DHDS User Feedback Survey

Attachment 1 Form Approved

OMB No. 0920-0919

Exp. Date 01/31/2015

DHDS User Feedback Survey

Please check the best response to each question.

The following 2 questions are about your employment setting and occupation.

1. What is your employment setting?

• Local government employee (city, county, etc.)

• State government employee

• Federal government employee

• College or university

• Private for-profit company or business, or of an individual

• Private not-for-profit, tax-exempt, or charitable organization

• Self-employed, family business, or farm

• Other ______________
  
  
  

2. Which of the following best describes your primary occupation?

• Researcher/data analyst

• Program manager or coordinator

• Communications

• Policy analyst

• Elected official (local, county, state, or federal)

• Health care provider

• Educator

• Student

• Other __________________

The following 2 questions ask about your experience with the Disability and Health Data System (DHDS).

3. How many times have you visited DHDS?

• This is my first time

• 2-3 times

• 4-5 times

• 6+ times
  
  
  

4. What is your main reason for visiting DHDS today? _____

The following 7 questions ask about your opinions about DHDS?

5. How useful are each of the following data views available in DHDS?

	Very Useful	Somewhat useful	Not at all useful	Never Used
Interactive map	○	○	○	○
Interactive comparison map	○	○	○	○
Customizable data table	○	○	○	○
Downloadable data table	○	○	○	○
State profiles	○	○	○	○

6. Please rate the following statements about DHDS:

	Strongly agree	Agree	Disagree	Strongly disagree
The data are presented in a way I can easily understand	○	○	○	○
The site contained useful information	○	○	○	○
I trust the accuracy of the data	○	○	○	○
I would recommend this site to my colleagues	○	○	○	○
I found this site easy to use	○	○	○	○
I need help to learn how to use this site	○	○	○	○
It was easy to find the data I was looking for	○	○	○	○
I was able to find the information I needed	○	○	○	○

7. How would you rate your overall satisfaction with DHDS?

• Very satisfied (skip to Q8)

• Satisfied (skip to Q8)

• Dissatisfied

• Very dissatisfied

7a. What can we do to improve your satisfaction? _____

8. How likely are you to return to DHDS?

• Very likely (skip to Q9)

• Somewhat likely (skip to Q9)

• Somewhat unlikely

• Very unlikely

8a. What is the reason you are unlikely to return? _____

9. What information did you expect to find on DHDS but did not? ______
   
   
   

10. What do you like best about DHDS? _____
    
    
    

11. What do you like least about DHDS? _____

Thank you for completing this survey!

The public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to - CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333 ATTN: PRA (0920-0919)