascond
SPCWS06067 B ¿Qué tema buscaba en específico? Envejecimiento
Radio button, one-up vertical Single Y
Healthy Living



Defectos de nacimiento o congénitos









IMC (Índice de masa corporal)









Salud de los huesos









Lactancia materna









Desarrollo infantil









Consumo excesivo del alcohol









Higiene de los alimentos









Genética y genómica









Salud mental









Nutrición









Actividad física y ejercicio









Salud reproductiva









Salud sexual









Sueño y trastornos del sueño









Tabaquismo









Vacunas e inmunización









Otro, por favor especifique: M





SPCWS06068 M Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group

SPCWS06069 C ¿Qué tema buscaba en específico? Guía Amarilla del Viajero (Información de salud de los CDC para los viajeros internacionales)
Radio button, one-up vertical Single Y Skip Logic Group Travelers Health



Destinos









Enfermedades relacionadas con los viajes (como paludismo o malaria y fiebre amarilla)









Enfermedades y lesiones en el extranjero (qué hacer si se enferma durante su viaje)









Preparación para un viaje









Cómo mantenerse seguro y saludable (protección contra insectos, agua y alimentos seguros y guía de supervivencia)









Vacunas









Otro, por favor especifique: N





SPCWS06070 N Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Travelers
SPCWS06071 D ¿Qué tema buscaba en específico? Bioterrorismo (carbunco o anthrax, peste, viruela)
Radio button, one-up vertical Single Y Skip Logic Group Emerg Prepare



Emergencias con sustancias químicas (ricina, cloro, agentes nerviosos)









Cómo hacerle frente a un desastre









Víctimas masivas (explosiones, ondas expansivas, lesiones)









Desastres naturales y mal tiempo (terremotos, huracanes, volcanes, ola invernal)









Preparación y planificación de riesgos









Emergencias por radiación ("bombas sucias", explosiones nucleares)









Brotes e incidentes recientes (salmonella, melamina)









Vigilancia epidemiológica









Otro, por favor especifique: O





SPCWS06072 O Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Other Emerg
SPCWS06073 E ¿Qué tema buscaba en específico? Cuidados agudos (respuesta a lesiones)
Radio button, one-up vertical Single Y
Injury



Lesiones en adolescentes









Abuso o maltrato infantil









Asfixia









Conmociones o lesiones cerebrales









Mordeduras de perro









Ahogamientos









Maltrato de ancianos









Lesiones por explosiones y onda expansiva









Caídas en adultos de edad avanzada









Lesiones producidas por el fuego









Fuegos artificiales









Violencia de pareja









Victimas masivas









Lesiones relacionadas con vehículos automotores









Intoxicación y envenenamiento









Prevención de lesiones y violencia









Violencia sexual









Suicidio









Violencia









Otro, por favor especifique: P





SPCWS06074 P Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Injury
SPCWS06075 F ¿Qué tema buscaba en específico? Calidad del aire
Radio button, one-up vertical Single Y
Enviro



Asbesto









Asma









Biomonitorización









Envenamiento con monóxido de carbono









Prevención del envenenamiento infantil por plomo









Cambio climático









Salud en los cruceros









Condiciones climáticas extremas









Moho









Desastres naturales









Protección contra el sol









Estudios sobre la radiación









Control de roedores









Tabaquismo









Agua









Otro, por favor especifique: Q





SPCWS06076 Q Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Enviro
SPCWS06077 G ¿Qué tema buscaba en específico? Asbesto
Radio button, one-up vertical Single Y Skip Logic Group Workplace



Síndrome del túnel carpiano









Seguridad de las sustancias químicas









Construcción









Seguridad con la electricidad









Personal de respuesta a emergencias









Ergonomía









Protección de los ojos









Pérdida de la audición









Estrés por calor









Seguridad en el laboratorio









Plomo









Seguridad con las maquinarias









Minería









Seguridad en vehículos automotores









Ruido









Entornos de oficina









Ropas protectoras









Respiradores









Tensión o estrés









Violencia









Seguridad y prevención en el lugar de trabajo









Otro, por favor especifique: R





SPCWS06078 R Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Workplace
SPCWS06079 H ¿Qué tema buscaba en específico? Adolescentes
Radio button, one-up vertical Single Y
Life



