Form 1032 2014 787 NIDCR Site Feedback

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Overview

Welcome and Thank You Text
Questions
Questions (07-01-13)
Questions (11-12-12)
Questions (8-27-12)

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Sheet 1: Welcome and Thank You Text

Welcome and Thank You Text
	Welcome Text
	Thank you for visiting this webpage. 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.
	Thank You Text
	Thank you for taking the time to complete this survey. Your comments are very valuable to us and will be helpful in improving our web site. All responses are strictly confidential.
	This welcome and thank you text was modified by the client on 8/15/2012.

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Sheet 2: Questions

NIDCR Site Feedback			red & strike-through: DELETE
84lgI11h5ocEtdQspQwAwA==			underlined & italicized: RE-ORDER
			pink: ADDITION
Date:	6/17/2013		blue + -->: REWORDING
84lgI11h5ocEtdQspQwAwA== CUSTOM QUESTION LIST
CQID	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
NEW		Did you find the information you were looking for on this NIDCR webpage?	Yes		Radio button, one-up vertical	Single	Yes	Skip Logic Group	Did You Find
			No	Skip F
			Still looking for information when survey popped
			Not looking for anything in particular
NEW	Skip F	What information were you specifically looking for today?			Text area, no char limit	Open	No	Skip Logic Group	Looking For
CAS0032276		Overall, the information on this webpage was:	Very easy to understand		Radio button, one-up vertical	Single	Yes		Comprehension
			Easy to understand
			Somewhat difficult to understand
			Difficult to understand
CAS0032277		Does this webpage include…?	Too much information		Radio button, one-up vertical	Single	Yes		Amount Info
			Not enough information
			Just the right amount of information
CAS0032278		What did you like about this webpage?			Text area, no char limit	Open	No		Like
CAS0032279		What did you dislike or find confusing?			Text area, no char limit	Open	No		Dislike
CAS0032280		After reading this webpage, do you have any unanswered questions about the topic? If yes, what questions?			Text area, no char limit	Open	No		Questions
CAS0032281		Which best describes you?	Parent/guardian		Radio button, one-up vertical	Single	Yes	Skip Logic Group	Role
			Person with a health concern
			Family member/friend of a person with a health concern	Skip G
			Caregiver	Skip A
			Health educator
			Health care provider
			Scientist/researcher
			Media
			Student
			Teacher
			Other	Skip B
CAS0032283	Skip B	Please explain your role			Text area, no char limit	Open	No	Skip Logic Group	Other Role
New	Skip G	Are you a …?	Parent/guardian		Check boxes one up vertical	Multi	No	Skip Logic Group	Clarify family or friend
			Caregiver	Skip A
			Neither
CAS0032282	Skip A	Please explain your role as a caregiver			Text area, no char limit	Open	No	Skip Logic Group	Caregiver
CAS0032284		Would you recommend this webpage to others?	Yes, I would recommend this webpage to others		Radio button, one-up vertical	Single	Yes	Skip Logic Group	Recommend
			No, I would not recommend this webpage to others	Skip H
NEW	Skip H	Please explain			Text area, no char limit	Open	No	Skip Logic Group	Why Not Recommend
CAS0032285		In your opinion, this information is important for (check all that apply):	Parent/guardian		Radio button, one-up vertical	Single	Yes	Skip Logic Group	Important For
			Caregiver	Skip C
			Children and youth
			Health care providers (e.g. physicians, nurses, dentists, dental hygienists)
			Health educators
			Teachers
			Students
			Other	Skip D
CAS0032286	Skip C	What kind of caregiver?			Text area, no char limit	Open	No	Skip Logic Group	Important Caregiver
CAS0032287	Skip D	Please explain			Text area, no char limit	Open	No	Skip Logic Group	Important Other
CAS0032288		What other oral health topics are of interest to you?			Text area, no char limit	Open	No		Topics of Interest
CAS0032289		How would you prefer to access information on these oral health topics?	Website		Radio button, one-up vertical	Single	Yes	Skip Logic Group	Prefer to Access
			Print (booklet, factsheet, poster, etc.)
			Animation/video (YouTube)
			Social media (Facebook/Twitter)
			Podcast/audio file
			Mobile phone/device
			Text message or alert
			Other	Skip E
CAS0032290	Skip E	Please explain			Text area, no char limit	Open	No	Skip Logic Group	Other Prefer to Access

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Sheet 3: Questions (07-01-13)

NIDCR Site Feedback			red & strike-through: DELETE
84lgI11h5ocEtdQspQwAwA==			underlined & italicized: RE-ORDER
			pink: ADDITION
Date:	6/17/2013		blue + -->: REWORDING
84lgI11h5ocEtdQspQwAwA== CUSTOM QUESTION LIST
CQID	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
NEW		Overall, the information on this webpage was:	Very easy to understand		Radio button, one-up vertical	Single	Yes		Comprehension
			Easy to understand
			Somewhat difficult to understand
			Difficult to understand
NEW		Does this webpage include…?	Too much information		Radio button, one-up vertical	Single	Yes		Amount Info
			Not enough information
			Just the right amount of information
NEW		What did you like about this webpage?			Text area, no char limit	Open	No		Like
NEW		What did you dislike or find confusing?			Text area, no char limit	Open	No		Dislike
NEW		After reading this webpage, do you have any unanswered questions about the topic? If yes, what questions?			Text area, no char limit	Open	No		Questions
NEW		Which best describes you?	Parent/guardian		Radio button, one-up vertical	Single	Yes	Skip Logic Group	Role
			Caregiver	Skip A
			Health educator
			Health care provider
			Scientist/researcher
			Media
			Student
			Teacher
			Other	Skip B
NEW	Skip A	Please explain your role as a caregiver			Text area, no char limit	Open	No	Skip Logic Group	Caregiver
NEW	Skip B	Please explain your role			Text area, no char limit	Open	No	Skip Logic Group	Other Role
NEW		Would you recommend this webpage to others?	Yes, I would recommend this webpage to others		Radio button, one-up vertical	Single	Yes		Recommend
			No, I would not recommend this webpage to others
NEW		In your opinion, this information is important for (check all that apply):	Parent/guardian		Radio button, one-up vertical	Single	Yes	Skip Logic Group	Important For
			Caregiver	Skip C
			Children and youth
			Health care providers (e.g. physicians, nurses, dentists, dental hygienists)
			Health educators
			Teachers
			Students
			Other	Skip D
NEW	Skip C	What kind of caregiver?			Text area, no char limit	Open	No	Skip Logic Group	Important Caregiver
NEW	Skip D	Please explain			Text area, no char limit	Open	No	Skip Logic Group	Important Other
NEW		What other oral health topics are of interest to you?			Text area, no char limit	Open	No		Topics of Interest
NEW		How would you prefer to access information on these oral health topics?	Website		Radio button, one-up vertical	Single	Yes	Skip Logic Group	Prefer to Access
			Print (booklet, factsheet, poster, etc.)
			Animation/video (YouTube)
			Social media (Facebook/Twitter)
			Podcast/audio file
			Mobile phone/device
			Text message or alert
			Other	Skip E
NEW	Skip E	Please explain			Text area, no char limit	Open	No	Skip Logic Group	Other Prefer to Access
ACQinh0014968		How did you find NIDCR’s oral health webpage today?	Search Engine (e.g. Google, Bing, Yahoo)		Radio button, one-up vertical	Single or Multi	Yes	Skip Logic Group	How did you find
			Medline Plus
			National Institutes of Health (NIH) webpage
			Another site
			NIDCR print publications/products
			Bookmarked NIDCR website (favorite)
			Word of mouth recommendation
			Other	A
ACQinh0014970	A	Please explain.			Text area, no char limit	Open	No	Skip Logic Group	OPS_How did you find
ACQinh0014971		What information were you looking for today?			Text area, no char limit	Open	No		Info Looking For
ACQinh0014972		Did you take one of the oral health quizzes on this webpage?	Yes, the quizzes helped me learn new oral health information		Radio button, one-up vertical	Single	Yes		Take Quiz
			Yes, the quizzes reinforced oral health information I already knew
			No, I did not take one of the oral health quizzes on this webpage
ACQinh0014973		Did you view one of the oral health videos on this webpage?	Yes, the video(s) helped me learn new oral health information		Radio button, one-up vertical	Single	Yes		View Video
			Yes, the video(s) reinforced oral health information I already knew
			No, I did not view one of the videos on this webpage
ACQinh0014974		Did you find what you were looking for on NIDCR’s oral health webpage?	Yes			Single	Yes	Skip Logic Group	Did You Find
			No	B
			Still looking for information when the survey popped
			Not looking for anything in particular
ACQinh0014975	B	If no, what were you unable to find?				Open	No	Skip Logic Group	What Did Not Find
ACQinh0014937		How would you rate the visual appeal of NIDCR’s oral health webpage?	1=Poor		Radio button, scale, has don't know	Single	Yes		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			Excellent=10
			Don’t Know
ACQinh0014938		If you could make one improvement to NIDCR’s oral health webpage, what would it be?			Text area, no char limit	Open	No		Improvement
ACQinh0014939		What additional oral health information or resources would you like to see included on this webpage?			Text area, no char limit	Open	No		Addl Resources
ACQinh0014940		In your opinion, what is the best way to access oral health information? (choose all that apply)	Print (booklet, factsheet, poster, etc.)		Checkbox, one-up vertical	Multi	Yes	Skip Logic Group	Best Way to Access
			Website
			Animation/video (YouTube)
			Via social media (Facebook/Twitter)
			Podcast/audio file
			Via mobile phone/device
			Text message or alert
			Other	C
ACQinh0014941	C	Please explain briefly				Open	No	Skip Logic Group	OPS_Best Way to Access
ACQinh0014942		Which best describes you?	Person with a health concern		Radio button, one-up vertical	Single	Yes	Skip Logic Group	Describes You
			Family member/friend of a person with a health concern
			Patient Advocate
			Health Educator
			Health Care Provider
			Scientist/Researcher
			NIDCR or other government staff
			Student
			University Faculty Member
			Other	D
ACQinh0014983	D	Please explain briefly			Text area, no char limit	Open	No	Skip Logic Group	OPS_Describes You

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Sheet 4: Questions (11-12-12)

NIDCR Site Feedback			red & strike-through: DELETE
84lgI11h5ocEtdQspQwAwA==			underlined & italicized: RE-ORDER
			pink: ADDITION
Date:	11/7/2012		blue + -->: REWORDING
84lgI11h5ocEtdQspQwAwA== CUSTOM QUESTION LIST
CQID	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
ACQinh0014968		How did you find NIDCR’s oral health webpage today?	Search Engine (e.g. Google, Bing, Yahoo)		Radio button, one-up vertical	Single or Multi	Yes	Skip Logic Group	How did you find
			Medline Plus
			National Institutes of Health (NIH) webpage
			Another site
			NIDCR print publications/products
			Bookmarked NIDCR website (favorite)
			Word of mouth recommendation
			Other	A
ACQinh0014970	A	Please explain.			Text area, no char limit	Open	No	Skip Logic Group	OPS_How did you find
ACQinh0014971		What information were you looking for today?			Text area, no char limit	Open	No		Info Looking For
ACQinh0014972		Did you take one of the oral health quizzes on this webpage?	Yes, the quizzes helped me learn new oral health information		Radio button, one-up vertical	Single	Yes		Take Quiz
			Yes, the quizzes reinforced oral health information I already knew
			No, I did not take one of the oral health quizzes on this webpage
ACQinh0014973		Did you view one of the oral health videos on this webpage?	Yes, the video(s) helped me learn new oral health information		Radio button, one-up vertical	Single	Yes		View Video
			Yes, the video(s) reinforced oral health information I already knew
			No, I did not view one of the videos on this webpage
ACQinh0014974		Did you find what you were looking for on NIDCR’s oral health webpage?	Yes			Single	Yes	Skip Logic Group	Did You Find
			No	B
			Still looking for information when the survey popped
			Not looking for anything in particular
ACQinh0014975	B	If no, what were you unable to find?				Open	No	Skip Logic Group	What Did Not Find
ACQinh0014937		How would you rate the visual appeal of NIDCR’s oral health webpage?	1=Poor		Radio button, scale, has don't know	Single	Yes		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			Excellent=10
			Don’t Know
ACQinh0014938		If you could make one improvement to NIDCR’s oral health webpage, what would it be?			Text area, no char limit	Open	No		Improvement
ACQinh0014939		What additional oral health information or resources would you like to see included on this webpage?			Text area, no char limit	Open	No		Addl Resources
ACQinh0014940		In your opinion, what is the best way to access oral health information? (choose all that apply)	Print (booklet, factsheet, poster, etc.)		Checkbox, one-up vertical	Multi	Yes	Skip Logic Group	Best Way to Access
			Website
			Animation/video (YouTube)
			Via social media (Facebook/Twitter)
			Podcast/audio file
			Via mobile phone/device
			Text message or alert
			Other	C
ACQinh0014941	C	Please explain briefly				Open	No	Skip Logic Group	OPS_Best Way to Access
ACQinh0014942		Which best describes you?	Person with a health concern		Radio button, one-up vertical	Single	Yes	Skip Logic Group	Describes You
			Family member/friend of a person with a health concern
			Patient Advocate
			Health Educator
			Health Care Provider
			Scientist/Researcher
			NIDCR or other government staff
			Student
			University Faculty Member
			Other	D
ACQinh0014983	D	Please explain briefly			Text area, no char limit	Open	No	Skip Logic Group	OPS_Describes You

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Sheet 5: Questions (8-27-12)

NIDCR Site Feedback			red & strike-through: DELETE
84lgI11h5ocEtdQspQwAwA==			underlined & italicized: RE-ORDER
			pink: ADDITION
Date:	8/16/2012		blue + -->: REWORDING
84lgI11h5ocEtdQspQwAwA== CUSTOM QUESTION LIST
CQID	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
NEW		How did you find NIDCR’s oral health webpage today?	Search Engine (e.g. Google, Bing, Yahoo)		Radio button, one-up vertical	Single or Multi	Yes	Skip Logic Group	How did you find
			Medline Plus
			National Institutes of Health (NIH) webpage
			Another site
			NIDCR print publications/products
			Bookmarked NIDCR website (favorite)
			Word of mouth recommendation
			Other	A
NEW	A	Please explain.			Text area, no char limit	Open	No	Skip Logic Group	OPS_How did you find
NEW		What information were you looking for today?			Text area, no char limit	Open	No		Info Looking For
NEW		Did you take one of the oral health quizzes on this webpage?	Yes, the quizzes helped me learn new oral health information		Radio button, one-up vertical	Single	Yes		Take Quiz
			Yes, the quizzes reinforced oral health information I already knew
			No, I did not take one of the oral health quizzes on this webpage
NEW		Did you view one of the oral health videos on this webpage?	Yes, the video(s) helped me learn new oral health information		Radio button, one-up vertical	Single	Yes		View Video
			Yes, the video(s) reinforced oral health information I already knew
			No, I did not view one of the videos on this webpage
NEW		Did you find what you were looking for on NIDCR’s oral health webpage?	Yes			Single	Yes	Skip Logic Group	Did You Find
			No	B
			Still looking for information when the survey popped
			Not looking for anything in particular
NEW	B	If no, what were you unable to find?				Open	No	Skip Logic Group	What Did Not Find
NEW		How would you rate the visual appeal of NIDCR’s oral health webpage?	1=Poor		Radio button, scale, has don't know	Single	Yes		Visual Appeal
			2
			3
			4
			5
			6
			7
			8
			9
			Excellent=10
			Don’t Know
NEW		If you could make one improvement to NIDCR’s oral health webpage, what would it be?			Text area, no char limit	Open	No		Improvement
NEW		What additional oral health information or resources would you like to see included on this webpage?			Text area, no char limit	Open	No		Addl Resources
NEW		In your opinion, what is the best way to access oral health information?	Print (booklet, factsheet, poster, etc.)		Checkbox, one-up vertical	Multi	Yes	Skip Logic Group	Best Way to Access
			Animation/video (YouTube)
			Via social media (Facebook/Twitter)
			Podcast/audio file
			Via mobile phone/device
			Text message or alert
			Other	C
NEW	C	Please explain briefly				Open	No	Skip Logic Group	OPS_Best Way to Access
NEW		Which best describes you?	Person with a health concern		Radio button, one-up vertical	Single	Yes	Skip Logic Group	Describes You
			Family member/friend of a person with a health concern
			Patient Advocate
			Health Educator
			Health Care Provider
			Scientist/Researcher
			NIDCR or other government staff
			Student
			University Faculty Member
			Other	D
NEW	D	Please explain briefly			Text area, no char limit	Open	No	Skip Logic Group	OPS_Describes You
AML000899		Overall, the information on this webpage was:	Very easy to understand		Radio button, one-up vertical	Single	Yes		Comprehension
			Easy to understand
			Somewhat difficult to understand
			Difficult to understand
AML000900		Does this webpage include…?	Too much information		Radio button, one-up vertical	Single	Yes		Quantity Info
			Not enough information
			The amount of information included on this webpage was just right
AML000901		What did you like about this webpage?			Text area, no char limit	Open	No		Like
AML000902		What did you dislike or find confusing?			Text area, no char limit	Open	No		Dislike
AML000903		After reading this webpage, do you have any unanswered questions regarding the topic? If yes, what questions?			Text area, no char limit	Open	No		Question
AML000904		Which best describes you?	Parent/Caregiver		Radio button, one-up vertical	Single	Yes	Skip Logic Group	Describes You
			Health Educator
			Health care provider
			Scientist/Researcher
			Media
			Student
			Teacher
			Other	A
AML000905	A	Please explain briefly			Text field, <100 char	Open	No		Other-Describes You
AML000906		Would you recommend this webpage to others?	Yes, I would recommend this webpage to others		Radio button, one-up vertical	Single	Yes		Recommend
			No, I would not recommend this webpage to others
AML000907		In your opinion, the information on this webpage is important for (check all that apply):	Parents/caregivers		Checkbox, one-up vertical	Multi	Yes		Important For
			Children and youth
			Health care providers (ex. physicians, dentists, dental hygienists, nurses)
			Health educators
			Teachers
			Students
			Other
AML000908		What other oral health topics are of interest to you?			Text area, no char limit	Open	No		Other Topics
AML000909		How would you prefer to access information on these oral health topics? (Check all that apply):	Print (booklet, factsheet, poster, etc.)		Checkbox, one-up vertical	Multi	Yes		Prefer Access
			Animation/video (YouTube)
			Via social media (Facebook/Twitter)
			Podcast/audio file
			Via mobile phone/device
			Text message or alert
			Other