TRACIE Technical Assistance User Feedback Survey

Form Approved

OMB No. 0990-0391

Exp. Date XX/XX/20XX

ASPR TRACIE Technical Assistance User Feedback Survey

1. Which ASPR TRACIE services have you used? (Select all that apply)

TRACIE Website

TRACIE Listserv

TRACIE Newsletter

Technical Resources

Assistance Center

Information Exchange

None [END SURVEY]

[Survey programming note: Create skip patterns so participants only complete the sections of the survey that relate to the services that they use.]

TRACIE WEBSITE FEEDBACK

[This section is for those participants who indicated that they used the ASPR TRACIE website.]

2. Using the following scale, please indicate how much you agree or disagree with the following statements:

		1	Very Dissatisfied
		2	Dissatisfied
		3	Neither Dissatisfied nor Satisfied
		4	Satisfied
		5	Very Satisfied
How satisfied were you with the ASPR TRACIE website’s organization?						1	2	3	4	5
How satisfied were you with your ability to navigate the ASPR TRACIE website?						1	2	3	4	5
How satisfied were you with the ASPR TRACIE website’s search engine?						1	2	3	4	5
Overall, how satisfied were you with the ASPR TRACIE website?						1	2	3	4	5

3. Please explain your response to the question above. ____________________________________________________________

TRACIE LISTSERV FEEDBACK

[This section is for those participants who indicated that they used the ASPR TRACIE listserv.]

4. Using the following scale, please indicate how much you agree or disagree with the following statements:

		1	Very Dissatisfied
		2	Dissatisfied
		3	Neither Dissatisfied nor Satisfied
		4	Satisfied
		5	Very Satisfied
Overall, how satisfied were you with the quality of the information on the ASPR TRACIE listserv?						1	2	3	4	5

5. Please explain your response to the question above. ____________________________________________________________

6. How frequently do you think messages are sent on the ASPR TRACIE listserv?

   		1	Too frequently
   		2	Just right
   		3	Too infrequently

7. Are there any topics that you would like covered by the ASPR TRACIE listserv? ____________________________________________________________

TRACIE NEWSLETTER FEEDBACK

[This section is for those participants who indicated that they used the ASPR TRACIE newsletter.]

8. Using the following scale, please indicate how much you agree or disagree with the following statements:

		1	Very Dissatisfied
		2	Dissatisfied
		3	Neither Dissatisfied nor Satisfied
		4	Satisfied
		5	Very Satisfied
Overall, how satisfied were you with the quality of the information in the ASPR TRACIE newsletter?						1	2	3	4	5

9. Please explain your response to the question above. ____________________________________________________________

10. Do you consider the ASPR TRACIE newsletter to be:...?

    		1	Too long
    		2	Just right
    		3	Too short

11. Are there any topics that you would like covered by the ASPR TRACIE newsletter? ____________________________________________________________

TECHNICAL RESOURCES FEEDBACK

[This section is for those participants who indicated that they used the ASPR TRACIE Technical Resources.]

12. Using the following scale, please indicate how much you agree or disagree with the following statements:

1	Very Dissatisfied
2	Dissatisfied
3	Neither Dissatisfied nor Satisfied
4	Satisfied
5	Very Satisfied

How satisfied were you with the Technical Resources component of the website?	1	2	3	4	5
How satisfied were you with your ability to find what you were looking for?	1	2	3	4	5
How satisfied were you with your ability to find new information?	1	2	3	4	5
How satisfied were you with the topics available?	1	2	3	4	5
Overall, how satisfied were you with the ASPR TRACIE Technical Resources?	1	2	3	4	5

13. Please explain your response to the question above. _____________________________________________________________

ASSISTANCE CENTER FEEDBACK

[This section is for those participants who indicated that they used the ASPR TRACIE Assistance Center.]

14. What type of assistance did you request? (Select all that apply)

Policy guidance

Resource availability

Subject matter expertise

TRACIE web assistance

Other: ______________

15. Were you able to receive the assistance you needed?

Yes

No

Not Sure

16. [If responded: No] What assistance did you want, but weren’t able to receive?

_____________________________________________________________

17. Using the following scale, please indicate how much you agree or disagree with the following statements:

1	Very Dissatisfied
2	Dissatisfied
3	Neither Dissatisfied nor Satisfied
4	Satisfied
5	Very Satisfied

How satisfied were you with the Assistance Center component of the website?	1	2	3	4	5
Overall, how satisfied were you with the ASPR TRACIE Assistance Center?	1	2	3	4	5

18. Please explain your response to the question above. _____________________________________________________________

INFORMATION EXCHANGE FEEDBACK

[This section is for those participants who indicated that they used the ASPR TRACIE Information Exchange.]

19. Using the following scale, please indicate how much you agree or disagree with the following statements:

1	Very Dissatisfied
2	Dissatisfied
3	Neither Dissatisfied nor Satisfied
4	Satisfied
5	Very Satisfied

How satisfied were you with the Information Exchange component of the website?	1	2	3	4	5
How satisfied were you with the layout of the Information Exchange?	1	2	3	4	5
How satisfied were you with your ability to find people with similar interests?	1	2	3	4	5
How satisfied were you with your ability to interact with other people?	1	2	3	4	5
How satisfied were you with the quality of interactions you had on the Information Exchange?	1	2	3	4	5
Overall, how satisfied are you with the Information Exchange?	1	2	3	4	5

20. Please explain your response to the question above. _____________________________________________________________

OVERARCHING FEEDBACK

[This section is for all survey respondents who have used ASPR TRACIE.]

21. Has ASPR TRACIE exceeded, met, or failed to meet your expectations?

Exceeded

Met

Failed to meet

Had no expectations

22. [If responded: Failed to meet] In what way did ASPR TRACIE fail to meet your expectations? (Select all that apply)

Information needed was not available

Information was incorrect

Information was not relevant to my need

Response was not complete

Response took too long to receive

Response included errors

Response didn’t answer my question

Response did not provide new information

I was unable to find a person interested in discussing my topic

Discussions were not relevant to my needs

Other:___________________

DEMOGRAPHICS

23. Please select the organization type that best represents the organization you represent.

Federal Government

Hospital

Non-Hospital Healthcare Facility

Individual

Non-Profit/Volunteer Organization

Coalition

State, Local, Tribal, or Territorial Government

Other:___________________

24. Are you a Hospital Preparedness Program grantee?

Yes

No

25. How many years of experience do you have in healthcare system preparedness?

Under 1 year

1-3 years

3-5 years

5-10 years

10+ years

2