Model Instance Name: | |||||||||||
Medicare Compare Web Sites | |||||||||||
MID: | cBlIhVANgskhB8YcgkM1EA== | ||||||||||
Date: | 11/27/2012 | ||||||||||
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 and Thank you text shown in the boxes below. Please read comments before using any of the text. | |||||||||||
Examples | |||||||||||
Welcome Text Example | |||||||||||
Welcome Text | |||||||||||
Thank you for visiting our web 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. |
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Thank You Text Example | |||||||||||
DEFAULT Thank You Text | |||||||||||
“Thank you for taking our survey - and for helping us serve you better. We appreciate your input!” | |||||||||||
ALTERNATE WEB 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. |
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Model Instance Name: | ||||||||
Medicare Compare Web Sites | ||||||||
MID: | cBlIhVANgskhB8YcgkM1EA== | |||||||
Partitioned (Y/N)? | Yes | |||||||
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: | 11/27/2012 | |||||||
Medicare Compare Web Sites | ||||||||
Model questions utilize the ACSI methodology to determine scores and impacts | ||||||||
ELEMENTS (drivers of satisfaction) | CUSTOMER SATISFACTION | FUTURE BEHAVIORS | ||||||
MQ Label | MQ Label | MQ Label | ||||||
Information (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Recommend (1=Very Unlikely, 10=Very Likely) | ||||||
1 | Information - Amount | Please rate the amount of information provided. | 16 | Satisfaction - Overall | What is your overall satisfaction with the compare web site? (1=Very Dissatisfied, 10=Very Satisfied) | 19 | Recommend | How likely are you to recommend the compare web site to someone else? |
2 | Information - Usefulness | Please rate the usefulness of the information provided. | 17 | Satisfaction - Expectations | How well does the compare web site meet your expectations? (1=Falls Short, 10=Exceeds) | Use Medicare.gov (1=Very Unlikely, 10=Very Likely) | ||
3 | Information - Accuracy | Please rate your perception of the accuracy of the information on this compare web site. | 18 | Satisfaction - Ideal | How does the Medicare quality compare web site compare to your idea of an ideal comparison web site? (1=Not Very Close, 10=Very Close) | 20 | Use Medicare.gov | How likely are you to visit Medicare.gov (Medicare's web site) for future Medicare-related needs? |
Results(1=Poor, 10=Excellent, Don't Know) | Trust | |||||||
4 | Results - Match | Please rate how well the results provided match your request. | 21 | Trust - My Best Interests | I can count on Medicare to act in my best interests. (=1 Very Unlikely, 10=Very Likely) | |||
5 | Results - Relevance | Please rate the relevance of the results to your specific needs. | 22 | Trust - Trustworthy | I consider Medicare to be trustworthy. (=1 Very Unlikely, 10=Very Likely) | |||
6 | Results - Listing | Please rate the listing/ranking order of compare web site results. | 23 | Trust - Do What Is Right | Medicare can be trusted to do what is right. (=1 Very Unlikely, 10=Very Likely) | |||
Look & Feel (1=Poor, 10=Excellent, Don't Know) | ||||||||
7 | Look and Feel - Appeal | Please rate the visual appeal of the compare web site. | ||||||
8 | Look and Feel - Balance | Please rate the balance of graphics and text on the compare web site. | ||||||
9 | Look and Feel - Readability | Please rate the readability of the pages on the compare web site. | ||||||
Process (1=Poor, 10=Excellent, Don't Know) | ||||||||
10 | Process - Streamline | Please rate the how well this web site streamlines the process of finding information. | ||||||
11 | Process - Features | Please rate the features available for finding information. | ||||||
