Form 0920- 17AV 0920- 17AV Attachment 2 Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Attachment 2 Survey

Website Usability Testing Customer Feedback. DVP

OMB: 0920-1009

Document [docx]
Download: docx | pdf

Form Approved

OMB No. 0920-1009

Exp. Date: 09/29/2020


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Public Reporting burden of this collection of information is estimated at 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NW, MS D-74, Atlanta, GA 30333; Attn: PRA (0920-1009).















We would like to start by asking some questions to get a better sense of your background and general familiarity with websites and web-based tools.



  1. How old are you?

  • 18-39 years old

  • 40-59 years old

  • 60-75 years old

  • Over 75 years old


  1. What is your highest level of education?

  • High school or less

  • Some college

  • College degree

  • Advanced degree


  1. Who do you work for?

  • Local or State government

  • Non-profit organization

  • Foundation

  • Academic institution

  • Other__________________


  1. How many years of experience do you have in the field of violence prevention?

  • Less than 1 year

  • 1 to 4 years

  • 5 to 9 years

  • 10 years or more

  • Not in the field of violence prevention


  1. How often do you use the Internet for work (such as for training, finding statistics/data, conducting research)?

  • Daily

  • Weekly

  • Monthly



  1. How would you describe your internet use proficiency?

  • Basic

  • Intermediate

  • Advanced

  • Expert


Now we would like to ask you for some information about your past experience with DVP Webpages.


  1. Have you ever been to the CDC website, www.cdc.gov/violenceprevention?

  • Yes

  • No


  1. [If yes] What did you go to www.cdc.gov/violenceprevention for? Check all that apply.

  • To find information for specific violence prevention topics;

  • To find and download factsheets, publications, etc. ;

  • To find violence related surveillance and or survey data ;

  • To find evidence based strategies for preventing violence;

  • [Other]



Now we would like to ask you a few task questions. You will be taken to the Violence Prevention homepage to complete each task.


Task #1: From the Violence Prevention homepage, please find the infographics about Sexual Minority youth.


  1. From there, were you able to find the infographic about ‘Violence at School’ for LGB youth?

    • Yes

    • No

    • I don’t know


  1. Based on your experience, how difficult was it to find the infographic about ‘Violence at School’ for LGB youth from the Violence Prevention homepage?

    • Not at all

    • Neutral

    • Extremely




  1. Based on your experience, how difficult was it to download the infographic about ‘Violence at School’ for LGB youth after finding it?

  • Not at all

  • Neutral

  • Extremely


  1. Which of the following best describe any problems or frustrations you encountered while trying to complete this task? Please check all that apply.

    • Navigating from page to page was difficult

    • Item would not load at all

    • Site was slow

    • Information categories were not useful

    • Organization of the site was confusing

    • Labels used were unclear

    • It took too many clicks to get to information

    • I could not find the information I was looking for

    • I got lost on the site

    • I did not encounter any problems or frustrations

    • Other: _________________




Task #2: From the Violence Prevention homepage, please find the information about Dating Matters Program.


  1. Were you able to find the Dating Matters Page?

    • Yes

    • No

    • I don’t know


  1. Based on your experience, how difficult was it to find the Dating Matters page from the Violence Prevention homepage?

    • Not at all

    • Neutral

    • Extremely



  1. Which of the following best describe any problems or frustrations you encountered while trying to complete this task? Please check all that apply.

    • Navigating from page to page was difficult

    • Item would not load at all

    • Site was slow

    • Information categories were not useful

    • Organization of the site was confusing

    • Labels used were unclear

    • It took too many clicks to get to information

    • I could not find the information I was looking for

    • I got lost on the site

    • I did not encounter any problems or frustrations

    • Other: _________________




Task #3: From the Violence Prevention homepage, please find the PDF about Sexual Violence on Campus: Strategies for Prevention.


  1. Were you able to find Sexual Violence on Campus: Strategies for Prevention?

    • Yes

    • No

    • I don’t know


  1. Based on your experience, how difficult was it to find Sexual Violence on Campus: Strategies for Prevention from the Violence Prevention homepage?

    • Not at all

    • Neutral

    • Extremely


  1. Which of the following best describe any problems or frustrations you encountered while trying to complete this task? Please check all that apply.

    • Navigating from page to page was difficult

    • Item would not load at all

    • Site was slow

    • Information categories were not useful

    • Organization of the site was confusing

    • Labels used were unclear

    • It took too many clicks to get to information

    • I could not find the information I was looking for

    • I got lost on the site

    • I did not encounter any problems or frustrations

    • Other: _________________









You have completed all the tasks and now we would like to ask you some follow up questions.


  1. Please indicate how likely you are to return to the Violence Prevention website to find information to support your work in violence prevention.

  • Definitely would return to the site

  • Probably would return to the site

  • Probably would not return to the site

  • Definitely would not return to the site


  1. Based on your experience today, how satisfied were you with the ability to find information on the Violence Prevention website?

  • Very dissatisfied

  • Somewhat dissatisfied

  • Neutral

  • Somewhat satisfied

  • Extremely satisfied


  1. Based on your experience today, how easy was it to use the Violence Prevention website?

  • Extremely easy

  • Somewhat easy

  • Neutral

  • Somewhat difficult

  • Extremely difficult


  1. Based on your experience today, how would you rate the organization of information on the Violence Prevention website?

  • Very disorganized

  • Somewhat disorganized

  • Neutral

  • Somewhat organized

  • Very organized


  1. What aspects of the Violence Prevention website did you find most easy to use and why? [Optional]



  1. What aspects of the Violence Prevention website did you find most difficult to use and why? [Optional]



[Usability Testing Session Complete]


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorWilcox, Amanda (CDC/ONDIEH/NCIPC)
File Modified0000-00-00
File Created2021-01-22

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