Niños









Familias









Bebés y niños pequeños









Hombres









Adultos mayores y ancianos









Padres









Embarazo









Mujeres









Adultos jóvenes









Otro, por favor especifique: H





SPCWS06080 S Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Life
SPCWS06081 I ¿Qué tema buscaba en específico? Programa de capacitación de epidemiólogos de campo
Radio button, one-up vertical Single Y
Global



Detección global de enfermedades









Iniciativas de salud global









VIH/sida en el mundo









Vacunación global









Haití









Programa Internacional de Emergencia y Salud de los Refugiados









Parásitos









Otro, por favor especifique: T





SPCWS06082 T Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth Global
SPCWS06083 J ¿Qué tema buscaba en específico? Mejores prácticas
Radio button, one-up vertical Single Y Skip Logic Group State Tribal



Acuerdos de cooperación









Financiamiento y subvenciones









Políticas









Estrategias y planeación









Capacitación









Otro, por favor especifique: U





SPCWS06084 U Indique el otro tema que está buscando:

Text area, no char limit

Skip Logic Group Oth State Tribal
SPCWS06085
¿Cuál de los siguientes describe mejor el tipo de información que buscaba? Información general del tema de salud seleccionado
Radio button, one-up vertical Single Y OPS Group Type of Info



Información general sobre síntomas, causas, factores de riesgo, pruebas o tratamientos









Datos y estadísticas









Investigaciones científicas, artículos, publicaciones y revistas









Directrices y recomendaciones para personal de atención médica









Capacitación profesional para personal de atención médica, investigadores, profesionales de salud pública, etc.









Materiales educativos









Campañas e iniciativas









Subvenciones y oportunidades de financiamiento









Herramientas, programas informáticos, sistemas y otros recursos









Materiales impresos (hojas informativas, folletos, afiches, etc.)









Materiales de multimedia (podcasts, videos, widgets, etc.)









Empleos y desarrollo profesional









Otro, por favor especifique: A





SPCWS06086 A Indique el otro tipo de información que buscaba:

Text area, no char limit

OPS Group Other Info
SPCWS06087
¿Pudo encontrar lo que buscaba?
Radio button, one-up vertical
Y Skip Logic Group Find Info



Parcialmente A








No, todavía sigo buscando. A





SPCWS06088 A ¿Qué información estaba buscando?

Text area, no char limit

Skip Logic Group Unable to Find
SPACQOsl0003358
¿Qué uso principal  le dará a la información que está buscando hoy? Para mi propia salud
Radio button, one-up vertical Single Y Skip Logic Group 4. How will use



Para un familiar o amigo









Para un consultorio médico / hospital









Para un paciente o cliente









Para una agencia de salud pública









Para una institución de investigación









Para una empresa / sitio de trabajo









Para una institución educativa o para enseñanza









Para una escuela / para una clase









Otro, especifique B





SPACQOsl0003359 B Por favor, especifique de qué manera utilizará la información que está buscando hoy:

Text area, no char limit

Skip Logic Group 4.Oth How will use
SPCWS06091
Con base en la información que encontró, ¿qué probabilidad tiene de hacer cambios en su estilo de vida para mejorar su salud? Muy probable E Radio button, one-up vertical Single Y Skip Logic Group Change



Probablemente sí E








Probablemente no C








Muy poco probable C





SPCWS06092 C ¿Por qué es muy poco probable que haga algún cambio para mejorar su salud? Necesito más información (necesito averiguar más).
Radio button, one-up vertical Single Y Skip Logic Group Unlikely Change



No estoy listo para hacer el cambio todavía.









Ya estoy siguiendo las recomendaciones / tengo un estilo de vida saludable.









Otro, por favor especifique: D





SPCWS06093 D ¿Por qué razón es probable que no haga ningún cambio?:

Text area, no char limit

Skip Logic Group Open Unlikely Change
SPCWS06094 E ¿Qué cambio planea hacer?

Text area, no char limit

Skip Logic Group Open Change
SPACQOsl0004055
¿Le gustaría recibir información de los CDC a través de otros canales o aparatos electrónicos? Por favor seleccione todos los que correspondan. Redes sociales (como Facebook)
Checkbox, one-up vertical Multi Y OPS Group 6. Electronic Channels (3.14.2011)



Sitios de micro-blogging (como Twitter)









Sitio web para celulares y otros aparatos móviles









Aplicaciones móviles o apps









Mensajes de texto









Videos en línea









Podcasts









Webinars









Blogs









Tarjetas electrónicas









Widgets (es decir, un módulo o aplicación que puede añadir a su sitio web o página personalizada de Internet como iGoogle o MyYahoo!)









Actualizaciones por correo electrónico









Canales RSS









Ninguna de las anteriores









Otro, por favor especifique: A





SPACQOsl0004056 A Por favor especifique cuáles otros canales o aparatos electrónicos:




OPS Group 6. Oth Elect Channel (3.14.2011)
SPCWS06095
En el último año, ¿cuál de las siguientes actividades ha realizado? [Seleccione todas las que aplican]: Escuchó un podcast o una emisión en CDC.gov
Checkbox, one-up vertical Multi Y
SM CDC Activities



Vio un video en CDC.gov o la página de los CDC en YouTube









Visitó o "le gustó" la página de los CDC en Facebook









Siguió uno de los perfiles sociales de los CDC en Twitter









Se suscribió para recibir actualizaciones de CDC.gov por correo electrónico









Envió a alguien una tarjeta electrónica de los CDC









Usó el sitio web móvil de los CDC (m.cdc.gov) o una aplicación móvil de los CDC ("app")









Se suscribió a un programa de mensajes de texto de los CDC









Leyó uno de los blogs en CDC.gov









Usó uno de los widgets de CDC









Usó la Biblioteca de Imágenes de Salud Pública (PHIL) de los CDC









Descargó uno de los botones o letreros de los CDC









Participó en un concurso o en una competencia patrocinada por los CDC









Nada de lo anterior






SPCWS06096
En los últimos tres meses, ¿cuál de las siguientes actividades generales ha realizado en Internet? [Seleccione todas las que aplican]: Participó en sitios de interacción social en línea (Facebook, MySpace, etc.)
Checkbox, one-up vertical Multi Y
SM Activities



Usó sitios de "microblogging"(Twitter, Tumblr, Jaiku, etc.)









Exploró galerías de fotos en línea









Vio videos en un sitio web









Cargó videos en un sitio web (YouTube)









Escuchó podcasts o emisiones de audio en un sitio web









Se suscribió para recibir actualizaciones de un sitio web por correo electrónico









Se suscribió a canales RSS









Usó páginas de Internet personalizadas (My Yahoo!, iGoogle, etc.)









Añadió un widget o un gadget a su página web personalizada









Leyó blogs o wikis









Escribió un blog o colaboró en wikis









Publicó comentarios, calificaciones o reseñas en un sitio web









Envió una tarjeta electrónica a alguien:









Marcó como favoritos o etiquetó sitios de web (usando sitios sociales para clasificar como Digg)









Participó en mundos virtuales (Second Life, Whyville, etc.)









Nada de lo anterior






SPCWS06097
En los últimos tres meses, ¿cuál de las siguientes actividades generales ha realizado con su teléfono celular o aparato móvil? [Seleccione todas las que aplican]: Envió o recibió mensajes de texto
Checkbox, one-up vertical Multi Y
SM Mobile Activities



Exploró sitios web









Envió o recibió correos electrónicos









Descargó una aplicación ("app")









Vio videos









Grabó videos









Tomó fotos









Jugó un juego en línea









Escuchó música









Nada de lo anterior






SPCWS06098
¿Con qué frecuencia utiliza usted el sitio web CDC en Español ? Diariamente
Radio button, one-up vertical Single Y
Frequency



Semanalmente









Mensualmente









Un par de veces al año









Alrededor de una vez al año









Esta es mi primera vez






SPCWS06099
¿Cuál describe mejor la razón principal para visitar hoy el sitio web CDC.gov? Persona interesada en temas de salud
Radio button, one-up vertical Single Y Skip Logic Group Role



Viajero









Profesional de atención médica (doctor, enfermera, asistente médico, personal de enfermería especializado, farmaceuta u otro prestador de atención médica) B, C








Empleado de una agencia de salud pública o profesional de salud pública D, E








Científico o investigador









Educador o maestro









Estudiante









Asesor de temas de seguridad









Gerente de empresa









Periodista o miembro de los medios de comunicación









Personal de respuesta a emergencias









Personal de seguridad pública









Funcionario oficial, legislador o miembro de su personal









Becario/beneficiario de subvención









Empleado, contratista o personal de los CDC









Otro, por favor especifique: A





SPCWS06100 A Indique su función:

Text area, no char limit
N Skip Logic Group Provider role
SPCWS06101 B ¿Cuál de las siguientes opciones le describe mejor? Médico que da consultas por lo menos 2 días a la semana
Radio button, one-up vertical Single Y