12 | Process - Time | Please rate how well this web site minimizes the amount of time needed to get useful information. | ||||||
Site Performance (1=Poor, 10=Excellent, Don't Know) | ||||||||
13 | Site Performance - Loading | Please rate how quickly pages load. | ||||||
14 | Site Performance - Consistency | Please rate the consistency of speed from page to page. | ||||||
15 | Site Performance - Errors | Please rate the ability to load pages without getting error messages. | ||||||
Model Instance Name: | |||||||||||
Medicare Compare Web Sites | underlined & italicized: RE-ORDER | ||||||||||
MID: | cBlIhVANgskhB8YcgkM1EA== | pink: ADDITION | |||||||||
Date: | 11/27/2012 | blue + -->: REWORDING | |||||||||
Medicare Compare Web Sites CUSTOM QUESTION LIST | |||||||||||
QID | Skip Logic Label | Question Text | AnswerIDs (DOT) | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Special Instructions | CQ Label | Compare Web Sites |
LNH2232 | Which Quality Compare Web Site did you use today? | LNH2232A01 | Nursing Home Compare | A, B, C | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Compare Web Site | ||
LNH2232A02 | Hospital Compare | P, Q | |||||||||
LNH2232A03 | Home Health Compare | EE, FF, GG, HH | |||||||||
LNH2232A04 | Dialysis Facility Compare | UU, VV | |||||||||
LNH2233 | A | What best describes your role in using the Nursing Home Compare? | LNH2233A01 | Consumer | Radio button, one-up vertical | Single | Y | Skip Logic Group* | NH Role | Nursing Home Compare | |
LNH2233A02 | Caregiver (family member or friend) | ||||||||||
LNH2233A03 | Caregiver (paid) | ||||||||||
LNH2233A04 | Nursing Home staff member | D | |||||||||
LNH2233A05 | Discharge Planner | ||||||||||
LNH2233A06 | Researcher | ||||||||||
LNH2233A07 | Other Health Care Provider | ||||||||||
LNH2233A08 | Other (please specify:) | E | |||||||||
LNH2234 | E | What other role best describes you while using the Nursing Home Compare? | Text field, <100 char | N | Skip Logic Group* | NH Other_Role | Nursing Home Compare | ||||
LNH2235 | D | Have you ever used information from Nursing Home Compare to inform an internal quality review or improvements? | LNH2235A01 | Yes | F | Radio button, one-up vertical | Single | Y | NH Inform Improv | Nursing Home Compare | |
LNH2235A02 | No | ||||||||||
LNH2236 | F | What information did you use? Please be specific about your experience. | Text area, no char limit | N | Skip Logic Group* | NH Information Used | Nursing Home Compare | ||||
LNH2237 | B | What was your primary purpose in visiting Nursing Home Compare today? | LNH2237A01 | Choose a Nursing Home for myself or a family member | G, H, I | Radio button, one-up vertical | Single | Y | Skip Logic Group* | NH Purpose | Nursing Home Compare |
LNH2237A02 | Research Nursing Homes for myself or family members, but not choose one today. | G, H, I | |||||||||
LNH2237A03 | Download data about Nursing Homes | M, N | |||||||||
LNH2237A04 | Other (please specify:) | P | |||||||||
LNH2238 | P | What was your other primary purpose in visiting Nursing Home Compare? | Text area, no char limit | N | Skip Logic Group* | NH Other_Purpose | Nursing Home Compare | ||||
LNH2239 | G | How helpful was the information you found on Nursing Home Compare in your choice and research? | LNH2239A01 | 1 = Very helpful | Radio button, scale, no don't know | Single | Y | Skip Logic Group* | NH Helpful | Nursing Home Compare | |
LNH2239A02 | 2 | ||||||||||
LNH2239A03 | 3 | ||||||||||
LNH2239A04 | 4 | J | |||||||||
LNH2239A05 | 5 = Not very helpful / Very unhelpful | J | |||||||||
LNH2240 | J | What would have made the information more helpful? | Text area, no char limit | N | Skip Logic Group* | NH More Helpful | Nursing Home Compare | ||||
