Questionnaire Production Guidelines_Template

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Model Instance Name:
Disability.gov V2
MID: R1E1JscENsQ08YktMkZpxA==
Date: Fill In Date

Welcome and Thank You Text
Directions:
This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom.
This is a good place to mention the site/company/agency name so the visitor knows whom they are
taking the survey for. Feel free to modify the standard Welcome text shown in the box below.

Examples
Welcome Text Example

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.

Thank You Text Example
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.

'web site' has been corrected to now read
'website' in the text to the left

ForeSee Results - Confidential and Proprietary

Model Instance Name:
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Partitioned (Y/N)?
Y
NOTE: All non-partitioned surveys will NOT be imputed and the elements will be rotated as a
default unless otherwise specified and approved by Research.
Date:

1/6/2012
Disability.gov V2
Model questions utilize the ACSI methodology to determine scores and impacts
ELEMENTS (drivers of satisfaction)

MQ Label

CUSTOMER SATISFACTION

MQ Label

FUTURE BEHAVIORS

MQ Label

Content (1=Poor, 10=Excellent, Don't Know/NA)
1 Please rate how well the content on this website provides a clear
explanation of available resources.
2 Please rate how up-to-date the content appears to be on this website.
3 Please rate how accurate the information appears to be on this website.

Functionality (1=Poor, 10=Excellent, Don't Know/NA)
4 Please rate the usefulness of the website tools (Search box, Information by

Satisfaction
16 What is your overall satisfaction with this site?
(1=Very Dissatisfied, 10=Very Satisfied)
17 How well does this site meet your expectations?
(1=Falls Short, 10=Exceeds)
18 How does this site compare to your idea of an ideal website?
(1=Not Very Close, 10=Very Close)

Primary Resource
19 How likely are you to use this site as your primary resource for

disability-related information?
Recommend
20 How likely are you to recommend this site to someone else?
Return
21 How likely are you to return to this site?

Topic menus, etc.) provided on this site.
5 Please rate the convenient placement of the website tools on this site

(Search box, Information by Topic menus, etc.).
6 Please rate the variety of website tools on this site (Search box, Information
by Topic menus, etc.).
Look and Feel (1=Poor, 10=Excellent, Don't Know/NA)
7 Please rate the visual appeal of this site.

Subscribe
22 How likely are you to subscribe for, or continue to receive, e-

mail updates from Disability.gov?

8 Please rate the balance of graphics and text on this site.
9 Please rate the readability of the pages on this site.

Navigation (1=Poor, 10=Excellent, Don't Know/NA)
10 Please rate how well the site is organized.
11 Please rate the options available for navigating this site.
12 Please rate how well the site layout helps you find what you are looking

for.
Site Performance (1=Poor, 10=Excellent, Don't Know/NA)
13 Please rate how quickly pages load on this site.
14 Please rate the consistency of speed from page to page on this site.
15 Please rate the ability to load pages without getting error messages on
this site.

ForeSee Results - Confidential and Proprietary

Model Instance Name:
Disability.gov V2
MID:
R1E1JscENsQ08YktMkZpxA==
Partitioned (Y/N)?
N
NOTE: All non-partitioned surveys will NOT be imputed and the elements will be
rotated as a default unless otherwise specified and approved by Research.
Date:

11/3/2011
Disability.gov V2
Model questions utilize the ACSI methodology to determine scores and impacts
ELEMENTS (drivers of satisfaction)
NO ELEMENTS

CUSTOMER SATISFACTION
Satisfaction
What is your overall satisfaction with this site?
(1=Very Dissatisfied, 10=Very Satisfied)
How well does this site meet your expectations?
(1=Falls Short, 10=Exceeds)
How does this site compare to your idea of an ideal website?
(1=Not Very Close, 10=Very Close)

FUTURE BEHAVIORS
NO FUTURE BEHAVIORS

ForeSee Results - Confidential and Proprietary

Model Instance Name:
DisabilityInfo.gov Satisfaction Survey
MID: NswIhl99Bc8pNU099ZJIkA==
Date: 12/9/2008
DisabilityInfo.gov Satisfaction Survey MODEL QUESTION LIST
Model questions utilize the ACSI methodology to determine scores and impacts
ELEMENTS (drivers of satisfaction)
Content (1=Poor, 10=Excellent, Don't Know/NA)
1 Please rate the accuracy of information on this site.
2 Please rate the quality of information on this site.
3 Please rate the freshness of content on this site.
Functionality (1=Poor, 10=Excellent, Don't Know/NA)
4 Please rate the usefulness of the services provided on this site.
5 Please rate the convenience of the services on this site.
6 Please rate the ability to accomplish what you wanted to on this site.

CUSTOMER SATISFACTION
Satisfaction
21

What is your overall satisfaction with this site?
22 How well does this site meet your expectations?
23 How well does this site compare with your idea of
an ideal website?

FUTURE BEHAVIORS
Primary Resource

How likely are you to use this site as your primary resource for disabilityrelated information?
Recommend

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

How likely are you to return to this site?
Subscribe

How likely are you to subscribe for, or continue to receive, e-mail updates
from Disability.gov?

Look and Feel (1=Poor, 10=Excellent, Don't Know/NA)
7 Please rate the visual appeal of the site.
8 Please rate the amount of graphics and text on each page of the site.
9 Please rate the ease of reading the pages on this site.
Navigation (1=Poor, 10=Excellent, Don't Know/NA)
10 Please rate how well the site is organized.
11 Please rate the options that are available for you to navigate on this site.
12 Please rate how well the site layout helps you find what you are looking for.
13 Please rate the number of clicks to get where you want on this site.
Search (1=Poor, 10=Excellent, Don't Know/NA)
14 Please rate the relevance of search results from the Disability.gov search tool.
15 Please rate the organization of search results from the Disability.gov search

tool.
16 Please rate how well the Disability.gov search tool's search results help you

decide what to select.
17 Please rate how well the Disability.gov search tool helps you to narrow the

results to find what you want.
Site Performance (1=Poor, 10=Excellent, Don't Know/NA)
18 Please rate the speed that pages load on this site.
19 Please rate the consistency of speed from page-to-page on this site.
20 Please rate the ability to load pages without getting errors on this site.

ForeSee Results - Confidential and Proprietary

Model Instance Name:
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Partitioned (Y/N)?
Y
NOTE: All non-partitioned surveys will NOT be imputed and the elements will be rotated as a
default unless otherwise specified and approved by Research.
Date:

1/6/2012
Disability.gov V2
Model questions utilize the ACSI methodology to determine scores and impacts
ELEMENTS (drivers of satisfaction)

MQ Label

CUSTOMER SATISFACTION

MQ Label

FUTURE BEHAVIORS

MQ Label

Content (1=Poor, 10=Excellent, Don't Know/NA)
1 Please rate how well the content on this website provides a clear
explanation of available resources.
2 Please rate how up-to-date the content appears to be on this website.
3 Please rate how accurate the information appears to be on this website.

Functionality (1=Poor, 10=Excellent, Don't Know/NA)
4 Please rate the usefulness of the website tools (Search box, Information by

Satisfaction
16 What is your overall satisfaction with this site?
(1=Very Dissatisfied, 10=Very Satisfied)
17 How well does this site meet your expectations?
(1=Falls Short, 10=Exceeds)
18 How does this site compare to your idea of an ideal website?
(1=Not Very Close, 10=Very Close)

Primary Resource
19 How likely are you to use this site as your primary resource for

disability-related information?
Recommend
20 How likely are you to recommend this site to someone else?
Return
21 How likely are you to return to this site?

Topic menus, etc.) provided on this site.
5 Please rate the convenient placement of the website tools on this site

(Search box, Information by Topic menus, etc.).
6 Please rate the variety of website tools on this site (Search box, Information
by Topic menus, etc.).
Look and Feel (1=Poor, 10=Excellent, Don't Know/NA)
7 Please rate the visual appeal of this site.

Subscribe
22 How likely are you to subscribe for, or continue to receive, e-

mail updates from Disability.gov?

8 Please rate the balance of graphics and text on this site.
9 Please rate the readability of the pages on this site.

Navigation (1=Poor, 10=Excellent, Don't Know/NA)
10 Please rate how well the site is organized.
11 Please rate the options available for navigating this site.
12 Please rate how well the site layout helps you find what you are looking

for.
Site Performance (1=Poor, 10=Excellent, Don't Know/NA)
13 Please rate how quickly pages load on this site.
14 Please rate the consistency of speed from page to page on this site.
15 Please rate the ability to load pages without getting error messages on
this site.

