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OMB Number: 0925-0648

OMB Expiration Date: 1/2015

HIC Web-Based Customer Satisfaction Survey

for Quality and Content Text

Public reporting burden for this collection of information is estimated to average 4 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0648).  Do not return the completed form to this address.

Your opinion matters! Please take a moment to answer a few questions about the quality of the service you received.

1. How did you contact the National Heart, Lung, and Blood Institute Health Information Center?

   1. Phone

   2. Email

   3. Mail

   4. Fax

   5. Live Chat

   6. Online Catalog

2. What was the nature of your request?

   1. Request a publication

   2. Ask a question

   3. Order a publication through the online Catalog [Skip to Q6]

   4. Other ___________________ (mandatory if other is chosen)

3. How satisfied were you with how quickly your request was handled?

   1. Extremely satisfied

   2. Somewhat satisfied

   3. Satisfied

   4. Not very satisfied

   5. Not at all satisfied

4. How satisfied were you with how the information specialist responded to your question or request?

   1. Extremely satisfied

   2. Somewhat satisfied

   3. Satisfied

   4. Not very satisfied

   5. Not at all satisfied

5. Did you receive or find the information you were looking for?

   1. Yes

   2. Partially

   3. No

6. What health topic did you receive information on from the National Heart, Lung, and Blood Institute? (Select as many as are applicable.)

   1. Healthy eating

   2. Overweight and Physical Activity

   3. Blood diseases and conditions

   4. Heart and vascular diseases and conditions

   5. Lung diseases and conditions

   6. Sleep disorders

   7. Clinical trials

   8. Other. Please specify: ____________________ (mandatory if other is chosen)

Please tell us about your overall impression of the National Heart, Lung, and Blood Institute…

7. On a scale of 0 to 9, with 0 indicating least likely and 9 most likely, how likely are you to recommend the National Heart, Lung, and Blood Institute and its publications and services to others?

Very Unlikely Very Likely

0 1 2 3 4 5 6 7 8 9

8. Overall, how helpful was the information you received?

a. Very helpful

b. Somewhat helpful

c. Helpful

d. Not very helpful

e. Not helpful at all

9. Overall, was the information you received easy to understand?

1. Yes

2. No

10. Do you have any comments concerning the service or information you received or how the National Heart, Lung, and Blood Institute can better serve you? (Open ended)

Please tell us a little bit about you…

10. Do you view or download health information from the Internet?

    1. Yes

    2. No (skip to question 14)

10. In the first column, please place a check beside all devices you have access to in your home or business. In the second column, check the one device you prefer for viewing/accessing online health information.

Home Preferred

(Check all that apply) (Check one)

Desktop or laptop computer  

Tablet or e-reader (iPad, Kindle, Nook, or other device)  

Smartphone (such as an iPhone or similar phone with Internet access)  

Cell phone without Internet access  

10. What format do you prefer to view/read health information? (Select as many as are applicable.)

    1. Audio or Video

    2. eBook

    3. HTML (on computer)

    4. Mobile (on a phone or tablet)

    5. PDF

    6. Printed copy

    7. Other___________________________ (mandatory if other is chosen)

10. Do you use social media to view or engage in discussions about health information?

___ Yes ___ No

If yes, please check all the social media sites or types you use regularly.

1. Blogs

2. Facebook

3. Google+

4. Health forums or list-serves

5. LinkedIn

6. Pinterest

7. Reddit

8. StumbleUpon

9. Tumblr

10. Twitter

11. You Tube

12. Other _________________________ (mandatory if other is chosen)

10. Please indicate your occupation:

    1. Educator (elementary through college)

    2. General health consumer

    3. Government staff

    4. Health care provider

    5. Health educator

    6. Researcher

    7. Social worker or other community service worker

    8. Student

    9. Other. Please list ________________________

You have completed our survey. Thank you for your opinion!

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