WISQARS Mobile App Online Survey

WISQARS Mobile App Survey

Form Approved
OMB No: 0920-1009
Exp. Date: 3/31/2017

Online Welcome Message and Consent Form

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

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, click “Agree & Continue” and then select your answer for each question.

Public reporting burden of this collection of information is estimated to average 10 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 (0920-1009)

Survey Questions

1. On a scale of 1 to 5, how important are violence and injury data to your job?

1=Very unimportant

2=Unimportant

3=Neither important or unimportant

4=Important

5=Very important

2. How often do you use the WISQARS app in your job?

1=Never

2=Rarely

3=Sometimes

4=Very often

5=Always

3. Which of the following best describes how you will use the information in the WISQARS app? (Please check all that apply)

• To be generally informed about injury and violence data

• Share data with stakeholders as is (within the app)

• Place the sharable charts in documents or presentations

• As part of a grant application  

• Inform program planning activities

• Share data with policy makers

• In my classroom as a teaching tool

• Other: please describe________________

4. Please rate your agreement with the following statements about the WISQARS app:

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

5. Which of the following best describes the WISQARS app? [Please select at least 3 that apply]

Unattractive	Attractive
Hard to Use	Easy to Use
Not Engaging	Engaging
Boring	Interesting
Not useful	Useful
Tedious	Fun to Use

Please Explain:

6. What did you like most about the WISQARS app?

7. What did you like least about the WISQARS app?

8. What can we do to improve the WISQARS app?

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 a?

• Student

• Teacher / educator

• Public health professional

• Scientist / researcher

• Health care provider

• Individual interested in public health

• Other

Thank you Message

Thank you for providing your feedback so that we can continue to improve the WISQARS app. We appreciate your help.

Please help us by rating the WISQARS app in the iTunes store.