Model Instance Name: | |||||||||||
Disability.gov V2 | |||||||||||
MID: | R1E1JscENsQ08YktMkZpxA== | ||||||||||
Date: | Fill In Date | ||||||||||
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 text shown in the box below. | |||||||||||
Examples | |||||||||||
Welcome Text Example | |||||||||||
Welcome Text | |||||||||||
Thank you for visiting our 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 | |||||||||||
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: | ||||||||
Disability.gov V3 | ||||||||
MID: 5l0gF1IR98F1NkBM0FUZBw== | ||||||||
Partitioned (Y/N)? | Y | |||||||
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: | 1/6/2012 | |||||||
Disability.gov V2 | ||||||||
Model questions utilize the ACSI methodology to determine scores and impacts | ||||||||
ELEMENTS (drivers of satisfaction) | MQ Label | CUSTOMER SATISFACTION | MQ Label | FUTURE BEHAVIORS | ||||
MQ Label | ||||||||
Content (1=Poor, 10=Excellent, Don't Know/NA) | Satisfaction | Primary Resource | ||||||
1 | Please rate how well the content on this website provides a clear explanation of available resources. | 16 | What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied) |
19 | How likely are you to use this site as your primary resource for disability-related information? | |||
2 | Please rate how up-to-date the content appears to be on this website. | 17 | How well does this site meet your expectations? (1=Falls Short, 10=Exceeds) |
Recommend | ||||
3 | Please rate how accurate the information appears to be on this website. | 18 | How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close) |
20 | How likely are you to recommend this site to someone else? | |||
Functionality (1=Poor, 10=Excellent, Don't Know/NA) | Return | |||||||
4 | Please rate the usefulness of the website tools (Search box, Information by Topic menus, etc.) provided on this site. | 21 | How likely are you to return to this site? | |||||
5 | Please rate the convenient placement of the website tools on this site (Search box, Information by Topic menus, etc.). | Subscribe | ||||||
6 | Please rate the variety of website tools on this site (Search box, Information by Topic menus, etc.). | 22 | How likely are you to subscribe for, or continue to receive, e-mail updates from Disability.gov? | |||||
Look and Feel (1=Poor, 10=Excellent, Don't Know/NA) | ||||||||
7 | Please rate the visual appeal of this site. | |||||||
8 | Please rate the balance of graphics and text on this site. | |||||||
9 | Please rate the readability of the pages on this site. | |||||||
Navigation (1=Poor, 10=Excellent, Don't Know/NA) | ||||||||
10 | Please rate how well the site is organized. | |||||||
11 | Please rate the options available for navigating this site. | |||||||
12 | Please rate how well the site layout helps you find what you are looking for. | |||||||
Site Performance (1=Poor, 10=Excellent, Don't Know/NA) | ||||||||
13 | Please rate how quickly pages load on this site. | |||||||
14 | Please rate the consistency of speed from page to page on this site. | |||||||
15 | Please rate the ability to load pages without getting error messages on this site. | |||||||
Model Instance Name | |||||||||||
Disability.gov V3 | underlined & italicized: RE-ORDER | ||||||||||
MID: 5l0gF1IR98F1NkBM0FUZBw== | pink: ADDITION | ||||||||||
Date: | 1/17/2012 | blue + -->: REWORDING | |||||||||
Disability.gov V3 CUSTOM QUESTION LIST | |||||||||||
QID | Skip Logic Label | Question Text | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Special Instructions | CQ Label | ||
SAC6967 | How often do you visit Disability.gov? | Today was my first time | Radio button, one-up vertical | single | Y | Visit frequency | |||||
Every day | |||||||||||
A few times a week | |||||||||||
At least once a week | |||||||||||
At least once a month | |||||||||||
Every few months | |||||||||||
Once a year or less | |||||||||||
SAC6942 | I am a person with a disability or am disabled | Radio button, one-up vertical | single | Y | Skip Logic Group | Role | |||||
I am a parent, caregiver, family member or friend of someone with a disability | |||||||||||
I am a professional or service provider who works with people with disabilities | |||||||||||
I am an educator who works with students with disabilities | |||||||||||
I am an employer or human resource (HR) professional | |||||||||||
None of the above | A | ||||||||||
SAC6943 | A | Please tell us what role best describes you: | Text field, <100 char | N | Skip Logic Group | Other role | |||||
SAC6944 | Which topic(s) did you want to get information about? Please choose all that apply: | Employment (such as finding a job, starting a business or hiring someone with a disability) | Checkbox, one-up vertical | Multi | Y | Specific Information | |||||
Benefits (such as getting Social Security (SSI/SSDI) benefits or other financial assistance) | |||||||||||
Housing (such as finding an affordable apartment, paying for home repairs, making your home accessible, or filing a charge of housing discrimination) | |||||||||||
Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws and regulations, voting or filing a complaint) | |||||||||||
Education (such as getting money for school, going to college or teaching students with disabilities) | |||||||||||
Health (such as information on different disabilities, finding health care, or getting health or dental insurance) | |||||||||||
Community Life (such as sports, volunteering or independent living) | |||||||||||
Technology (such as assistive technology, accessible technology or help paying for technology) | |||||||||||
Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications) | |||||||||||
Emergency Preparedness (such as emergency or disaster preparedness or emergency management) | |||||||||||
I do not know which subject to choose | |||||||||||
HAR0047945 | Did you find the information you were looking for on Disability.gov today? | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | Able to Find | ||||
Somewhat | N | ||||||||||
No | N | ||||||||||
HAR0047947 | N | Please tell us what you did not find on Disability.gov: | Text area, no char limit | Single | N | Skip Logic Group | Unable to Find | ||||
HAR0047948 | How did you begin to look for information on Disability.gov? Please choose the best answer: | I began my search with the "Information by Topic" icon list. For example, I selected "Benefits" (next to the dollar sign icon), "Health" (next to the heart icon) or "Housing" (next to the house icon), etc. | Radio button, one-up vertical | Single | Y | First Look | |||||
I began my search with the "Guide Me/Get Started " tool on the home page, which used four steps to take me to information | |||||||||||
I began my search by typing a word into the Search Box next to the sentence, "What are you looking for?" | |||||||||||
I began my search by clicking on one of the "Need Help?" links (such as "How to Use This Site" or "Contact Us") | |||||||||||
I began my search by clicking on one of the "Learn More" or "News and Events" links (such as "About Us" or "Disability.gov's Guides to Information") | |||||||||||
I do not know how I began my search | |||||||||||
None of the above | |||||||||||
HAR0047950 | Which sentence best describes the method you used most often today when looking for information on the site? | I used the "Information by Topic" icon list most often. For example, I selected "Benefits" (next to the dollar sign icon), "Health" (next to the heart icon) or "Housing" (next to the house icon), etc. | I, K | Radio button, one-up vertical | Single | Y | Skip Logic Group | Method of Looking | |||
I used the "Guide Me/Get Started" tool on the home page most often | G | ||||||||||
I used the Search Box next to the sentence, "What are you looking for?" on the home page most often | S, K | ||||||||||
I used both the Search Box on the home page and the "Information by Topic" icons equally | Z, K | ||||||||||
I do not know which method I used most often | K | ||||||||||
None of the above | |||||||||||
HAR0047951 | G | Which sentence best describes your experience with the "Guide Me/Get Started" tool? | The "Guide Me/Get Started" tool was very easy to use and understand | Radio button, one-up vertical | Single | Y | Skip Logic Group | Guide Me Rating | |||
The "Guide Me/Get Started" tool was somewhat easy to use and understand | |||||||||||
My experience was neutral | |||||||||||
