Form 10 Attachment H One-to One Evaluation Study Questionnaire

Activities Associated with Developing a Web-based Resource for Youth about Clinical Research (NHLBI)

Attachment H_One-to-One Evaluation Study Questionnaire

One-toOne Evaluation Study Questionnaire

OMB: 0925-0729

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Attachment H


One-to-One Evaluation Study Questionnaire




















OMB Control Number: 0925-XXXX Expiration Date: XX/XX/XXXX


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What I think


Instructions: These questions are going to ask about your thoughts on the website you just saw. Please read each statement carefully and select which answer best expresses your own feelings. There are no right or wrong answers.


Feature Stories



Content


Strongly Agree

Agree

Undecided

Disagree

Strongly Disagree


The things I learned in the feature stories were easy to understand.




O




O




O




O




O



The things I learned in the feature stories were interesting to me.




O




O




O




O




O



The things I learned in the feature stories were helpful.




O




O




O




O




O



I had fun learning with the feature stories




O




O




O




O




O



The things I learned in the feature stories are important to me.



O




O




O




O




O



I learned something in the feature stories that I did not know before.




O




O




O




O




O




Content


Too young for me

Just right

for me

Too grown-up for me


I thought that the feature stories were…




O




O




O





Format


Strongly Agree

Agree

Undecided

Disagree

Strongly Disagree


I liked the voices I heard in the feature stories.




O




O




O




O




O



I liked the videos I saw in the feature stories.




O




O




O




O




O



I liked that there were games and activities I could play in the feature stories.




O




O




O




O




O



I liked hearing from kids my age.



O




O




O




O




O



I liked that I could listen to different guides.



O




O




O




O




O





Format


Too short

Just right

Too long



I thought the length of feature stories was…




O




O




O









Usability


Strongly Agree

Agree

Undecided

Disagree

Strongly Disagree


The words in the feature stories were easy for me to understand.




O




O




O




O




O



The directions in the feature stories were easy to follow.




O




O




O




O




O



I found it easy to move through the feature stories.




O




O




O




O




O



It took a long time for pages to load in the feature stories.




O




O




O




O




O




Please tell us a bit more about the feature stories.


  1. What did you like best about the feature stories?







  1. What did you like least about the feature stories?








  1. What would make the feature stories better?







Family spotlights



Content


Strongly Agree

Agree

Undecided

Disagree

Strongly Disagree


The things that the families talked about were easy to understand.




O




O




O




O




O



The things that the families talked about were interesting to me.




O




O




O




O




O



The things that the families talked about were helpful.




O




O




O




O




O



I had fun learning from the families.




O




O




O




O




O



The things that the families talked about are important to me.



O




O




O




O




O



I learned something from the families that I didn’t know before.




O




O




O




O




O




Content


Too young for me

Just right

for me

Too grown-up for me


I thought that things the families talked about were…




O




O




O











Format


Strongly Agree

Agree

Undecided

Disagree

Strongly Disagree


I like watching videos like these.




O




O




O




O




O



I liked that I could watch videos to learn more about the guides.




O




O




O




O




O




Format


Too short

Just right

Too long



I thought the length of the family spotlights was…




O




O




O




Usability


Strongly Agree

Agree

Undecided

Disagree

Strongly Disagree


I could understand what the families were saying. The language used in the family spotlights was easy for me to understand.




O




O




O




O




O



I could figure out how to play the videos.




O




O




O




O




O



I could figure out how to choose a different video to play.



O




O




O




O




O



It took a long time for videos to play.




O




O




O




O




O








Please tell us a bit more about the family spotlights.


  1. What did you like best about the family spotlights?








  1. What did you like least about the family spotlights?







  1. What would make the family spotlights better?





Comic Book



Content


Strongly Agree

Agree

Undecided

Disagree

Strongly Disagree


The things I learned in the comic book were easy to understand.




O




O




O




O




O



The things I learned in the comic book were interesting to me.




O




O




O




O




O



The things I learned in the comic book were helpful.




O




O




O




O




O



The things I learned in the comic book are important to me.



O




O




O




O




O



I learned something from the comic book that I did not know before.




O




O




O




O




O





Content


Too young for me

Just right

for me

Too grown-up for me


I thought that the comic book was…




O




O




O















Format


Strongly Agree

Agree

Undecided

Disagree

Strongly Disagree


I liked the story in the comic book.




O




O




O




O




O



I like the character(s) in the comic book.



O




O




O




O




O



I liked what I could do with the comic book.




O




O




O




O




O





Format


Too short

Just right

Too long



I thought the length of the comic book was…




O




O




O





Usability


Strongly Agree

Agree

Undecided

Disagree

Strongly Disagree


The words used in the comic book were easy for me to understand.




O




O




O




O




O



I could figure out how to make the comic book work.




O




O




O




O




O



I found it easy to move through the comic book.




O




O




O




O




O



It took a long time for comic book to work.




O




O




O




O




O






Please tell us a bit more about the comic book.


  1. What did you like best about the comic book?









  1. What did you like least about the comic book?










  1. What would make the comic book better?






Instructions: These questions are going to ask about your thoughts on the overall quality of the website you just saw. Please read each statement carefully and select which answer best expresses your own feelings. There are no right or wrong answers.



Overall Quality


Strongly Agree

Agree

Undecided

Disagree

Strongly Disagree


I learned things from using this website.




O




O




O




O




O


I can use the things I learned from this website to help me make decisions in the future.



O




O




O




O




O



I enjoyed using this website.




O




O




O




O




O



I would tell a friend who wanted to know about clinical trials about this website.




O




O




O




O




O







Background Information

Instructions: These questions are going to ask about yourself. Please read each statement carefully and select your answer.


  1. Are you male or female?

Male

Female

O

O


  1. Are you of Hispanic, Latino or Spanish origin?


No

Yes

O

O


  1. What is your race?


Black or African American

American Indian/Alaska Native

White or Caucasian

Native Hawaiian/Pacific Islander

Asian


O


O

O

O

O



  1. What is your age? ______


  1. What grade are you in? ______






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AuthorTracy Scull
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File Created2021-01-24

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