Médico, principalmente realizando investigaciones









Personal de enfermería









Asistente médico









Farmaceuta o asistente de farmaceuta









Otro tipo de profesional de atención médica, por favor especifique: F





SPCWS06102 G Indique su función:

Text area, no char limit
N Skip Logic Group Other Provider
SPCWS06103 C ¿Cuál de las siguientes opciones describe mejor su sitio de trabajo? Hospital
Radio button, one-up vertical Single Y
Provider Location



Consultorio médico grande









Consultorio médico pequeño









Organización sin ánimo de lucro









Institución que realiza investigaciones









Otro, por favor especifique: G





SPCWS06104 G Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Prov Location
SPCWS06105 D ¿Cuál de las siguientes opciones le describe mejor? Promotor de salud pública
Radio button, one-up vertical Single Y





Educador de temas de salud









Comunicador de temas de salud









Administrador









Epidemiólogo









Científico investigador









Personal administrativo









Otro, por favor especifique: H





SPCWS06106 H Indique su función:

Text area, no char limit
N Skip Logic Group Other Public
SPCWS06107 E ¿Cuál de los siguientes describe el lugar donde trabaja? Sector público o comercial
Radio button, one-up vertical Single Y





Organización sin ánimo de lucro









Agencia de salud pública federal









Agencia de salud pública estatal









Agencia de salud pública local









Agencia de salud pública territorial









Agencia de salud pública tribal









Otro, por favor especifique: I





SPCWS06108 I Indique dónde trabaja:

Text area, no char limit
N Skip Logic Group Other Pub Location
SPCWS06109
¿Cuál de las siguientes fuentes le motivó a visitar hoy este sitio web? (Designe los 3 principales, asignando el número 1 al más importante)
Primer lugar: 1 (requerido)
Mensaje directo de los CDC en Facebook, MySpace o Twitter
Drop down, select one Single Y Rank Group SV - Rank 1



Mensaje o recomendación de un amigo en Facebook, MySpace o Twitter









Video que vi en la página de los CDC en YouTube









Un blog o foro de discusión



Adjust Template/Style Sheet




Anuncio en Facebook, MySpace o Twitter



Randomize




Mensajes de texto o alertas en el teléfono celular









Mensaje instantáneo IM de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06110
Segundo lugar: 2 (opcional) Mensaje directo de los CDC en Facebook, MySpace o Twitter
Drop down, select one Single N Rank Group SV - Rank 2



Mensaje o recomendación de un amigo en Facebook, MySpace o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




Un blog o foro de discusión



Randomize




Anuncio en Facebook, MySpace o Twitter









Mensajes de texto o alertas en el teléfono celular









Mensaje instantáneo IM de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06111
Tercer lugar: 2 (opcional) Mensaje directo de los CDC en Facebook, MySpace o Twitter
Drop down, select one Single N Rank Group SV - Rank 3



Mensaje o recomendación de un amigo en Facebook, MySpace o Twitter









Video que vi en la página de los CDC en YouTube



Adjust Template/Style Sheet




Un blog o foro de discusión



Randomize




Anuncio en Facebook, MySpace o Twitter









Mensajes de texto o alertas en el teléfono celular









Mensaje instantáneo IM de alguien









Conozco la agencia o su sitio web









Actualizaciones por correo electrónico de la agencia









Sitio web marcado como favorito









Resultados de búsqueda en Internet









Alguien que conozco me lo recomendó









Anuncio en radio, televisión, periódico o revista









Anuncio en otro sitio web









No sé



Anchor Answer Choice




Otro



Anchor Answer Choice

SPCWS06112
Si escuchó sobre este sitio web en una de las redes sociales, especifique el sitio (p. ej., Facebook, Twitter)

Text area, no char limit
N
SV - Other Social Network
SPCWS06113
¿Qué edad tiene? 19 años o menos
Radio button, one-up vertical Single Y
Age



20-34 años de edad









35-49 años de edad









50-64 años de edad









65 años o más









Prefiero no contestar






SPCWS06114
¿Cómo se describiría usted? Blanco
Checkbox, one-up vertical Multi Y
Ethnicity



Hispano o latino









Asiático









Negro o afroamericano









Indoamericano o nativo de Alaska









Nativo de Hawái o de otras islas del Pacífico









Prefiero no contestar






SPCWS06115
¿Cuál es el nivel más alto de estudios que ha completado? Escuela secundaria superior (high school) o menos
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Education