The "Guide Me/Get Started" tool was somewhat hard to use and understand | H | ||||||||||
The "Guide Me/Get Started" tool was very hard to use and understand | H | ||||||||||
HAR0047952 | H | Please tell us why you think the "Guide Me" tool was hard to use and understand: | Text area, no char limit | N | Skip Logic Group* | Guide Me Issue | |||||
HAR0047953 | I | After you chose an "Information by Topic" icon (such as "Benefits" next to the dollar sign, or "Health" next to the heart icon), what did you do next? | I chose a sub-topic (for example, Medicare under the major Health category) | Radio button, one-up vertical | Single | Skip Logic Group | Topic Next Act | ||||
I chose to "view all resources," not just one of the sub-topics | |||||||||||
I do not know what I did next | |||||||||||
HAR0047954 | S | Please tell us about your experience with the site's Search Box today. Please choose all that apply: | The resources listed in the search results were helpful | Checkbox, one-up vertical | Multi | Y | Skip Logic Group* | Search Experience | |||
The resources listed in the search results were not helpful | T | ||||||||||
There were too many resources listed in the search results | T | ||||||||||
There were not enough resources listed in the search results | T | ||||||||||
There were no resources listed in the search results | T | ||||||||||
I received an error message(s) | U | ||||||||||
The search speed was too slow | |||||||||||
I experienced a different search issue | U | ||||||||||
HAR0047955 | T | What search term(s) did you use? | Text area, no char limit | N | Skip Logic Group* | Search Terms | |||||
HAR0047956 | U | Please tell us about the search issue(s) and/or errors you experienced: | Text area, no char limit | N | Skip Logic Group* | Search Issue | |||||
HAR0047957 | Z | Which sentence best describes your experience using both the Search Box and "Information by Topics" icon list? | I liked using the Search Box to find information better | Radio button, one-up vertical | Single | Y | Skip Logic Group | Both Experience | |||
I liked using the "Information by Topics" icon list to find information better | |||||||||||
Both methods worked equally well for me today | |||||||||||
Neither method helped me find the information I was looking for | |||||||||||
HAR0047958 | K | After receiving your results, how did you look through them? Please choose all that apply: | I picked the resources I wanted to look at from the main screen | Checkbox, one-up vertical | Multi | Y | Skip Logic Group | Method of Review | |||
I sorted the resources that came up by "Newest" or "Oldest" | |||||||||||
I used the "Filter Your Results" options (e.g., topics, location, audiences, disabilities) to help me find what I was looking for | L | ||||||||||
After looking at my results, I decided to search through them by using the search box at the top of the page | |||||||||||
I decided to start my search over | |||||||||||
None of the above | |||||||||||
HAR0047967 | L | Did the "Filter by Results" options help you find the resources you were looking for? | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Filter Rating | |||
Somewhat | |||||||||||
No | M | ||||||||||
HAR0047968 | M | Please tell us how the "Filter your Results" option could be improved to help you find resources on the site: | Text area, no char limit | N | Skip Logic Group* | Filter Improve | |||||
HAR0047970 | Were you looking for resources or information in the United States or its territories? | Yes | A | Radio button, one-up vertical | Single | Y | Skip Logic Group | Area National | |||
No | |||||||||||
HAR0047971 | A | Please tell us which state or territory you were looking for information from: | Alabama | Drop down, select one | Single | N | Skip Logic Group | Area State | |||
Alaska | |||||||||||
American Samoa | |||||||||||
Arizona | |||||||||||
Arkansas | |||||||||||
California | |||||||||||
Colorado | |||||||||||
Connecticut | |||||||||||
Delaware | |||||||||||
District of Columbia | |||||||||||
Florida | |||||||||||
Georgia | |||||||||||
Guam | |||||||||||
Hawaii | |||||||||||
Idaho | |||||||||||
Illinois | |||||||||||
Indiana | |||||||||||
Iowa | |||||||||||
Kansas | |||||||||||
Kentucky | |||||||||||
Louisiana | |||||||||||
Maine | |||||||||||
Maryland | |||||||||||
Massachusetts | |||||||||||
Michigan | |||||||||||
Minnesota | |||||||||||
Mississippi | |||||||||||
Missouri | |||||||||||
Montana | |||||||||||
N. Mariana Islands | |||||||||||
Nebraska | |||||||||||
Nevada | |||||||||||
New Hampshire | |||||||||||
New Jersey | |||||||||||
New Mexico | |||||||||||
New York | |||||||||||
North Carolina | |||||||||||
North Dakota | |||||||||||
Ohio | |||||||||||
Oklahoma | |||||||||||
Oregon | |||||||||||
Pennsylvania | |||||||||||
Puerto Rico | |||||||||||
Rhode Island | |||||||||||
South Carolina | |||||||||||
South Dakota | |||||||||||
Tennessee | |||||||||||
Texas | |||||||||||
Utah | |||||||||||
Vermont | |||||||||||
Virginia | |||||||||||
Virgin Islands | |||||||||||
Washington | |||||||||||
West Virginia | |||||||||||
Wisconsin | |||||||||||
Wyoming | |||||||||||
ACQinh0019392 | Please tell us if there is anything else Disability.gov could do to improve your experience on the website: | Text area, no char limit | N | Improvement | |||||||
SAC6966 | Disability.gov is a website that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a website that sends you to other sites for information? | Yes | Drop down, select one | Single | Y | Portal | |||||
No | |||||||||||
SAC6968 | How old are you? | Under 18 | Drop down, select one | single | N | Age | |||||
18 - 24 | |||||||||||
25 - 34 | |||||||||||
35 - 44 | |||||||||||
45 - 54 | |||||||||||
55 - 64 | |||||||||||
65 or older | |||||||||||
I prefer not to answer |
Model Instance Name | |||||||||||
Disability.gov V3 | underlined & italicized: RE-ORDER | ||||||||||
MID: 5l0gF1IR98F1NkBM0FUZBw== | pink: ADDITION | ||||||||||
Date: | 1/17/2012 | blue + -->: REWORDING | |||||||||
Disability.gov V3 CUSTOM QUESTION LIST | |||||||||||
QID | Skip Logic Label | Question Text | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Special Instructions | CQ Label | ||
SAC6967 | How often do you visit Disability.gov? | Today was my first time | Radio button, one-up vertical | single | Y | Visit frequency | |||||
Every day | |||||||||||
A few times a week | |||||||||||
At least once a week | |||||||||||
At least once a month | |||||||||||
Every few months | |||||||||||
Once a year or less | |||||||||||
SAC6942 | Which sentence best describes you? |
I am a person with a disability or am disabled | Radio button, one-up vertical | single | Y | Skip Logic Group | Role | ||||
I am a parent, caregiver, family member or friend of someone with a disability | |||||||||||
I am a professional or service provider who works with people with disabilities | |||||||||||
I am an educator who works with students with disabilities | |||||||||||
I am an employer or human resource (HR) professional | |||||||||||
OtherNone of the above | A | ||||||||||
SAC6943 | A | Please explain briefly tell us what role best describes you: | Text field, <100 char | N | Skip Logic Group | Other role | |||||
SAC6944 | In general, which subject(s) did you want to get information about? Please select all that apply. Which topic(s) did you want to get information about? Please choose all that apply: |
Employment (such as finding a job, starting a business or hiring someone with a disability) | Checkbox, one-up vertical | Multi | Y | Specific Information | |||||
Benefits (such as getting Social Security (SSI/SSDI) benefits, paying for prescriptions or access to financial assistance or other financial assistance) | |||||||||||
Housing (such as finding an affordable apartment, paying for home repairs, making your home accessible, or filing a charge of housing discrimination) | |||||||||||
Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws and regulations, voting or filing a complaint) | |||||||||||
Education (such as getting money for school, going to college or teaching students with disabilities) | |||||||||||
Health (such as information on different disabilities, finding health care, or getting health or dental insurance) | |||||||||||
Community Life (such as sports, volunteering or independent living) | |||||||||||
Technology (such as assistive technology, accessible technology or help paying for technology) | |||||||||||
Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications) | |||||||||||
Emergency Preparedness (such as emergency or disaster preparedness or emergency management) | |||||||||||
I’m not sure I do not know which subject to choose | |||||||||||
Did you find the information you were looking for on Disability.gov today? | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | Able to Find | |||||
Somewhat | N | ||||||||||
No | N | ||||||||||
N | Please tell us what you did not find on Disability.gov: | Text area, no char limit | Single | N | Skip Logic Group | Unable to Find | |||||
How did you begin to look for information on Disability.gov? Please choose the best answer: | I began my search with the "Information by Topic" icon list. For example, I selected "Benefits" (next to the dollar sign icon), "Health" (next to the heart icon) or "Housing" (next to the house icon), etc. | Radio button, one-up vertical | Single | Y | First Look | ||||||
I began my search with the "Guide Me/Get Started " tool on the home page, which used four steps to take me to information | |||||||||||
I began my search by typing a word into the Search Box next to the sentence, "What are you looking for?" | |||||||||||
I began my search by clicking on one of the "Need Help?" links (such as "How to Use This Site" or "Contact Us") | |||||||||||
I began my search by clicking on one of the "Learn More" or "News and Events" links (such as "About Us" or "Disability.gov's Guides to Information") | |||||||||||
I do not know how I began my search | |||||||||||
None of the above | |||||||||||
Which sentence best describes the method you used most often today when looking for information on the site? | I used the "Information by Topic" icon list most often. For example, I selected "Benefits" (next to the dollar sign icon), "Health" (next to the heart icon) or "Housing" (next to the house icon), etc. | I, K | Radio button, one-up vertical | Single | Y | Skip Logic Group | Method of Looking | ||||
I used the "Guide Me/Get Started" tool on the home page most often | G | ||||||||||
I used the Search Box next to the sentence, "What are you looking for?" on the home page most often | S, K | ||||||||||
I used both the Search Box on the home page and the "Information by Topic" icons equally | Z, K | ||||||||||
I do not know which method I used most often | K | ||||||||||
None of the above | |||||||||||
G | Which sentence best describes your experience with the "Guide Me/Get Started" tool? | The "Guide Me/Get Started" tool was very easy to use and understand | Radio button, one-up vertical | Single | Y | Skip Logic Group | Guide Me Rating | ||||
The "Guide Me/Get Started" tool was somewhat easy to use and understand | |||||||||||
My experience was neutral | |||||||||||
The "Guide Me/Get Started" tool was somewhat hard to use and understand | H | ||||||||||
The "Guide Me/Get Started" tool was very hard to use and understand | H | ||||||||||
H | Please tell us why you think the "Guide Me" tool was hard to use and understand: | Text area, no char limit | N | Skip Logic Group* | Guide Me Issue | ||||||
I | After you chose an "Information by Topic" icon (such as "Benefits" next to the dollar sign, or "Health" next to the heart icon), what did you do next? | I chose a sub-topic (for example, Medicare under the major Health category) | Radio button, one-up vertical | Single | Skip Logic Group | Topic Next Act | |||||
I chose to "view all resources," not just one of the sub-topics | |||||||||||
I do not know what I did next | |||||||||||
S | Please tell us about your experience with the site's Search Box today. Please choose all that apply: | The resources listed in the search results were helpful | Checkbox, one-up vertical | Multi | Y | Skip Logic Group* | Search Experience | ||||
The resources listed in the search results were not helpful | T | ||||||||||
There were too many resources listed in the search results | T | ||||||||||
There were not enough resources listed in the search results | T | ||||||||||
There were no resources listed in the search results | T | ||||||||||
I received an error message(s) | U | ||||||||||
The search speed was too slow | |||||||||||
I experienced a different search issue | U | ||||||||||
T | What search term(s) did you use? | Text area, no char limit | N | Skip Logic Group* | Search Terms | ||||||
U | Please tell us about the search issue(s) and/or errors you experienced: | Text area, no char limit | N | Skip Logic Group* | Search Issue | ||||||
Z | Which sentence best describes your experience using both the Search Box and "Information by Topics" icon list? | I liked using the Search Box to find information better | Radio button, one-up vertical | Single | Y | Skip Logic Group | Both Experience | ||||
I liked using the "Information by Topics" icon list to find information better | |||||||||||
Both methods worked equally well for me today | |||||||||||
Neither method helped me find the information I was looking for | |||||||||||
K | After receiving your results, how did you look through them? Please choose all that apply: | I picked the resources I wanted to look at from the main screen | Checkbox, one-up vertical | Multi | Y | Skip Logic Group | Method of Review | ||||
I sorted the resources that came up by "Newest" or "Oldest" | |||||||||||
I used the "Filter Your Results" options (e.g., topics, location, audiences, disabilities) to help me find what I was looking for | L | ||||||||||
After looking at my results, I decided to search through them by using the search box at the top of the page | |||||||||||
I decided to start my search over | |||||||||||
None of the above | |||||||||||
L | Did the "Filter by Results" options help you find the resources you were looking for? | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group* | Filter Rating | ||||
Somewhat | |||||||||||
No | M | ||||||||||
M | Please tell us how the "Filter your Results" option could be improved to help you find resources on the site: | Text area, no char limit | N | Skip Logic Group* | Filter Improve | ||||||
Were you looking for resources or information in the United States or its territories? | Yes | A | Radio button, one-up vertical | Single | Y | Skip Logic Group | Area National | ||||
No | |||||||||||
A | Please tell us which state or territory you were looking for information from: | Alabama | Drop down, select one | Single | N | Skip Logic Group | Area State | ||||
Alaska | |||||||||||
American Samoa | |||||||||||
Arizona | |||||||||||
Arkansas | |||||||||||
California | |||||||||||
Colorado | |||||||||||
Connecticut | |||||||||||
Delaware | |||||||||||
District of Columbia | |||||||||||
Florida | |||||||||||
Georgia | |||||||||||
Guam | |||||||||||
Hawaii | |||||||||||
Idaho | |||||||||||
Illinois | |||||||||||
Indiana | |||||||||||
Iowa | |||||||||||
Kansas | |||||||||||
Kentucky | |||||||||||
Louisiana | |||||||||||
Maine | |||||||||||
Maryland | |||||||||||
Massachusetts | |||||||||||
Michigan | |||||||||||
Minnesota | |||||||||||
Mississippi | |||||||||||
Missouri | |||||||||||
Montana | |||||||||||
N. Mariana Islands | |||||||||||
Nebraska | |||||||||||
Nevada | |||||||||||
New Hampshire | |||||||||||
New Jersey | |||||||||||
New Mexico | |||||||||||
New York | |||||||||||
North Carolina | |||||||||||
North Dakota | |||||||||||
Ohio | |||||||||||
Oklahoma | |||||||||||
Oregon | |||||||||||
Pennsylvania | |||||||||||
Puerto Rico | |||||||||||
Rhode Island | |||||||||||
South Carolina | |||||||||||
South Dakota | |||||||||||
Tennessee | |||||||||||
Texas | |||||||||||
Utah | |||||||||||
Vermont | |||||||||||
Virginia | |||||||||||
Virgin Islands | |||||||||||
Washington | |||||||||||
West Virginia | |||||||||||
Wisconsin | |||||||||||
Wyoming | |||||||||||
ACQinh0019392 | What would you like to see improved on Disability.gov? Please tell us if there is anything else Disability.gov could do to improve your experience on the website: | Text area, no char limit | N | Improvement | |||||||
SAC6966 | Disability.gov is a web portal website that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a portal website that sends you to other sites for information? | Yes | Drop down, select one | Single | Y | Portal | |||||
No | |||||||||||
SAC6968 | How old are you? | Under 18 | Drop down, select one | single | N | Age | |||||
18 - 24 | |||||||||||
25 - 34 | |||||||||||
35 - 44 | |||||||||||
45 - 54 | |||||||||||
55 - 64 | |||||||||||
65 or older | |||||||||||
I prefer not to answer |
Model Instance Name | |||||||||||
Disability.gov V3 | underlined & italicized: RE-ORDER | ||||||||||
MID: 5l0gF1IR98F1NkBM0FUZBw== | pink: ADDITION | ||||||||||
Date: | 1/17/2012 | blue + -->: REWORDING | |||||||||
Disability.gov V3 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 | |
SAC6941 | What information were you looking for on Disability.gov today? Please select the best answer. | SAC6941A001 | Only information on programs or services in my state | Radio button, one-up vertical | Single | Y | Type of Information | ||||
SAC6941A002 | Only information on national programs or services | ||||||||||
SAC6941A003 | Information on national and state programs or services | ||||||||||
SAC6942 | Which of the following statements best describes you? Please select the best answer. | SAC6942A001 | I am a person with a disability or am disabled | Radio button, one-up vertical | single | Y | Skip Logic Group | Role | |||
SAC6942A002 | I am a caregiver, family member or friend of someone with a disability | ||||||||||
SAC6942A003 | I am a professional or service provider who works with people with disabilities | ||||||||||
SAC6942A004 | I am an educator who works with students with disabilities | ||||||||||
SAC6942A006 | I am an employer or human resource (HR) professional | ||||||||||
SAC6942A007 | Other | A | |||||||||
SAC6943 | A | Please explain briefly what role best describes you: | Text field, <100 char | N | Skip Logic Group | Other role | |||||
SAC6944 | In general, which subject(s) did you want to get information about? Please select all that apply. | SAC6944A001 | Employment (such as finding a job, starting a business or hiring someone with a disability) | Checkbox, one-up vertical | Multi | Y | Skip Logic Group | Specific Information | |||
SAC6944A002 | Benefits (such as getting Social Security (SSI/SSDI) benefits, paying for prescriptions or access to financial assistance) | ||||||||||
SAC6944A003 | Housing (such as finding an affordable apartment, paying for a house, home repairs or housing discrimination) | ||||||||||
SAC6944A004 | Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws and regulations, voting or filing a complaint) | ||||||||||
SAC6944A005 | Education (such as getting money for school, going to college or teaching students with disabilities) | ||||||||||
SAC6944A006 | Health (such as information on specific disabilities, getting health insurance, dental or health care or caregiver resources) | ||||||||||
SAC6944A007 | Community Life (such as sports, volunteering or independent living) | ||||||||||
SAC6944A008 | Technology (such as assistive technology, accessible technology or help paying for technology) | ||||||||||
SAC6944A009 | Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications) | ||||||||||
SAC6944A010 | Emergency Preparedness (such as emergency or disaster preparedness or emergency management) | ||||||||||
SAC6944A011 | I’m not sure which subject to choose | B | |||||||||
SAC6945 | B | Please explain what information you were looking for on Disability.gov. (open-ended) | Text area, no char limit | N | Skip Logic Group | OE_Information | |||||
ACQinh0019382 | How did you first start to look for information on Disability.gov? Please select the best answer. | ACQinh0019382A01 | I used the search engine at the top of the page | C | Radio button, one-up vertical | Single | Y | Skip Logic Group | First Look | ||
ACQinh0019382A02 | I used the “Information by Topic” menu on the left side of the page | I | |||||||||
ACQinh0019382A03 | I am not sure | ||||||||||
ACQinh0019383 | C | Did the search engine help you find the information you were looking for on Disability.gov? | ACQinh0019383A01 | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | Search Helped | ||
ACQinh0019383A02 | No | D | |||||||||
ACQinh0019396 | D | Tell us more about your search experience. Please select all that apply. | ACQinh0019396A01 | I didn’t know which word or phrase to enter into the search engine | X | Checkbox, one-up vertical | Multi | Y | Skip Logic Group | Search Experience | |
ACQinh0019396A02 | I did not receive any search results | X | |||||||||
ACQinh0019396A03 | There were not enough search results | X | |||||||||
ACQinh0019396A04 | There was not enough information in the description of the results to decide which resource to choose | F | |||||||||
ACQinh0019396A05 | Many of the search results looked like the same resource | F | |||||||||
ACQinh0019396A06 | The results were not organized in a helpful way | F | |||||||||
ACQinh0019396A07 | The search results did not answer my question | F | |||||||||
ACQinh0019396A08 | I had a different problem with the search results | E, F | |||||||||
X | What search term or phrase did you use? | Text area, no char limit | Single | N | Skip Logic Group | OE_Search Term | |||||
ACQinh0019397 | E | Please explain the problem you had with your search results. | Text area, no char limit | Single | N | Skip Logic Group | OE_Search Problem | ||||
ACQinh0019398 | F | Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page? | ACQinh0019398A01 | Yes | H | Radio button, one-up vertical | Single | Y | Skip Logic Group | Search Narrow | |
ACQinh0019398A02 | No | G, H | |||||||||
ACQinh0019399 | G | Please tell us why you didn't "Narrow Your Results." | Text area, no char limit | Single | N | Skip Logic Group | OE_Search Narrow | ||||
ACQinh0019400 | H | How can we make the search engine more useful? | Text area, no char limit | Single | N | Skip Logic Group | OE_Search Changes2 | ||||
ACQinh0019385 | I | Did you have any problems using the “Information by Topic” menu on the left side of the page to find information on the site? | ACQinh0019385A01 | Yes | J, K | Radio button, one-up vertical | Single | Y | Skip Logic Group | Info by Topic Usage | |
ACQinh0019385A02 | No | ||||||||||
ACQinh0019387 | J | How can we make the “Information by Topic” menu on the left side of the page more useful? | Text area, no char limit | Single | N | Skip Logic Group | OE_Info by Topic Changes | ||||
ACQinh0019388 | K | Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page? | ACQinh0019388A01 | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | Info by Topic Narrow | ||
ACQinh0019388A02 | No | L | |||||||||
ACQinh0019391 | L | Please tell us why you didn't "Narrow Your Results." | Text area, no char limit | N | Skip Logic Group | OE_Info by Topic Narrow | |||||
ACQinh0019392 | What would you like to see improved on Disability.gov? | Text area, no char limit | N | Improvement | |||||||
SAC6966 | Disability.gov is a web portal that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a portal that sends you to other sites for information? | SAC6966A001 | Yes | Drop down, select one | Single | Y | Portal | ||||
SAC6966A002 | No | ||||||||||
SAC6967 | How often do you visit Disability.gov? | SAC6967A001 | Today was my first time | Drop down, select one | single | Y | Visit frequency | ||||
SAC6967A002 | Every day | ||||||||||
SAC6967A003 | A few times a week | ||||||||||
SAC6967A004 | At least once a week | ||||||||||
SAC6967A005 | At least once a month | ||||||||||
SAC6967A006 | Every few months | ||||||||||
SAC6967A007 | Once a year or less | ||||||||||
SAC6968 | How old are you? | SAC6968A001 | Under 18 | Drop down, select one | single | N | Age | ||||
SAC6968A002 | 18 - 24 | ||||||||||
SAC6968A003 | 25 - 34 | ||||||||||
SAC6968A004 | 35 - 44 | ||||||||||
SAC6968A005 | 45 - 54 | ||||||||||
SAC6968A006 | 55 - 64 | ||||||||||
SAC6968A007 | 65 or older | ||||||||||
SAC6968A008 | I prefer not to answer |
Model Instance Name | |||||||||||
Disability.gov V3 | underlined & italicized: RE-ORDER | ||||||||||
MID: 5l0gF1IR98F1NkBM0FUZBw== | pink: ADDITION | ||||||||||
Date: | 1/17/2012 | blue + -->: REWORDING | |||||||||
Disability.gov V3 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 | |
SAC6941 | What information were you looking for on Disability.gov today? Please select the best answer. | SAC6941A001 | Only information on programs or services in my state | Radio button, one-up vertical | Single | Y | Type of Information | ||||
SAC6941A002 | Only information on national programs or services | ||||||||||
SAC6941A003 | Information on national and state programs or services | ||||||||||
SAC6942 | Which of the following statements best describes you? Please select the best answer. | SAC6942A001 | I am a person with a disability or am disabled | Radio button, one-up vertical | single | Y | Skip Logic Group | Role | |||
SAC6942A002 | I am a caregiver, family member or friend of someone with a disability | ||||||||||
SAC6942A003 | I am a professional or service provider who works with people with disabilities | ||||||||||
SAC6942A004 | I am an educator who works with students with disabilities | ||||||||||
SAC6942A006 | I am an employer or human resource (HR) professional | ||||||||||
SAC6942A007 | Other | A | |||||||||
SAC6943 | A | Please explain briefly what role best describes you: | Text field, <100 char | N | Skip Logic Group | Other role | |||||
SAC6944 | In general, which subject(s) did you want to get information about? Please select all that apply. | SAC6944A001 | Employment (such as finding a job, starting a business or hiring someone with a disability) | Checkbox, one-up vertical | Multi | Y | Skip Logic Group | Specific Information | |||
SAC6944A002 | Benefits (such as getting Social Security (SSI/SSDI) benefits, paying for prescriptions or access to financial assistance) | ||||||||||
SAC6944A003 | Housing (such as finding an affordable apartment, paying for a house, home repairs or housing discrimination) | ||||||||||
SAC6944A004 | Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws and regulations, voting or filing a complaint) | ||||||||||
SAC6944A005 | Education (such as getting money for school, going to college or teaching students with disabilities) | ||||||||||
SAC6944A006 | Health (such as information on specific disabilities, getting health insurance, dental or health care or caregiver resources) | ||||||||||
SAC6944A007 | Community Life (such as sports, volunteering or independent living) | ||||||||||
SAC6944A008 | Technology (such as assistive technology, accessible technology or help paying for technology) | ||||||||||
SAC6944A009 | Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications) | ||||||||||
SAC6944A010 | Emergency Preparedness (such as emergency or disaster preparedness or emergency management) | ||||||||||
SAC6944A011 | I’m not sure which subject to choose | B | |||||||||
SAC6945 | B | Please explain what information you were looking for on Disability.gov. (open-ended) | Text area, no char limit | N | Skip Logic Group | OE_Information | |||||
ACQinh0019382 | How did you first start to look for information on Disability.gov? Please select the best answer. | ACQinh0019382A01 | I used the search engine at the top of the page | C | Radio button, one-up vertical | Single | Y | Skip Logic Group | First Look | ||
ACQinh0019382A02 | I used the “Information by Topic” menu on the left side of the page | I | |||||||||
ACQinh0019382A03 | I am not sure | ||||||||||
ACQinh0019383 | C | Did the search engine help you find the information you were looking for on Disability.gov? | ACQinh0019383A01 | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | Search Helped | ||
ACQinh0019383A02 | No | D | |||||||||
ACQinh0019396 | D | Tell us more about your search experience. Please select all that apply. | ACQinh0019396A01 | I didn’t know which word or phrase to enter into the search engine | Checkbox, one-up vertical | Multi | Y | Skip Logic Group | Search Experience | ||
ACQinh0019396A02 | I did not receive any search results | ||||||||||
ACQinh0019396A03 | There were not enough search results | ||||||||||
ACQinh0019396A04 | There was not enough information in the description of the results to decide which resource to choose | F | |||||||||
ACQinh0019396A05 | Many of the search results looked like the same resource | F | |||||||||
ACQinh0019396A06 | The results were not organized in a helpful way | F | |||||||||
ACQinh0019396A07 | The search results did not answer my question | F | |||||||||
ACQinh0019396A08 | I had a different problem with the search results | E, F | |||||||||
ACQinh0019397 | E | Please explain the problem you had with your search results. | Text area, no char limit | Single | N | Skip Logic Group | OE_Search Problem | ||||
ACQinh0019398 | F | Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page? | ACQinh0019398A01 | Yes | H | Radio button, one-up vertical | Single | Y | Skip Logic Group | Search Narrow | |
ACQinh0019398A02 | No | G, H | |||||||||
ACQinh0019399 | G | Please tell us why you didn't "Narrow Your Results." | Text area, no char limit | Single | N | Skip Logic Group | OE_Search Narrow | ||||
ACQinh0019400 | H | How can we make the search engine more useful? | Text area, no char limit | Single | N | Skip Logic Group | OE_Search Changes2 | ||||
ACQinh0019385 | I | Did you have any problems using the “Information by Topic” menu on the left side of the page to find information on the site? | ACQinh0019385A01 | Yes | J, K | Radio button, one-up vertical | Single | Y | Skip Logic Group | Info by Topic Usage | |
ACQinh0019385A02 | No | ||||||||||
ACQinh0019387 | J | How can we make the “Information by Topic” menu on the left side of the page more useful? | Text area, no char limit | Single | N | Skip Logic Group | OE_Info by Topic Changes | ||||
ACQinh0019388 | K | Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page? | ACQinh0019388A01 | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | Info by Topic Narrow | ||
ACQinh0019388A02 | No | L | |||||||||
ACQinh0019391 | L | Please tell us why you didn't "Narrow Your Results." | Text area, no char limit | N | Skip Logic Group | OE_Info by Topic Narrow | |||||
ACQinh0019392 | What would you like to see improved on Disability.gov? | Text area, no char limit | N | Improvement | |||||||
SAC6966 | Disability.gov is a web portal that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a portal that sends you to other sites for information? | SAC6966A001 | Yes | Drop down, select one | Single | Y | Portal | ||||
SAC6966A002 | No | ||||||||||
SAC6967 | How often do you visit Disability.gov? | SAC6967A001 | Today was my first time | Drop down, select one | single | Y | Visit frequency | ||||
SAC6967A002 | Every day | ||||||||||
SAC6967A003 | A few times a week | ||||||||||
SAC6967A004 | At least once a week | ||||||||||
SAC6967A005 | At least once a month | ||||||||||
SAC6967A006 | Every few months | ||||||||||
SAC6967A007 | Once a year or less | ||||||||||
SAC6968 | How old are you? | SAC6968A001 | Under 18 | Drop down, select one | single | N | Age | ||||
SAC6968A002 | 18 - 24 | ||||||||||
SAC6968A003 | 25 - 34 | ||||||||||
SAC6968A004 | 35 - 44 | ||||||||||
SAC6968A005 | 45 - 54 | ||||||||||
SAC6968A006 | 55 - 64 | ||||||||||
SAC6968A007 | 65 or older | ||||||||||
SAC6968A008 | I prefer not to answer |
Model Instance Name | |||||||||||
Disability.gov V3 | underlined & italicized: RE-ORDER | ||||||||||
MID: 5l0gF1IR98F1NkBM0FUZBw== | pink: ADDITION | ||||||||||
Date: | 1/17/2012 | blue + -->: REWORDING | |||||||||
Disability.gov V3 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 | |
SAC6941 | What information were you looking for on Disability.gov today? Please select the best answer. | SAC6941A001 | Only information on programs or services in my state | Radio button, one-up vertical | Single | Y | Type of Information | ||||
SAC6941A002 | Only information on national programs or services | ||||||||||
SAC6941A003 | Information on both national and state programs or services | ||||||||||
SAC6942 | Which of the following statements best describes you? Please select the best answer. | SAC6942A001 | I am a person with a disability or am disabled | Radio button, one-up vertical | single | Y | Skip Logic Group | Role | |||
SAC6942A002 | I am a caregiver, family member or friend of someone with a disability | ||||||||||
SAC6942A003 | I am a professional or service provider who works with people with disabilities | ||||||||||
SAC6942A004 | I am an educator who works with students with disabilities | ||||||||||
SAC6942A005 | |||||||||||
SAC6942A006 | I am an employer or human resource (HR) professional | ||||||||||
SAC6942A007 | Other (please specify): | A | |||||||||
SAC6943 | A | Please explain briefly what role best describes you: | Text field, <100 char | N | Skip Logic Group | Other role | |||||
SAC6944 | In general, which subject(s) did you want to get information about? Please select all that apply. | SAC6944A001 | Employment (such as finding a job, starting a business or hiring someone with a disability) | Checkbox, one-up vertical | Multi | Y | Skip Logic Group | Specific Information | |||
SAC6944A002 | Benefits (such as getting Social Security (SSI/SSDI) benefits, Veterans or other benefits, paying for prescriptions or home energy assistance) access to financial assistance) | ||||||||||
SAC6944A003 | Housing (such as getting Section 8 housing, finding an affordable apartment, buying a house or housing discrimination finding an affordable apartment, paying for a house, home repairs or housing discrimination) | ||||||||||
SAC6944A004 | Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws and regulations, voting or filing a complaint) | ||||||||||
SAC6944A005 | Education (such as getting money for school, going to college or teaching students with disabilities) | ||||||||||
SAC6944A006 | Health (such as information on specific disabilities, getting health insurance, dental or health care or caregiver resources) | ||||||||||
SAC6944A007 | Community Life (such as accessible sports, volunteering or independent living) | ||||||||||
SAC6944A008 | Technology (such as assistive technology, accessible technology or help paying for technology) | ||||||||||
SAC6944A009 | Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications) | ||||||||||
SAC6944A010 | Emergency Preparedness (such as emergency or disaster preparedness at home or work or emergency management) | ||||||||||
SAC6944A011 | I’m not sure which subject to choose | B | |||||||||
SAC6945 | B | Please explain what information you were looking for on Disability.gov. (open-ended) | Text area, no char limit | N | Skip Logic Group | OE_Information | |||||
How did you first start to look for information on Disability.gov? Please select the best answer. | I used the search engine at the top of the page | C | Radio button, one-up vertical | Single | Y | Skip Logic Group | First Look | ||||
I used the “Information by Topic” menu on the left side of the page | I | ||||||||||
I am not sure | |||||||||||
C | Did the search engine help you find the information you were looking for on Disability.gov? | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | Search Helped | ||||
No | D | ||||||||||
D | Tell us more about your search experience. Please select all that apply. | I didn’t know which word or phrase to enter into the search engine | H | Checkbox, one-up vertical | Multi | Y | Skip Logic Group | Search Experience | |||
I did not receive any search results | H | ||||||||||
There were not enough search results | H | ||||||||||
There was not enough information in the description of the results to decide which resource to choose | F | ||||||||||
Many of the search results looked like the same resource | F | ||||||||||
The results were not organized in a helpful way | F | ||||||||||
The search results did not answer my question | F | ||||||||||
I had a different problem with the search results | E, F | ||||||||||
E | Please explain the problem you had with your search results. | Text area, no char limit | Single | N | Skip Logic Group | OE_Search Problem | |||||
F | Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page? | Yes | H | Radio button, one-up vertical | Single | Y | Skip Logic Group | Search Narrow | |||
No | G, H | ||||||||||
G | Please tell us why you didn't "Narrow Your Results." | Text area, no char limit | Single | N | Skip Logic Group | OE_Search Narrow | |||||
H | How can we make the search engine more useful? | Text area, no char limit | Single | N | Skip Logic Group | OE_Search Changes | |||||
I | Did you have any problems using the “Information by Topic” menu on the left side of the page to find information on the site? | Yes | J, K | Radio button, one-up vertical | Single | Y | Skip Logic Group | Info by Topic Usage | |||
No | |||||||||||
J | How can we make the “Information by Topic” menu on the left side of the page more useful? (open-ended) | Text area, no char limit | Single | N | Skip Logic Group | OE_Info by Topic Changes | |||||
K | Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page? | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | Info by Topic Narrow | ||||
No | L | ||||||||||
L | Please tell us why you didn't "Narrow Your Results." | Text area, no char limit | N | Skip Logic Group | OE_Info by Topic Narrow | ||||||
What would you like to see improved on Disability.gov? | Text area, no char limit | N | Improvement | ||||||||
SAC6966 | Disability.gov is a web portal that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a portal that sends you to other sites for information? | SAC6966A001 | Yes | Drop down, select one | Single | Y | Portal | ||||
SAC6966A002 | No | ||||||||||
SAC6967 | How often do you visit Disability.gov? | SAC6967A001 | Today was my first time | Drop down, select one | single | Y | Visit frequency | ||||
SAC6967A002 | Every day | ||||||||||
SAC6967A003 | A few times a week | ||||||||||
SAC6967A004 | At least once a week | ||||||||||
SAC6967A005 | At least once a month | ||||||||||
SAC6967A006 | Every few months | ||||||||||
SAC6967A007 | Once a year or less | ||||||||||
SAC6968 | How old are you? | SAC6968A001 | Under 18 | Drop down, select one | single | N | Age | ||||
SAC6968A002 | 18 - 24 | ||||||||||
SAC6968A003 | 25 - 34 | ||||||||||
SAC6968A004 | 35 - 44 | ||||||||||
SAC6968A005 | 45 - 54 | ||||||||||
SAC6968A006 | 55 - 64 | ||||||||||
SAC6968A007 | 65 or older | ||||||||||
SAC6968A008 | I prefer not to answer | ||||||||||
#REF! | |||||||||||
underlined & italicized: RE-ORDER | |||||||||||
pink: ADDITION | |||||||||||
Date: | 3/1/2008 | blue + -->: REWORDING | |||||||||
Disability.gov V2 CUSTOM QUESTION LIST | |||||||||||
QID | Skip Logic Label | Question Text | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Special Instructions | CQ Label | ||
AML001032 | What information were you looking for on Disability.gov today? Please select the best answer. | Only information on programs or services in my state | Radio button, one-up vertical | Single | Y | Type of Information | |||||
Only information on national programs or services | |||||||||||
Information on both national and state programs or services | |||||||||||
Which of the following statements best describes you? Please select the best answer. | I am a person with a disability or am disabled | Radio button, one-up vertical | single | N | Role | ||||||
I am a friend or family member of someone with a disability | |||||||||||
I am a professional who works with people with disabilities | |||||||||||
I am an educator who works with students with disabilities | |||||||||||
I am a student who is doing research | |||||||||||
I am an employer or human resource (HR) professional | |||||||||||
Other (please specify): | A | ||||||||||
A | Other reason for visiting Disability.gov | Text field, <100 char | N | Other role | |||||||
AML001033 | In general, which subject(s) did you want to get information about? Please select all that apply. | Employment (such as finding a job, starting a business or hiring someone with a disability) | Checkbox, one-up vertical | Multi | Y | OPS Group | Specific Information | ||||
Benefits (such as getting Social Security (SSI/SSDI), Veterans or other benefits, paying for prescriptions or home energy assistance) | |||||||||||
Housing (such as getting Section 8 housing, finding an affordable apartment, buying a house or housing discrimination) | |||||||||||
Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws and regulations or filing a complaint) | |||||||||||
Education (such as money for school, going to college or teaching students with disabilities) | |||||||||||
Health (such as specific disabilities, getting health insurance, dental or health care or caregiver resources) | |||||||||||
Community Life (such as accessible sports, volunteering or independent living) | |||||||||||
Technology (such as assistive technology, accessible technology or help paying for technology) | |||||||||||
Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications) | |||||||||||
Emergency Preparedness (such as emergency or disaster preparedness at home or work or emergency management) | |||||||||||
I’m not sure which subject to choose | A | ||||||||||
AML001034 | A | Please explain what information you were looking for on Disability.gov. (open-ended) | Text area, no char limit | OPS Group | OE_Information | ||||||
AML001035 | How did you look for information on Disability.gov? Please select the best answer. | I used the search engine at the top of the page | A, B, C, D, E | Radio button, one-up vertical | Single | Y | Skip Logic Group | Look for Information | |||
I used the “Information by Topic” and other menus on the left side of the page | G, H | ||||||||||
I used both the search engine at the top of the page, as well as the "Information by Topic” and other menus on the left side of the page | M, N, O, P, Q, R, S | ||||||||||
AML001036 | A | Please rate your overall happiness with the site’s search engine. | 1 = Very unhappy | Radio button, scale, no don't know | Single | Y | Skip Logic Group | S_Search Rating | |||
2 | |||||||||||
3 | |||||||||||
4 | |||||||||||
5 | |||||||||||
6 | |||||||||||
7 | |||||||||||
8 | |||||||||||
9 | |||||||||||
10=Very happy | |||||||||||
AML001037 | B | Did the search engine help you find the information you were looking for on Disability.gov today? | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | S_Search Helped | |||
No | F, I , Y | ||||||||||
AML001038 | F | How can we make the search engine more useful to you? | Text area, no char limit | Single | N | Skip Logic Group | S_OE_Search Changes | ||||
AML001039 | I | Tell us more about your search experience. Please select all that apply. | I didn’t know which word or phrase to enter into the search engine to find the information I was looking for | Checkbox, one-up vertical | Multi | Y | Skip Logic Group | S_Search Experience | |||
The results were not what I was looking for | |||||||||||
There were not enough results | |||||||||||
There was not enough information in the description of the results to decide which resource to choose | |||||||||||
Many of the search results looked like the same resource | |||||||||||
There were too many results | |||||||||||
The results were not organized in a helpful way | |||||||||||
The link didn’t take me to where I thought it was going to go | J | ||||||||||
I had a different problem with the search results | K | ||||||||||
Y | Please tell us if there are any other websites you like to use to find similar information. (open-ended) | Text area, no char limit | Single | N | Skip Logic Group | S_OE_Other Sites | |||||
AML001040 | J | Please explain where you thought the link would take you. | Text area, no char limit | Single | N | Skip Logic Group | S_OE_Unexpected Link | ||||
AML001041 | K | Please explain the problem you had with your search results. | Text area, no char limit | Single | N | Skip Logic Group | S_OE_Problem with Search | ||||
AML001045 | G | Did you have any problems using the “Information by Topic” and other menus on the left side of the page to find information on the site? | Yes | L, AA | Radio button, one-up vertical | Single | Y | Skip Logic Group | T_Info by Topic Usage | ||
No | |||||||||||
AML001046 | L | How can we make the “Information by Topic” and other menus on the left side of the page easier to use? (open-ended) | Text area, no char limit | Single | Y | Skip Logic Group | T_OE_Improve Info by Topic | ||||
AA | Please tell us if there are any other websites you like to use to find similar information. (open-ended) | Text area, no char limit | Single | N | Skip Logic Group | S_OE_Other Sites | |||||
AML001048 | M | Which option was more helpful? | I liked using the “Information by Topic” and other menus on the left side of the page to find resources on the site | Radio button, one-up vertical | Single | Y | Skip Logic Group | B_Option | |||
I liked using the search engine at the top of the page to find resources on the site | |||||||||||
AML001049 | N | Did the search engine at the top of the page help you find the information you were looking for on Disability.gov today? | Yes | Radio button, one-up vertical | B_Search Helped | ||||||
No | T, U, Z | ||||||||||
AML001050 | T | How can we make the search engine more useful to you? | Text area, no char limit | B_OE_Search Changes | |||||||
AML001051 | U | Tell us more about your search experience. (Please select all that apply) | I didn’t know which word or phrase to enter into the search engine to find the information I was looking for | Checkbox, one-up vertical | B_Search Experience | ||||||
The results were not what I was looking for | |||||||||||
There were not enough results | |||||||||||
There was not enough information in the description of the results to decide which resource to choose | |||||||||||
Many of the search results looked like the same resource | |||||||||||
There were too many results | |||||||||||
The results were not organized in a helpful way | |||||||||||
The link didn’t take me to where I thought it was going to go | V | ||||||||||
I had a different problem with the search results | W | ||||||||||
AML001052 | V | Please explain where you thought the link would take you. | Text area, no char limit | Single | N | Skip Logic Group | B_OE_Unexpected Link | ||||
Z | Please tell us if there are any other websites you like to use to find similar information. (open-ended) | Text area, no char limit | Single | N | Skip Logic Group | B_OE_Other Sites | |||||
AML001053 | W | Please explain the problem you had with your search results. | Text area, no char limit | Single | N | Skip Logic Group | B_OE_Problem with Search | ||||
AML001057 | R | Did you have any problems using the “Information by Topic” and other menus on the left side of the page to find information on the site? | Yes | X | Radio button, one-up vertical | Single | Y | Skip Logic Group | B_Info by Topic Usage | ||
No | |||||||||||
AML001058 | X | How can we make the “Information by Topic” and other menus on the left side of the page easier to use? | Text area, no char limit | Single | Y | Skip Logic Group | B_OE_Improve Info by Topic | ||||
AML001060 | Disability.gov is a web portal that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a portal that sends you to other sites for information? | Yes | Drop down, select one | Single | Y | Portal | |||||
No | |||||||||||
How often do you visit Disability.gov? | Today was my first time | Drop down, select one | single | N | Visit frequency | ||||||
Every day | |||||||||||
A few times a week | |||||||||||
At least once a week | |||||||||||
At least once a month | |||||||||||
Every few months | |||||||||||
Once a year or less | |||||||||||
How old are you? | Under 18 | Drop down, select one | single | N | Age | ||||||
18 - 24 | |||||||||||
25 - 34 | |||||||||||
35 - 44 | |||||||||||
45 - 54 | |||||||||||
55 - 64 | |||||||||||
65 or older | |||||||||||
I prefer not to answer | |||||||||||
What is the highest level of education you have completed? | Some high school or less | Drop down, select one | single | N | Education | ||||||
Graduated high school | |||||||||||
Some college | |||||||||||
Trade, technical or vocational training | |||||||||||
Graduated from college | |||||||||||
Post-graduate work or degree | |||||||||||
I prefer not to answer | |||||||||||
What racial group do you most strongly identify with? | American Indian or Alaskan Native | Drop down, select one | single | N | Race | ||||||
Asian | |||||||||||
Black or African-American | |||||||||||
White | |||||||||||
Native Hawaiian or other Pacific Islander | |||||||||||
Hispanic or Latino | |||||||||||
Other | |||||||||||
I prefer not to answer | |||||||||||
What was your total household income last year? | Below $25,000 | Drop down, select one | single | N | Income | ||||||
$25,000 - $49,999 | |||||||||||
$50,000 - $74,999 | |||||||||||
$75,000 - $99,999 | |||||||||||
$100,000 - $124,999 | |||||||||||
$125,000 or over | |||||||||||
I prefer not to answer | |||||||||||
What is your gender? | Female | Drop down, select one | single | N | Gender | ||||||
Male | |||||||||||
I prefer not to answer |
#REF! | |||||||||||
Disability.gov V2 | underlined & italicized: RE-ORDER | ||||||||||
MID: R1E1JscENsQ08YktMkZpxA== | pink: ADDITION | ||||||||||
Date: | 3/1/2008 | blue + -->: REWORDING | |||||||||
Disability.gov V2 CUSTOM QUESTION LIST | |||||||||||
QID | Skip Logic Label | Question Text | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Special Instructions | CQ Label | ||
AML001032 | Which type of information were you looking for on Disability.gov today? (Please select the best answer.) | Only information on programs or services in my state | Radio button, one-up vertical | Single | Y | Type of Information | |||||
