Form 1 Survey Instrument

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

NLM Customer Service Survey Instrument 8.2015

NLM Customer Service Satisfaction Survey

OMB: 0925-0648

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OMB Control Number: 0925-0648
Expiration Date: March 31, 2018
Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive,
MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this address.
The National Library of Medicine (NLM) would like to hear about your recent experience with our customer service department. The
feedback you give will help us make improvements to our service. The survey has up to 9 questions and will take no more than
5 minutes to complete.
If you have any questions about the survey, please use our contact form here: http://apps.nlm.nih.gov/mainweb/siebel/nlm/index.cfm
Click on the “Next” button at the bottom of each screen to go to the next screen and click the "Done" button on the last screen.
Questions marked with an asterisk (*) are required.

* 1. In what role are you asking your question today? Please select the one that best applies.
Patient with a specific disease or condition
Family or friend of a patient
None of the above

* 2. If you answered "None of the Above", please select the role that best applies.

* 3. Why did you contact NLM? (Select all that apply).
I needed information on diseases, conditions or treatments.
I needed information on overall fitness or staying healthy.
I needed information on access or cost of health care.
I needed information on drugs or medications.
I needed information on medical devices.
I needed information on dietary supplements or herbs.
I needed information on clinical trials.
I had a question or comment about MedlinePlus, NIHSeniorHealth, or other NLM health information websites.
Other (please specify)

* 4. Check any of the following NLM resources you used to try to answer your question in addition
to contacting NLM customer service (select all that apply):
PubMed or PubMed Central
MedlinePlus
ClinicalTrials.gov
DailyMed or other NLM Drug Information
None
Other NLM Web pages (please specify)

* 5. Check any of the following non-NLM resources you used to try to answer your question in addition
to contacting NLM customer service (select all that apply):
Internet search engines (such as Google, Bing, and Yahoo)
Health care professional (such as Doctor, Nurse, Pharmacist)
Another library
Social media (such as Facebook, Twitter)
Other health sites (such as WebMD, Mayo Clinic)
Books
Brochures or pamphlets
Family
Friend/Co-worker
Magazines
Newspapers
Telephone information number
Complementary, alternative, or unconventional practitioner
Other government resources (including National Institutes of Health, Food and Drug Administration, Centers for Disease Control)
I didn't use any non-NLM resources.
Other (please specify)

* 6. The information I received in the email response from the National Library of Medicine will help me or a
loved one make a healthcare decision.
Definitely

Probably

Possibly

Probably not

Definitely not

N/A

* 7. The answer I received definitely, probably, or possibly DID contribute to helping me or a loved one make
a healthcare decision because (choose the one best answer):
The answer from NLM repeated information I had from another source.
The answer from NLM was the only one I could find.
The answer from NLM was the best one I could find.
The answer from NLM helped me understand information I received from another source.
Not sure.

* 8. The answer I received DID NOT help me or a loved one make a healthcare decision because (choose the
one best answer):
The answer from NLM was too late to help me make my decision.
The answer from NLM was not as useful as other information I found elsewhere.
I could not understand the information sent from NLM.
Not sure.

9. Is there something else you would like to tell us about NLM's customer service?


File Typeapplication/pdf
File TitleView Survey
File Modified2015-08-23
File Created2015-08-11

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