ForeSee Results - Confidential and Proprietary

Model Instance Name
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID
SAC6967

Skip
Logic
Label

SAC6942

Question Text
How often do you visit Disability.gov?

Answer Choices
(limited to 50 characters)
Today was my first time

Which sentence best describes you?

Every day
A few times a week
At least once a week
At least once a month
Every few months
Once a year or less
I am a person with a disability or am disabled
I am a parent, caregiver, family member or friend of someone with a
disability
I am a professional or service provider who works with people with
disabilities
I am an educator who works with students with disabilities
I am an employer or human resource (HR) professional
None of the above

SAC6943

A

SAC6944

HAR0047945

HAR0047947
HAR0047948

N

Skip to

Special
Instructions

CQ Label
Visit frequency

Radio button, one- single
up vertical

Y

Skip Logic Group

Role

Text field, <100
char
Checkbox, one-up
vertical

N

Skip Logic Group

Other role

A

Please tell us what role best describes you:
Which topic(s) did you want to get information Employment (such as finding a job, starting a business or hiring
about? Please choose all that apply:
someone with a disability)
Benefits (such as getting Social Security (SSI/SSDI) benefits or other
financial assistance)
Housing (such as finding an affordable apartment, paying for home
repairs, making your home accessible, or filing a charge of housing
discrimination)
Civil Rights (such as information about the Americans with Disabilities
Act (ADA) and other laws and regulations, voting or filing a complaint)
Education (such as getting money for school, going to college or
teaching students with disabilities)
Health (such as information on different disabilities, finding health care,
or getting health or dental insurance)
Community Life (such as sports, volunteering or independent living)
Technology (such as assistive technology, accessible technology or
help paying for technology)
Transportation (such as getting a ride, accessible transportation and
paying for vehicle modifications)
Emergency Preparedness (such as emergency or disaster
preparedness or emergency management)
I do not know which subject to choose
Did you find the information you were looking for Yes
on Disability.gov today?
Somewhat
No
Please tell us what you did not find on
Disability.gov:
How did you begin to look for information on
I began my search with the "Information by Topic" icon list. For example,
Disability.gov? Please choose the best answer:
I selected "Benefits" (next to the dollar sign icon), "Health" (next to the
heart icon) or "Housing" (next to the house icon), etc.
I began my search with the "Guide Me/Get Started " tool on the home
page, which used four steps to take me to information
I began my search by typing a word into the Search Box next to the
sentence, "What are you looking for?"
I began my search by clicking on one of the "Need Help?" links (such as
"How to Use This Site" or "Contact Us")
I began my search by clicking on one of the "Learn More" or "News and
Events" links (such as "About Us" or "Disability.gov's Guides to
Information")
I do not know how I began my search
None of the above

Single Requir
Type (select from
or
ed
list)
Multi
Y/N
Y
Radio button, one- single
up vertical

Multi

Y

Specific Information

Radio button, one- Single
up vertical

Y

Skip Logic Group

Able to Find

Text area, no char Single
limit
Radio button, one- Single
up vertical

N

Skip Logic Group

Unable to Find

N
N

Y

First Look

ForeSee Results - Confidential and Proprietary

Model Instance Name
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID
HAR0047950

HAR0047951

Skip
Logic
Label

G

Question Text
Which sentence best describes the method you
used most often today when looking for
information on the site?

Which sentence best describes your experience
with the "Guide Me/Get Started" tool?

Answer Choices
(limited to 50 characters)
I used the "Information by Topic" icon list most often. For example, I
selected "Benefits" (next to the dollar sign icon), "Health" (next to the
heart icon) or "Housing" (next to the house icon), etc.
I used the "Guide Me/Get Started" tool on the home page most often
I used the Search Box next to the sentence, "What are you looking for?"
on the home page most often
I used both the Search Box on the home page and the "Information by
Topic" icons equally
I do not know which method I used most often
None of the above
The "Guide Me/Get Started" tool was very easy to use and understand
The "Guide Me/Get Started" tool was somewhat easy to use and
understand
My experience was neutral
The "Guide Me/Get Started" tool was somewhat hard to use and
understand
The "Guide Me/Get Started" tool was very hard to use and understand

HAR0047952

H

HAR0047953

I

HAR0047954

S

Please tell us why you think the "Guide Me" tool
was hard to use and understand:
After you chose an "Information by Topic" icon
(such as "Benefits" next to the dollar sign, or
"Health" next to the heart icon), what did you do
next?

Please tell us about your experience with the
site's Search Box today. Please choose all that
apply:

T

What search term(s) did you use?

HAR0047956

U

HAR0047957

Z

Please tell us about the search issue(s) and/or
errors you experienced:
Which sentence best describes your experience
using both the Search Box and "Information by
Topics" icon list?

HAR0047958

HAR0047967

K

L

After receiving your results, how did you look
through them? Please choose all that apply:

CQ Label
Method of Looking

Z, K
K
Radio button, one- Single
up vertical

Y

Skip Logic Group

Guide Me Rating

Text area, no char
limit
Radio button, one- Single
up vertical

N

Skip Logic Group*

Guide Me Issue

Skip Logic Group

Topic Next Act

Multi

Y

Skip Logic Group*

Search Experience

Text area, no char
limit
Text area, no char
limit
Radio button, one- Single
up vertical

N

Skip Logic Group*

Search Terms

N

Skip Logic Group*

Search Issue

Y

Skip Logic Group

Both Experience

Multi

Y

Skip Logic Group

Method of Review

Radio button, one- Single
up vertical

Y

Skip Logic Group*

Filter Rating

H
H

I chose to "view all resources," not just one of the sub-topics
I do not know what I did next
The resources listed in the search results were helpful

Checkbox, one-up
vertical
T
T
T
T
U
U

I liked using the Search Box to find information better
I liked using the "Information by Topics" icon list to find information better
Both methods worked equally well for me today
Neither method helped me find the information I was looking for
I picked the resources I wanted to look at from the main screen

I sorted the resources that came up by "Newest" or "Oldest"
I used the "Filter Your Results" options (e.g., topics, location, audiences,
disabilities) to help me find what I was looking for
After looking at my results, I decided to search through them by using the
search box at the top of the page
I decided to start my search over
None of the above
Did the "Filter by Results" options help you find Yes
the resources you were looking for?
Somewhat
No

Single Requir
Type (select from
Special
or
ed
list)
Instructions
Multi
Y/N
Y
Skip Logic Group
Radio button, one- Single
up vertical

G
S, K

I chose a sub-topic (for example, Medicare under the major Health
category)

The resources listed in the search results were not helpful
There were too many resources listed in the search results
There were not enough resources listed in the search results
There were no resources listed in the search results
I received an error message(s)
The search speed was too slow
I experienced a different search issue
HAR0047955

Skip to
I, K

Checkbox, one-up
vertical
L

M

ForeSee Results - Confidential and Proprietary

Model Instance Name
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID
HAR0047968

Skip
Logic
Label
M

HAR0047970

HAR0047971

A

Question Text
Please tell us how the "Filter your Results" option
could be improved to help you find resources on
the site:
Were you looking for resources or information in
the United States or its territories?
Please tell us which state or territory you were
looking for information from:

Answer Choices
(limited to 50 characters)

Yes
No
Alabama

Skip to

A

Single Requir
Type (select from
Special
or
ed
list)
Instructions
Multi
Y/N
N
Skip Logic Group*
Text area, no char
limit

CQ Label
Filter Improve

Radio button, one- Single
up vertical

Y

Skip Logic Group

Area National

Drop down, select Single
one

N

Skip Logic Group

Area State

Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
N. Mariana Islands
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
ForeSee Results - Confidential and Proprietary

Model Instance Name
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID

Skip
Logic
Label

Answer Choices
(limited to 50 characters)

Question Text

Skip to

Type (select from
list)

Single Requir
or
ed
Multi
Y/N

Special
Instructions

CQ Label

West Virginia
Wisconsin
Wyoming
ACQinh0019392
SAC6966

Please tell us if there is anything else
Disability.gov could do to improve your experience
on the website:
Yes
Disability.gov is a website that directs people to
information and resources on other websites.
Before reading this statement, did you know that
Disability.gov is a website that sends you to other
sites for information?
No

Text area, no char
limit

N

Improvement

Drop down, select Single
one

Y

Portal

ForeSee Results - Confidential and Proprietary

Model Instance Name
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID
SAC6941

Skip
Logic
Label

SAC6967

How often do you visit Disability.gov?

SAC6942

SAC6943

Which of the following statements best describes
you? Please select the best answer.
Which sentence best describes you?

A

SAC6944

SAC6945

B

N
ACQinh0019382

ACQinh0019383

Question Text
What information were you looking for on
Disability.gov today? Please select the best
answer.

C

Please explain briefly tell us what role best
describes you:
In general, which subject(s) did you want to get
information about? Please select all that apply.
Which topic(s) did you want to get information
about? Please choose all that apply:

Answer Choices
(limited to 50 characters)
Only information on programs or services in my state

Skip to

Only information on national programs or services
Information on national and state programs or services
Today was my first time
Every day
A few times a week
At least once a week
At least once a month
Every few months
Once a year or less
I am a person with a disability or am disabled
I am a parent, caregiver, family member or friend of someone with a
disability
I am a professional or service provider who works with people with
disabilities
I am an educator who works with students with disabilities
I am an employer or human resource (HR) professional
OtherNone of the above

Special
Instructions

CQ Label
Type of Information

Radio button, one- single
up vertical

Y

Visit frequency

Radio button, one- single
up vertical

Y

Skip Logic Group

Role

Text field, <100
char
Checkbox, one-up
vertical

N

Skip Logic Group

Other role

A

Employment (such as finding a job, starting a business or hiring
someone with a disability)
Benefits (such as getting Social Security (SSI/SSDI) benefits, paying for
prescriptions or access to financial assistance or other financial
assistance)
Housing (such as finding an affordable apartment, paying for home
repairs, making your home accessible, or filing a charge of housing
discrimination)
Civil Rights (such as information about the Americans with Disabilities
Act (ADA) and other laws and regulations, voting or filing a complaint)
Education (such as getting money for school, going to college or
teaching students with disabilities)
Health (such as information on different disabilities, finding health care,
or getting health or dental insurance)
Community Life (such as sports, volunteering or independent living)
Technology (such as assistive technology, accessible technology or
help paying for technology)
Transportation (such as getting a ride, accessible transportation and
paying for vehicle modifications)
Emergency Preparedness (such as emergency or disaster
preparedness or emergency management)
KILL SKIP
I’m not sure I do not know which subject to choose
B

Please explain what information you were looking
for on Disability.gov. (open-ended)
Did you find the information you were looking for Yes
on Disability.gov today?
Somewhat
No
Please tell us what you did not find on
Disability.gov:
I used the search engine at the top of the page
How did you first start to look for information on
Disability.gov? Please select the best answer.
I used the “Information by Topic” menu on the left side of the page
I am not sure
Yes
Did the search engine help you find the
information you were looking for on Disability.gov?
No

Single Requir
Type (select from
or
ed
list)
Multi
Y/N
Y
Radio button, one- Single
up vertical

Multi

Y

Specific Information

Text area, no char
limit
Radio button, one- Single
up vertical

N

Skip Logic Group

OE_Information

Y

Skip Logic Group

Able to Find

Text area, no char Single
limit
Radio button, one- Single
up vertical

N

Skip Logic Group

Unable to Find

Y

Skip Logic Group

First Look

Radio button, one- Single
up vertical

Y

Skip Logic Group

Search Helped

N
N

C
I

D
ForeSee Results - Confidential and Proprietary

Model Instance Name
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID
ACQinh0019396

Skip
Logic
Label
D

ACQinh0019776

X

ACQinh0019397

E

ACQinh0019398

F

ACQinh0019399

G

ACQinh0019400

H

ACQinh0019385

I

ACQinh0019387

J

ACQinh0019388

K

ACQinh0019391

L

G

Answer Choices
Question Text
(limited to 50 characters)
Tell us more about your search experience. Please I didn’t know which word or phrase to enter into the search engine
select all that apply.
I did not receive any search results
There were not enough search results
There was not enough information in the description of the results to
decide which resource to choose
Many of the search results looked like the same resource
The results were not organized in a helpful way
The search results did not answer my question
I had a different problem with the search results
What search term or phrase did you use?
Please explain the problem you had with your
search results.
Yes
Did you choose to "Narrow Your Results" by
topic(s), audience(s) or disability type(s), using the
options on the left side of the page?
No
Please tell us why you didn't "Narrow Your
Results."
How can we make the search engine more useful?

Skip to
X

Special
Instructions
Skip Logic Group

CQ Label
Search Experience

X
X
F
F
F
F
E, F

H

Text area, no char Single
limit
Text area, no char Single
limit
Radio button, one- Single
up vertical

N

Skip Logic Group

OE_Search Term

N

Skip Logic Group

OE_Search Problem

Y

Skip Logic Group

Search Narrow

Text area, no char Single
limit
Text area, no char Single
limit
Radio button, one- Single
up vertical

N

Skip Logic Group

OE_Search Narrow

N

Skip Logic Group

OE_Search Changes2

Y

Skip Logic Group

Info by Topic Usage

Text area, no char Single
limit
Radio button, one- Single
up vertical

N

Skip Logic Group

OE_Info by Topic Changes

Y

Skip Logic Group

Info by Topic Narrow

Text area, no char
limit
Radio button, one- Single
up vertical

N

Skip Logic Group

OE_Info by Topic Narrow

Radio button, one- Single
up vertical

Y

Radio button, one- Single
up vertical

Y

G, H

Did you have any problems using the “Information Yes
by Topic” menu on the left side of the page to find
information on the site?
No
How can we make the “Information by Topic”
menu on the left side of the page more useful?
Yes
Did you choose to "Narrow Your Results" by
topic(s), audience(s) or disability type(s), using the
options on the left side of the page?
No
Please tell us why you didn't "Narrow Your
Results."
How did you begin to look for information on
I began my search with the "Information by Topic" icon list. For example,
Disability.gov? Please choose the best answer:
I selected "Benefits" (next to the dollar sign icon), "Health" (next to the
heart icon) or "Housing" (next to the house icon), etc.
I began my search with the "Guide Me/Get Started " tool on the home
page, which used four steps to take me to information
I began my search by typing a word into the Search Box next to the
sentence, "What are you looking for?"
I began my search by clicking on one of the "Need Help?" links (such as
"How to Use This Site" or "Contact Us")
I began my search by clicking on one of the "Learn More" or "News and
Events" links (such as "About Us" or "Disability.gov's Guides to
Information")
I do not know how I began my search
None of the above
Which sentence best describes the method you I used the "Information by Topic" icon list most often. For example, I
used most often today when looking for
selected "Benefits" (next to the dollar sign icon), "Health" (next to the
information on the site?
heart icon) or "Housing" (next to the house icon), etc.

J, K

I used the "Guide Me/Get Started" tool on the home page most often
I used the Search Box next to the sentence, "What are you looking for?"
on the home page most often
I used both the Search Box on the home page and the "Information by
Topic" icons equally
I do not know which method I used most often
None of the above
The "Guide Me/Get Started" tool was very easy to use and understand

G
S, K

Which sentence best describes your experience
with the "Guide Me/Get Started" tool?

Single Requir
Type (select from
or
ed
list)
Multi
Y/N
Y
Checkbox, one-up Multi
vertical

L

I, K

Y

First Look

Skip Logic Group

Method of Looking

Z, K
K
Skip Logic Group

Guide Me Rating

The "Guide Me/Get Started" tool was somewhat easy to use and
understand
ForeSee Results - Confidential and Proprietary

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Date:
1/17/2012

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underlined & italicized: RE-ORDER
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blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID

Skip
Logic
Label

H
I

S

Question Text

Please tell us why you think the "Guide Me" tool
was hard to use and understand:
After you chose an "Information by Topic" icon
(such as "Benefits" next to the dollar sign, or
"Health" next to the heart icon), what did you do
next?

Please tell us about your experience with the
site's Search Box today. Please choose all that
apply:

Answer Choices
(limited to 50 characters)
My experience was neutral
The "Guide Me/Get Started" tool was somewhat hard to use and
understand
The "Guide Me/Get Started" tool was very hard to use and understand

What search term(s) did you use?

U

Please tell us about the search issue(s) and/or
errors you experienced:
Which sentence best describes your experience
using both the Search Box and "Information by
Topics" icon list?

Z

K

L

M

A

After receiving your results, how did you look
through them? Please choose all that apply:

Single Requir
or
ed
Multi
Y/N

Special
Instructions

CQ Label

Skip Logic Group*

Guide Me Issue

Skip Logic Group

Topic Next Act

H

I chose to "view all resources," not just one of the sub-topics
I do not know what I did next
The resources listed in the search results were helpful

Text area, no char
limit
Radio button, one- Single
up vertical

N

Multi

Y

Skip Logic Group*

Search Experience

Text area, no char
limit
Text area, no char
limit
Radio button, one- Single
up vertical

N

Skip Logic Group*

Search Terms

N

Skip Logic Group*

Search Issue

Y

Skip Logic Group

Both Experience

Checkbox, one-up
vertical

Multi

Y

Skip Logic Group

Method of Review

Radio button, one- Single
up vertical

Y

Skip Logic Group*

Filter Rating

Text area, no char
limit

N

Skip Logic Group*

Filter Improve

Radio button, one- Single
up vertical

Y

Skip Logic Group

Area National

Drop down, select Single
one

N

Skip Logic Group

Area State

Checkbox, one-up
vertical
T
T
T
T
U
U

I liked using the Search Box to find information better
I liked using the "Information by Topics" icon list to find information better
Both methods worked equally well for me today
Neither method helped me find the information I was looking for
I picked the resources I wanted to look at from the main screen

I sorted the resources that came up by "Newest" or "Oldest"
I used the "Filter Your Results" options (e.g., topics, location, audiences,
disabilities) to help me find what I was looking for
After looking at my results, I decided to search through them by using the
search box at the top of the page
I decided to start my search over
None of the above
Did the "Filter by Results" options help you find Yes
the resources you were looking for?
Somewhat
No
Please tell us how the "Filter your Results" option
could be improved to help you find resources on
the site:
Were you looking for resources or information in Yes
the United States or its territories?
No
Alabama
Please tell us which state or territory you were
looking for information from:
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia

Type (select from
list)

H

I chose a sub-topic (for example, Medicare under the major Health
category)

The resources listed in the search results were not helpful
There were too many resources listed in the search results
There were not enough resources listed in the search results
There were no resources listed in the search results
I received an error message(s)
The search speed was too slow
I experienced a different search issue
T

Skip to

L

M

A

ForeSee Results - Confidential and Proprietary

Model Instance Name
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID

Skip
Logic
Label

Answer Choices
(limited to 50 characters)

Question Text

Skip to

Type (select from
list)

Single Requir
or
ed
Multi
Y/N

Special
Instructions

CQ Label

Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
N. Mariana Islands
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
ACQinh0019392

SAC6966

What would you like to see improved on
Disability.gov? Please tell us if there is anything
else Disability.gov could do to improve your
experience on the website:
Disability.gov is a web portal website that directs
people to information and resources on other
websites. Before reading this statement, did you
know that Disability.gov is a portal website that
sends you to other sites for information?

Yes

Text area, no char
limit

N

Improvement

Drop down, select Single
one

Y

Portal

No

ForeSee Results - Confidential and Proprietary

Model Instance Name
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID
SAC6941

Skip
Logic
Label

Question Text

What information were you looking for on
Disability.gov today? Please select the best
answer.

SAC6942

Which of the following statements best describes
you? Please select the best answer.

AnswerIDs (DOT)

SAC6941A001

Only information on programs or services in my state

SAC6941A002
SAC6941A003

Only information on national programs or services
Information on national and state programs or services

SAC6942A001

I am a person with a disability or am disabled

SAC6942A002
SAC6942A003

I am a caregiver, family member or friend of someone with a disability
I am a professional or service provider who works with people with
disabilities
I am an educator who works with students with disabilities
I am an employer or human resource (HR) professional
Other

SAC6942A004
SAC6942A006
SAC6942A007
SAC6943

A

SAC6944A001

Employment (such as finding a job, starting a business or hiring
someone with a disability)

SAC6944A002

Benefits (such as getting Social Security (SSI/SSDI) benefits,
paying for prescriptions or access to financial assistance)
Housing (such as finding an affordable apartment, paying for a
house, home repairs or housing discrimination)
Civil Rights (such as information about the Americans with
Disabilities Act (ADA) and other laws and regulations, voting or
filing a complaint)
Education (such as getting money for school, going to college or
teaching students with disabilities)
Health (such as information on specific disabilities, getting health
insurance, dental or health care or caregiver resources)
Community Life (such as sports, volunteering or independent
living)
Technology (such as assistive technology, accessible technology
or help paying for technology)
Transportation (such as getting a ride, accessible transportation
and paying for vehicle modifications)
Emergency Preparedness (such as emergency or disaster
preparedness or emergency management)
I’m not sure which subject to choose

SAC6944A003
SAC6944A004
SAC6944A005
SAC6944A006
SAC6944A007
SAC6944A008
SAC6944A009
SAC6944A010
SAC6944A011
SAC6945

B

ACQinh0019382

ACQinh0019383

C

Single Requir
or
ed
Skip toType (select from list)
Multi
Y/N
Radio button,
Single
Y
one-up vertical

Please explain what information you were
looking for on Disability.gov. (open-ended)
How did you first start to look for information
on Disability.gov? Please select the best
answer.

Did the search engine help you find the
information you were looking for on
Disability.gov?

single

Y

Text field, <100
char
Checkbox, one-u Multi

N

Text area, no char limit

N

Radio button, on Single

Y

Radio button, on Single

Y

Radio button,
one-up vertical

A

Please explain briefly what role best describes
you:

In general, which subject(s) did you want to
get information about? Please select all that
apply.

SAC6944

Answer Choices
(limited to 50 characters)

Y

B

ACQinh0019382A01

I used the search engine at the top of the page

C

ACQinh0019382A02

I used the “Information by Topic” menu on the left side of the page

I

ACQinh0019382A03
ACQinh0019383A01

I am not sure
Yes

ACQinh0019383A02

No

D
ForeSee Results - Confidential and Proprietary

Model Instance Name
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID
ACQinh0019396

Skip
Logic
Label
D

Question Text

AnswerIDs (DOT)

Answer Choices
(limited to 50 characters)

Tell us more about your search experience.
Please select all that apply.

ACQinh0019396A01

I didn’t know which word or phrase to enter into the search engine

ACQinh0019396A02
ACQinh0019396A03
ACQinh0019396A04

I did not receive any search results
There were not enough search results
There was not enough information in the description of the results
to decide which resource to choose
Many of the search results looked like the same resource
The results were not organized in a helpful way
The search results did not answer my question
I had a different problem with the search results

ACQinh0019396A05
ACQinh0019396A06
ACQinh0019396A07
ACQinh0019396A08
X

What search term or phrase did you use?

ACQinh0019397

E

ACQinh0019398

F

Please explain the problem you had with your
search results.
Did you choose to "Narrow Your Results" by ACQinh0019398A01
topic(s), audience(s) or disability type(s),
using the options on the left side of the page?

ACQinh0019399

G

ACQinh0019400

H

ACQinh0019385

I

ACQinh0019387

J

ACQinh0019388

K

ACQinh0019391

L

ACQinh0019392
SAC6966

Single Requir
or
ed
Skip toType (select from list)
Multi
Y/N
X
Checkbox, one-u Multi
Y
X
X
F
F
F
F
E, F

Yes

H

ACQinh0019398A02
Please tell us why you didn't "Narrow Your
Results."
How can we make the search engine more
useful?
Did you have any problems using the
ACQinh0019385A01
“Information by Topic” menu on the left side of
the page to find information on the site?
ACQinh0019385A02
How can we make the “Information by Topic”
menu on the left side of the page more
useful?
Did you choose to "Narrow Your Results" by ACQinh0019388A01
topic(s), audience(s) or disability type(s),
using the options on the left side of the page?

No

G, H

ACQinh0019388A02
Please tell us why you didn't "Narrow Your
Results."
What would you like to see improved on
Disability.gov?
Disability.gov is a web portal that directs
SAC6966A001
people to information and resources on other
websites. Before reading this statement, did
you know that Disability.gov is a portal that
sends you to other sites for information?