Only information on national programs or services | |||||||||||
Information on both national and state programs or services | |||||||||||
AML001033 | In general, which subject(s) did you want to get information about? (Please select all that apply.) | Employment (such as finding a job, starting a business or hiring someone with a disability) | Checkbox, one-up vertical | Multi | Y | OPS Group | Specific Information | ||||
Benefits (such as getting Social Security (SSI/SSDI), Veterans or other benefits, paying for prescriptions or home energy assistance) | |||||||||||
Housing (such as getting Section 8 housing, finding an affordable apartment, buying a house or housing discrimination) | |||||||||||
Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws & regulations or filing a complaint) | |||||||||||
Education (such as money for school, going to college or teaching students with disabilities) | |||||||||||
Health (such as specific disabilities, getting health insurance, dental or health care or caregiver resources) | |||||||||||
Community Life (such as accessible sports, volunteering or independent living) | |||||||||||
Technology (such as assistive technology, accessible technology or help paying for technology) | |||||||||||
Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications) | |||||||||||
Emergency Preparedness (such as emergency/disaster preparedness at home or work or emergency management) | |||||||||||
I’m not sure which subject to choose | A | ||||||||||
AML001034 | A | Please explain what information you were looking for: | Text area, no char limit | OPS Group | OE_Information | ||||||
AML001035 | How did you look for information on Disability.gov? (Please select the best answer.) | I used the search engine | A, B, C, D, E | Radio button, one-up vertical | Single | Y | Skip Logic Group | Look for Information | |||
I used the “Information by Topic” menu on the left side of the page | G, H | ||||||||||
I used both the search engine and the “Information by Topic” menu on the left side of the page | M, N, O, P, Q, R, S | ||||||||||
AML001036 | A | Please rate your overall happiness with the site’s search engine. | 1 = Very unhappy | Radio button, scale, no don't know | Single | Y | Skip Logic Group | S_Search Rating | |||
2 | |||||||||||
3 | |||||||||||
4 | |||||||||||
5 | |||||||||||
6 | |||||||||||
7 | |||||||||||
8 | |||||||||||
9 | |||||||||||
10=Very happy | |||||||||||
AML001037 | B | Did the search engine help you find the information you were looking for on Disability.gov today? | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | S_Search Helped | |||
No | F, I | ||||||||||
AML001038 | F | How can we make the search engine more useful to you? | Text area, no char limit | Single | N | Skip Logic Group | S_OE_Search Changes | ||||
AML001039 | I | Tell us more about your search experience. (Please select all that apply) | I didn’t know which word or phrase to enter into the search engine to find the information I was looking for | Checkbox, one-up vertical | Multi | Y | Skip Logic Group | S_Search Experience | |||
The results were not what I was looking for | |||||||||||
There were not enough results | |||||||||||
There was not enough information in the description of the results to decide which resource to choose | |||||||||||
Many of the search results looked like the same resource | |||||||||||
There were too many results | |||||||||||
The results were not organized in a helpful way | |||||||||||
The link didn’t take me to where I thought it was going to go | J | ||||||||||
I had a different problem with the search results | K | ||||||||||
AML001040 | J | Please explain where you expected the link to take you: | Text area, no char limit | Single | N | Skip Logic Group | S_OE_Unexpected Link | ||||
AML001041 | K | Please explain the problem you had with your search results: | Text area, no char limit | Single | N | Skip Logic Group | S_OE_Problem with Search | ||||
AML001042 | C | Did you use the magnifying glass icon under each search result to see where the resource is located on the site? | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | S_Magnifying Glass | |||
No | |||||||||||
AML001043 | D | Please tell us the exact word or phrase you typed into the search engine: | Text area, no char limit | Single | N | Skip Logic Group | S_OE_Search Phrase | ||||
AML001044 | E | Did you use the Advanced Search? | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | S_Advanced Search | |||
No | |||||||||||
AML001045 | G | Did you have any problems using the “Information by Topic” menu on the left side of the page to find information on the site? | Yes | L | Radio button, one-up vertical | Single | Y | Skip Logic Group | T_Info by Topic Usage | ||
No | |||||||||||
AML001046 | L | How can we make the “Information by Topic” menu easier to use? | Text area, no char limit | Single | Y | Skip Logic Group | T_OE_Improve Info by Topic | ||||
AML001047 | H | Please tell us which categories and subcategories you visited today: | Text area, no char limit | Single | N | Skip Logic Group | T_OE_Topic Categories | ||||
AML001048 | M | Which option was more helpful? | I liked using the “Information by Topic” menu on the left side of the page to help me find the resources I wanted | Radio button, one-up vertical | Single | Y | Skip Logic Group | B_Option | |||
I liked using the search engine to help me find the resources I wanted | |||||||||||
AML001049 | N | Did the search engine help you find the information you were looking for on Disability.gov today? | Yes | Radio button, one-up vertical | B_Search Helped | ||||||
No | T, U | ||||||||||
AML001050 | T | How can we make the search engine more useful to you? | Text area, no char limit | B_OE_Search Changes | |||||||
AML001051 | U | Tell us more about your search experience. (Please select all that apply) | I didn’t know which word or phrase to enter into the search engine to find the information I was looking for | Checkbox, one-up vertical | B_Search Experience | ||||||
The results were not what I was looking for | |||||||||||
There were not enough results | |||||||||||
There was not enough information in the description of the results to decide which resource to choose | |||||||||||
Many of the search results looked like the same resource | |||||||||||
There were too many results | |||||||||||
The results were not organized in a helpful way | |||||||||||
The link didn’t take me to where I thought it was going to go | V | ||||||||||
I had a different problem with the search results | W | ||||||||||
AML001052 | V | Please explain where you expected the link to take you: | Text area, no char limit | Single | N | Skip Logic Group | B_OE_Unexpected Link | ||||
AML001053 | W | Please explain the problem you had with your search results: | Text area, no char limit | Single | N | Skip Logic Group | B_OE_Problem with Search | ||||
AML001054 | O | Did you use the magnifying glass icon under each search result to see where the resource was located on the site? | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | B_Magnifying Glass | |||
No | |||||||||||
AML001055 | P | Please tell us the exact word or phrase you typed into the search engine: | Text area, no char limit | Single | N | Skip Logic Group | B_OE_Search Phrase | ||||
AML001056 | Q | Did you use the Advanced Search? | Yes | Radio button, one-up vertical | Single | Y | Skip Logic Group | B_Advanced Search | |||
No | |||||||||||
AML001057 | R | Did you have any problems using the “Information by Topic” menu to find information on the site? | Yes | X | Radio button, one-up vertical | Single | Y | Skip Logic Group | B_Info by Topic Usage | ||
No | |||||||||||
AML001058 | X | How can we make the “Information by Topic” menu easier to use? | Text area, no char limit | Single | Y | Skip Logic Group | B_OE_Improve Info by Topic | ||||
AML001059 | S | Please tell us which categories and subcategories you visited today: | Text area, no char limit | Single | N | Skip Logic Group | B_OE_Topic Categories | ||||
AML001060 | Disability.gov is a web portal that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a portal that sends you to other sites for information? | Yes | Drop down, select one | Single | Y | Portal | |||||
No |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |