| Model Instance Name: | 
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		| NWHIC V2 | 
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		| MID: | 
 | 1Y4UEQFldJMBdVx5NIskUw4C | 
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		| Partitioned (Y/N)? Y | 
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		| FPI Included(Y/N)? N | 
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		| Date: | 
 | 9/10/2013 | 
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		| Model questions utilize the ACSI methodology to determine scores and impacts | 
	
		| 
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 | ELEMENTS (drivers of satisfaction) | 
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 | CUSTOMER SATISFACTION | 
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 | FUTURE BEHAVIORS | 
	
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 | MQ Label | 
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 | MQ Label | 
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 | MQ Label | 
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 | Content (1=Poor, 10=Excellent, Don't Know) | 
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 | Satisfaction | 
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 | Return (1=Very Unlikely, 10=Very Likely) | 
	
		| 1 | Content - Accuracy | Please rate your perception of the accuracy of information on this site. | 17 | Satisfaction - Overall | What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)
 | 20 | Return | How likely are you to return to this site? | 
	
		| 2 | Content - Quality | Please rate the quality of information on this site. | 18 | Satisfaction - Expectations | How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)
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 | Recommend (1=Very Unlikely, 10=Very Likely) | 
	
		| 3 | Content - Freshness | Please rate the freshness of content on this site. | 19 | Satisfaction - Ideal | How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)
 | 21 | Recommend | How likely are you to recommend this site to someone else? | 
	
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 | Site Performance (1=Poor, 10=Excellent, Don't Know) | 
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		| 4 | Site Performance - Loading | Please rate how quickly pages load on this site. | 
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		| 5 | Site Performance - Consistency | Please rate the consistency of speed from page to page on this site. | 
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		| 6 | Site Performance - Errors | Please rate the ability to load pages without getting error messages on this site. | 
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 | Functionality (1=Poor, 10=Excellent, Don't Know) | 
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		| 7 | Functionality - Usefulness | Please rate the usefulness of the features provided on this site (such as National Women's Health Week, BodyWorks, Spotlight on Women's Health). | 
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		| 8 | Functionality - Convenient | Please rate the convenient placement of the features on this site (such as National Women's Health Week, BodyWorks, Spotlight on Women's Health). | 
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		| 9 | Functionality - Variety | Please rate the variety of features on this site (such as National Women's Health Week, BodyWorks, Spotlight on Women's Health). | 
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 | Look and Feel (1=Poor, 10=Excellent, Don't Know) | 
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		| 10 | Look and Feel - Appeal | Please rate the visual appeal of this site. | 
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		| 11 | Look and Feel - Balance | Please rate the balance of graphics and text on this site. | 
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		| 12 | Look and Feel - Readability | Please rate the readability of the pages on this site. | 
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 | Navigation (1=Poor, 10=Excellent, Don't Know) | 
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		| 13 | Navigation - Organized | Please rate how well the site is organized. | 
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		| 14 | Navigation - Options | Please rate the options available for navigating this site. | 
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		| 15 | Navigation - Layout | Please rate how well the site layout helps you find what you are looking for. | 
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		| 16 | Navigation - Clicks | Please rate the number of clicks to get where you want on this site. | 
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		| Model Instance Name: | 
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 | red & strike-through:  DELETE | 
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		| NWHIC V2 | 
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 | underlined & italicized: RE-ORDER | 
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		| MID: | 
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 | pink: ADDITION | 
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		| Partitioned (Y/N)? Y | 
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		| FPI Included(Y/N)? N | 
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		| Date: | 1/14/2011 | 
 | blue + -->: REWORDING | 
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		| NWHIC V2 CUSTOM QUESTION LIST | 
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		| QID (Group ID)
 | Skip Logic Label | Question Text | Answer IDs (DOT ONLY) | Answer Choices (limited to 50 characters)
 | Skip to | Type (select from list) | Single or Multi | Required Y/N
 | Special Instructions | 25 character limit. Leave blank if you want DOT to fill this part out.
		CQ Label | 
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		| MAC1670 | 
 | How frequently do you visit this site? | MAC1670A01 | Daily or almost daily | 
 | Drop down,  select one | Single | Y | 
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 | MAC1670A02 | Two to three times a week | 
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 | Frequency of Visit | 
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 | MAC1670A03 | About once a week | 
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 | MAC1670A04 | Two to three times a month | 
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 | MAC1670A05 | About once a month | 
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 | MAC1670A06 | Once every two or three months | 
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 | MAC1670A07 | Every 6 months or less | 
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 | MAC1670A08 | First time | 
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		| MAC1671 | 
 | Which best describes you? | MAC1671A01 | General public | 
 | Radio button,  one-up vertical | S | Y | OPS Group | Describes | 
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 | MAC1671A02 | Health care provider | 
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 | MAC1671A03 | Public health professional | 
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 | MAC1671A04 | Non-governmental organization | 
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 | MAC1671A05 | Researcher | 
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 | MAC1671A06 | Media professional | 
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 | MAC1671A07 | College/graduate student | 
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 | MAC1671A08 | Grade 9-12 student | 
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 | MAC1671A09 | Federal government | 
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 | MAC1671A10 | State or local government | 
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 | MAC1671A11 | Other, please specify: | 
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 | Anchor Answer Choice | 
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		| MAC1672 | 
 | Other best describes: | 
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 | Text field,  <100 char | 
 | N | 
 | Other, best describes | 
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		| MAC1673 | 
 | What were you primarily looking for on this website? | MAC1673A01 | Prevention or wellness information | 
 | Radio button,  one-up vertical | S | Y | Randomize | Reason for Visit | 
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 | MAC1673A02 | Particular disease or condition | 
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 | MAC1673A03 | Research findings or journal articles | 
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 | OPS Group | 
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 | MAC1673A04 | Programs/activities | 
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 | MAC1673A05 | News | 
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 | MAC1673A06 | Health care providers and hospitals | 
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 | MAC1673A07 | Health insurance information | 
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 | MAC1673A08 | Medical dictionary | 
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 | MAC1673A09 | Women’s health publications to order or download and print | 
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 | MAC1673A10 | Just browsing/nothing specific | 
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 | MAC1673A11 | Other, please specify: | 
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 | Anchor Answer Choice | 
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		| MAC1674 | 
 | Other primarily looking for: | 
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 | Text area,  no char limit | 
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		| MAC1675 | 
 | Did you find the information you were hoping to obtain? | MAC1675A01 | Yes | 
 | Drop down,  select one | S | Y | Skip Logic Group | Found Info | 
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 | MAC1675A02 | No | A | 
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 | MAC1675A03 | Not yet | A | 
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		| MAC1676 | A | If you did not find the information, please specify what information you were looking for: | 
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 | Text area,  no char limit | 
 | N | Skip Logic Group | Information Seeking | 
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		| MAC1677 | 
 | What one thing can womenshealth.gov do better? | 
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 | Text area,  no char limit | 
 | N | 
 | Improvements | 
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		| MAC1678 | 
 | We're working to make womenshealth.gov better and we'd like your help. Please provide us with your e-mail address if you would be willing to take another survey sometime in the future. Thank you! | 
 | 
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 | Text area,  no char limit | 
 | N | 
 | Emails | 
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 | 
	
	
	
	
	
	
	
	
	
	
	
	
	
		| Model Instance Name: | 
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 | red & strike-through:  DELETE | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| NWHIC V2 | 
 | 
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 | underlined & italicized: RE-ORDER | 
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 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
 | 
	
		| MID: | 
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 | pink: ADDITION | 
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		| Partitioned (Y/N)? Y | 
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		| FPI Included(Y/N)? N | 
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		| Date: | 1/14/2011 | 
 | blue + -->: REWORDING | 
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		| 
 | 
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		| NWHIC V2 CUSTOM QUESTION LIST | 
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 | 
 | 
	
		| QID (Group ID)
 | Skip Logic Label | Question Text | Answer IDs (DOT ONLY) | Answer Choices (limited to 50 characters)
 | Skip to | Type (select from list) | Single or Multi | Required Y/N
 | Special Instructions | 25 character limit. Leave blank if you want DOT to fill this part out.
		CQ Label | 
 | 
 | 
 | 
 | 
 | 
	
		| MAC1670 | 
 | How frequently do you visit this site? | MAC1670A01 | Daily or almost daily | 
 | Drop down,  select one | Single | Y | 
 | 
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		| 
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 | MAC1670A02 | Two to three times a week | 
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 | Frequency of Visit | 
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		| 
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 | MAC1670A03 | About once a week | 
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		| 
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 | MAC1670A04 | Two to three times a month | 
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 | MAC1670A05 | About once a month | 
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		| 
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 | MAC1670A06 | Once every two or three months | 
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		| 
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 | MAC1670A07 | Every 6 months or less | 
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		| 
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 | MAC1670A08 | First time | 
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		| MAC1671 | 
 | Which best describes you? | MAC1671A01 | General public | 
 | Radio button,  one-up vertical | S | Y | OPS Group | Describes | 
 | 
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 | 
 | 
	
		| 
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 | MAC1671A02 | Health care provider | 
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		| 
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 | MAC1671A03 | Public health professional | 
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 | MAC1671A04 | Non-governmental organization | 
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		| 
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 | MAC1671A05 | Researcher | 
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		| 
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 | MAC1671A06 | Media professional | 
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 | MAC1671A07 | College/graduate student | 
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		| 
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 | MAC1671A08 | Grade 9-12 student | 
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		| 
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 | MAC1671A09 | Federal government | 
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		| 
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 | MAC1671A10 | State or local government | 
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		| 
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 | MAC1671A11 | Other, please specify: | 
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 | Anchor Answer Choice | 
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		| MAC1672 | 
 | Other best describes: | 
 | 
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 | Text field,  <100 char | 
 | N | 
 | Other, best describes | 
 | 
 | 
 | 
 | 
 | 
	
		| MAC1673 | 
 | What were you primarily looking for on this website? | MAC1673A01 | Prevention or wellness information | 
 | Radio button,  one-up vertical | S | Y | Randomize | Reason for Visit | 
 | 
 | 
 | 
 | 
 | 
	
		| 
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 | MAC1673A02 | Particular disease or condition | 
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		| 
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 | MAC1673A03 | Research findings or journal articles | 
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 | OPS Group | 
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 | MAC1673A04 | Programs/activities | 
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 | MAC1673A05 | News | 
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		| 
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 | MAC1673A06 | Health care providers and hospitals | 
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 | MAC1673A07 | Health insurance information | 
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		| 
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 | MAC1673A08 | Medical dictionary | 
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		| 
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 | MAC1673A09 | Women’s health publications to order or download and print | 
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		| 
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 | MAC1673A10 | Just browsing/nothing specific | 
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		| 
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 | MAC1673A11 | Other, please specify: | 
 | 
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 | Anchor Answer Choice | 
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		| MAC1674 | 
 | Other primarily looking for: | 
 | 
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 | Text area,  no char limit | 
 | 
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 | 
	
		| MAC1675 | 
 | Did you find the information you were hoping to obtain? | MAC1675A01 | Yes | 
 | Drop down,  select one | S | Y | Skip Logic Group | Found Info | 
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		| 
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 | MAC1675A02 | No | A | 
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		| 
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 | MAC1675A03 | Not yet | A | 
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		| MAC1676 | A | If you did not find the information, please specify what information you were looking for: | 
 | 
 | 
 | Text area,  no char limit | 
 | N | Skip Logic Group | Information Seeking | 
 | 
 | 
 | 
 | 
 | 
	
		| MAC1677 | 
 | What one thing can womenshealth.gov do better? | 
 | 
 | 
 | Text area,  no char limit | 
 | N | 
 | Improvements | 
 | 
 | 
 | 
 | 
 | 
	
		| MAC1678 | 
 | We're working to make womenshealth.gov better and we'd like your help. Please provide us with your e-mail address if you would be willing to take another survey sometime in the future. Thank you! | 
 | 
 | 
 | Text area,  no char limit | 
 | N | 
 | Emails | 
 | 
 | 
 | 
 | 
 |