Usability testing of a new web portal

Form Approved

OMB No. 0990-0379

Exp. Date XX/XX/20XX

Web-Based Pop-Up Survey of Redesigned Website: ACLDATA.ACL.GOV

1. Is this the first time you have visited ACLDATA.ACL.GOV?

   1. Yes

   2. No

2. Why are you visiting this site today?

   1. Work

   2. School

   3. Just browsing

   4. Other

3. Did you find what you were looking for?

   1. Yes

   2. No

   3. Don’t know

4. Has it been easy to navigate through ACLDATA.ACL.GOV?

   1. Yes

   2. No

   3. Don’t know

5. How likely are you to recommend ACLDATA.ACL.GOV to a friend or colleague?

   1. Very likely

   2. Somewhat likely

   3. Somewhat unlikely

   4. Very unlikely

   5. Don’t know

6. How likely are you to come back to ACLDATA.ACL.GOV in the future?

   1. Very likely

   2. Somewhat likely

   3. Somewhat unlikely

   4. Very unlikely

   5. Don’t know

7. Prior to using ACLDATA.ACL.GOV, had you visited ACL’s previous data site AGID.ACL.GOV?

   1. No, I never visited AGID.ACL.GOV

   2. 1-2 times

   3. 3-10 times

   4. More than 10 times

   5. Don’t know

Thank you!

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 6 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: Administration for Community Living, 330 C ST, S.W., Room 1235B, Washington D.C. 20201, Attention: Office of Performance and Evaluation.