Algunos estudios universitarios









Graduado universitario









Posgrado









Prefiero no contestar






SPCWS06116
¿Cuál es su sexo? Femenino
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Gender



Masculino









Prefiero no contestar

















SPCWS06117
¿En qué país reside? Estados Unidos




Country



Afganistán









Albania









Alemania









Andorra









Angola









Anguilla









Antártida









Antigua y Barbuda









Antillas Holandesas









Arabia Saudita









Argelia









Argentina









Armenia









Aruba









Australia









Austria









Azerbaiyán









Bahamas









Bahrein









Bangladesh









Barbados









Bélgica









Belice









Benín









Bielorrusia









Bolivia









Bosnia-Herzegovina









Botswana









Brasil









Brunei Darussalam









Bulgaria









Burkina Faso









Burundi









Bután









Cabo Verde









Camboya









Camerún









Canadá









Chad









Chile









China









Chipre









Colombia









Comoras









Congo









Corea del Norte









Corea del Sur









Costa de Marfil









Costa Rica









Croacia









Cuba









Dinamarca









Djibouti









Dominica









Ecuador









Egipto









El Salvador









Emiratos Árabes Unidos









Eritrea









Eslovaquia









Eslovenia









España









Estonia









Etiopía









Federación Rusa









Fiji









Filipinas









Finlandia









Francia









Gabón









Gambia









Georgia









Ghana









Gibraltar









Grecia









Grenada









Groenlandia









Guadeloupe









Guam









Guatemala









Guayana francesa









Guinea









Guinea Ecuatorial









Guinea-Bissau









Guyana









Haití









Holanda









Honduras









Hong Kong









Hungría









India









Indonesia









Irán









Iraq









Irlanda









Isla Bouvet









Isla Navidad









Isla Norfolk









Islandia









Islas Bermudas









Islas Caimán









Islas Cocos









Islas Cook









Islas Faroe









Islas Heard/McDonald









Islas Malvinas o Falkland









Islas Marianas del Norte









Islas Marshall









Islas Solomón









Islas Turcas y Caicos









Islas Ultramarinas de Estados Unidos









Islas Vírgenes, británicas









Islas Vírgenes, de EE. UU.









Israel









Italia









Jamaica









Japón









Jordania









Kazajstán









Kenya









Kirguistán









Kiribati









Kuwait









Laos









Latvia









Lesotho









Líbano









Liberia









Libia









Liechtenstein









Lituania









Luxemburgo









Macao









Macedonia









Madagascar









Malasia









Malawi









Maldivas









Mali









Malta









Marruecos









Martinica









Mauricio









Mauritania









Mayotte









México









Micronesia









Moldova









Mónaco









Mongolia









Montserrat









Mozambique









Myanmar









Namibia









Nauru









Nepal









Nicaragua









Níger









Nigeria









Niue









Noruega









Nueva Caledonia









Nueva Zelandia









Omán









Pakistán









Palau









Panamá









Papua Nueva Guinea









Paraguay









Perú









Pitcairn









Polinesia Francesa









Polonia









Portugal









Puerto Rico









Qatar









Reino Unido









República Centroafricana









República Checa









República Democrática del Congo









República Dominicana









Réunion









Ruanda









Rumania









S. Islas Georgia del sur y Sándwich del Sur









Sahara Occidental









Saint Kitts/Nevis









Saint Pierre/Miquelon









Samoa









Samoa Americana









San Marino









San Vicente y las Granadinas









Santa Elena









Santa Lucía









Santa Sede/Ciudad del Vaticano









Santo Tomé y Príncipe









Senegal









Seychelles









Sierra Leona









Singapur









Siria









Somalia









Sri Lanka









Sudáfrica









Sudán









Suecia









Suiza









Suriname









Islas Svalbard y Jan Mayen









Swazilandia









Tailandia









Taiwán









Tanzania









Tayikistán









Territorio británico del Océano Índico









Territorios Franceses del Sur









Territorios palestinos









Timor Oriental









Togo









Tokelau









Tonga









Trinidad y Tobago









Túnez









Turkmenistán









Turquía









Tuvalu









Ucrania









Uganda









Uruguay









Uzbekistán









Vanuatu









Venezuela









Vietnam









Wallis y Futuna









Yemen









Yugoslavia









Zambia









Zimbabwe






SPCWS06118
Si pudiera sugerir un cambio para mejorar el sitio web de los CDC, ¿cuál sería su recomendación?

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