No

SAC6966A002

Yes

J, K

Text area, no Single
char limit
Text area, no chaSingle

N

Radio button, on Single

Y

Text area, no chaSingle

N

Text area, no chaSingle

N

Radio button, on Single

Y

Text area, no chaSingle

N

Radio button, on Single

Y

Text area, no char limit

N

Text area, no char limit

N

Drop down, sele Single

Y

N

No

Yes

Yes

L

No

ForeSee Results - Confidential and Proprietary

Special
Instructions

CQ Label
Type of Information

Skip Logic Group

Role

Skip Logic Group

Other role

Skip Logic Group

Specific Information

Skip Logic Group OE_Information
Skip Logic Group First Look

Skip Logic Group Search Helped

ForeSee Results - Confidential and Proprietary

Special
Instructions
CQ Label
Skip Logic Group Search Experience

Skip Logic Group

OE_Search Term

Skip Logic Group OE_Search Problem
Skip Logic Group Search Narrow

Skip Logic Group OE_Search Narrow
Skip Logic Group OE_Search Changes2
Skip Logic Group Info by Topic Usage

Skip Logic Group OE_Info by Topic Changes

Skip Logic Group Info by Topic Narrow

Skip Logic Group OE_Info by Topic Narrow
Improvement
Portal

ForeSee Results - Confidential and Proprietary

Model Instance Name
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID
SAC6941

Skip
Logic
Label

Question Text

What information were you looking for on
Disability.gov today? Please select the best
answer.

SAC6942

Which of the following statements best describes
you? Please select the best answer.

AnswerIDs (DOT)

SAC6941A001

Only information on programs or services in my state

SAC6941A002
SAC6941A003

Only information on national programs or services
Information on national and state programs or services

SAC6942A001

I am a person with a disability or am disabled

SAC6942A002
SAC6942A003

I am a caregiver, family member or friend of someone with a disability
I am a professional or service provider who works with people with
disabilities
I am an educator who works with students with disabilities
I am an employer or human resource (HR) professional
Other

SAC6942A004
SAC6942A006
SAC6942A007
SAC6943

A

SAC6944A001

Employment (such as finding a job, starting a business or hiring
someone with a disability)

SAC6944A002

Benefits (such as getting Social Security (SSI/SSDI) benefits,
paying for prescriptions or access to financial assistance)
Housing (such as finding an affordable apartment, paying for a
house, home repairs or housing discrimination)
Civil Rights (such as information about the Americans with
Disabilities Act (ADA) and other laws and regulations, voting or
filing a complaint)
Education (such as getting money for school, going to college or
teaching students with disabilities)
Health (such as information on specific disabilities, getting health
insurance, dental or health care or caregiver resources)
Community Life (such as sports, volunteering or independent
living)
Technology (such as assistive technology, accessible technology
or help paying for technology)
Transportation (such as getting a ride, accessible transportation
and paying for vehicle modifications)
Emergency Preparedness (such as emergency or disaster
preparedness or emergency management)
I’m not sure which subject to choose

SAC6944A003
SAC6944A004
SAC6944A005
SAC6944A006
SAC6944A007
SAC6944A008
SAC6944A009
SAC6944A010
SAC6944A011
SAC6945

B

ACQinh0019382

ACQinh0019383

C

Single
Requir
or
Skip toType (select from list)
Multi edY/N
Radio button,
Single
Y
one-up vertical

Please explain what information you were
looking for on Disability.gov. (open-ended)
How did you first start to look for information
on Disability.gov? Please select the best
answer.

Did the search engine help you find the
information you were looking for on
Disability.gov?

single

Y

Text field, <100
char
Checkbox, one-u Multi

N

Text area, no char limit

N

Radio button, on Single

Y

Radio button, on Single

Y

Radio button,
one-up vertical

A

Please explain briefly what role best describes
you:

In general, which subject(s) did you want to
get information about? Please select all that
apply.

SAC6944

Answer Choices
(limited to 50 characters)

Y

B

ACQinh0019382A01

I used the search engine at the top of the page

C

ACQinh0019382A02

I used the “Information by Topic” menu on the left side of the page

I

ACQinh0019382A03
ACQinh0019383A01

I am not sure
Yes

ACQinh0019383A02

No

D
ForeSee Results - Confidential and Proprietary

Model Instance Name
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID
ACQinh0019396

Skip
Logic
Label
D

Question Text

AnswerIDs (DOT)

Answer Choices
(limited to 50 characters)

Tell us more about your search experience.
Please select all that apply.

ACQinh0019396A01

I didn’t know which word or phrase to enter into the search engine

ACQinh0019396A02
ACQinh0019396A03
ACQinh0019396A04

I did not receive any search results
There were not enough search results
There was not enough information in the description of the results
to decide which resource to choose
Many of the search results looked like the same resource
The results were not organized in a helpful way
The search results did not answer my question
I had a different problem with the search results

ACQinh0019396A05
ACQinh0019396A06
ACQinh0019396A07
ACQinh0019396A08
ACQinh0019397

E

ACQinh0019410

X

ACQinh0019398

F

ACQinh0019399

G

ACQinh0019400

H

ACQinh0019385

I

ACQinh0019387

J

ACQinh0019388

K

ACQinh0019391

L

ACQinh0019392
SAC6966

Please explain the problem you had with your
search results.
How can we make the search engine more
useful?
Did you choose to "Narrow Your Results" by ACQinh0019398A01
topic(s), audience(s) or disability type(s),
using the options on the left side of the page?

Single
Requir
or
Skip toType (select from list)
Multi edY/N
X
Checkbox, one-u Multi
Y
X
X
F
F
F
F
E, F

Yes

H

ACQinh0019398A02
Please tell us why you didn't "Narrow Your
Results."
How can we make the search engine more
useful?
Did you have any problems using the
ACQinh0019385A01
“Information by Topic” menu on the left side of
the page to find information on the site?
ACQinh0019385A02
How can we make the “Information by Topic”
menu on the left side of the page more
useful?
Did you choose to "Narrow Your Results" by ACQinh0019388A01
topic(s), audience(s) or disability type(s),
using the options on the left side of the page?

No

G, H

ACQinh0019388A02
Please tell us why you didn't "Narrow Your
Results."
What would you like to see improved on
Disability.gov?
Disability.gov is a web portal that directs
SAC6966A001
people to information and resources on other
websites. Before reading this statement, did
you know that Disability.gov is a portal that
sends you to other sites for information?

No

SAC6966A002

Yes

J, K

Text area, no chaSingle

N

Text area, no chaSingle

N

Radio button, on Single

Y

Text area, no chaSingle

N

Text area, no chaSingle

N

Radio button, on Single

Y

Text area, no chaSingle

N

Radio button, on Single

Y

Text area, no char limit

N

Text area, no char limit

N

Drop down, sele Single

Y

No

Yes

Yes

L

No

ForeSee Results - Confidential and Proprietary

Special
Instructions

CQ Label
Type of Information

Skip Logic Group

Role

Skip Logic Group

Other role

Skip Logic Group

Specific Information

Skip Logic Group OE_Information
Skip Logic Group First Look

Skip Logic Group Search Helped

ForeSee Results - Confidential and Proprietary

Special
Instructions
CQ Label
Skip Logic Group Search Experience

Skip Logic Group OE_Search Problem
Skip Logic Group OE_Search Changes1
Skip Logic Group Search Narrow

Skip Logic Group OE_Search Narrow
Skip Logic Group OE_Search Changes2
Skip Logic Group Info by Topic Usage

Skip Logic Group OE_Info by Topic Changes

Skip Logic Group Info by Topic Narrow

Skip Logic Group OE_Info by Topic Narrow
Improvement
Portal

ForeSee Results - Confidential and Proprietary

Model Instance Name
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID
SAC6941

Skip
Logic
Label

Question Text

What information were you looking for on
Disability.gov today? Please select the best
answer.

SAC6942

Which of the following statements best describes
you? Please select the best answer.

AnswerIDs (DOT)

SAC6941A001

Only information on programs or services in my state

SAC6941A002
SAC6941A003

Only information on national programs or services
Information on both national and state programs or services

SAC6942A001

I am a person with a disability or am disabled

SAC6942A002
SAC6942A003

I am a caregiver, family member or friend of someone with a disability
I am a professional or service provider who works with people with
disabilities
I am an educator who works with students with disabilities
I am a student who is doing research
I am an employer or human resource (HR) professional
Other (please specify):

SAC6942A004
SAC6942A005
SAC6942A006
SAC6942A007
SAC6943

A

SAC6944A001

Employment (such as finding a job, starting a business or hiring
someone with a disability)

SAC6944A002

Benefits (such as getting Social Security (SSI/SSDI) benefits,
Veterans or other benefits, paying for prescriptions or home
energy assistance) access to financial assistance)
Housing (such as getting Section 8 housing, finding an affordable
apartment, buying a house or housing discrimination finding an
affordable apartment, paying for a house, home repairs or housing
discrimination)
Civil Rights (such as information about the Americans with
Disabilities Act (ADA) and other laws and regulations, voting or
filing a complaint)
Education (such as getting money for school, going to college or
teaching students with disabilities)
Health (such as information on specific disabilities, getting health
insurance, dental or health care or caregiver resources)
Community Life (such as accessible sports, volunteering or
independent living)
Technology (such as assistive technology, accessible technology
or help paying for technology)
Transportation (such as getting a ride, accessible transportation
and paying for vehicle modifications)
Emergency Preparedness (such as emergency or disaster
preparedness at home or work or emergency management)
I’m not sure which subject to choose

SAC6944A003

SAC6944A004
SAC6944A005
SAC6944A006
SAC6944A007
SAC6944A008
SAC6944A009
SAC6944A010

SAC6945
SAC6946

B

Single Requir
or
ed
Skip toType (select from list)
Multi
Y/N
Radio button,
Single
Y
one-up vertical

SAC6944A011
Please explain what information you were
looking for on Disability.gov. (open-ended)
How did you look for information on
SAC6946A001
Disability.gov? Please select the best answer.
SAC6946A002

single

Y

Text field, <100
char
Checkbox, one-u Multi

N

Text area, no char limit

N

Radio button, on Single

Y

Radio button,
one-up vertical

A

Please explain briefly what role best describes
you:

In general, which subject(s) did you want to
get information about? Please select all that
apply.

SAC6944

Answer Choices
(limited to 50 characters)

Y

B

I used the search engine at the top of the page

A, B

I used the “Information by Topic” and other menus on the left side
of the page

G

ForeSee Results - Confidential and Proprietary

Model Instance Name
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
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blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID

Skip
Logic
Label

Question Text

AnswerIDs (DOT)

SAC6946A003
SAC6947

A

Please rate your overall happiness with the
site’s search engine.

SAC6948

B

Did the search engine help you find the
information you were looking for on
Disability.gov today?

SAC6949

F

SAC6950

I

How can we make the search engine more
useful to you?
Tell us more about your search experience.
Please select all that apply.

SAC6947A001

I used both the search engine at the top of the page, as well as
the "Information by Topic” and other menus on the left side of the
page
1 = Very unhappy

SAC6947A002
SAC6947A003
SAC6947A004
SAC6947A005
SAC6947A006
SAC6947A007
SAC6947A008
SAC6947A009
SAC6947A010
SAC6948A001

2
3
4
5
6
7
8
9
10=Very happy
Yes

SAC6948A002

No

SAC6950A001
SAC6950A002
SAC6950A003
SAC6950A004
SAC6950A005
SAC6950A006
SAC6950A007
SAC6950A008
SAC6950A009

SAC6951

Y

SAC6952

J

SAC6953

K

SAC6954

G

SAC6955

L

SAC6956

AA

Answer Choices
(limited to 50 characters)

Please tell us if there are any other websites
you like to use to find similar information.
(open-ended)
Please explain where you thought the link
would take you.
Please explain the problem you had with your
search results.
Did you have any problems using the
SAC6954A001
“Information by Topic” and other menus on
the left side of the page to find information on
the site?
SAC6954A002
How can we make the “Information by Topic”
and other menus on the left side of the page
easier to use? (open-ended)
Please tell us if there are any other websites
you like to use to find similar information.
(open-ended)

I didn’t know which word or phrase to enter into the search engine
to find the information I was looking for
The results were not what I was looking for
There were not enough results
There was not enough information in the description of the results
to decide which resource to choose
Many of the search results looked like the same resource
There were too many results
The results were not organized in a helpful way
The link didn’t take me to where I thought it was going to go
I had a different problem with the search results

Yes

Single Requir
or
ed
Skip toType (select from list)
Multi
Y/N
M, N, R

Radio button, sc Single

Y

Radio button, on Single

Y

Text area, no chaSingle

N

Checkbox, one-u Multi

Y

Text area, no chaSingle

N

Text area, no chaSingle

N

Text area, no chaSingle

N

Radio button, on Single

Y

Text area, no chaSingle

Y

Text area, no chaSingle

N

F, I , Y

J
K

L, AA

No

ForeSee Results - Confidential and Proprietary

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Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID
SAC6957

Skip
Logic
Label
M

Question Text

Which option was more helpful?

AnswerIDs (DOT)

SAC6957A001
SAC6957A002

SAC6958

N

SAC6959

T

SAC6960

U

Did the search engine at the top of the page SAC6958A001
help you find the information you were looking
for on Disability.gov today?
SAC6958A002
How can we make the search engine more
useful to you?
Tell us more about your search experience. SAC6960A001
(Please select all that apply)
SAC6960A002
SAC6960A003
SAC6960A004
SAC6960A005
SAC6960A006
SAC6960A007
SAC6960A008
SAC6960A009

SAC6961

V

SAC6962

Z

SAC6963

W

SAC6964

R

SAC6965

X

Please explain where you thought the link
would take you.
Please tell us if there are any other websites
you like to use to find similar information.
(open-ended)
Please explain the problem you had with your
search results.
Did you have any problems using the
SAC6964A001
“Information by Topic” and other menus on
the left side of the page to find information on
the site?
SAC6964A002
How can we make the “Information by Topic”
and other menus on the left side of the page
easier to use?
How did you first start to look for information
on Disability.gov? Please select the best
answer.

C

Did the search engine help you find the
information you were looking for on
Disability.gov?

D

Tell us more about your search experience.
Please select all that apply.

Answer Choices
(limited to 50 characters)

I liked using the “Information by Topic” and other menus on the left
side of the page to find resources on the site
I liked using the search engine at the top of the page to find
resources on the site
Yes
No

Single Requir
or
ed
Skip toType (select from list)
Multi
Y/N
Radio button, on Single
Y

Radio button, one-up vertical

T, U, Z
Text area, no char limit

I didn’t know which word or phrase to enter into the search engine
to find the information I was looking for
The results were not what I was looking for
There were not enough results
There was not enough information in the description of the results
to decide which resource to choose
Many of the search results looked like the same resource
There were too many results
The results were not organized in a helpful way
The link didn’t take me to where I thought it was going to go
I had a different problem with the search results

Yes

Checkbox, one-up vertical

V
W

X

Text area, no chaSingle

N

Text area, no chaSingle

N

Text area, no chaSingle

N

Radio button, on Single

Y

Text area, no chaSingle

Y

Radio button, on Single

Y

Radio button, on Single

Y

Checkbox, one-u Multi

Y

No

I used the search engine at the top of the page

C

I used the “Information by Topic” menu on the left side of the page

I

I am not sure
Yes
No
I didn’t know which word or phrase to enter into the search engine

D
H

I did not receive any search results
There were not enough search results

H
H
ForeSee Results - Confidential and Proprietary

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Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Date:
1/17/2012

red & strike-through: DELETE
underlined & italicized: RE-ORDER
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blue + -->: REWORDING

Disability.gov V3 CUSTOM QUESTION LIST
QID

Skip
Logic
Label

Question Text

Answer Choices
(limited to 50 characters)

AnswerIDs (DOT)

There was not enough information in the description of the results
to decide which resource to choose
Many of the search results looked like the same resource
The results were not organized in a helpful way
The search results did not answer my question
I had a different problem with the search results
E
F

G
H
I

Please explain the problem you had with your
search results.
Did you choose to "Narrow Your Results" by
topic(s), audience(s) or disability type(s),
using the options on the left side of the page?

Please tell us why you didn't "Narrow Your
Results."
How can we make the search engine more
useful?
Did you have any problems using the
“Information by Topic” menu on the left side of
the page to find information on the site?

