ODPHP: Site-Level Survey Question Bank
OMB Control Number: 0990-0379
Please help us improve [website]
<Yes, I’ll help button> <No Thanks button>
Note: Please see screenshot example in Attachment D
Form Approved OMB# 0990-0379 Exp. Date 8/31/2017
Will you please take a few minutes to let us know what we can do to improve our website? Click "Next" to participate in this quick survey.
<Next Page button>
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
1. Overall, how would you rate your experience on the site today?
1 - Poor |
2 |
3 |
4 |
5 - Excellent |
2. What do you like best about this site?
The site is up to date
The content is accurate
The content is well written
The content easy to understand
Tools and resources are helpful and easy to use
The design has the right look and feel
The site is easy to navigate
None of the above
4. How well do you think [insert site name] achieves this goal?
1 - Not at all |
2 |
3 |
4 |
5 - Very well |
User Profile
5. I am a… (Please select all that apply.)
<answers for HP>
Student
Public health professional
Doctor, nurse, or other medical professional
Teacher or educator
Researcher
Federal government employee
State or local health official or employee
Other: ___________________________
<answers for healthfinder.gov>
Member of the general public
Doctor, nurse, or other medical professional
Public health professional
Librarian, researcher, or educator
Student
Other: ____________________________
<answers for health.gov>
Member of the general public
Doctor, nurse, dietitian, or other clinical practitioner
Public health professional
Non-governmental organization employee
Federal government employee
State or local government employee
Researcher, educator, or student
Fitness or exercise specialist
Member of the PAG Supporter Network
Other: ____________________________
6. How frequently do you visit [insert site name]?
This is my first visit
A few times a year
Monthly
Weekly
Daily/more than once a day
7. Today, I visited [insert site name] to get information for: (Please select all that apply.)
Myself
8. Did you have any technical issues on the site today?
Yes
No
I’m not sure
9. [If yes to question above] Please describe the problem (such as page display problem, broken link, slow page load, errors on page, inaccurate content).
10. What were you looking for on [insert site name] today? (Please select all that apply.)
Information about [insert site name] or job openings
Trainings, tools, or resources
I had nothing specific in mind when I came to the website today.
Other: ____________________________
11. Tell us more about what you were looking for. (Please select all that apply)
<answers for HealthyPeople.gov>
Healthy People 2020 topic areas and objectives
National data for specific objectives
State data for specific objectives
State Healthy People plans
Leading Health Indicators
Information about events, such as webinars
Evidence-based resources
Ideas on how to achieve Healthy People 2020 objectives
Opportunities to get involved
Information for a school project or assignment
Healthy People 2010 objectives or results
Nothing in particular; I was just browsing
Other: ____________________________
<answers for healthfinder.gov>
General health information
Specific disease or health condition information
National Health Observances
Health insurance information
Nothing in particular; I was just browsing
Other: ____________________________
<answers for health.gov>
Health insurance
Information about the Dietary Guidelines for Americans
Information about nutrition and diet
Information about the Physical Activity Guidelines for Americans
Information about physical activity
Information about health communications
Information about patient safety
News and updates about ODPHP
Nothing in particular; I was just browsing
Other: ____________________________
Very useful
Fairly useful
Not so useful
13. Are there other features or information you would like to see on [website]?
14. How long did it take to find the information?
No time at all
A few minutes
A long time
15. The information on this site is...
1 - Hard to understand |
2 |
3 |
4 |
5 - Easy to understand |
16. How easy or hard is it to use this site?
1 - Very hard to use |
2 |
3 |
4 |
5 - Very easy to use |
17. I like the way this site is designed.
1 - Strongly disagree |
2 |
3 |
4 |
5 - Strongly agree |
18. I think there is a good balance of [graphics/pictures] and text on this site.
1 - Strongly disagree |
2 |
3 |
4 |
5 - Strongly agree |
19. This site’s organization is:
1 - Poor |
2 |
3 |
4 |
5 - Excellent |
20. How easy or difficult is it to find the information you are looking for?
1 - Very difficult |
2 |
3 |
4 |
5 - Very easy |
21. If there was information you were looking for and couldn’t find on [insert site name], please tell us what it was.
22. I had trouble viewing content on this site.
1 - Strongly disagree |
2 |
3 |
4 |
5 - Strongly agree |
23. The information on this site is relevant and up to date.
1 - Strongly disagree |
2 |
3 |
4 |
5 - Strongly agree |
24. The accuracy of the information on this site is:
1 - Poor |
2 |
3 |
4 |
5 - Excellent |
25. The quality of information on this site is:
1 - Poor |
2 |
3 |
4 |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Jennifer Barone |
File Modified | 0000-00-00 |
File Created | 2021-01-25 |