LNH2241 | H | Does the information on Nursing Home Compare give you a full picture of the quality of the Nursing Homes? | LNH2241A01 | Yes | K | Radio button, one-up vertical | Single | Y | Skip Logic Group* | NH Picture | Nursing Home Compare |
LNH2241A02 | No | L | |||||||||
LNH2242 | K | What was most helpful in determining quality? | Text area, no char limit | N | Skip Logic Group* | NH Most Helpful | Nursing Home Compare | ||||
LNH2243 | L | What information should be added to give a more complete picture of quality? | Text area, no char limit | N | Skip Logic Group* | NH Info Added | Nursing Home Compare | ||||
LNH2244 | I | Based on your experience with Nursing Home Compare, how confident are you about choosing a Nursing Home using this information? | LNH2244A01 | 1 = Very confident | Radio button, scale, no don't know | Single | Y | Skip Logic Group* | NH Confident | Nursing Home Compare | |
LNH2244A02 | 2 | ||||||||||
LNH2244A03 | 3 | ||||||||||
LNH2244A04 | 4 | ||||||||||
LNH2244A05 | 5 = Not very confident | ||||||||||
LNH2245 | M | When you accessed the data, did you: | LNH2245A01 | Download the database from the site. | Radio button, one-up vertical | Single | Y | Skip Logic Group* | NH Access Data | Nursing Home Compare | |
LNH2245A02 | Access the data using data.medicare.gov | ||||||||||
LNH2246 | N | Have you ever used data.medicare.gov to access data? | LNH2246A01 | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group* | NH data.medicare | Nursing Home Compare | |
LNH2246A02 | No, but I know that it’s available | ||||||||||
LNH2246A03 | No, and I didn’t know that the data was available through data.medicare.gov | ||||||||||
LNH2247 | C | Have you ever used another web site to compare Nursing Home quality? | LNH2247A01 | Yes | O | Radio button, one-up vertical | Single | Y | Skip Logic Group* | NH Another Web site | Nursing Home Compare |
LNH2247A02 | No, but I am aware of other web sites that compare Nursing Home quality. | ||||||||||
LNH2247A03 | No, and I was not aware of other web sites that compare Nursing Home quality. | ||||||||||
LNH2248 | O | Which web site did you use? | Text area, no char limit | N | Skip Logic Group* | NH Other_Web site | Nursing Home Compare | ||||
LNH2249 | P | What best describes your role in using the Hospital Compare? | LNH2249A01 | Consumer | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Hosp Role | Hospital Compare | |
LNH2249A02 | Caregiver (family member or friend) | ||||||||||
LNH2249A03 | Caregiver (paid) | ||||||||||
LNH2249A04 | Hospital staff member | R, S | |||||||||
LNH2249A05 | Physician | R, S | |||||||||
LNH2249A06 | Researcher | R, S | |||||||||
LNH2249A07 | Other Health Care Provider | R, S | |||||||||
LNH2249A08 | Other (please specify:) | T | |||||||||
LNH2250 | T | What other role best describes you while using the Hospital Compare? | Text field, <100 char | N | Skip Logic Group* | Hosp Other_Role | Hospital Compare | ||||
LNH2251 | R | In your visit to Hospital Compare, did you: | LNH2251A01 | Review only one measure set or measure. | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Hosp Measures | Hospital Compare | |
LNH2251A02 | Review multiple measure sets. | ||||||||||
LNH2252 | S | Have you ever used information from Hospital Compare to inform an internal quality review or improvements? | LNH2252A01 | Yes | U | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Hosp Inform Improv | Hospital Compare |
LNH2252A02 | No | ||||||||||
LNH2253 | U | What information did you use? Please be specific about your experience. | Text area, no char limit | N | Skip Logic Group* | Hosp Information Used | Hospital Compare | ||||
LNH2254 | Q | What was your primary purpose in visiting Hospital Compare today? | LNH2254A01 | Choose a Hospital for myself or a family member | V, W, X | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Hosp Purpose | Hospital Compare |
LNH2254A02 | Research Hospitals for myself or family members, but not choose one today. | V, W, X | |||||||||
LNH2254A03 | Download data about Hospitals | BB, CC | |||||||||
LNH2254A04 | Other (please specify:) | DD | |||||||||
LNH2255 | DD | What was your other primary purpose in visiting Hospital Compare? | Text area, no char limit | N | Skip Logic Group* | Hosp Other_Purpose | Hospital Compare | ||||
LNH2256 | V | How helpful was the information you found on Hospital Compare in your choice and research? | LNH2256A01 | 1 = Very helpful | Radio button, scale, no don't know | Single | Y | Skip Logic Group* | Hosp Helpful | Hospital Compare | |
LNH2256A02 | 2 | ||||||||||
LNH2256A03 | 3 | ||||||||||
LNH2256A04 | 4 | Y | |||||||||
LNH2256A05 | 5 = Not very helpful / Very unhelpful | Y | |||||||||
LNH2257 | Y | What would have made the information more helpful? | Text area, no char limit | N | Skip Logic Group* | Hosp More Helpful | Hospital Compare | ||||
LNH2258 | W | Does the information on Hospital Compare give you a full picture of the quality of Hospitals? | LNH2258A01 | Yes | Z | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Hosp Picture | Hospital Compare |
LNH2258A02 | No | AA | |||||||||
LNH2259 | Z | What was most helpful in determining quality? | Text area, no char limit | N | Skip Logic Group* | Hosp Most Helpful | Hospital Compare | ||||
LNH2260 | AA | What information should be added to give a more complete picture of quality? | Text area, no char limit | N | Skip Logic Group* | Hosp Info Added | Hospital Compare | ||||
LNH2261 | X | Based on your experience with Hospital Compare, how confident are you about choosing a Hospital using this information? | LNH2261A01 | 1 = Very confident | Radio button, scale, no don't know | Single | Y | Skip Logic Group* | Hosp Confident | Hospital Compare | |
LNH2261A02 | 2 | ||||||||||
LNH2261A03 | 3 | ||||||||||
LNH2261A04 | 4 | ||||||||||
LNH2261A05 | 5 = Not very confident | ||||||||||
LNH2262 | BB | When you accessed the data, did you: | LNH2262A01 | Download the database from the site. | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Hosp Access Data | Hospital Compare | |
LNH2262A02 | Access the data using data.medicare.gov | ||||||||||
LNH2263 | CC | Have you ever used data.medicare.gov to access data? | LNH2263A01 | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Hosp data.medicare | Hospital Compare | |
LNH2263A02 | No, but I know that it’s available | ||||||||||
LNH2263A03 | No, and I didn’t know that the data was available through data.medicare.gov | ||||||||||
LNH2264 | EE | What best describes your role in using the Home Health Compare? | LNH2264A01 | Consumer | Radio button, one-up vertical | Single | Y | Skip Logic Group* | HH Role | Home Health Compare | |
LNH2264A02 | Caregiver (family member or friend) | ||||||||||
LNH2264A03 | Caregiver (paid) | ||||||||||
LNH2264A04 | Home Health Agency staff member | II | |||||||||
LNH2264A05 | Discharge Planner | ||||||||||
LNH2264A06 | Researcher | ||||||||||
LNH2264A07 | Other Health Care Provider | ||||||||||
LNH2264A08 | Other (please specify:) | KK | |||||||||
LNH2265 | KK | What other role best describes you while using the Home Health Compare? | Text field, <100 char | N | Skip Logic Group* | HH Other_Role | Home Health Compare | ||||
LNH2266 | II | Have you ever used information from Home Health Compare to inform an internal quality review or improvements? | LNH2266A01 | Yes | JJ | Radio button, one-up vertical | Single | Y | Skip Logic Group* | HH Inform Improv | Home Health Compare |
LNH2266A02 | No | ||||||||||
LNH2267 | JJ | What information did you use? Please be specific about your experience. | Text area, no char limit | N | Skip Logic Group* | HH Information Used | Home Health Compare | ||||
LNH2268 | FF | What was your primary purpose in visiting Home Health Compare today? | LNH2268A01 | Choose a Home Health Agency for myself or a family member | LL, MM, NN | Radio button, one-up vertical | Single | Y | Skip Logic Group* | HH Purpose | Home Health Compare |
LNH2268A02 | Research Home Health Agencies for myself or family members, but not choose one today. | LL, MM, NN | |||||||||
LNH2268A03 | Download data about Home Health Agencies | RR, SS | |||||||||
LNH2268A04 | Other (please specify:) | TT | |||||||||
LNH2269 | TT | What was your other primary purpose in visiting Home Health Compare? | Text area, no char limit | N | Skip Logic Group* | HH Other_Purpose | Home Health Compare | ||||
LNH2270 | LL | How helpful was the information you found on Home Health Compare in your choice and research? | LNH2270A01 | 1 = Very helpful | Radio button, scale, no don't know | Single | Y | Skip Logic Group* | HH Helpful | Home Health Compare | |
LNH2270A02 | 2 | ||||||||||
LNH2270A03 | 3 | ||||||||||
LNH2270A04 | 4 | OO | |||||||||
LNH2270A05 | 5 = Not very helpful / Very unhelpful | OO | |||||||||
LNH2271 | OO | What would have made the information more helpful? | Text area, no char limit | N | Skip Logic Group* | HH More Helpful | Home Health Compare | ||||
LNH2272 | MM | Does the information on Home Health Compare give you a full picture of the quality of Home Health Agencies? | LNH2272A01 | Yes | PP | Radio button, one-up vertical | Single | Y | Skip Logic Group* | HH Picture | Home Health Compare |
LNH2272A02 | No | ||||||||||
LNH2273 | PP | What was most helpful in determining quality? | Text area, no char limit | N | Skip Logic Group* | HH Most Helpful | Home Health Compare | ||||
LNH2274 | What information should be added to give a more complete picture of quality? | Text area, no char limit | N | Skip Logic Group* | HH Info Added | Home Health Compare | |||||
LNH2275 | NN | Based on your experience with Home Health Compare, how confident are you about choosing a Home Health Agency using this information? | LNH2275A01 | 1 = Very confident | Radio button, scale, no don't know | Single | Y | Skip Logic Group* | HH Confident | Home Health Compare | |
LNH2275A02 | 2 | ||||||||||
LNH2275A03 | 3 | ||||||||||
LNH2275A04 | 4 | ||||||||||
LNH2275A05 | 5 = Not very confident | ||||||||||
LNH2276 | RR | When you accessed the data, did you: | LNH2276A01 | Download the database from the site. | Radio button, one-up vertical | Single | Y | Skip Logic Group* | HH Access Data | Home Health Compare | |
LNH2276A02 | Access the data using data.medicare.gov | ||||||||||
LNH2277 | SS | Have you ever used data.medicare.gov to access data? | LNH2277A01 | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group* | HH data.medicare | Home Health Compare | |
LNH2277A02 | No, but I know that it’s available | ||||||||||
LNH2277A03 | No, and I didn’t know that the data was available through data.medicare.gov | ||||||||||
LNH2278 | GG | In your visit to Home Health Compare, did you: | LNH2278A01 | Compare Patient Survey Results for Home Health Agencies | Radio button, one-up vertical | Single | Y | Skip Logic Group* | HH Measures | Home Health Compare | |
LNH2278A02 | Compare Quality Measures for Home Health Agencies | ||||||||||
LNH2278A03 | Compare both Patient Survey Results and Quality Measures for Home Health Agencies | ||||||||||
LNH2278A04 | Compare neither Patient Survey Results nor Quality Measures for Home Health Agencies | ||||||||||
LNH2279 | HH | When you came to Home Health Compare, were you looking for: | LNH2279A01 | Professional Services, such as a nurse or therapist. | Radio button, one-up vertical | Single | Y | Skip Logic Group* | HH Looking For | Home Health Compare | |
LNH2279A02 | Custodial Services, such as a companion or home health aide. | ||||||||||
LNH2279A03 | Both Professional Services and Custodial Services. | ||||||||||
LNH2279A04 | Neither Professional Services nor Custodial Services. | ||||||||||
LNH2280 | UU | What best describes your role in using the Dialysis Facility Compare? | LNH2280A01 | Consumer | Radio button, one-up vertical | Single | Y | Skip Logic Group* | DF Role | Dialysis Facility Compare | |
LNH2280A02 | Caregiver (family member or friend) | ||||||||||
LNH2280A03 | Caregiver (paid) | ||||||||||
LNH2280A04 | Dialysis Facility staff member | XX | |||||||||
LNH2280A05 | Discharge Planner | ||||||||||
LNH2280A06 | Researcher | ||||||||||
LNH2280A07 | Other Health Care Provider | ||||||||||
LNH2280A08 | Other (please specify:) | WW | |||||||||
LNH2281 | WW | What other role best describes you while using the Dialysis Facility Compare? | Text field, <100 char | N | Skip Logic Group* | DF Other_Role | Dialysis Facility Compare | ||||
LNH2282 | XX | Have you ever used information from Dialysis Facility Compare to inform an internal quality review or improvements? | LNH2282A01 | Yes | YY | Radio button, one-up vertical | Single | Y | Skip Logic Group* | DF Inform Improv | Dialysis Facility Compare |
LNH2282A02 | No | ||||||||||
LNH2283 | YY | What information did you use? Please be specific about your experience. | Text area, no char limit | N | Skip Logic Group* | DF Information Used | Dialysis Facility Compare | ||||
LNH2284 | VV | What was your primary purpose in visiting Dialysis Facility Compare today? | LNH2284A01 | Choose a Home Health Agency for myself or a family member | ZZ, AAA, BBB | Radio button, one-up vertical | Single | Y | Skip Logic Group* | DF Purpose | Dialysis Facility Compare |
LNH2284A02 | Research Home Health Agencies for myself or family members, but not choose one today. | ZZ, AAA, BBB | |||||||||
LNH2284A03 | Download data about Home Health Agencies | FFF, GGG | |||||||||
LNH2284A04 | Other (please specify:) | HHH | |||||||||
LNH2285 | HHH | What was your other primary purpose in visiting Dialysis Facility Compare? | Text area, no char limit | N | Skip Logic Group* | DF Other_Purpose | Dialysis Facility Compare | ||||
LNH2286 | ZZ | How helpful was the information you found on Dialysis Facility Compare in your choice and research? | LNH2286A01 | 1 = Very helpful | Radio button, scale, no don't know | Single | Y | Skip Logic Group* | DF Helpful | Dialysis Facility Compare | |
LNH2286A02 | 2 | ||||||||||
LNH2286A03 | 3 | ||||||||||
LNH2286A04 | 4 | CCC | |||||||||
LNH2286A05 | 5 = Not very helpful / Very unhelpful | CCC | |||||||||
LNH2287 | CCC | What would have made the information more helpful? | Text area, no char limit | N | Skip Logic Group* | DF More Helpful | Dialysis Facility Compare | ||||
LNH2288 | AAA | Does the information on Dialysis Facility Compare give you a full picture of the quality of Dialysis Facilities? | LNH2288A01 | Yes | DDD | Radio button, one-up vertical | Single | Y | Skip Logic Group* | DF Picture | |
LNH2288A02 | No | EEE | |||||||||
LNH2289 | DDD | What was most helpful in determining quality? | Text area, no char limit | N | Skip Logic Group* | DF Most Helpful | Dialysis Facility Compare | ||||
LNH2290 | EEE | What information should be added to give a more complete picture of quality? | Text area, no char limit | N | Skip Logic Group* | DF Info Added | Dialysis Facility Compare | ||||
LNH2291 | BBB | Based on your experience with Dialysis Facility Compare, how confident are you about choosing a Dialysis Facility using this information? | LNH2291A01 | 1 = Very confident | Radio button, scale, no don't know | Single | Y | Skip Logic Group* | DF Confident | Dialysis Facility Compare | |
