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 |
5. I am a… (Please select all that apply.)
<answers for HealthyPeople.gov>
Public Health
Public health professional
Community health program planner or evaluator
Epidemiologist or biostatistician
Health Care
Clinical healthcare provider (doctor, nurse, or other professional providing direct patient care)
Hospital or health system administrator
Academia
Undergraduate student
Graduate student
Undergraduate instructor
Graduate instructor
Academic researcher
Government
Federal government employee
State or local health official or employee
Other: ___________________________
<answers for healthfinder.gov>
Member of the general public
Patient
Loved one of a patient
Student
Health professional
Doctor, nurse, or another clinician
Pharmacist
Practice staff or administrator
Social worker or therapist
Health coach
Health educator
Fitness educator
Other professional
Public health professional
Librarian, researcher or educator
Marketing professional
Writer or editor of health information
Federal government staff
State government staff
Local government staff
Insurance agent
Other: ____________________________
<answers for health.gov>
Member of the general public
Medical professional (e.g., doctor or nurse)
Dietitian
Fitness or exercise specialist
Medical practice staff or hospital administrator
Public health professional
Non-governmental organization employee
Federal government employee
State or local government employee
Researcher
Educator (e.g., community health educator, teacher, professor)
Student
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. Did you find what you were looking for?
Yes
No
I wasn’t looking for anything in particular.
11. Please tell us more about what you were looking for. (Select all that apply.)
<answers for HealthyPeople.gov>
Healthy People 2020 topics and objectives
Data on Healthy People 2020 objectives
Interventions and resources
Leading Health Indicators
Progress reports
Stories from the Field
Healthy People eLearning
Program Planning (MAP-IT)
Consortium
State information (coordinators and plans)
Ways to get involved
About Healthy People
Other: ____________________________
<answers for healthfinder.gov>
General health
Disease or health condition
How to prevent disease or disability
Recommended preventive services
Wellness guidance
National Health Observances
Free health content (e.g., content syndication, API)
Health insurance and coverage
Medical services
Just browsing
Other: ____________________________
<answers for health.gov>
Dietary Guidelines for Americans
Health care quality (e.g. adverse drug events and hospital associated infections)
Health literacy
Health insurance
News and updates about ODPHP
Nutrition and diet
Physical Activity Guidelines for Americans
Physical activity
Patient safety
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 likely are you to use [insert tools and resources] available on this site?
1 - Not at all |
2 |
3 |
4 |
5 – A lot |
15. How long did it take to find the information?
No time at all
A few minutes
A long time
16. The information on this site is...
1 - Hard to understand |
2 |
3 |
4 |
5 - Easy to understand |
17. How easy or hard is it to use this site?
1 - Very hard to use |
2 |
3 |
4 |
5 - Very easy to use |
18. I like the way this site is designed.
1 - Strongly disagree |
2 |
3 |
4 |
5 - Strongly agree |
19. I think there is a good balance of [graphics/pictures] and text on this site.
1 - Strongly disagree |
2 |
3 |
4 |
5 - Strongly agree |
20. This site’s organization is:
1 - Poor |
2 |
3 |
4 |
5 - Excellent |
21. How easy or difficult is it to find the information you are looking for?
1 - Very difficult |
2 |
3 |
4 |
5 - Very easy |
22. If there was information you were looking for and couldn’t find on [insert site name], please tell us what it was.
23. I had trouble viewing content on this site.
1 - Strongly disagree |
2 |
3 |
4 |
5 - Strongly agree |
24. The information on this site is relevant and up to date.
1 - Strongly disagree |
2 |
3 |
4 |
5 - Strongly agree |
25. The accuracy of the information on this site is:
1 - Poor |
2 |
3 |
4 |
5 - Excellent |
26. The quality of information on this site is:
1 - Poor |
2 |
3 |
4 |
27. Which of the following social media sites do you use? (Please select all that apply.)
Other: ____________________________
I don’t use social media sites.
28. Which of the following devices are you likely to use to visit [insert site name]? (Please select all that apply.)
Desktop or laptop computer
Tablet
Smartphone
Proposed additional instructions on survey:
If you would like to participate in future website feedback opportunities, please email [[email protected]]. We will follow up to confirm your contact information and let you know about upcoming research studies.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Jennifer Barone |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |