Form 1152 2015 907 Healthypeople

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Overview

Current Model Qsts
Current Custom Qsts
Current Custom Qsts (10-3-14)
Current Custom Qsts (6-10-13)
Custom Qsts (9-18-12)
Custom Qsts (5-25-12)
Custom Qsts (12-30-11)
Custom Qsts (8-5-11)
Custom Qsts (6-9-11)
Custom Qsts (5-5-11)

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Sheet 1: Current Model Qsts

Healthypeople.gov
MID:	0R1QM1Y1dtAhdcVsdFNV8g==
Date:	9/15/2010
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Model questions utilize the ACSI methodology to determine scores and impacts
	ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION		FUTURE BEHAVIORS
	Content (1=Poor, 10=Excellent, Don't Know)		Satisfaction		Primary Resource (1=Very Unlikely, 10=Very Likely)
1	Please rate the accuracy of information on this site.	17	What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)	20	How likely are you to use this site as your primary resource for obtaining health or health policy information?
2	Please rate the quality of information on this site.	18	How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)		Recommend (1=Very Unlikely, 10=Very Likely)
3	Please rate the freshness of content on this site.	19	How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)	21	How likely are you to recommend this site to someone else?
	Functionality (1=Poor, 10=Excellent, Don't Know)				Return (1=Very Unlikely, 10=Very Likely)
4	Please rate the usefulness of the features provided on this site.			22	How likely are you to return to this site?
5	Please rate the convenience of the features on this site.				Healthypeople Engagement (1=Very Unlikely, 10=Very Likely)
6	Please rate the variety of features on this site.			23	How likely are you to engage in activities in the next 3 months to meet Healthypeople 2020 objectives?
	Look and Feel (1=Poor, 10=Excellent, Don't Know)
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)
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.
13	Please rate the number of clicks to get where you want on this site.
	Site Performance (1=Poor, 10=Excellent, Don't Know)
14	Please rate how quickly pages load on this site.
15	Please rate the consistency of speed from page to page on this site.
16	Please rate the ability to load pages without getting error messages on this site.

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Sheet 2: Current Custom Qsts

Healthypeople.gov			red & strike-through: DELETE
			underlined & italicized: RE-ORDER FOR ALPHA
MID:	0R1QM1Y1dtAhdcVsdFNV8g==		pink: ADDITION
Date:	10/3/2014		blue + -->: REWORDING
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
CWS05564		Which of the following best describes the reason for your visit today?	Learn about the Healthy People 2020 objectives		Radio Button One Up Vertical	Single	Y	OPS Group	Reason
			Get ideas on how to achieve the Healthy People 2020 objectives
			Share ideas on how to achieve the Healthy People 2020 objectives
			Get data on the Healthy People 2020 objectives
			Download Healthy People publications
			Review 2010 Healthy People objectives/results
			Get information for a school project/school assignment	Y, Z
			Other, please specify:	A
CWS05565	A	Other reason for your visit			Text area, no char limit		N	OPS Group	Other Reason
	Y	What specific information were you looking for as part of your project/assignment?			Text area, no char limit		N		OE_School Info
	Z	What field are you studying?			Text area, no char limit		N		OE_Field
CWS05566		Were you able to find what you were looking for?	Yes		Radio button, one-up vertical	Single	Y	OPS Group	Find
			no, please specify what you were unable to find	A
CWS05567	A	No, please specify:			Text area, no char limit	Single	N	OPS Group	Did Not Find
CWS05568		After using the healthypeople.gov website today, how likely are you to do one of the following activities: (Please select all that apply)	Bookmark this page for later use		Checkbox One Up Vertical	Multi	Y	OPS Group	After Visit Activities
			Do additional research online
			Download content to a portable device, like a mobile phone, PDA, or ipod
			Email the information to a colleague/co-worker
			Connect or collaborate with another organization working to meet Healthy People objectives
			Print the information and share it
			Make a plan for achieving a Healthy People objective
			Other, please specify:	A
CWS05569	A	Other activity:			Text area, no char limit		N	OPS Group	Other Activity
		Did you access data through HealthyPeople.gov today?	Yes	A, B	Radio button, one-up vertical	Single	Y	Skip Logic Group	Data
			No
			Don't know/don't remember
	A	Please tell us what data tools and information you found most valuable.			Text area, no char limit		N	Skip Logic Group	OE_Data
	B	Are there other data-related features or information that you would like to see on HealthyPeople.gov?			Text area, no char limit		N	Skip Logic Group	OE_Data Add Info
ACQinh0012942		Did you visit the Leading Health Indicators section of the website today?	Yes	A	Drop down, select one	Single	Y	Skip Logic Group	LHI Visit
			No
ACQinh0012963	A	Which of the following Leading Health Indicators were you interested in today? (Please select all that apply.)	Access to Health Services		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Specific LHI of Interest
			Clinical Preventive Services
			Environmental Quality
			Injury and Violence
			Maternal, Infant, and Child Health
			Mental Health
			Nutrition, Physical Activity, and Obesity
			Oral Health
			Reproductive and Sexual Health
			Social Determinants
			Substance Abuse
			Tobacco
ACQCol0005149		How would you describe your navigation experience on this site today? (Please select all that apply.)	Links often did not take me where I expected	A	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Navigation Problems
			Had difficulty finding relevant information
			Links/labels are difficult to understand	B
			Too many links/navigational options to choose from
			Had technical difficulties (error messages, broken links, etc.)
			Could not navigate back to previous information	A
			I had a navigation difficulty not listed above:	C
			I had no difficulty navigating/browsing on this site
ACQCol0005150	C	Please describe your navigation issue:			Text area, no char limit		N	Skip Logic Group	Other Nav Problems
ACQCol0005151	A	Please describe any specific navigation links or paths that did not take you where they should have?			Text area, no char limit		N	Skip Logic Group	Links/Paths Difficulty
ACQCol0005152	B	What specific links/labels were difficult to understand?			Text area, no char limit		N	Skip Logic Group	Links/Labels Difficulty
ACQCol0005153		Did you use the search feature (search box in the upper right corner) during your visit today?	Yes	A, Z	Radio button, one-up vertical	Single	Y		Search Usage
			No
			Don't remember
ACQCol0005154	A	Please tell us about your experience with the search feature today. (Select all that apply.)	I had issues with the searching process (how to use it, what to enter).	B	Checkbox, one-up vertical	Multi	Y		Search Experience
			I had issues with the design and layout of the search results (text size, colors).	C
			I had issues with the results of the search.	D
			The search feature met my needs.
			None of these
ACQCol0005155	B	What were your issues with the searching process? (Select all that apply.)	It was not clear how to use the search feature		Checkbox, one-up vertical	Multi	N		Search Process
			I did not know what terms to use to get the results I wanted
			I wanted more advanced search capabilities (exclude certain terms, limit search scope)
			I had a different issue with the searching process:	E
ACQCol0005156	E	My issue was:			Text area, no char limit				Other Search Process
ACQCol0005157	C	What were your issues with the design and layout of the search results? (Select all that apply.)	The link colors were hard to read		Checkbox, one-up vertical	Multi	N		Search Design
			I could not see enough of the descriptions to decide which link to choose
			The text was too small
			The page was too crowded
			I had a different issue with the design and layout of the results:	F
ACQCol0005158	F	My issue was:			Text area, no char limit				Other Search Design
ACQCol0005159	D	What were your issues with the results of the search? (Select all that apply.)	Results were not relevant or not what I wanted		Checkbox, one-up vertical	Multi	N		Search Results
			The order of the results was not what I expected
			There were no results or too few results
			The titles were not helpful
			The descriptions were not helpful
			I could not narrow the results of my search
			I had a different issue with the results of the search:	G
ACQCol0005160	G	My issue was:			Text area, no char limit				Other Search Results
CAS0072666	Z	What search terms did you use?			Text area, no char limit				OE_Search Terms
		Other than the search box, how did you look for information on the site today?	Top navigation bar (gray bar at the top of the homepage)		Checkbox, one-up vertical	M	Y		Navigation Method
			Link from rotating banner on the homepage
			DATA2020 search tool
			Middle links on the homepage
			Links at the bottom of the homepage
			Site Index
			Other, please specify:	Z
	Z	Please specify what other way you looked for information on the site:			Text area, no char limit		N		OE_Nav Method
CWS05576		How often have you visited the site in the last six months?	This is my first time	A	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Frequency
			Two or three times
			Four or five times
			A few times a week
			Daily
			More than once a day
	A	How did you find out about Healthypeople.gov?	Healthy People listserv		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	FT Visitors Find Out
			Other listserv/email	A				Randomize
			Twitter-Healthy People account
			Twitter-other	B
			Media or journal article
			Facebook	C
			Blog	D
			Website ad/button	E
			Friend or colleague
			Teacher
			Other, please specify:	F				Anchor Answer Choice
	A	Please specify which listserv or email:			Text area, no char limit		N		OE_Other listserv
	B	Please specify which Twitter account:			Text area, no char limit		N		OE_Other Twitter
	C	Please specify which Facebook page:			Text area, no char limit		N		OE_FB Page
	D	Please specify which blog:			Text area, no char limit		N		OE_Blog
	E	Please specify which website:			Text area, no char limit		N		OE_Website
	F	How did you find out about Healthypeople.gov?			Text area, no char limit		N		OE_Other Find Out
ACQLiv0010110		Which of the following social media platforms have you used in the last 30 days: (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media 30 Days
			Twitter
			LinkedIn
			YouTube
			Google+
			Other
			None of the above
ACQLiv0010119		Which of the following social media platforms do you use for professional purposes: (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media Professional
			Twitter
			LinkedIn
			YouTube
			Google+
			Other
			None of the above
CWS05581		If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)			Text area, no char limit		N		SV - Other Social Network
CWS05582		Which best describes your role?	Doctor/Nurse		Radio button, one-up vertical	Single	Y	Skip Logic Group	Role
			Government Employee
			General Public
			Librarian
			Public Health Professional
			Researcher	B, C
			Student
			Teacher/Educator
			Other, please specify:	A
CWS05583	A	Please describe your role:			Text area, no char limit	Single	N	Skip Logic Group	Other Role
ACQDom0006708	B	Please describe the type of research you are doing:			Text area, no char limit	Single	N	Skip Logic Group	OE_Research
ACQDom0006709	C	What additional data or information would you like to see on the healthypeople.gov site?			Text area, no char limit	Single	N	Skip Logic Group	OE_Addtl Research Info
CWS05584		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
CWS05585		How would you describe yourself?	Hispanic or Latino		Checkbox, one-up vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
CWS05586		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
		How do you use/plan to use the information from Healthypeople.gov?			Text area, no char limit		N		OE_HP usage
CWS05587		If you could make one improvement to the healthypeople.gov site what would it be?			Text area, no char limit	Single	Y		One Improvement