LNH2291A02 | 2 | ||||||||||
LNH2291A03 | 3 | ||||||||||
LNH2291A04 | 4 | ||||||||||
LNH2291A05 | 5 = Not very confident | ||||||||||
LNH2292 | FFF | When you accessed the data, did you: | LNH2292A01 | Download the database from the site. | Radio button, one-up vertical | Single | Y | Skip Logic Group* | DF Access Data | Dialysis Facility Compare | |
LNH2292A02 | Access the data using data.medicare.gov | ||||||||||
LNH2293 | GGG | Have you ever used data.medicare.gov to access data? | LNH2293A01 | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group* | DF data.medicare | Dialysis Facility Compare | |
LNH2293A02 | No, but I know that it’s available | ||||||||||
LNH2293A03 | No, and I didn’t know that the data was available through data.medicare.gov | ||||||||||
LNH2294 | Is this your first time using this Quality Compare Web Site? | LNH2294A01 | Yes | Radio button, one-up vertical | single | Y | First Time | ||||
LNH2294A02 | No | ||||||||||
LNH2295 | What is your age? | LNH2295A01 | Under 18 | Radio button, one-up vertical | Single | Y | Age | ||||
LNH2295A02 | 18-24 | ||||||||||
LNH2295A03 | 25-34 | ||||||||||
LNH2295A04 | 35-44 | ||||||||||
LNH2295A05 | 45-54 | ||||||||||
LNH2295A06 | 55-64 | ||||||||||
LNH2295A07 | 65 or older | ||||||||||
LNH2295A08 | Prefer not to answer | ||||||||||
LNH2296 | Which of the following best describes the highest level of education you have attained? | LNH2296A01 | I have not graduated from high school. | Radio button, one-up vertical | Single | Y | Education | ||||
LNH2296A02 | High school graduate | ||||||||||
LNH2296A03 | Some college, trade, technical or vocational training | ||||||||||
LNH2296A04 | College graduate | ||||||||||
LNH2296A05 | Post graduate degree | ||||||||||
LNH2296A06 | Prefer not to answer | ||||||||||
LNH2297 | Where did you learn about this Quality Compare Web Site? | LNH2297A01 | From a Search Engine | Radio button, one-up vertical | Single | Y | Skip Logic Group | Learn of Web Site | |||
LNH2297A02 | Saw it on the Medicare.gov web site | ||||||||||
LNH2297A03 | Read about it in an article | ||||||||||
LNH2297A04 | Other, please specify | A | |||||||||
LNH2298 | A | Where else did you learn about this? | Text area, no char limit | N | Skip Logic Group | Other_Learn of Web Site | |||||
LNH2299 | Did you find the information you were looking for? | LNH2299A01 | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | Did You Find | |||
LNH2299A02 | No | S, T | |||||||||
LNH2300 | S | What information were you unable to find? | Text area, no char limit | N | Skip Logic Group | Unable to Find | |||||
LNH2301 | T | What will you do next? | Text area, no char limit | N | Skip Logic Group | Do Next | |||||
LNH2302 | What was your experience using the Quality Compare Web Site? (Please select all that apply.) | LNH2302A01 | The Quality Compare Web Site met my needs today | Checkbox, one-up vertical | Multi | Y | Skip Logic Group* | Web Site Experience | |||
LNH2302A02 | Results were not relevant | ||||||||||
LNH2302A03 | Too many results | ||||||||||
LNH2302A04 | Not enough results | ||||||||||
LNH2302A05 | Returned no results | ||||||||||
LNH2302A06 | Got error message(s) / Session timed out | ||||||||||
LNH2302A07 | Speed was too slow | ||||||||||
LNH2302A08 | I encountered a different experience: | F | |||||||||
LNH2303 | F | What other experience did you have while using the Quality Compare Web Site? | Text area, no char limit | N | Skip Logic Group* | Other_Web Site Exp | |||||
LNH2304 | If you could change or improve one thing about the Quality Compare Web Site, what would it be? | Text area, no char limit | N | Improvement |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |