Survey - Word version

Solve the Outbreak iPad App Survey

Form Approved
OMB No: 0920-0956
Exp. Date: March 31, 2016

Online Welcome Message and Consent Form

Thank you for agreeing to help the Centers for Disease Control and Prevention (CDC) evaluate the Solve the Outbreak iPad app. Your feedback is extremely important. We anticipate that it will take approximately 5 minutes to complete these questions.

Your responses to all questions will be kept in a secure manner. All information is used for evaluation purposes only, and CDC does not plan to share the data with anyone outside CDC.

To proceed through the survey, select your answer for each question and click “Agree & Continue”.

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 (0920-0956)

Survey Questions

1. Please rate your agreement with the following statements about CDC’s Solve the Outbreak iPad Application:

	Strongly Disagree	Disagree	Agree	Strongly Agree
I am satisfied with this application.
I would recommend this application to someone else.
I would use this application again.

2. Which of the following words best describes the Solve the Outbreak application? [Please select at least 3 words that apply]

Unattractive	Attractive
Hard to Use	Easy to Use
Not Engaging	Engaging
Boring	Interesting
Dull	Innovative
Tedious	Fun to Use

Please Explain:

3. How many outbreaks have you completed in the app?

• 0

• 1-2

• 3-4

• 5+

• Not sure / can’t remember

4. Please rate your agreement with the following statements about the content in the outbreaks:

	Strongly Disagree	Disagree	Agree	Strongly Agree
I thought the outbreaks were easy to understand / written in plain language.
I learned more about CDC’s disease detectives by using the application.
I would like to share my scores on Facebook / Twitter.

5. How would you describe the difficulty of the outbreaks?

• Too difficult / too challenging

• Just the right level of difficulty

• Too easy / not challenging enough

Please Explain:

6. What did you like most about the Solve the Outbreak application?

7. What can we do to improve the Solve the Outbreak application?

8. How likely would you be to use this app if CDC were to create a Facebook version?

• Very Likely

• Somewhat Likely

• Somewhat Unlikely

• Very Unlikely

Please Explain:

9. What is your gender?

• Male

• Female

• Prefer not to answer

10. How old are you?

• 19 or under

• 20-34 years old

• 35-49 years old

• 50-64 years old

• 65 or older

• Prefer not to answer

11. What is your highest level of education?

• High school or less

• Some college

• College degree

• Advanced degree

• Prefer not to answer

12. Are you?

• Student

• Teacher / educator

• Public health professional

• Scientist / researcher

• Healthcare provider

• Individual interested in public health

• Other

12A. As a teacher, would you consider using the Solve the Outbreak iPad app in your class?

• Yes

• No

• Not Applicable

Please explain why or why not:

Thank you Message

Thank you for providing your feedback so that we can continue to improve the Solve the Outbreak application. We appreciate your help.

Please help us by rating Solve the Outbreak in the iTunes app store.