Single Requir
or
ed
Skip toType (select from list)
Multi
Y/N
F
F
F
F
E, F

Yes

H

No

G, H

Yes

J, K

Text area, no chaSingle

N

Radio button, on Single

Y

Text area, no chaSingle

N

Text area, no chaSingle

N

Radio button, on Single

Y

Text area, no chaSingle

N

Radio button, on Single

Y

Text area, no char limit

N

Text area, no char limit

N

Drop down, sele Single

Y

No
J

K

How can we make the “Information by Topic”
menu on the left side of the page more
useful? (open-ended)
Did you choose to "Narrow Your Results" by
topic(s), audience(s) or disability type(s),
using the options on the left side of the page?

Yes

No
L

SAC6966

Please tell us why you didn't "Narrow Your
Results."
What would you like to see improved on
Disability.gov?
Disability.gov is a web portal that directs
SAC6966A001
people to information and resources on other
websites. Before reading this statement, did
you know that Disability.gov is a portal that
sends you to other sites for information?

Yes

SAC6966A002

No

L

ForeSee Results - Confidential and Proprietary

Special
Instructions

CQ Label
Type of Information

Skip Logic Group

Role

Skip Logic Group

Other role

Skip Logic Group

Specific Information

Skip Logic Group OE_Information
Skip Logic Group Look for Information

ForeSee Results - Confidential and Proprietary

Special
Instructions

CQ Label

Skip Logic Group S_Search Rating

Skip Logic Group S_Search Helped

Skip Logic Group S_OE_Search Changes
Skip Logic Group S_Search Experience

Skip Logic Group S_OE_Other Sites

Skip Logic Group S_OE_Unexpected Link
Skip Logic Group S_OE_Problem with Search
Skip Logic Group T_Info by Topic Usage

Skip Logic Group T_OE_Improve Info by Topic

Skip Logic Group S_OE_Other Sites

ForeSee Results - Confidential and Proprietary

Special
Instructions
CQ Label
Skip Logic Group B_Option

B_Search Helped

B_OE_Search Changes
B_Search Experience

Skip Logic Group B_OE_Unexpected Link
Skip Logic Group B_OE_Other Sites

Skip Logic Group B_OE_Problem with Search
Skip Logic Group B_Info by Topic Usage

Skip Logic Group B_OE_Improve Info by Topic

Skip Logic Group First Look

Skip Logic Group Search Helped

Skip Logic Group Search Experience

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Special
Instructions

CQ Label

Skip Logic Group OE_Search Problem
Skip Logic Group Search Narrow

Skip Logic Group OE_Search Narrow
Skip Logic Group OE_Search Changes
Skip Logic Group Info by Topic Usage

Skip Logic Group OE_Info by Topic Changes

Skip Logic Group Info by Topic Narrow

Skip Logic Group OE_Info by Topic Narrow
Improvement
Portal

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#REF!
Disability.gov V2
MID: R1E1JscENsQ08YktMkZpxA==
Date:
3/1/2008

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underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V2 CUSTOM QUESTION LIST

QID
AML001032

Skip
Logic
Label

What information were you looking for on Disability.gov
today? Please select the best answer.

A
AML001033

AML001034

A

A

Answer Choices
(limited to 50 characters)

Skip to

Type (select from list)
Radio button, one-up vertical

Single or
Multi
Single

Only information on programs or services in my state
Only information on national programs or services
Information on both national and state programs or services

Which of the following statements best describes you? Please I am a person with a disability or am disabled
select the best answer.
I am a friend or family member of someone with a disability
I am a professional who works with people with disabilities
I am an educator who works with students with disabilities
I am a student who is doing research
I am an employer or human resource (HR) professional
Other (please specify):
Other reason for visiting Disability.gov

In general, which subject(s) did you want to get
information about? Please select all that apply.

AML001035

AML001036

Question Text

Employment (such as finding a job, starting a business or hiring someone
with a disability)
Benefits (such as getting Social Security (SSI/SSDI), Veterans or other
benefits, paying for prescriptions or home energy assistance)
Housing (such as getting Section 8 housing, finding an affordable
apartment, buying a house or housing discrimination)
Civil Rights (such as information about the Americans with Disabilities
Act (ADA) and other laws and regulations or filing a complaint)
Education (such as money for school, going to college or teaching
students with disabilities)
Health (such as specific disabilities, getting health insurance, dental or
health care or caregiver resources)
Community Life (such as accessible sports, volunteering or independent
living)
Technology (such as assistive technology, accessible technology or help
paying for technology)
Transportation (such as getting a ride, accessible transportation and
paying for vehicle modifications)
Emergency Preparedness (such as emergency or disaster preparedness
at home or work or emergency management)
I’m not sure which subject to choose

Please explain what information you were looking for on
Disability.gov. (open-ended)
How did you look for information on Disability.gov?
I used the search engine at the top of the page
Please select the best answer.
I used the “Information by Topic” and other menus on the left side of the
page
I used both the search engine at the top of the page, as well as the
"Information by Topic” and other menus on the left side of the page
Please rate your overall happiness with the site’s search 1 = Very unhappy
engine.
2

Radio button, one-up vertical

single

A
Text field, <100 char
Checkbox, one-up vertical

Multi

A
Text area, no char limit
A, B, C, D, Radio button, one-up vertical
E

Single

G, H
M, N, O, P,
Q, R, S
Radio button, scale, no don't kn

Single

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MID: R1E1JscENsQ08YktMkZpxA==
Date:
3/1/2008

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underlined & italicized: RE-ORDER
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Disability.gov V2 CUSTOM QUESTION LIST

QID

Skip
Logic
Label

AML001037

B

AML001038

F

AML001039

I

Y
AML001040

J

AML001041

K

AML001042

C

AML001043

D

AML001044

E

AML001045

G

AML001046

L

Question Text

Answer Choices
(limited to 50 characters)

3
4
5
6
7
8
9
10=Very happy
Did the search engine help you find the information you Yes
were looking for on Disability.gov today?
No
How can we make the search engine more useful to
you?
Tell us more about your search experience. Please
I didn’t know which word or phrase to enter into the search engine to find
select all that apply.
the information I was looking for
The results were not what I was looking for
There were not enough results
There was not enough information in the description of the results to
decide which resource to choose
Many of the search results looked like the same resource
There were too many results
The results were not organized in a helpful way
The link didn’t take me to where I thought it was going to go
I had a different problem with the search results
Please tell us if there are any other websites you like to
use to find similar information. (open-ended)
Please explain where you thought the link would take
you.
Please explain the problem you had with your search
results.
Yes
Did you use the magnifying glass icon under each
search result to see where the resource is located on the
site?
No
Please tell us the exact word or phrase you typed into
the search engine:
Did you use the Advanced Search?
Yes
No
Yes
Did you have any problems using the “Information by
Topic” and other menus on the left side of the page to
find information on the site?
No
How can we make the “Information by Topic” and other
menus on the left side of the page easier to use? (openended)

Skip to

Type (select from list)

Single or
Multi

Radio button, one-up vertical

Single

Text area, no char limit

Single

Checkbox, one-up vertical

Multi

Text area, no char limit

Single

Text area, no char limit

Single

Text area, no char limit

Single

Radio button, one-up vertical

Single

Text area, no char limit

Single

Radio button, one-up vertical

Single

Radio button, one-up vertical

Single

Text area, no char limit

Single

F, I , Y

J
K

L, AA

ForeSee Results - Confidential and Proprietary

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MID: R1E1JscENsQ08YktMkZpxA==
Date:
3/1/2008

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Disability.gov V2 CUSTOM QUESTION LIST

QID

Skip
Logic
Label
AA

AML001047

H

AML001048

M

Answer Choices
(limited to 50 characters)

Question Text

Please tell us if there are any other websites you like to
use to find similar information. (open-ended)
Please tell us which categories and subcategories you
visited today:
Which option was more helpful?

AML001049

N

Did the search engine at the top of the page help you
find the information you were looking for on
Disability.gov today?

AML001050

T

AML001051

U

How can we make the search engine more useful to
you?
Tell us more about your search experience. (Please
select all that apply)

I liked using the “Information by Topic” and other menus on the left side of
the page to find resources on the site
I liked using the search engine at the top of the page to find resources on
the site
Yes
No

AML001052

V
Z

AML001053

W

AML001054

O

AML001055

P

AML001056

Q

AML001057

R

Skip to

Type (select from list)
Text area, no char limit

Single or
Multi
Single

Text area, no char limit

Single

Radio button, one-up vertical

Single

Radio button, one-up vertical

T, U, Z
Text area, no char limit

I didn’t know which word or phrase to enter into the search engine to find
the information I was looking for
The results were not what I was looking for
There were not enough results
There was not enough information in the description of the results to
decide which resource to choose
Many of the search results looked like the same resource
There were too many results
The results were not organized in a helpful way
The link didn’t take me to where I thought it was going to go
I had a different problem with the search results

Please explain where you thought the link would take
you.
Please tell us if there are any other websites you like to
use to find similar information. (open-ended)
Please explain the problem you had with your search
results.
Yes
Did you use the magnifying glass icon under each
search result to see where the resource was located on
the site?
No
Please tell us the exact word or phrase you typed into
the search engine:
Did you use the Advanced Search?
Yes
No
Yes
Did you have any problems using the “Information by
Topic” and other menus on the left side of the page to
find information on the site?
No

Checkbox, one-up vertical

V
W

X

Text area, no char limit

Single

Text area, no char limit

Single

Text area, no char limit

Single

Radio button, one-up vertical

Single

Text area, no char limit

Single

Radio button, one-up vertical

Single

Radio button, one-up vertical

Single

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Date:
3/1/2008

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Disability.gov V2 CUSTOM QUESTION LIST

QID
AML001058

AML001059

Skip
Logic
Label
X

S

Answer Choices
(limited to 50 characters)

Question Text

How can we make the “Information by Topic” and other
menus on the left side of the page easier to use?
Please tell us which categories and subcategories you
visited today:
Yes

AML001060

Skip to

Type (select from list)
Text area, no char limit

Single or
Multi
Single

Text area, no char limit

Single

Drop down, select one

Single

Disability.gov is a web portal that directs people to
information and resources on other websites. Before
reading this statement, did you know that Disability.gov
is a portal that sends you to other sites for information?
No

ForeSee Results - Confidential and Proprietary

Required
Y/N
Y

Special Instructions

N

N
Y

CQ Label
Type of
Information

Role

OPS Group

OPS Group

Other role
Specific Information

OE_Information

Y

Skip Logic Group

Look for Information

Y

Skip Logic Group

S_Search Rating

ForeSee Results - Confidential and Proprietary

Required
Y/N

Special Instructions

CQ Label

Y

Skip Logic Group

S_Search Helped

N

Skip Logic Group

S_OE_Search Changes

Y

Skip Logic Group

S_Search Experience

N

Skip Logic Group

S_OE_Other Sites

N

Skip Logic Group

S_OE_Unexpected Link

N

Skip Logic Group

S_OE_Problem with Search

Y

Skip Logic Group

S_Magnifying Glass

N

Skip Logic Group

S_OE_Search Phrase

Y

Skip Logic Group

S_Advanced Search

Y

Skip Logic Group

T_Info by Topic Usage

Y

Skip Logic Group

T_OE_Improve Info by Topic

ForeSee Results - Confidential and Proprietary

Required
Y/N
N

Special Instructions
Skip Logic Group

N

Skip Logic Group

T_OE_Topic Categories

Y

Skip Logic Group

B_Option

CQ Label
S_OE_Other Sites

B_Search Helped

B_OE_Search Changes
B_Search Experience

N

Skip Logic Group

B_OE_Unexpected Link

N

Skip Logic Group

B_OE_Other Sites

N

Skip Logic Group

B_OE_Problem with Search

Y

Skip Logic Group

B_Magnifying Glass

N

Skip Logic Group

B_OE_Search Phrase

Y

Skip Logic Group

B_Advanced Search

Y

Skip Logic Group

B_Info by Topic Usage

ForeSee Results - Confidential and Proprietary

Required
Y/N
Y

Special Instructions
Skip Logic Group

N

Skip Logic Group

Y

CQ Label
B_OE_Improve Info by Topic

B_OE_Topic Categories
Portal

ForeSee Results - Confidential and Proprietary

#REF!
Disability.gov V2
MID: R1E1JscENsQ08YktMkZpxA==
Date:
3/1/2008

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V2 CUSTOM QUESTION LIST

QID
AML001032

Skip
Logic
Label

Which type of information were you looking for on
Disability.gov today? (Please select the best answer.)

AML001033

AML001034
AML001035

In general, which subject(s) did you want to get
information about? (Please select all that apply.)

A

Answer Choices
(limited to 50 characters)

Question Text

Please explain what information you were looking for:
How did you look for information on Disability.gov?
(Please select the best answer.)

Only information on programs or services in my state
Only information on national programs or services
Information on both national and state programs or services
Employment (such as finding a job, starting a business or hiring someone
with a disability)
Benefits (such as getting Social Security (SSI/SSDI), Veterans or other
benefits, paying for prescriptions or home energy assistance)
Housing (such as getting Section 8 housing, finding an affordable
apartment, buying a house or housing discrimination)
Civil Rights (such as information about the Americans with Disabilities
Act (ADA) and other laws & regulations or filing a complaint)
Education (such as money for school, going to college or teaching
students with disabilities)
Health (such as specific disabilities, getting health insurance, dental or
health care or caregiver resources)
Community Life (such as accessible sports, volunteering or independent
living)
Technology (such as assistive technology, accessible technology or help
paying for technology)
Transportation (such as getting a ride, accessible transportation and
paying for vehicle modifications)
Emergency Preparedness (such as emergency/disaster preparedness at
home or work or emergency management)
I’m not sure which subject to choose

I used the search engine
I used the “Information by Topic” menu on the left side of the page

Skip to

Type (select from list)
Radio button, one-up vertical

Single or
Multi
Single

Checkbox, one-up vertical

Multi

A
Text area, no char limit
A, B, C, D, Radio button, one-up vertical
E

Single

G, H
M, N, O, P,
I used both the search engine and the “Information by Topic” menu on the Q, R, S

AML001036

A

AML001037

B

left side of the page
Please rate your overall happiness with the site’s search 1 = Very unhappy
engine.
2
3
4
5
6
7
8
9
10=Very happy
Did the search engine help you find the information you Yes
were looking for on Disability.gov today?

Radio button, scale, no don't kn

Single

Radio button, one-up vertical

Single

ForeSee Results - Confidential and Proprietary

#REF!
Disability.gov V2
MID: R1E1JscENsQ08YktMkZpxA==
Date:
3/1/2008

red & strike-through: DELETE
underlined & italicized: RE-ORDER
pink: ADDITION
blue + -->: REWORDING

Disability.gov V2 CUSTOM QUESTION LIST

QID

Skip
Logic
Label

Answer Choices
(limited to 50 characters)

Question Text

No
AML001038

F

AML001039

I

How can we make the search engine more useful to
you?
Tell us more about your search experience. (Please
select all that apply)

I didn’t know which word or phrase to enter into the search engine to find
the information I was looking for
The results were not what I was looking for
There were not enough results
There was not enough information in the description of the results to
decide which resource to choose
Many of the search results looked like the same resource
There were too many results
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J

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Please explain the problem you had with your search
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Yes
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site?
No
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the search engine:
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No
Yes
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No
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easier to use?
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visited today:
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help me find the resources I wanted
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were looking for on Disability.gov today?
No
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you?
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the information I was looking for
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There were not enough results
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decide which resource to choose
Many of the search results looked like the same resource
There were too many results
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The link didn’t take me to where I thought it was going to go
I had a different problem with the search results

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Please explain the problem you had with your search
results:
Yes
Did you use the magnifying glass icon under each
search result to see where the resource was located on
the site?
No
Please tell us the exact word or phrase you typed into
the search engine:
Did you use the Advanced Search?
Yes
No
Yes
Did you have any problems using the “Information by
Topic” menu to find information on the site?
No
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CUSTOM QUESTION LIST

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Generic
"spend"
intention for
benchmarking
and to
compare to
2008, 2009 and
2010

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Do you expect to spend more or less online during the 2010
holiday season compared to 2009?

Do you expect to spend more or less online during the 2010
holiday season with retailer.com compared to 2009?

Spend
intention with
this retailer

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A lot more

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I expect
spendCHANGE
about the same
amountOF
as last
year
Aorder
little lesschanged, please request randomization
A lot less
- DO
Not
sure NOT change the CQ LABELS
I didn't
anything from
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last year
- Youpurchase
may change
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A lot more
A little more
I expect to spend about the same amount as last year
A little less
A lot less
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Why do you expect to spend more online with retailer.com this Promotions ($ or % off offers)

R
R
S
S
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holiday season? (please select all that apply)

Quality of merchandise
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