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Sheet 3: Current Custom Qsts (10-3-14)

Healthypeople.gov			red & strike-through: DELETE
			underlined & italicized: RE-ORDER FOR ALPHA
MID:	0R1QM1Y1dtAhdcVsdFNV8g==		pink: ADDITION
Date:	10/3/2014		blue + -->: REWORDING
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
CWS05564		Which of the following best describes the reason for your visit today?	Learn about the Healthy People 2020 objectives		Radio Button One Up Vertical	Single	Y	OPS Group	Reason
			Get ideas on how to achieve the Healthy People 2020 objectives
			Share ideas on how to achieve the Healthy People 2020 objectives
			Get data on the Healthy People 2020 objectives
			Download Healthy People publications
			Review 2010 Healthy People objectives/results
			Get information for a school project/school assignment
			Other, please specify:	A
CWS05565	A	Other reason for your visit			Text area, no char limit		N	OPS Group	Other Reason
CWS05566		Were you able to find what you were looking for?	Yes		Radio button, one-up vertical	Single	Y	OPS Group	Find
			no, please specify what you were unable to find	A
CWS05567	A	No, please specify:			Text area, no char limit	Single	N	OPS Group	Did Not Find
CWS05568		After using the healthypeople.gov website today, how likely are you to do one of the following activities: (Please select all that apply)	Bookmark this page for later use		Checkbox One Up Vertical	Multi	Y	OPS Group	After Visit Activities
			Do additional research online
			Download content to a portable device, like a mobile phone, PDA, or ipod
			Email the information to a colleague/co-worker
			Connect or collaborate with another organization working to meet Healthy People objectives
			Print the information and share it
			Make a plan for achieving a Healthy People objective
			Other, please specify:	A
CWS05569	A	Other activity:			Text area, no char limit		N	OPS Group	Other Activity
		Did you access data through HealthyPeople.gov today?	Yes	A, B	Radio button, one-up vertical	Single	Y	Skip Logic Group	Data
			No
			Don't know/don't remember
	A	Please tell us what data tools and information you found most valuable.			Text area, no char limit		N	Skip Logic Group	OE_Data
	B	Are there other data-related features or information that you would like to see on HealthyPeople.gov?			Text area, no char limit		N	Skip Logic Group	OE_Data Add Info
ACQinh0012942		Did you visit the Leading Health Indicators section of the website today?	Yes	A	Drop down, select one	Single	Y	Skip Logic Group	LHI Visit
			No
ACQinh0012963	A	Which of the following Leading Health Indicators were you interested in today? (Please select all that apply.)	Access to Health Services		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Specific LHI of Interest
			Clinical Preventive Services
			Environmental Quality
			Injury and Violence
			Maternal, Infant, and Child Health
			Mental Health
			Nutrition, Physical Activity, and Obesity
			Oral Health
			Reproductive and Sexual Health
			Social Determinants
			Substance Abuse
			Tobacco
ACQCol0005149		How would you describe your navigation experience on this site today? (Please select all that apply.)	Links often did not take me where I expected	A	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Navigation Problems
			Had difficulty finding relevant information
			Links/labels are difficult to understand	B
			Too many links/navigational options to choose from
			Had technical difficulties (error messages, broken links, etc.)
			Could not navigate back to previous information	A
			I had a navigation difficulty not listed above:	C
			I had no difficulty navigating/browsing on this site
ACQCol0005150	C	Please describe your navigation issue:			Text area, no char limit		N	Skip Logic Group	Other Nav Problems
ACQCol0005151	A	Please describe any specific navigation links or paths that did not take you where they should have?			Text area, no char limit		N	Skip Logic Group	Links/Paths Difficulty
ACQCol0005152	B	What specific links/labels were difficult to understand?			Text area, no char limit		N	Skip Logic Group	Links/Labels Difficulty
ACQCol0005153		Did you use the search feature (search box in the upper right corner) during your visit today?	Yes	A, Z	Radio button, one-up vertical	Single	Y		Search Usage
			No
			Don't remember
ACQCol0005154	A	Please tell us about your experience with the search feature today. (Select all that apply.)	I had issues with the searching process (how to use it, what to enter).	B	Checkbox, one-up vertical	Multi	Y		Search Experience
			I had issues with the design and layout of the search results (text size, colors).	C
			I had issues with the results of the search.	D
			The search feature met my needs.
			None of these
ACQCol0005155	B	What were your issues with the searching process? (Select all that apply.)	It was not clear how to use the search feature		Checkbox, one-up vertical	Multi	N		Search Process
			I did not know what terms to use to get the results I wanted
			I wanted more advanced search capabilities (exclude certain terms, limit search scope)
			I had a different issue with the searching process:	E
ACQCol0005156	E	My issue was:			Text area, no char limit				Other Search Process
ACQCol0005157	C	What were your issues with the design and layout of the search results? (Select all that apply.)	The link colors were hard to read		Checkbox, one-up vertical	Multi	N		Search Design
			I could not see enough of the descriptions to decide which link to choose
			The text was too small
			The page was too crowded
			I had a different issue with the design and layout of the results:	F
ACQCol0005158	F	My issue was:			Text area, no char limit				Other Search Design
ACQCol0005159	D	What were your issues with the results of the search? (Select all that apply.)	Results were not relevant or not what I wanted		Checkbox, one-up vertical	Multi	N		Search Results
			The order of the results was not what I expected
			There were no results or too few results
			The titles were not helpful
			The descriptions were not helpful
			I could not narrow the results of my search
			I had a different issue with the results of the search:	G
ACQCol0005160	G	My issue was:			Text area, no char limit				Other Search Results
	Z	What search terms did you use?			Text area, no char limit				OE_Search Terms
CWS05576		How often have you visited the site in the last six months?	This is my first time	A	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Frequency
			Two or three times
			Four or five times
			A few times a week
			Daily
			More than once a day
	A	How did you find out about Healthypeople.gov?	Healthy People listserv		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	FT Visitors Find Out
			Other listserv/email	A				Randomize
			Twitter-Healthy People account
			Twitter-other	B
			Media or journal article
			Facebook	C
			Blog	D
			Website ad/button	E
			Friend or colleague
			Teacher
			Other, please specify:	F				Anchor Answer Choice
	A	Please specify which listserv or email:			Text area, no char limit		N		OE_Other listserv
	B	Please specify which Twitter account:			Text area, no char limit		N		OE_Other Twitter
	C	Please specify which Facebook page:			Text area, no char limit		N		OE_FB Page
	D	Please specify which blog:			Text area, no char limit		N		OE_Blog
	E	Please specify which website:			Text area, no char limit		N		OE_Website
	F	How did you find out about Healthypeople.gov?			Text area, no char limit		N		OE_Other Find Out
ACQLiv0010110		Which of the following social media platforms have you used in the last 30 days: (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media 30 Days
			Twitter
			LinkedIn
			YouTube
			Google+
			Other
			None of the above
ACQLiv0010119		Which of the following social media platforms do you use for professional purposes: (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media Professional
			Twitter
			LinkedIn
			YouTube
			Google+
			Other
			None of the above
CWS05581		If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)			Text area, no char limit		N		SV - Other Social Network
CWS05582		Which best describes your role?	Doctor/Nurse		Radio button, one-up vertical	Single	Y	Skip Logic Group	Role
			Government Employee
			General Public
			Librarian
			Public Health Professional
			Researcher	B, C
			Student
			Teacher/Educator
			Other, please specify:	A
CWS05583	A	Please describe your role:			Text area, no char limit	Single	N	Skip Logic Group	Other Role
ACQDom0006708	B	Please describe the type of research you are doing:			Text area, no char limit	Single	N	Skip Logic Group	OE_Research
ACQDom0006709	C	What additional data or information would you like to see on the healthypeople.gov site?			Text area, no char limit	Single	N	Skip Logic Group	OE_Addtl Research Info
CWS05584		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
CWS05585		How would you describe yourself?	Hispanic or Latino		Checkbox, one-up vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
CWS05586		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
		How do you use/plan to use the information from Healthypeople.gov?			Text area, no char limit		N		OE_HP usage
CWS05587		If you could make one improvement to the healthypeople.gov site what would it be?			Text area, no char limit	Single	Y		One Improvement

---

Sheet 4: Current Custom Qsts (6-10-13)

Healthypeople.gov			red & strike-through: DELETE
			underlined & italicized: RE-ORDER FOR ALPHA
MID:	0R1QM1Y1dtAhdcVsdFNV8g==		pink: ADDITION
Date:	9/15/2010		blue + -->: REWORDING
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
CWS05564		Which of the following best describes the reason for your visit today?	Learn about the Healthy People 2020 objectives		Radio Button One Up Vertical	Single	Y	OPS Group	Reason
			Get ideas on how to achieve the Healthy People 2020 objectives
			Share ideas on how to achieve the Healthy People 2020 objectives
			Get data on the Healthy People 2020 objectives
			Download Healthy People publications
			Review 2010 Healthy People objectives/results
			Get information for a school project/school assignment
			Other, please specify:	A
CWS05565	A	Other reason for your visit			Text area, no char limit		N	OPS Group	Other Reason
CWS05566		Were you able to find what you were looking for?	Yes		Radio button, one-up vertical	Single	Y	OPS Group	Find
			no, please specify what you were unable to find	A
CWS05567	A	No, please specify:			Text area, no char limit	Single	N	OPS Group	Did Not Find
CWS05568		After using the healthypeople.gov website today, how likely are you to do one of the following activities: (Please select all that apply)	Bookmark this page for later use		Checkbox One Up Vertical	Multi	Y	OPS Group	After Visit Activities
			Do additional research online
			Download content to a portable device, like a mobile phone, PDA, or ipod
			Email the information to a colleague/co-worker
			Connect or collaborate with another organization working to meet Healthy People objectives
			Print the information and share it
			Make a plan for achieving a Healthy People objective
			Other, please specify:	A
CWS05569	A	Other activity:			Text area, no char limit		N	OPS Group	Other Activity
		Did you access data through HealthyPeople.gov today?	Yes	A, B	Radio button, one-up vertical	Single	Y	Skip Logic Group	Data
			No
			Don't know/don't remember
	A	Please tell us what data tools and information you found most valuable.			Text area, no char limit		N	Skip Logic Group	OE_Data
	B	Are there other data-related features or information that you would like to see on HealthyPeople.gov?			Text area, no char limit		N	Skip Logic Group	OE_Data Add Info
ACQinh0012942		Did you visit the Leading Health Indicators section of the website today?	Yes	A	Drop down, select one	Single	Y	Skip Logic Group	LHI Visit
			No
ACQinh0012963	A	Which of the following Leading Health Indicators were you interested in today? (Please select all that apply.)	Access to Health Services		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Specific LHI of Interest
			Clinical Preventive Services
			Environmental Quality
			Injury and Violence
			Maternal, Infant, and Child Health
			Mental Health
			Nutrition, Physical Activity, and Obesity
			Oral Health
			Reproductive and Sexual Health
			Social Determinants
			Substance Abuse
			Tobacco
ACQCol0005149		How would you describe your navigation experience on this site today? (Please select all that apply.)	Links often did not take me where I expected	A	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Navigation Problems
			Had difficulty finding relevant information
			Links/labels are difficult to understand	B
			Too many links/navigational options to choose from
			Had technical difficulties (error messages, broken links, etc.)
			Could not navigate back to previous information	A
			I had a navigation difficulty not listed above:	C
			I had no difficulty navigating/browsing on this site
ACQCol0005150	C	Please describe your navigation issue:			Text area, no char limit		N	Skip Logic Group	Other Nav Problems
ACQCol0005151	A	Please describe any specific navigation links or paths that did not take you where they should have?			Text area, no char limit		N	Skip Logic Group	Links/Paths Difficulty
ACQCol0005152	B	What specific links/labels were difficult to understand?			Text area, no char limit		N	Skip Logic Group	Links/Labels Difficulty
ACQCol0005153		Did you use the search feature during your visit today?	Yes	A	Radio button, one-up vertical	Single	Y		Search Usage
			No
			Don't remember
ACQCol0005154	A	Please tell us about your experience with the search feature today. (Select all that apply.)	I had issues with the searching process (how to use it, what to enter).	B	Checkbox, one-up vertical	Multi	Y		Search Experience
			I had issues with the design and layout of the search results (text size, colors).	C
			I had issues with the results of the search.	D
			The search feature met my needs.
			None of these
ACQCol0005155	B	What were your issues with the searching process? (Select all that apply.)	It was not clear how to use the search feature		Checkbox, one-up vertical	Multi	N		Search Process
			I did not know what terms to use to get the results I wanted
			I wanted more advanced search capabilities (exclude certain terms, limit search scope)
			I had a different issue with the searching process:	E
ACQCol0005156	E	My issue was:			Text area, no char limit				Other Search Process
ACQCol0005157	C	What were your issues with the design and layout of the search results? (Select all that apply.)	The link colors were hard to read		Checkbox, one-up vertical	Multi	N		Search Design
			I could not see enough of the descriptions to decide which link to choose
			The text was too small
			The page was too crowded
			I had a different issue with the design and layout of the results:	F
ACQCol0005158	F	My issue was:			Text area, no char limit				Other Search Design
ACQCol0005159	D	What were your issues with the results of the search? (Select all that apply.)	Results were not relevant or not what I wanted		Checkbox, one-up vertical	Multi	N		Search Results
			The order of the results was not what I expected
			There were no results or too few results
			The titles were not helpful
			The descriptions were not helpful
			I could not narrow the results of my search
			I had a different issue with the results of the search:	G
ACQCol0005160	G	My issue was:			Text area, no char limit				Other Search Results
CWS05576		How often have you visited the site in the last six months?	This is my first time	A	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Frequency
			Two or three times
			Four or five times
			A few times a week
			Daily
			More than once a day
	A	How did you find out about Healthypeople.gov?	Healthy People listserv		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	FT Visitors Find Out
			Other listserv/email	A				Randomize
			Twitter-Healthy People account
			Twitter-other	B
			Media or journal article
			Facebook	C
			Blog	D
			Website ad/button	E
			Friend or colleague
			Teacher
			Other, please specify:	F				Anchor Answer Choice
	A	Please specify which listserv or email:			Text area, no char limit		N		OE_Other listserv
	B	Please specify which Twitter account:			Text area, no char limit		N		OE_Other Twitter
	C	Please specify which Facebook page:			Text area, no char limit		N		OE_FB Page
	D	Please specify which blog:			Text area, no char limit		N		OE_Blog
	E	Please specify which website:			Text area, no char limit		N		OE_Website
	F	How did you find out about Healthypeople.gov?			Text area, no char limit		N		OE_Other Find Out
ACQLiv0010110		Which of the following social media platforms have you used in the last 30 days: (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media 30 Days
			Twitter
			LinkedIn
			YouTube
			Google+
			Other
			None of the above
ACQLiv0010119		Which of the following social media platforms do you use for professional purposes: (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media Professional
			Twitter
			LinkedIn
			YouTube
			Google+
			Other
			None of the above
CWS05581		If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)			Text area, no char limit		N		SV - Other Social Network
CWS05582		Which best describes your role?	Doctor/Nurse		Radio button, one-up vertical	Single	Y	Skip Logic Group	Role
			Government Employee
			General Public
			Librarian
			Public Health Professional
			Researcher	B, C
			Student
			Teacher/Educator
			Other, please specify:	A
CWS05583	A	Please describe your role:			Text area, no char limit	Single	N	Skip Logic Group	Other Role
ACQDom0006708	B	Please describe the type of research you are doing:			Text area, no char limit	Single	N	Skip Logic Group	OE_Research
ACQDom0006709	C	What additional data or information would you like to see on the healthypeople.gov site?			Text area, no char limit	Single	N	Skip Logic Group	OE_Addtl Research Info
CWS05584		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
CWS05585		How would you describe yourself?	Hispanic or Latino		Checkbox, one-up vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
CWS05586		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
		How do you use/plan to use the information from Healthypeople.gov?			Text area, no char limit		N		OE_HP usage
CWS05587		If you could make one improvement to the healthypeople.gov site what would it be?			Text area, no char limit	Single	Y		One Improvement

---

Sheet 5: Custom Qsts (9-18-12)

Healthypeople.gov			red & strike-through: DELETE
			underlined & italicized: RE-ORDER FOR ALPHA
MID:	0R1QM1Y1dtAhdcVsdFNV8g==		pink: ADDITION
Date:	9/15/2010		blue + -->: REWORDING
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
CWS05564		Which of the following best describes the reason for your visit today?	Learn about the Healthy People 2020 objectives		Radio Button One Up Vertical	Single	Y	OPS Group	Reason
			Get ideas on how to achieve the Healthy People 2020 objectives
			Share ideas on how to achieve the Healthy People 2020 objectives
			Get data on the Healthy People 2020 objectives
			Download Healthy People publications
			Review 2010 Healthy People objectives/results
			Get information for a school project/school assignment
			Other, please specify:	A
CWS05565	A	Other reason for your visit			Text area, no char limit	Single	N	OPS Group	Other Reason
CWS05566		Were you able to find what you were looking for?	Yes		Radio button, one-up vertical	Single	Y	OPS Group	Find
			no, please specify what you were unable to find	A
CWS05567	A	No, please specify:			Text area, no char limit	Single	N	OPS Group	Did Not Find
CWS05568		After using the healthypeople.gov website today, how likely are you to do one of the following activities: (Please select all that apply)	Bookmark this page for later use		Checkbox One Up Vertical	Multi	Y	OPS Group	After Visit Activities
			Do additional research online
			Download content to a portable device, like a mobile phone, PDA, or ipod
			Email the information to a colleague/co-worker
			Connect or collaborate with another organization working to meet Healthy People objectives
			Print the information and share it
			Make a plan for achieving a Healthy People objective
			Other, please specify:	A
CWS05569	A	Other activity:			Text area, no char limit		N	OPS Group	Other Activity
ACQinh0012942		Did you visit the Leading Health Indicators section of the website today?	Yes	A	Drop down, select one	Single	Y	Skip Logic Group	LHI Visit
			No
ACQinh0012963	A	Which of the following Leading Health Indicators were you interested in today? (Please select all that apply.)	Access to Health Services		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Specific LHI of Interest
			Clinical Preventive Services
			Environmental Quality
			Injury and Violence
			Maternal, Infant, and Child Health
			Mental Health
			Nutrition, Physical Activity, and Obesity
			Oral Health
			Reproductive and Sexual Health
			Social Determinants
			Substance Abuse
			Tobacco
ACQCol0005149		How would you describe your navigation experience on this site today? (Please select all that apply.)	Links often did not take me where I expected	A	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Navigation Problems
			Had difficulty finding relevant information
			Links/labels are difficult to understand	B
			Too many links/navigational options to choose from
			Had technical difficulties (error messages, broken links, etc.)
			Could not navigate back to previous information	A
			I had a navigation difficulty not listed above:	C
			I had no difficulty navigating/browsing on this site
ACQCol0005150	C	Please describe your navigation issue:			Text area, no char limit		N	Skip Logic Group	Other Nav Problems
ACQCol0005151	A	Please describe any specific navigation links or paths that did not take you where they should have?			Text area, no char limit		N	Skip Logic Group	Links/Paths Difficulty
ACQCol0005152	B	What specific links/labels were difficult to understand?			Text area, no char limit		N	Skip Logic Group	Links/Labels Difficulty
ACQCol0005153		Did you use the search feature during your visit today?	Yes	A	Radio button, one-up vertical	Single	Y		Search Usage
			No
			Don't remember
ACQCol0005154	A	Please tell us about your experience with the search feature today. (Select all that apply.)	I had issues with the searching process (how to use it, what to enter).	B	Checkbox, one-up vertical	Multi	Y		Search Experience
			I had issues with the design and layout of the search results (text size, colors).	C
			I had issues with the results of the search.	D
			The search feature met my needs.
			None of these
ACQCol0005155	B	What were your issues with the searching process? (Select all that apply.)	It was not clear how to use the search feature		Checkbox, one-up vertical	Multi	N		Search Process
			I did not know what terms to use to get the results I wanted
			I wanted more advanced search capabilities (exclude certain terms, limit search scope)
			I had a different issue with the searching process:	E
ACQCol0005156	E	My issue was:			Text area, no char limit				Other Search Process
ACQCol0005157	C	What were your issues with the design and layout of the search results? (Select all that apply.)	The link colors were hard to read		Checkbox, one-up vertical	Multi	N		Search Design
			I could not see enough of the descriptions to decide which link to choose
			The text was too small
			The page was too crowded
			I had a different issue with the design and layout of the results:	F
ACQCol0005158	F	My issue was:			Text area, no char limit				Other Search Design
ACQCol0005159	D	What were your issues with the results of the search? (Select all that apply.)	Results were not relevant or not what I wanted		Checkbox, one-up vertical	Multi	N		Search Results
			The order of the results was not what I expected
			There were no results or too few results
			The titles were not helpful
			The descriptions were not helpful
			I could not narrow the results of my search
			I had a different issue with the results of the search:	G
ACQCol0005160	G	My issue was:			Text area, no char limit				Other Search Results
CWS05576		How often have you visited the site in the last six months?	This is my first time	A	Radio Button One Up Vertical	Single	Y	Skip Logic Group	Frequency
			Two or three times
			Four or five times
			A few times a week
			Daily
			More than once a day
	A	How did you find out about Healthypeople.gov?	Healthy People listserv		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	FT Visitors Find Out
			Other listserv/email	A				Randomize
			Twitter-Healthy People account
			Twitter-other	B
			Media or journal article
			Facebook	C
			Blog	D
			Website ad/button	E
			Friend or colleague
			Teacher
			Other, please specify:	F				Anchor Answer Choice
	A	Please specify which listserv or email:			Text area, no char limit		N		OE_Other listserv
	B	Please specify which Twitter account:			Text area, no char limit		N		OE_Other Twitter
	C	Please specify which Facebook page:			Text area, no char limit		N		OE_FB Page
	D	Please specify which blog:			Text area, no char limit		N		OE_Blog
	E	Please specify which website:			Text area, no char limit		N		OE_Website
	F	How did you find out about Healthypeople.gov?			Text area, no char limit		N		OE_Other Find Out
ACQLiv0010110		Which of the following social media platforms have you used in the last 30 days: (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media 30 Days
			Twitter
			LinkedIn
			YouTube
			Google+
			Other
			None of the above
ACQLiv0010119		Which of the following social media platforms do you use for professional purposes: (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media Professional
			Twitter
			LinkedIn
			YouTube
			Google+
			Other
			None of the above
CWS05581		If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)			Text area, no char limit		N		SV - Other Social Network
CWS05582		Which best describes your role?	Doctor/Nurse		Radio button, one-up vertical	Single	Y	Skip Logic Group	Role
			Government Employee
			General Public
			Librarian
			Public Health Professional
			Researcher	B, C
			Student
			Teacher/Educator
			Other, please specify:	A
CWS05583	A	Please describe your role:			Text area, no char limit	Single	N	Skip Logic Group	Other Role
ACQDom0006708	B	Please describe the type of research you are doing:			Text area, no char limit	Single	N	Skip Logic Group	OE_Research
ACQDom0006709	C	What additional data or information would you like to see on the healthypeople.gov site?			Text area, no char limit	Single	N	Skip Logic Group	OE_Addtl Research Info
CWS05584		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
CWS05585		How would you describe yourself?	Hispanic or Latino		Checkbox, one-up vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
CWS05586		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
		How do you use/plan to use the information from Healthypeople.gov?			Text area, no char limit		N		OE_HP usage
CWS05587		If you could make one improvement to the healthypeople.gov site what would it be?			Text area, no char limit	Single	Y		One Improvement

---

Sheet 6: Custom Qsts (5-25-12)

Healthypeople.gov			red & strike-through: DELETE
			underlined & italicized: RE-ORDER FOR ALPHA
MID:	0R1QM1Y1dtAhdcVsdFNV8g==		pink: ADDITION
Date:	9/15/2010		blue + -->: REWORDING
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
CWS05564		Which of the following best describes the reason for your visit today?	Learn about the Healthy People 2020 objectives		Radio Button One Up Vertical	Single	Y	OPS Group	Reason
			Get ideas on how to achieve the Healthy People 2020 objectives
			Share ideas on how to achieve the Healthy People 2020 objectives
			Get data on the Healthy People 2020 objectives
			Download Healthy People publications
			Review 2010 Healthy People objectives/results
			Get information for a school project/school assignment
			Other, please specify:	A
CWS05565	A	Other reason for your visit			Text area, no char limit	Single	N	OPS Group	Other Reason
CWS05566		Were you able to find what you were looking for?	Yes		Radio button, one-up vertical	Single	Y	OPS Group	Find
			no, please specify what you were unable to find	A
CWS05567	A	No, please specify:			Text area, no char limit	Single	N	OPS Group	Did Not Find
CWS05568		After using the healthypeople.gov website today, how likely are you to do one of the following activities: (Please select all that apply)	Bookmark this page for later use		Checkbox One Up Vertical	Multi	Y	OPS Group	After Visit Activities
			Do additional research online
			Download content to a portable device, like a mobile phone, PDA, or ipod
			Email the information to a colleague/co-worker
			Connect or collaborate with another organization working to meet Healthy People objectives
			Print the information and share it
			Make a plan for achieving a Healthy People objective
			Other, please specify:	A
CWS05569	A	Other activity:			Text area, no char limit		N	OPS Group	Other Activity
		Did you visit the Leading Health Indicators section of the website today?	Yes	A	Drop down, select one	Single	Y	Skip Logic Group	LHI Visit
			No
	A	Which of the following Leading Health Indicators were you interested in today? (Please select all that apply.)	Access to Health Services		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Specific LHI of Interest
			Clinical Preventive Services
			Environmental Quality
			Injury and Violence
			Maternal, Infant, and Child Health
			Mental Health
			Nutrition, Physical Activity, and Obesity
			Oral Health
			Reproductive and Sexual Health
			Social Determinants
			Substance Abuse
			Tobacco
ACQCol0005149		How would you describe your navigation experience on this site today? (Please select all that apply.)	Links often did not take me where I expected	A	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Navigation Problems
			Had difficulty finding relevant information
			Links/labels are difficult to understand	B
			Too many links/navigational options to choose from
			Had technical difficulties (error messages, broken links, etc.)
			Could not navigate back to previous information	A
			I had a navigation difficulty not listed above:	C
			I had no difficulty navigating/browsing on this site
ACQCol0005150	C	Please describe your navigation issue:			Text area, no char limit		N	Skip Logic Group	Other Nav Problems
ACQCol0005151	A	Please describe any specific navigation links or paths that did not take you where they should have?			Text area, no char limit		N	Skip Logic Group	Links/Paths Difficulty
ACQCol0005152	B	What specific links/labels were difficult to understand?			Text area, no char limit		N	Skip Logic Group	Links/Labels Difficulty
ACQCol0005153		Did you use the search feature during your visit today?	Yes	A	Radio button, one-up vertical	Single	Y		Search Usage
			No
			Don't remember
ACQCol0005154	A	Please tell us about your experience with the search feature today. (Select all that apply.)	I had issues with the searching process (how to use it, what to enter).	B	Checkbox, one-up vertical	Multi	Y		Search Experience
			I had issues with the design and layout of the search results (text size, colors).	C
			I had issues with the results of the search.	D
			The search feature met my needs.
			None of these
ACQCol0005155	B	What were your issues with the searching process? (Select all that apply.)	It was not clear how to use the search feature		Checkbox, one-up vertical	Multi	N		Search Process
			I did not know what terms to use to get the results I wanted
			I wanted more advanced search capabilities (exclude certain terms, limit search scope)
			I had a different issue with the searching process:	E
ACQCol0005156	E	My issue was:			Text area, no char limit				Other Search Process
ACQCol0005157	C	What were your issues with the design and layout of the search results? (Select all that apply.)	The link colors were hard to read		Checkbox, one-up vertical	Multi	N		Search Design
			I could not see enough of the descriptions to decide which link to choose
			The text was too small
			The page was too crowded
			I had a different issue with the design and layout of the results:	F
ACQCol0005158	F	My issue was:			Text area, no char limit				Other Search Design
ACQCol0005159	D	What were your issues with the results of the search? (Select all that apply.)	Results were not relevant or not what I wanted		Checkbox, one-up vertical	Multi	N		Search Results
			The order of the results was not what I expected
			There were no results or too few results
			The titles were not helpful
			The descriptions were not helpful
			I could not narrow the results of my search
			I had a different issue with the results of the search:	G
ACQCol0005160	G	My issue was:			Text area, no char limit				Other Search Results
CWS05576		How often have you visited the site in the last six months?	This is my first time		Radio Button One Up Vertical	Single	Y		Frequency
			Two or three times
			Four or five times
			A few times a week
			Daily
			More than once a day
ACQLiv0010110		Which of the following social media platforms have you used in the last 30 days: (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media 30 Days
			Twitter
			LinkedIn
			YouTube
			Google+
			Other
			None of the above
ACQLiv0010119		Which of the following social media platforms do you use for professional purposes: (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media Professional
			Twitter
			LinkedIn
			YouTube
			Google+
			Other
			None of the above
CWS05578		Please rank the top 3 factors that brought you to the website today. (Rank 1 = Most important) Rank 1 (Required)	Message or recommendation from a friend on a social network		Drop down, select one	Single	Y	Rank Group	SV - Rank 1
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05579		Rank 2 (Optional)	Message or recommendation from a friend on a social network		Drop down, select one	Single	N	Rank Group	SV - Rank 2
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05580		Rank 3 (Optional)	Message or recommendation from a friend on a social network		Drop down, select one	Single	N	Rank Group	SV - Rank 3
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05581		If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)			Text area, no char limit		N		SV - Other Social Network
CWS05582		Which best describes your role?	Doctor/Nurse		Radio button, one-up vertical	Single	Y	Skip Logic Group	Role
			Government Employee
			General Public
			Librarian
			Public Health Professional
			Researcher	B, C
			Student
			Teacher/Educator
			Other, please specify:	A
CWS05583	A	Please describe your role:			Text area, no char limit	Single	N	Skip Logic Group	Other Role
ACQDom0006708	B	Please describe the type of research you are doing:			Text area, no char limit	Single	N	Skip Logic Group	OE_Research
ACQDom0006709	C	What additional data or information would you like to see on the healthypeople.gov site?			Text area, no char limit	Single	N	Skip Logic Group	OE_Addtl Research Info
CWS05584		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
CWS05585		How would you describe yourself?	Hispanic or Latino		Checkbox, one-up vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
CWS05586		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
CWS05587		If you could make one improvement to the healthypeople.gov site what would it be?			Text area, no char limit	Single	Y		One Improvement

---

Sheet 7: Custom Qsts (12-30-11)

Healthypeople.gov			red & strike-through: DELETE
			underlined & italicized: RE-ORDER FOR ALPHA
MID:	0R1QM1Y1dtAhdcVsdFNV8g==		pink: ADDITION
Date:	9/15/2010		blue + -->: REWORDING
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
CWS05564		Which of the following best describes the reason for your visit today?	Learn about the Healthy People 2020 objectives		Radio Button One Up Vertical	Single	Y	OPS Group	Reason
			Get ideas on how to achieve the Healthy People 2020 objectives
			Share ideas on how to achieve the Healthy People 2020 objectives
			Get data on the Healthy People 2020 objectives
			Download Healthy People publications
			Review 2010 Healthy People objectives/results
			Get information for a school project/school assignment
			Other, please specify:	A
CWS05565	A	Other reason for your visit			Text area, no char limit	Single	N	OPS Group	Other Reason
CWS05566		Were you able to find what you were looking for?	Yes		Radio button, one-up vertical	Single	Y	OPS Group	Find
			no, please specify what you were unable to find	A
CWS05567	A	No, please specify:			Text area, no char limit	Single	N	OPS Group	Did Not Find
CWS05568		After using the healthypeople.gov website today, how likely are you to do one of the following activities: (Please select all that apply)	Bookmark this page for later use		Checkbox One Up Vertical	Multi	Y	OPS Group	After Visit Activities
			Do additional research online
			Download content to a portable device, like a mobile phone, PDA, or ipod
			Email the information to a colleague/co-worker
			Connect or collaborate with another organization working to meet Healthypeople objectives
			Print the information and share it
			Make a plan for achieving a Healthy People objective
			Other, please specify:	A
CWS05569	A	Other activity:			Text area, no char limit		N	OPS Group	Other Activity
ACQCol0005149		How would you describe your navigation experience on this site today? (Please select all that apply.)	Links often did not take me where I expected	A	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Navigation Problems
			Had difficulty finding relevant information/products
			Links/labels are difficult to understand	B
			Too many links/navigational options to choose from
			Had technical difficulties (error messages, broken links, etc.)
			Could not navigate back to previous information	A
			I had a navigation difficulty not listed above:	C
			I had no difficulty navigating/browsing on this site
ACQCol0005150	C	Please describe your navigation issue:			Text area, no char limit		N	Skip Logic Group	Other Nav Problems
ACQCol0005151	A	Please describe any specific navigation links or paths that did not take you where they should have?			Text area, no char limit		N	Skip Logic Group	Links/Paths Difficulty
ACQCol0005152	B	What specific links/labels were difficult to understand?			Text area, no char limit		N	Skip Logic Group	Links/Labels Difficulty
ACQCol0005153		Did you use the search feature during your visit today?	Yes	A	Radio button, one-up vertical	Single	Y		Search Usage
			No
			Don't remember
ACQCol0005154	A	Please tell us about your experience with the search feature today. (Select all that apply.)	I had issues with the searching process (how to use it, what to enter).	B	Checkbox, one-up vertical	Multi	Y		Search Experience
			I had issues with the design and layout of the search results (text size, colors).	C
			I had issues with the results of the search.	D
			The search feature met my needs.
			None of these
ACQCol0005155	B	What were your issues with the searching process? (Select all that apply.)	It was not clear how to use the search feature		Checkbox, one-up vertical	Multi	N		Search Process
			I did not know what terms to use to get the results I wanted
			I wanted more advanced search capabilities (exclude certain terms, limit search scope)
			I had a different issue with the searching process:	E
ACQCol0005156	E	My issue was:			Text area, no char limit				Other Search Process
ACQCol0005157	C	What were your issues with the design and layout of the search results? (Select all that apply.)	The link colors were hard to read		Checkbox, one-up vertical	Multi	N		Search Design
			I could not see enough of the descriptions to decide which link to choose
			The text was too small
			The page was too crowded
			I had a different issue with the design and layout of the results:	F
ACQCol0005158	F	My issue was:			Text area, no char limit				Other Search Design
ACQCol0005159	D	What were your issues with the results of the search? (Select all that apply.)	Results were not relevant or not what I wanted		Checkbox, one-up vertical	Multi	N		Search Results
			The order of the results was not what I expected
			There were no results or too few results
			The titles were not helpful
			The descriptions were not helpful
			I could not narrow the results of my search
			I had a different issue with the results of the search:	G
ACQCol0005160	G	My issue was:			Text area, no char limit				Other Search Results
CWS05576		How often have you visited the site in the last six months?	This is my first time		Radio Button One Up Vertical	Single	Y		Frequency
			Two or three times
			Four or five times
			A few times a week
			Daily
			More than once a day
CWS05577		Which of the following social media do you use regularly (at least once a month)? (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media
			Twitter
			LinkedIn
			Blogs
			None of the above
		Which of the following social media platforms have you used in the last 30 days: (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media 30 Days
			Twitter
			LinkedIn
			YouTube
			Google+
			Other
			None of the above
		Which of the following social media platforms do you use for professional purposes: (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media Professional
			Twitter
			LinkedIn
			YouTube
			Google+
			Other
			None of the above
CWS05578		Please rank the top 3 factors that brought you to the website today. (Rank 1 = Most important) Rank 1 (Required)	Message or recommendation from a friend on a social network		Drop down, select one	Single	Y	Rank Group	SV - Rank 1
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05579		Rank 2 (Optional)	Message or recommendation from a friend on a social network		Drop down, select one	Single	N	Rank Group	SV - Rank 2
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05580		Rank 3 (Optional)	Message or recommendation from a friend on a social network		Drop down, select one	Single	N	Rank Group	SV - Rank 3
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05581		If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)			Text area, no char limit		N		SV - Other Social Network
CWS05582		Which best describes your role?	Doctor/Nurse		Radio button, one-up vertical	Single	Y	Skip Logic Group	Role
			Government Employee
			General Public
			Librarian
			Public Health Professional
			Researcher	B, C
			Student
			Teacher/Educator
			Other, please specify:	A
CWS05583	A	Please describe your role:			Text area, no char limit	Single	N	Skip Logic Group	Other Role
ACQDom0006708	B	Please describe the type of research you are doing:			Text area, no char limit	Single	N	Skip Logic Group	OE_Research
ACQDom0006709	C	What additional data or information would you like to see on the healthypeople.gov site?			Text area, no char limit	Single	N	Skip Logic Group	OE_Addtl Research Info
CWS05584		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
CWS05585		How would you describe yourself?	Hispanic or Latino		Checkbox, one-up vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
CWS05586		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
ACQCol0005161		In what language do you prefer to read website content?	English		Radio button, one-up vertical	Single	N		Language
			Spanish
			French
			Other, please specify:	A
ACQCol0005163	A	Other language:							Other Language
CWS05587		If you could make one improvement to the healthypeople.gov site what would it be?			Text area, no char limit	Single	Y		One Improvement

---

Sheet 8: Custom Qsts (8-5-11)

Healthypeople.gov			red & strike-through: DELETE
			underlined & italicized: RE-ORDER FOR ALPHA
MID:	0R1QM1Y1dtAhdcVsdFNV8g==		pink: ADDITION
Date:	9/15/2010		blue + -->: REWORDING
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
CWS05564		Which of the following best describes the reason for your visit today?	Learn about the Healthypeople 2020 objectives		Radio Button One Up Vertical	Single	Y	OPS Group	Reason
			Get ideas on how to achieve the Healthypeople 2020 objectives
			Share ideas on how to achieve the Healthypeople 2020 objectives
			Get data on the Healthypeople 2020 objectives
			Download Healthypeople publications
			Review 2010 Healthy People objectives/results
			Get information for a school project/school assignment
			Other, please specify:	A
CWS05565	A	Other reason for your visit			Text area, no char limit	Single	N	OPS Group	Other Reason
CWS05566		Were you able to find what you were looking for?	Yes		Radio button, one-up vertical	Single	Y	OPS Group	Find
			no, please specify what you were unable to find	A
CWS05567	A	No, please specify:			Text area, no char limit	Single	N	OPS Group	Did Not Find
CWS05568		After using the Healthypeople website today, how likely are you to do one of the following activities: (Please select all that apply)	Bookmark this page for later use		Checkbox One Up Vertical	Multi	Y	OPS Group	After Visit Activities
			Do additional research online
			Download content to a portable device, like a mobile phone, PDA, or ipod
			Email the information to a colleague/co-worker
			Connect or collaborate with another organization working to meet Healthypeople objectives
			Print the information and share it
			Make a plan for achieving a Healthy People objective
			Other, please specify:	A
CWS05569	A	Other activity:			Text area, no char limit		N	OPS Group	Other Activity
ACQCol0005149		How would you describe your navigation experience on this site today? (Please select all that apply.)	Links often did not take me where I expected	A	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Navigation Problems
			Had difficulty finding relevant information/products
			Links/labels are difficult to understand	B
			Too many links/navigational options to choose from
			Had technical difficulties (error messages, broken links, etc.)
			Could not navigate back to previous information	A
			I had a navigation difficulty not listed above:	C
			I had no difficulty navigating/browsing on this site
ACQCol0005150	C	Please describe your navigation issue:			Text area, no char limit		N	Skip Logic Group	Other Nav Problems
ACQCol0005151	A	Please describe any specific navigation links or paths that did not take you where they should have?			Text area, no char limit		N	Skip Logic Group	Links/Paths Difficulty
ACQCol0005152	B	What specific links/labels were difficult to understand?			Text area, no char limit		N	Skip Logic Group	Links/Labels Difficulty
ACQCol0005153		Did you use the search feature during your visit today?	Yes	A	Radio button, one-up vertical	Single	Y		Search Usage
			No
			Don't remember
ACQCol0005154	A	Please tell us about your experience with the search feature today. (Select all that apply.)	I had issues with the searching process (how to use it, what to enter).	B	Checkbox, one-up vertical	Multi	Y		Search Experience
			I had issues with the design and layout of the search results (text size, colors).	C
			I had issues with the results of the search.	D
			The search feature met my needs.
			None of these
ACQCol0005155	B	What were your issues with the searching process? (Select all that apply.)	It was not clear how to use the search feature		Checkbox, one-up vertical	Multi	N		Search Process
			I did not know what terms to use to get the results I wanted
			I wanted more advanced search capabilities (exclude certain terms, limit search scope)
			I had a different issue with the searching process:	E
ACQCol0005156	E	My issue was:			Text area, no char limit				Other Search Process
ACQCol0005157	C	What were your issues with the design and layout of the search results? (Select all that apply.)	The link colors were hard to read		Checkbox, one-up vertical	Multi	N		Search Design
			I could not see enough of the descriptions to decide which link to choose
			The text was too small
			The page was too crowded
			I had a different issue with the design and layout of the results:	F
ACQCol0005158	F	My issue was:			Text area, no char limit				Other Search Design
ACQCol0005159	D	What were your issues with the results of the search? (Select all that apply.)	Results were not relevant or not what I wanted		Checkbox, one-up vertical	Multi	N		Search Results
			The order of the results was not what I expected
			There were no results or too few results
			The titles were not helpful
			The descriptions were not helpful
			I could not narrow the results of my search
			I had a different issue with the results of the search:	G
ACQCol0005160	G	My issue was:			Text area, no char limit				Other Search Results
CWS05576		How often have you visited the site in the last six months?	This is my first time		Radio Button One Up Vertical	Single	Y		Frequency
			Two or three times
			Four or five times
			A few times a week
			Daily
			More than once a day
CWS05577		Which of the following social media do you use regularly (at least once a month)? (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media
			Twitter
			LinkedIn
			Blogs
			None of the above
CWS05578		Please rank the top 3 factors that brought you to the website today. (Rank 1 = Most important) Rank 1 (Required)	Message or recommendation from a friend on a social network		Drop down, select one	Single	Y	Rank Group	SV - Rank 1
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05579		Rank 2 (Optional)	Message or recommendation from a friend on a social network		Drop down, select one	Single	N	Rank Group	SV - Rank 2
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05580		Rank 3 (Optional)	Message or recommendation from a friend on a social network		Drop down, select one	Single	N	Rank Group	SV - Rank 3
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05581		If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)			Text area, no char limit		N		SV - Other Social Network
CWS05582		Which best describes your role?	Doctor/Nurse		Radio button, one-up vertical	Single	Y	Skip Logic Group	Role
			Government Employee
			General Public
			Librarian
			Public Health Professional
			Researcher	B, C
			Student
			Teacher/Educator
			Other, please specify:	A
CWS05583	A	Other role			Text area, no char limit	Single	N	Skip Logic Group	Other Role
	B	Please describe the type of research you are doing:			Text area, no char limit	Single	N	Skip Logic Group	OE_Research
	C	What additional data or information would you like to see on the HealthyPeople 2020 site?			Text area, no char limit	Single	N	Skip Logic Group	OE_Addtl Research Info
CWS05584		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
CWS05585		How would you describe yourself?	Hispanic or Latino		Checkbox, one-up vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
CWS05586		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
ACQCol0005161		In what language do you prefer to read website content?	English		Radio button, one-up vertical	Single	N		Language
			Spanish
			French
			Other, please specify:	A
ACQCol0005163	A	Other language:							Other Language
CWS05587		If you could make one improvement to the Healthypeople site what would it be?			Text area, no char limit	Single	Y		One Improvement

---

Sheet 9: Custom Qsts (6-9-11)

Healthypeople.gov			red & strike-through: DELETE
			underlined & italicized: RE-ORDER FOR ALPHA
MID:	0R1QM1Y1dtAhdcVsdFNV8g==		pink: ADDITION
Date:	9/15/2010		blue + -->: REWORDING
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
CWS05564		Which of the following best describes the reason for your visit today?	Learn about the Healthypeople 2020 objectives		Radio Button One Up Vertical	Single	Y	OPS Group	Reason
			Get ideas on how to achieve the Healthypeople 2020 objectives
			Share ideas on how to achieve the Healthypeople 2020 objectives
			Get data on the Healthypeople 2020 objectives
			Download Healthypeople publications
			Review 2010 Healthy People objectives/results
			Get information for a school project/school assignment
			Other, please specify:	A
CWS05565	A	Other reason for your visit			Text area, no char limit	Single	N	OPS Group	Other Reason
CWS05566		Were you able to find what you were looking for?	Yes		Radio button, one-up vertical	Single	Y	OPS Group	Find
			no, please specify what you were unable to find	A
CWS05567	A	No, please specify:			Text area, no char limit	Single	N	OPS Group	Did Not Find
CWS05568		After using the Healthypeople website today, how likely are you to do one of the following activities: (Please select all that apply)	Bookmark this page for later use		Checkbox One Up Vertical	Multi	Y	OPS Group	After Visit Activities
			Do additional research online
			Download content to a portable device, like a mobile phone, PDA, or ipod
			Email the information to a colleague/co-worker
			Connect or collaborate with another organization working to meet Healthypeople objectives
			Print the information and share it
			Make a plan for achieving a Healthy People objective
			Other, please specify:	A
CWS05569	A	Other activity:			Text area, no char limit		N	OPS Group	Other Activity
ACQCol0005149		How would you describe your navigation experience on this site today? (Please select all that apply.)	Links often did not take me where I expected	A	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Navigation Problems
			Had difficulty finding relevant information/products
			Links/labels are difficult to understand	B
			Too many links/navigational options to choose from
			Had technical difficulties (error messages, broken links, etc.)
			Could not navigate back to previous information	A
			I had a navigation difficulty not listed above:	C
			I had no difficulty navigating/browsing on this site
ACQCol0005150	C	Please describe your navigation issue:			Text area, no char limit		N	Skip Logic Group	Other Nav Problems
ACQCol0005151	A	Please describe any specific navigation links or paths that did not take you where they should have?			Text area, no char limit		N	Skip Logic Group	Links/Paths Difficulty
ACQCol0005152	B	What specific links/labels were difficult to understand?			Text area, no char limit		N	Skip Logic Group	Links/Labels Difficulty
ACQCol0005153		Did you use the search feature during your visit today?	Yes	A	Radio button, one-up vertical	Single	Y		Search Usage
			No
			Don't remember
ACQCol0005154	A	Please tell us about your experience with the search feature today. (Select all that apply.)	I had issues with the searching process (how to use it, what to enter).	B	Checkbox, one-up vertical	Multi	Y		Search Experience
			I had issues with the design and layout of the search results (text size, colors).	C
			I had issues with the results of the search.	D
			The search feature met my needs.
			None of these
ACQCol0005155	B	What were your issues with the searching process? (Select all that apply.)	It was not clear how to use the search feature		Checkbox, one-up vertical	Multi	N		Search Process
			I did not know what terms to use to get the results I wanted
			I wanted more advanced search capabilities (exclude certain terms, limit search scope)
			I had a different issue with the searching process:	E
ACQCol0005156	E	My issue was:			Text area, no char limit				Other Search Process
ACQCol0005157	C	What were your issues with the design and layout of the search results? (Select all that apply.)	The link colors were hard to read		Checkbox, one-up vertical	Multi	N		Search Design
			I could not see enough of the descriptions to decide which link to choose
			The text was too small
			The page was too crowded
			I had a different issue with the design and layout of the results:	F
ACQCol0005158	F	My issue was:			Text area, no char limit				Other Search Design
ACQCol0005159	D	What were your issues with the results of the search? (Select all that apply.)	Results were not relevant or not what I wanted		Checkbox, one-up vertical	Multi	N		Search Results
			The order of the results was not what I expected
			There were no results or too few results
			The titles were not helpful
			The descriptions were not helpful
			I could not narrow the results of my search
			I had a different issue with the results of the search:	G
ACQCol0005160	G	My issue was:			Text area, no char limit				Other Search Results
CWS05576		How often have you visited the site in the last six months?	This is my first time		Radio Button One Up Vertical	Single	Y		Frequency
			Two or three times
			Four or five times
			A few times a week
			Daily
			More than once a day
CWS05577		Which of the following social media do you use regularly (at least once a month)? (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media
			Twitter
			LinkedIn
			Blogs
			None of the above
CWS05578		Please rank the top 3 factors that brought you to the website today. (Rank 1 = Most important) Rank 1 (Required)	Message or recommendation from a friend on a social network		Drop down, select one	Single	Y	Rank Group	SV - Rank 1
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05579		Rank 2 (Optional)	Message or recommendation from a friend on a social network		Drop down, select one	Single	N	Rank Group	SV - Rank 2
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05580		Rank 3 (Optional)	Message or recommendation from a friend on a social network		Drop down, select one	Single	N	Rank Group	SV - Rank 3
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05581		If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)			Text area, no char limit		N		SV - Other Social Network
CWS05582		Which best describes your role?	Doctor/Nurse/Health Care Provider		Radio button, one-up vertical	Single	Y	OPS Group	Role
			Government Employee
			General Public
			Librarian
			Public Health Professional
			Researcher
			Student/Faculty
			Student
			Teacher/Educator
			Other, please specify:	A
CWS05583	A	Other role			Text area, no char limit	Single	N	OPS Group	Other Role
CWS05584		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
CWS05585		How would you describe yourself?	Hispanic or Latino		Checkbox, one-up vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
CWS05586		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
ACQCol0005161		In what language do you prefer to read website content?	English		Radio button, one-up vertical	Single	N		Language
			Spanish
			French
			Other, please specify:	A
ACQCol0005163	A	Other language:							Other Language
CWS05587		If you could make one improvement to the Healthypeople site what would it be?			Text area, no char limit	Single	Y		One Improvement

---

Sheet 10: Custom Qsts (5-5-11)

Healthypeople.gov			red & strike-through: DELETE
			underlined & italicized: RE-ORDER FOR ALPHA
MID:	0R1QM1Y1dtAhdcVsdFNV8g==		pink: ADDITION
Date:	9/15/2010		blue + -->: REWORDING
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
CWS05564		Which of the following best describes the reason for your visit today?	Learn about the Healthypeople 2020 objectives		Radio Button One Up Vertical	Single	Y	OPS Group	Reason
			Get ideas on how to achieve the Healthypeople 2020 objectives
			Share ideas on how to achieve the Healthypeople 2020 objectives
			Get data on the Healthypeople 2020 objectives
			Download Healthypeople publications
			Review 2010 Healthy People objectives/results
			Get information for a school project/school assignment
			Other, please specify:	A
CWS05565	A	Other reason for your visit			Text area, no char limit	Single	N	OPS Group	Other Reason
CWS05566		Were you able to find what you were looking for?	Yes		Radio button, one-up vertical	Single	Y	OPS Group	Find
			no, please specify what you were unable to find	A
CWS05567	A	No, please specify:			Text area, no char limit	Single	N	OPS Group	Did Not Find
CWS05568		After using the Healthypeople website today, how likely are you to do one of the following activities: (Please select all that apply)	Bookmark this page for later use		Checkbox One Up Vertical	Multi	Y	OPS Group	After Visit Activities
			Do additional research online
			Download content to a portable device, like a mobile phone, PDA, or ipod
			Email the information to a colleague/co-worker
			Connect or collaborate with another organization working to meet Healthypeople objectives
			Print the information and share it
			Make a plan for achieving a Healthy People objective
			Other, please specify:	A
CWS05569	A	Other activity:			Text area, no char limit		N	OPS Group	Other Activity
CWS05570		Did you have any difficulty while looking for information on the Healthypeople site?	Yes	B				Skip Logic Group
			No
CWS05571	B	Which of the following difficulties did you have while on the Healthypeople site today?	Could not navigate back to previous information		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Nav Problems
			Had difficulty finding detailed information
			Had technical difficulties (error messages, broken links, etc)
			Links did not take me where I expected
			Links/labels are difficult to understand
			Too many links or navigational choices
			Other, please specify:	C
CWS05572	C	Other Navigational difficulty, please specify			Text area, no char limit	Single	N	Skip Logic Group	Other Nav Problems
EDO08509		How would you describe your navigation experience on this site today? (Please select all that apply.)	I had no difficulty navigating/browsing on this site		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Navigation Problems
			Links often did not take me where I expected	A
			Had difficulty finding relevant information/products
			Links/labels are difficult to understand	B
			Too many links/navigational options to choose from
			Had technical difficulties (error messages, broken links, etc.)
			Could not navigate back to previous information	A
			I had a navigation difficulty not listed above:	C
EDO08510	C	Please describe your navigation issue:	Open-ended		Text area, no char limit		N	Skip Logic Group	Other Nav Problems
EDO08511	A	Please describe any specific navigation links or paths that did not take you where they should have?	Open-ended		Text area, no char limit		N	Skip Logic Group	Links/Paths Difficulty
EDO08512	B	What specific links/labels were difficult to understand?	Open-ended		Text area, no char limit		N	Skip Logic Group	Links/Labels Difficulty
CWS05573		Did you use the Search feature today?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Usage
			No
CWS05574	A	Which of the following best describes your experience with the search feature?	Search worked well/returned the results I needed		Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Experience
			I was not sure what words to use in my search
			Results were not relevant to my search terms or needs
			Returned results that were similar/redundant
			Returned too many results
			Search returned no results at all
			The organization of the results was confusing
			Other, please specify:	B
CWS05575	B	Other Search experience, please specify						Skip Logic Group	Other Search Experience
		Did you use the search feature during your visit today?	Yes	A	Radio button, one-up vertical	Single	Y		Search Usage
			No
			Don't remember
	A	Please tell us about your experience with the search feature today. (Select all that apply.)	I had issues with the searching process (how to use it, what to enter).	B	Checkbox, one-up vertical	Multi	Y		Search Experience
			I had issues with the design and layout of the search results (text size, colors).	C
			I had issues with the results of the search.	D
			The search feature met my needs.
			None of these
	B	What were your issues with the searching process? (Select all that apply.)	It was not clear how to use the search feature		Checkbox, one-up vertical	Multi	N		Search Process
			I did not know what terms to use to get the results I wanted
			I wanted more advanced search capabilities (exclude certain terms, limit search scope)
			I had a different issue with the searching process:	E
	E	My issue was:			Text area, no char limit				Other Search Process
	C	What were your issues with the design and layout of the search results? (Select all that apply.)	The link colors were hard to read		Checkbox, one-up vertical	Multi	N		Search Design
			I could not see enough of the descriptions to decide which link to choose
			The text was too small
			The page was too crowded
			I had a different issue with the design and layout of the results:	F
	F	My issue was:			Text area, no char limit				Other Search Design
	D	What were your issues with the results of the search? (Select all that apply.)	Results were not relevant or not what I wanted		Checkbox, one-up vertical	Multi	N		Search Results
			The order of the results was not what I expected
			There were no results or too few results
			The titles were not helpful
			The descriptions were not helpful
			I could not narrow the results of my search
			I had a different issue with the results of the search:	G
	G	My issue was:			Text area, no char limit				Other Search Results
CWS05576		How often have you visited the site in the last six months?	This is my first time		Radio Button One Up Vertical	Single	Y		Frequency
			Two or three times
			Four or five times
			A few times a week
			Daily
			More than once a day
CWS05577		Which of the following social media do you use regularly (at least once a month)? (Please select all that apply)	Facebook		Checkbox, one-up vertical	Multi	N		Social Media
			Twitter
			LinkedIn
			Discussion boards
			Blogs
			None of the above
CWS05578		Please rank the top 3 factors that brought you to the website today. (Rank 1 = Most important) Rank 1 (Required)	Message or recommendation from a friend on a social network		Drop down, select one	Single	Y	Rank Group	SV - Rank 1
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05579		Rank 2 (Optional)	Message or recommendation from a friend on a social network		Drop down, select one	Single	N	Rank Group	SV - Rank 2
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05580		Rank 3 (Optional)	Message or recommendation from a friend on a social network		Drop down, select one	Single	N	Rank Group	SV - Rank 3
			Video I saw on YouTube
			Internet blogs or discussion forums					Adjust Template/Style Sheet
			Advertising on social networks (Facebook, My Space, Twitter)					Randomize
			Message directly from Healthypeople on a social network
			Instant Message from a friend or colleague
			Familiarity with site
			Search engine results
			Word of mouth recommendation from someone I know
			TV, radio, newspaper, or magazine advertising
			Internet advertising
			Conference/presentation
			Don't know					Anchor Answer Choice
			Other					Anchor Answer Choice
CWS05581		If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter)			Text area, no char limit		N		SV - Other Social Network
CWS05582		Which best describes your role?	Doctor/Nurse/Health Care Provider		Radio button, one-up vertical	Single	Y	OPS Group	Role
			Government Employee
			General Public
			Librarian
			Public Health Professional
			Researcher
			Student/Faculty
			Other, please specify:	A
CWS05583	A	Other role			Text area, no char limit	Single	N	OPS Group	Other Role
CWS05584		How old are you?	19 or under		Dropdown (Select-one)	Single	Y		Age
			20-34 years old
			35-49 years old
			50-64 years old
			65 or older
			Prefer not to answer
CWS05585		How would you describe yourself?	Hispanic or Latino		Checkbox, one-up vertical	Multi	Y		Ethnicity
			Black or African American
			White
			Asian
			American Indian or Alaska Native
			Native Hawaiian or Other Pacific Islander
			Prefer not to answer
CWS05586		What is the highest level of education you have completed?	High school or less		Radio Button One Up Vertical	Single	Y		Education
			Some college
			College degree
			Advanced degree
			Prefer not to answer
		In what language do you prefer to read website content?	English		Radio button, one-up vertical	Single	N		Language
			Spanish
			French
			Other, please specify:	A
	A	Other language:							Other Language
CWS05587		If you could make one improvement to the Healthypeople site what would it be?			Text area, no char limit	Single	Y		One Improvement