Form 1055 2014 810 AHRQ Email

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Overview

Welcome and Thank You Text
Current Model Qsts
Current CQs
CQs (2-27-13)
Orig CQs
Types

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Sheet 1: Welcome and Thank You Text

Model Instance Name:
AHRQ e-mail
MID:	8UVhEIc4JJA9txYxggBxUQ==
Date:	1/6/2012
Welcome and Thank You Text
	Directions:
	This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom. This is a good place to mention the site/company/agency name so the visitor knows whom they are taking the survey for. Feel free to modify the standard Welcome text shown in the box below.
					Examples
					Welcome Text Example
	Welcome Text
	Thank you for agreeing to take a brief survey on AHRQ's e-mail subscriptions 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 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 Web site.

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Sheet 2: Current Model Qsts

Model Instance Name:
AHRQ e-mail
MID: 8UVhEIc4JJA9txYxggBxUQ==
Partitioned (Y/N)?	N
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
Model questions utilize the ACSI methodology to determine scores and impacts
	ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION		FUTURE BEHAVIORS
	Look and Feel (1=Poor, 10=Excellent, Don't Know)		Satisfaction		Visit website (1=Very Unlikely, 10=Very Likely)
1	Please rate the visual appeal of this e-mail.	13	What is your overall satisfaction with AHRQ e-mail? (1=Very Dissatisfied, 10=Very Satisfied)	16	How likely are you to visit the AHRQ website as a result of receiving this e-mail?
2	Please rate the balance of graphics and text in this e-mail.	14	How well does AHRQ e-mail meet your expectations? (1=Falls Short, 10=Exceeds)		Recommend (1=Very Unlikely, 10=Very Likely)
3	Please rate the readability of this e-mail.	15	How do AHRQ e-mails compare to your idea of an ideal e-mail? (1=Not Very Close, 10=Very Close)	17	How likely are you to recommend the AHRQ e-mail subscription service to others?
	Email Content (1=Poor, 10=Excellent, Don't Know)				Forward Email (1=Very Unlikely, 10=Very Likely)
4	Please rate the accuracy of information in this e-mail.			18	How likely are you to forward this e-mail to someone else?
5	Please rate the quality of information in this e-mail.				Future Email Behavior (1=Very Unlikely, 10=Very Likely)
6	Please rate the degree to which the information provided in this e-mail addresses your interests.			19	How likely are you to open future e-mails from AHRQ?
	Plain Language (1=Poor, 10=Excellent, Don't Know)
7	Please rate the clarity of the wording in this e-mail.
8	Please rate how well you understand the wording of this e-mail.
9	Please rate this e-mail on its use of short, clear sentences.
	Subscription (1=Poor, 10=Excellent, Don't Know)
10	Please rate how often the e-mails are delivered.
11	Please rate the options for choosing which e-mail subscriptions you receive.
12	Please rate the options for controlling how frequently e-mails are delivered.

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Sheet 3: Current CQs

Model Instance Name			red & strike-through: DELETE
AHRQ e-mail			underlined & italicized: RE-ORDER
MID: 8UVhEIc4JJA9txYxggBxUQ==			pink: ADDITION
Date:	1/6/2012		blue + -->: REWORDING
AHRQ e-mail CUSTOM QUESTION LIST
Question #	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	Notes
SAC7098		Did the subject line of the e-mail include:	Too much information		Radio button, one-up vertical	Single		Randomize	Subject line
			Not enough information
			The right amount of information					Anchor Answer Choice
SAC7099		Did the headings within the e-mail include:	Too much information		Radio button, one-up vertical	Single		Randomize	Headings
			Not enough information
			The right amount of information					Anchor Answer Choice
SAC7100		Did the body of the e-mail include:	Too much information		Radio button, one-up vertical	Single		Randomize	Body
			Not enough information
			The right amount of information					Anchor Answer Choice
SAC7101		Which of the following best describes your situation or position?	Physician/Physician Assisant		Radio button, one-up vertical	Single	Y	OPS Group	Role
			Nurse/Nurse Practitioner
			Other Health Care Provider
			Consumer/General Public
			Health Researcher/Analyst
			Government Policymaker
			Educator
			Student
			Health Administrator
			Health Insurer
			Employer
			Librarian/Information Specialist
			Media / Press
			Other, please specify	A
SAC7102	A	Other role			Text field, <100 char	Single	N	OPS Group	Other role
SAC7103		As far as you can remember, how long have you been subscribing to AHRQ e-mails?	Less than a month		Radio button, one-up vertical	Single	Y		Subscription length
			Between a month and a year
			Longer than a year
SAC7104		How often do you click on links within AHRQ e-mails?	Almost always		Radio button, one-up vertical	Single	Y	Skip Logic Group	Link Clicks
			Frequently	C
			Occasionally	C
			Almost never	C
SAC7105	C	How often do those links take you to the information you expected on the AHRQ Web site?	Almost always		Radio button, one-up vertical	Single	Y	Skip Logic Group	Link Expected
			Frequently
			Occasionally
			Almost never
SAC7106		What is your age?	Under 25		Radio button, one-up vertical	Single	Y		Age
			25-39
			40-54
			55-69
			70 or over
			Prefer Not to Answer
SAC7107		Please suggest one improvement you would like AHRQ to make to its e-mails or subscription service			Text area, no char limit	Single	N		One improvement

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Sheet 4: CQs (2-27-13)

Model Instance Name			red & strike-through: DELETE
AHRQ e-mail			underlined & italicized: RE-ORDER
MID: 8UVhEIc4JJA9txYxggBxUQ==			pink: ADDITION
Date:	1/6/2012		blue + -->: REWORDING
AHRQ e-mail CUSTOM QUESTION LIST
Question #	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	Notes
SAC7098		Did the subject line of the e-mail include:	Too much information		Radio button, one-up vertical	Single		Randomize	Subject line
			Not enough information
			The right amount of information					Anchor Answer Choice
SAC7099		Did the headings within the e-mail include:	Too much information		Radio button, one-up vertical	Single		Randomize	Headings
			Not enough information
			The right amount of information					Anchor Answer Choice
SAC7100		Did the body of the e-mail include:	Too much information		Radio button, one-up vertical	Single		Randomize	Body
			Not enough information
			The right amount of information					Anchor Answer Choice
SAC7101		Which of the following best describes your situation or position?	Physician/Physician Assisant		Radio button, one-up vertical	Single	Y	OPS Group	Role
			Nurse/Nurse Practitioner
			Other Health Care Provider
			Consumer/General Public
			Health Researcher/Analyst
			Government Policymaker
			Educator
			Student
			Health Administrator
			Health Insurer
			Employer
			Librarian/Information Specialist
			Media / Press
			Other, please specify	A
SAC7102	A	Other role			Text field, <100 char	Single	N	OPS Group	Other role
SAC7103		As far as you can remember, how long have you been subscribing to AHRQ e-mails?	Less than a month		Radio button, one-up vertical	Single	Y		Subscription length
			Between a month and a year
			Longer than a year
SAC7104		How often do you click on links within AHRQ e-mails?	Almost always		Radio button, one-up vertical	Single	Y	Skip Logic Group	Link Clicks
			Frequently	C
			Occasionally	C
			Almost never	C
SAC7105	C	How often do those links take you to the information you expected on the AHRQ Web site?	Almost always		Radio button, one-up vertical	Single	Y	Skip Logic Group	Link Expected
			Frequently
			Occasionally
			Almost never
SAC7106		What is your age?	Under 25		Radio button, one-up vertical	Single	Y		Age
			25-39
			40-54
			55-69
			70 or over
			Prefer Not to Answer
SAC7107		Please suggest one improvement you would like AHRQ to make to its e-mails or subscription service			Text area, no char limit	Single	N		One improvement

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Sheet 5: Orig CQs

#REF!			red & strike-through: DELETE
AHRQ e-mail			underlined & italicized: RE-ORDER
MID: 8UVhEIc4JJA9txYxggBxUQ==			pink: ADDITION
Date:	1/6/2012		blue + -->: REWORDING
AHRQ e-mail CUSTOM QUESTION LIST
Question #	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	Notes
		Did the subject line of the e-mail include:	Too much information	Sally.Collins: these 3 CQs were not added as group	Radio button, one-up vertical	Single		Randomize	Subject line
			Not enough information
			The right amount of information					Anchor Answer Choice
		Did the headings within the e-mail include:	Too much information		Radio button, one-up vertical	Single		Randomize	Headings
			Not enough information
			The right amount of information					Anchor Answer Choice
		Did the body of the e-mail include:	Too much information		Radio button, one-up vertical	Single		Randomize	Body
			Not enough information
			The right amount of information					Anchor Answer Choice
		Which of the following best describes your situation or position?	Physician/Physician Assisant		Radio button, one-up vertical	Single	Y	OPS Group	Role
			Nurse/Nurse Practitioner
			Other Health Care Provider
			Consumer/General Public
			Health Researcher/Analyst
			Government Policymaker
			Educator
			Student
			Health Administrator
			Health Insurer
			Employer
			Librarian/Information Specialist
			Media / Press
			Other, please specify	A
	A	Other role			Text field, <100 char	Single	N	OPS Group	Other role
		As far as you can remember, how long have you been subscribing to AHRQ e-mails?	Less than a month		Radio button, one-up vertical	Single	Y		Subscription length
			Between a month and a year
			Longer than a year
		Thinking about how frequently you receive e-mails from AHRQ, would you like to receive them:	More often		Radio button, one-up vertical	Single	Y	Skip Logic Group	Frequency
			Less often					Randomize
			The same as I currently am					Anchor Answer Choice
		Were you aware that the AHRQ subscription service lets you control the frequency of e-mails you receive?	Yes	B	Radio button, one-up vertical	Single	Y	Skip Logic Group	Frenquency awareness
			No
	B	Please describe your experience with controlling the frequency of AHRQ e-mails:	I have successfully changed how often I receive e-mails		Radio button, one-up vertical	Single	Y	Skip Logic Group	Frenquency management
			I tried to change how often I receive e-mails but was unsuccessful					Randomize
			I have never tried to change how often I receive e-mails					Anchor Answer Choice
		How often do you click on links within AHRQ e-mails?	Almost never		Radio button, one-up vertical	Single	Y	Skip Logic Group	Link Clicks
			Occasionally	C
			Most of the time	C
			Almost always	C
	C	How often do those links take you to the information you expected on the AHRQ Web site?	Almost never		Radio button, one-up vertical	Single	Y	Skip Logic Group	Link Expected
			Occasionally
			Most of the time
			Almost always
		What is your age?	Under 25		Radio button, one-up vertical	Single	Y		Age
			25-39
			40-54
			55-69
			70 or over
			Prefer Not to Answer
		Please suggest one improvement you would like AHRQ to make to its e-mails or subscription service			Text area, no char limit	Single	N		One improvement

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Sheet 6: Types

Types		Instructions
Text field, <100 char		Randomize
Text area, no char limit		Shared
Drop down, select one		OPS Group
Radio button, one-up vertical		Matrix Group
Radio button, two-up vertical		Rank Group
Radio button, three-up vertical		Comparative Matrix Group
Radio button, scale, has don't know		Skip Logic Group
Radio button, scale, no don't know		Multiple Lists Group
Checkbox, one-up vertical		Anchor Answer Choice
		Hidden CPP
Checkbox, two-up vertical		Partitioned
Checkbox, three-up vertical		Adjust Template/Style Sheet
Please Select a Language		Please Select
Arabic - AR		Yes
Australia - AU		No
Belgium - BG		Unsure (PLEASE SEE DOT)
Brazil Portuguese - BP
China - CH
Chinese Traditional - CT
Colombian - CO
Croatian - CR
Czech Republic - CZ
Danish - DN
Dutch - DU
English - EN
Farsi - FS
French - FR
French Canadian - FC
Germany - GR
Global English - GE
Greek - GK
Hungary - HU
Italian - IT
Japan - JP
Korean - KR
Malaysian English - MA
Mandarin - MD
Norwegian - NW
Persian - PN
Poland - PL
Portuguese - PO
Russia - RU
South Africa - SA
South Korean - SK
Spanish - SP
Spanish Original - SO
Spanish Traditional - ST
Swedish - SW
Turkey - TR
United Kingdom - UK
Vietnamese - VT
OTHER LANGUAGE (PLEASE SEE DOT)