ODPHP Website Visitor Satisfaction Site- and Page-Level Surveys

12

Attachment C: Page-Level Survey Question Bank

Form Approved

OMB No. 0990-0379

Exp. Date 09/30/2020

ODPHP: Page-Level Survey Question Bank

OMB Control Number: 0990-0379

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 1 minute 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

Question block, option 1:

[A maximum of 3 questions from the question block below will be used at one time in order to keep response time to 1 minute or less.]

1. Did you find what you were looking for on this page?

• Yes

• No

2. How helpful was this page?

• Very helpful

• Somewhat helpful

• Not helpful

3. [If Very helpful or Somewhat helpful] This information can help me:

• Talk with my doctor

• Get a health service (like a screening test or shot)

• Make a health decision

• Learn about my health

• Other: ____________________________

4. What can we do to improve this page?

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 educators, teacher, professor)

• Student

• Other: ____________________________

6. How likely are you to use [insert tools and resources] available on this page?

1 - Not at all

2

3

4

5 – A lot

Question block, option 2:

[A maximum of 3 questions from the question block below will be used at one time in order to keep response time to 1 minute or less.]

1. Did [insert feature name] work as you expected?

• Yes

• No

2. Do you like the design of [insert feature name]?

• Yes

• No

3. [If Yes for question 1]

What part of [insert feature name] did you find most valuable?

4. [If No for question 1 or 2]

What did you dislike about [insert feature name]?

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 other 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: ___________________________

Question block, option 3:

1. Was this page helpful?

• Yes

• No

2. [If Yes for question 1]

I found this page helpful because the content on the page: (Please select all that apply.)

• Had the information I needed

• Gave me specific ideas I can use

• Was easy to understand

• Was trustworthy

• Was up to date

• Was well written

• Other: ____________________________

3. [If No for question 1]

I didn’t find this page helpful because the content on the page: (Please select all that apply.)

• Had too little information

• Had too much information

• Was confusing

• Was out of date

• Was poorly written

• Wasn’t what I was looking for

• Wasn’t what I expected

• Other: ____________________________

Question block, option 4:

1. Did you find what you were looking for?

• Yes

• Partially

• No

2. [If Partially or No for question 1]

I didn’t find everything I was looking for because: (Please select all that apply.)

• There were too many links

• There wasn’t enough information

• Links were hard to understand

• Text or graphics were hard to read or see

• There were technical issues

• This page wasn’t what I was looking for

• Other: ____________________________

3. What can we do to make this page better?