Form 1002 Disability.gov

E-Government Website Customer Satisfaction Surveys

2014 757 Disability.gov Renewal 2013_1-13-14.xlsx

Disability.gov

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

Welcome and Thank You Text
Model Qsts V3
V3 Current CQs
V3 CQs (1-29-14)
V3 CQs (12-6-12)
V3 CQs (12-3-12)
V3 CQs (11-29-12)
V3 CQs - original
Current CQs V2


Sheet 1: Welcome and Thank You Text

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.



























































































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.


























































































































































































































Sheet 2: Model Qsts V3

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.




























































































































Sheet 3: V3 Current CQs

Model Instance Name

red & strike-through: DELETE






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








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







Sheet 4: V3 CQs (1-29-14)

Model Instance Name

red & strike-through: DELETE






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
SAC6941
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 national and state programs or services






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 of the following statements best describes you? Please select the best answer.
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 KILL SKIP 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


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
ACQinh0019382
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






ACQinh0019383 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





ACQinh0019396 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 X Checkbox, one-up vertical Multi Y Skip Logic Group Search Experience



I did not receive any search results X








There were not enough search results X








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





ACQinh0019776 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? Yes H Radio button, one-up vertical Single Y Skip Logic Group Search Narrow



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? Yes J, K Radio button, one-up vertical Single Y Skip Logic Group Info by Topic Usage



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? Yes
Radio button, one-up vertical Single Y Skip Logic Group Info by Topic Narrow



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


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







Sheet 5: V3 CQs (12-6-12)

Model Instance Name


red & strike-through: DELETE






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







Sheet 6: V3 CQs (12-3-12)

Model Instance Name


red & strike-through: DELETE






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





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
ACQinh0019410 X How can we make the search engine more useful?


Text area, no char limit Single N Skip Logic Group OE_Search Changes1
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







Sheet 7: V3 CQs (11-29-12)

Model Instance Name


red & strike-through: DELETE






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 I am a student who is doing research









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
SAC6946
How did you look for information on Disability.gov? Please select the best answer. SAC6946A001 I used the search engine at the top of the page A, B Radio button, one-up vertical Single Y Skip Logic Group Look for Information



SAC6946A002 I used the “Information by Topic” and other menus on the left side of the page G








SAC6946A003 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, R





SAC6947 A Please rate your overall happiness with the site’s search engine. SAC6947A001 1 = Very unhappy
Radio button, scale, no don't know Single Y Skip Logic Group S_Search Rating



SAC6947A002 2









SAC6947A003 3









SAC6947A004 4









SAC6947A005 5









SAC6947A006 6









SAC6947A007 7









SAC6947A008 8









SAC6947A009 9









SAC6947A010 10=Very happy






SAC6948 B Did the search engine help you find the information you were looking for on Disability.gov today? SAC6948A001 Yes
Radio button, one-up vertical Single Y Skip Logic Group S_Search Helped



SAC6948A002 No F, I , Y





SAC6949 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
SAC6950 I Tell us more about your search experience. Please select all that apply. SAC6950A001 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



SAC6950A002 The results were not what I was looking for









SAC6950A003 There were not enough results









SAC6950A004 There was not enough information in the description of the results to decide which resource to choose









SAC6950A005 Many of the search results looked like the same resource









SAC6950A006 There were too many results









SAC6950A007 The results were not organized in a helpful way









SAC6950A008 The link didn’t take me to where I thought it was going to go J








SAC6950A009 I had a different problem with the search results K





SAC6951 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
SAC6952 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
SAC6953 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
SAC6954 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? SAC6954A001 Yes L, AA Radio button, one-up vertical Single Y Skip Logic Group T_Info by Topic Usage



SAC6954A002 No






SAC6955 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
SAC6956 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
SAC6957 M Which option was more helpful? SAC6957A001 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



SAC6957A002 I liked using the search engine at the top of the page to find resources on the site






SAC6958 N Did the search engine at the top of the page help you find the information you were looking for on Disability.gov today? SAC6958A001 Yes
Radio button, one-up vertical


B_Search Helped



SAC6958A002 No T, U, Z





SAC6959 T How can we make the search engine more useful to you?


Text area, no char limit


B_OE_Search Changes
SAC6960 U Tell us more about your search experience. (Please select all that apply) SAC6960A001 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



SAC6960A002 The results were not what I was looking for









SAC6960A003 There were not enough results









SAC6960A004 There was not enough information in the description of the results to decide which resource to choose









SAC6960A005 Many of the search results looked like the same resource









SAC6960A006 There were too many results









SAC6960A007 The results were not organized in a helpful way









SAC6960A008 The link didn’t take me to where I thought it was going to go V








SAC6960A009 I had a different problem with the search results W





SAC6961 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
SAC6962 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
SAC6963 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
SAC6964 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? SAC6964A001 Yes X Radio button, one-up vertical Single Y Skip Logic Group B_Info by Topic Usage



SAC6964A002 No






SAC6965 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


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






SAC6969
What is the highest level of education you have completed? SAC6969A001 Some high school or less
Drop down, select one single N
Education



SAC6969A002 Graduated high school









SAC6969A003 Some college









SAC6969A004 Trade, technical or vocational training









SAC6969A005 Graduated from college









SAC6969A006 Post-graduate work or degree









SAC6969A007 I prefer not to answer






SAC6970
What racial group do you most strongly identify with? SAC6970A001 American Indian or Alaskan Native
Drop down, select one single N
Race



SAC6970A002 Asian









SAC6970A003 Black or African-American









SAC6970A004 White









SAC6970A005 Native Hawaiian or other Pacific Islander









SAC6970A006 Hispanic or Latino









SAC6970A007 Other









SAC6970A008 I prefer not to answer






SAC6971
What was your total household income last year? SAC6971A001 Below $25,000
Drop down, select one single N
Income



SAC6971A002 $25,000 - $49,999









SAC6971A003 $50,000 - $74,999









SAC6971A004 $75,000 - $99,999









SAC6971A005 $100,000 - $124,999









SAC6971A006 $125,000 or over









SAC6971A007 I prefer not to answer






SAC6972
What is your gender? SAC6972A001 Female
Drop down, select one single N
Gender



SAC6972A002 Male









SAC6972A003 I prefer not to answer







Sheet 8: V3 CQs - original

#REF!

red & strike-through: DELETE






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
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
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” 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
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” 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
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” 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
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








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







Sheet 9: Current CQs V2

#REF!

red & strike-through: DELETE






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






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