890 2014 890 Nhlbi
American Customer Satisfaction Index (ACSI) E-Government Website Customer Satisfaction Surveys
2014 890 NHLBI.xlsx
2014 882 CMS Medicare - 2014 891 Treasury Direct v2
OMB: 1090-0008
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1090-0008 can be found here:
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Model Qsts
Custom Qsts
Overview
Welcome and Thank You TextModel Qsts
Custom Qsts
Sheet 1: Welcome and Thank You Text
| Welcome and Thank You Text | 
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| Welcome Text | |||||||
| Thank you for visiting our site. You've been randomly chosen to take part in a brief survey to let us know what we're doing well and where we can improve. Please take a few minutes to share your opinions, which are essential in helping us provide the best online experience possible. |
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| Thank You Text | |||||||
| Thank you for taking our survey - and for helping us serve you better. Please note you will not receive a response from us based on your survey comments. If you would like us to contact you about your feedback, please visit the Contact Us section of our website. |
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Sheet 2: Model Qsts
| Model Instance Name: | |||||
| NHLBI |
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| MID: | |||||
| Non-Partitioned | |||||
| Date: 11-11-14 | |||||
| Site Information (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Primary Resource (1=Very Unlikely, 10=Very Likely) | |||
| Site Information - Thoroughness | Please rate the thoroughness of information provided on this site. | Satisfaction - Overall | What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied) |
Primary Resource | How likely are you to use this site as your primary resource for heart, lung, blood and sleep information? |
| Site Information - Understandable | Please rate how understandable this site’s information is. | Satisfaction - Expectations | How well does this site meet your expectations? (1=Falls Short, 10=Exceeds) |
Recommend (1=Very Unlikely, 10=Very Likely) | |
| Site Information - Answers | Please rate how well the site’s information provides answers to your questions. | Satisfaction - Ideal | How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close) |
Recommend | How likely are you to recommend this site to someone else? |
| Look and Feel (1=Poor, 10=Excellent, Don't Know) | Return (1=Very Unlikely, 10=Very Likely) | ||||
| Look and Feel - Appeal | Please rate the visual appeal of this site. | How likely are you to return to this site? | |||
| Look and Feel - Balance | Please rate the balance of graphics and text on this site. | Lifestyle Change (1=Very Unlikely, 10=Very Likely) | |||
| Look and Feel - Readability | Please rate the readability of the pages on this site. | Lifestyle Change | How likely are you to make a healthy lifestyle change within 2 months based on the information you found on this site? | ||
| Navigation (1=Poor, 10=Excellent, Don't Know) | |||||
| Navigation - Organized | Please rate how well the site is organized. | ||||
| Navigation - Options | Please rate the options available for navigating this site. | ||||
| Navigation - Layout | Please rate how well the site layout helps you find what you are looking for. | ||||
| Information Browsing (1=Poor, 10=Excellent, Don't Know) | |||||
| Information Browsing - Sort | Please rate the ability to sort information by criteria that are important to you on this site. | ||||
| Information Browsing - Narrow | Please rate the ability to narrow choices to find the information you are looking for on this site. | ||||
| Information Browsing - Features | Please rate how well the features on the site help you find the information you need. |
Sheet 3: Custom Qsts
| NHLBI | |||||||||
| Err:509 | |||||||||
| Date: | 11/13/2014 | ||||||||
| CQID | Skip Logic Label | Question Text | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Required Y/N |
Special Instructions | CQ Label | |
| How frequently do you visit the NHLBI website? | First time | A | Radio button, one-up vertical | Y | Skip Logic Group | Visit Frequency | |||
| Daily | |||||||||
| About once a week | |||||||||
| About once a month | |||||||||
| Every 6 months or less | |||||||||
| A | How did you find the NHLBI website? | Search engine | Radio button, one-up vertical | Y | Skip Logic Group | FT Found Site | |||
| Doctor, nurse, or other healthcare professional | |||||||||
| Family or friend | |||||||||
| Social media | C | ||||||||
| Educational campaign | |||||||||
| News | |||||||||
| Another website | |||||||||
| Other, please specify: | B | ||||||||
| B | Please tell us how you found the NHLBI website. | Text area, no char limit | N | Skip Logic Group | OE_Found Site | ||||
| C | On which social media site did you learn about NHLBI? | Radio button, one-up vertical | Y | Skip Logic Group | Social Media Source | ||||
| Vine | |||||||||
| Other | M | ||||||||
| M | Please specify what other social media site on which you learned about NHLBI. | Text area, no char limit | N | Skip Logic Group | OE_Social Media Source | ||||
| For this visit, which best describes you? "I am a…" | Health Consumer | E | Radio button, one-up vertical | Y | Skip Logic Group | Role | |||
| Researcher | G | ||||||||
| Medical Professional | G | ||||||||
| Member of the Media | I | ||||||||
| Policy-Maker | I | ||||||||
| Advocate | K | ||||||||
| Other | D | ||||||||
| D | Please specify what other role best describes you. | Text area, no char limit | Skip Logic Group | OE_Role | |||||
| E | What were you looking for on the site today? Information about: | Clinical Trials | Radio button, one-up vertical | Y | Skip Logic Group | PR Consumer | |||
| Educational Materials | |||||||||
| Disease or Condition | |||||||||
| Weight Management | |||||||||
| Nutrition/Fitness | |||||||||
| Healthy Lifestyle | |||||||||
| Nothing Specific | |||||||||
| Other, please specify: | F | ||||||||
| F | Please specify what other information you were looking for on the site today. | Text area, no char limit | Skip Logic Group | OE_PR Consumer | |||||
| G | What were you looking for on the site today? Information about: | Clinical Trials | Radio button, one-up vertical | Skip Logic Group | PR Research/Med Pro | ||||
| Research and Findings at NHLBI | |||||||||
| Funding/Grants- Policy | |||||||||
| Funding/Grants-Opportunities | |||||||||
| Meetings/Events | |||||||||
| Training Opportunities | |||||||||
| Nothing Specific | |||||||||
| Other | H | ||||||||
| H | Please specify what other information you were looking for on the site today. | Text area, no char limit | Skip Logic Group | OE_PR Researcher/Med Pro | |||||
| I | What were you looking for on the site today? Information about: | Clinical Trials | Radio button, one-up vertical | Skip Logic Group | PR Media/Policy Maker | ||||
| Disease or Condition | |||||||||
| Research and Findings at NHLBI | |||||||||
| Press Contact Person | |||||||||
| Policy | |||||||||
| Press Releases | |||||||||
| Nothing Specific | |||||||||
| Other | J | ||||||||
| J | Please specify what other information you were looking for on the site today. | Text area, no char limit | Skip Logic Group | OE_PR Media/Policy Maker | |||||
| K | What were you looking for on the site today? Information about: | Clinical Trials | Radio button, one-up vertical | Skip Logic Group | PR Advocate | ||||
| Disease or Condition | |||||||||
| Educational Materials | |||||||||
| Nothing Specific | |||||||||
| Other | L | ||||||||
| L | Please specify what other information you were looking for on the site today. | Text area, no char limit | Skip Logic Group | OE_PR Advocate | |||||
| Did you find the information you were looking for? | Yes | Radio button, one-up vertical | Y | Skip Logic Group | Ability to Find | ||||
| No | N, O | ||||||||
| Still looking | N, O | ||||||||
| N | What specifically did you hope to find? | Text area, no char limit | N | Skip Logic Group | OE_Did Not Find | ||||
| O | What do you plan on doing next? | Text area, no char limit | N | Skip Logic Group | OE_Next Steps | ||||
| How do you plan to use the information? | For myself | Drop down, select one | Y | Info Usage | |||||
| For others (caregiving) | |||||||||
| To Share | |||||||||
| For work | |||||||||
| Just browsing | |||||||||
| How comfortable are you with technology in general (i.e., computers, smartphones) in your daily life? | 1 = Not at all comfortable | Radio button, scale, has don't know | Y | Technology Comfort | |||||
| 2 | |||||||||
| 3 | |||||||||
| 4 | |||||||||
| 5 = Very comfortable | |||||||||
| Don't know | |||||||||
| How comfortable are you with searching for health information online? | 1 = Not at all comfortable | Radio button, scale, has don't know | Y | Online Search Comfort | |||||
| 2 | |||||||||
| 3 | |||||||||
| 4 | |||||||||
| 5 = Very comfortable | |||||||||
| Don't know | |||||||||
| Which of the following would be of most interest/value to you? Please choose the top three. (rank 1) | Recipes | Drop down, select one | Y | Rank Group | Add Content - rank 1 | ||||
| Videos | Randomize | ||||||||
| Educational Materials | |||||||||
| Healthy living guides | |||||||||
| PDFs/Fact sheets | |||||||||
| Tools (i.e., BMI calculator, meal planners, etc.) | |||||||||
| Other | Anchor Answer Choice | ||||||||
| Which of the following would be of most interest/value to you? Please choose the top three. (rank 2) | Recipes | Drop down, select one | Y | Rank Group | Add Content - rank 2 | ||||
| Videos | Randomize | ||||||||
| Educational Materials | |||||||||
| Healthy living guides | |||||||||
| PDFs/Fact sheets | |||||||||
| Tools (i.e., BMI calculator, meal planners, etc.) | |||||||||
| Other | Anchor Answer Choice | ||||||||
| Which of the following would be of most interest/value to you? Please choose the top three. (rank 3) | Recipes | Drop down, select one | Y | Rank Group | Add Content - rank 3 | ||||
| Videos | Randomize | ||||||||
| Educational Materials | |||||||||
| Healthy living guides | |||||||||
| PDFs/Fact sheets | |||||||||
| Tools (i.e., BMI calculator, meal planners, etc.) | |||||||||
| Other | Anchor Answer Choice | ||||||||
| When searching for health information in general, what do you find most challenging? | Language is too technical/scientific | Radio button, one-up vertical | Y | Skip Logic Group | Health Info Challenges | ||||
| Available information is too broad | |||||||||
| Available information is too specific | |||||||||
| Not sure where to begin looking for health information | |||||||||
| Unsure of the accuracy of the available information | |||||||||
| Not sure whom to trust as a source | |||||||||
| Prefer channels other than online (i.e., in person, printed materials, etc.) | |||||||||
| I typically do not experience issues when searching for health information online. | |||||||||
| On which social media sites do you follow NHLBI? Please select all that apply. | P | Drop down, select one | Y | Skip Logic Group | SM Usage | ||||
| P | |||||||||
| Vine | P | ||||||||
| P | |||||||||
| None | Q | ||||||||
| P | What additional types of content would you like to see on NHLBI social media? | Tips for healthy living | Checkbox, one-up vertical | Y | Skip Logic Group | SM Content-Follow | |||
| Recipes | |||||||||
| Videos | |||||||||
| Infographics | |||||||||
| Research findings | |||||||||
| Scientific discoveries | |||||||||
| Success stories | |||||||||
| Q | Would any of the following types of content compel you to follow NHLBI on social media? | Tips for healthy living | Checkbox, one-up vertical | Y | Skip Logic Group | SM Content-No Follow | |||
| Recipes | |||||||||
| Videos | |||||||||
| Infographics | |||||||||
| Research findings | |||||||||
| Scientific discoveries | |||||||||
| Success stories | |||||||||
| Do you use a mobile device to access health information? | Yes | R | Drop down, select one | Y | Skip Logic Group | Mobile Access | |||
| No | |||||||||
| R | Would you prefer using a mobile browser version of this site or a downloadable mobile app to access health information from this site? | Mobile site | Checkbox, one-up vertical | Y | Skip Logic Group | Site vs. App | |||
| Mobile app | |||||||||
| Neither, I prefer the desktop version | |||||||||
| Don't care | |||||||||
| What additional information or resources would you like to see included on our site? | Text area, no char limit | N | OE_Additional Info | ||||||
| If you could make one improvement to our website, what would it be? | Text area, no char limit | N | OE_Improvement | ||||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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