Form Approved
OMB No. 0990-0379
Exp. Date 08/31/2017
TRACIE Website User Feedback Survey
What was the purpose of your most recent visit to the TRACIE website? ________________________________________________________
Using the following scale, how satisfied were you with your most recent visit?
1 |
Very Dissatisfied |
2 |
Dissatisfied |
3 |
Neither Dissatisfied nor Satisfied |
4 |
Satisfied |
5 |
Very Satisfied |
If you were looking for specific information during your most recent visit, did you find it?
Yes
Partially
No
I was just browsing
If you found all or some of the information you were looking for, was it helpful?
Yes
No
I’m not sure
Please explain your answer to let us know why this information was/was not helpful.
Using the following scale, please indicate how much you agree or disagree with the following statements:
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1 |
Very Dissatisfied |
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2 |
Dissatisfied |
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3 |
Neither Dissatisfied nor Satisfied |
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4 |
Satisfied |
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5 |
Very Satisfied |
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How satisfied are you with the TRACIE website’s organization? |
1 |
2 |
3 |
4 |
5 |
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How satisfied are you with your ability to navigate the TRACIE website? |
1 |
2 |
3 |
4 |
5 |
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How satisfied are you with the TRACIE website’s search engine? |
1 |
2 |
3 |
4 |
5 |
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How satisfied are you with the Assistance Center component of the website? |
1 |
2 |
3 |
4 |
5 |
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How satisfied are you with the Information Exchange component of the website? |
1 |
2 |
3 |
4 |
5 |
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Overall, how satisfied are you with the TRACIE website? |
1 |
2 |
3 |
4 |
5 |
Please explain your response to the question above. _____________________________________________________________
Would you recommend the TRACIE website to a colleague?
Definitely
Probably
I’m not sure
Probably Not
Definitely Not
How can the TRACIE website be improved? _____________________________________________________________
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379 . The time required to complete this information collection is estimated to average 5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer
File Type | application/msword |
File Title | According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it di |
Author | DHHS |
Last Modified By | Bonny Bloodgood |
File Modified | 2015-04-07 |
File Created | 2015-04-07 |