Form 30626 M5 30626 M5 Q_NIDDK_Mobile_Browse_20180820_DOT
E-Government Website Customer Satisfaction Surveys
Q_NIDDK_Mobile_Browse_20180820_DOT.xlsx
Mapping and Questionnaire Documents IA 30626 A5 (NIH)Mapping and Questionnaire Documents IA 30626 A5 (NIH)
OMB: 1090-0008
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1090-0008 can be found here:
Document [xlsx]
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Model Qsts
Current CQs
CQs (8-20-18)
Overview
Welcome and Thank You TextModel Qsts
Current CQs
CQs (8-20-18)
Sheet 1: Welcome and Thank You Text
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| Welcome and Thank You Text | ||||||
| Welcome Text | Thank You Text | |||||
| Thank you for visiting www.niddk.nih.gov. You have been randomly selected to take this survey conducted by ForeSee for the National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK). Please take a minute or two to give us your opinions. The feedback you provide will help NIDDK enhance its site and serve you better in the future. All results are strictly confidential. | Your survey has been submitted. Thank you for your input! | |||||
| Welcome Text - Alternate | Thank You Text - Alternate | |||||
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Sheet 2: Model Qsts
| Model Name | NIDDK Mobile |
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| Model ID | N4148N59tE00ZE48cMgI4A4C | Underlined & Italicized: Re-order | ||||||
| Partitioned | 2MQ | Pink: Addition | ||||||
| Date | 3/3/2016 | Blue: Reword | ||||||
| Label | Element Questions | Label | Satisfaction Questions | Label | Future Behaviors | |||
| Look and Feel (1=Poor, 10=Excellent, Don't Know) | Satisfaction | Recommend Company (1=Very Unlikely, 10=Very Likely) |
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| 1 | Look and Feel - Appeal | Please rate the visual appeal of this mobile site. | 16 | Satisfaction - Overall | What is your overall satisfaction with this mobile site? (1=Very Dissatisfied, 10=Very Satisfied) |
19 | Recommend Company | How likely are you to recommend NIDDK to someone else? |
| 2 | Look and Feel - Balance | Please rate the balance of graphics and text on this mobile site. | 17 | Satisfaction - Expectations | How well does this mobile site meet your expectations? (1=Falls Short, 10=Exceeds) |
Return (1=Very Unlikely, 10=Very Likely) |
||
| 3 | Look and Feel - Readability | Please rate the readability of the pages on this mobile site. | 18 | Satisfaction - Ideal | How does this mobile site compare to your idea of an ideal mobile site? (1=Not Very Close, 10=Very Close) |
20 | Return | How likely are you to return to www.niddk.nih.gov in the future? |
| Site Performance (1=Poor, 10=Excellent, Don't Know) | Primary Resource (1=Very Unlikely, 10=Very Likely) |
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| 4 | Site Performance - Loading | Please rate how quickly pages load on this mobile site. | 21 | Primary Resource | How likely are you to use this site as your primary resource for obtaining information on topics related to the mission of NIDDK? | |||
| 5 | Site Performance - Consistency | Please rate the consistency of speed from page to page on this mobile site. | ||||||
| 6 | Site Performance - Completeness | Please rate how completely the page content loads on this mobile site. | ||||||
| Navigation (1=Poor, 10=Excellent, Don't Know) | ||||||||
| 7 | Navigation - Organized | Please rate how well this mobile site is organized. | ||||||
| 8 | Navigation - Options | Please rate the options available for navigating this mobile site. | ||||||
| 9 | Navigation - Layout | Please rate how well the mobile site layout helps you find what you need. | ||||||
| Information Browsing (1=Poor, 10=Excellent, Don't Know) | ||||||||
| 10 | Information Browsing - Features | Please rate how well the features on the mobile site help you find the information you need. | ||||||
| 11 | Information Browsing - Sort | Please rate the ability to sort through information by criteria that are important to you on this mobile site. | ||||||
| 12 | Information Browsing - Narrow | Please rate the ability to narrow choices to find the information you are looking for on this mobile site. | ||||||
| Site Information (1=Poor, 10=Excellent, Don't Know) | ||||||||
| 13 | Site Information - Thoroughness | Please rate the thoroughness of information on this mobile site. | ||||||
| 14 | Site Information - Understandable | Please rate how understandable information is on this mobile site. | ||||||
| 15 | Site Information - Answers | Please rate how well the information provides answers to your questions. |
Sheet 3: Current CQs
| Model Name | NIDDK Mobile |
|
|||||||
| Model ID | N4148N59tE00ZE48cMgI4A4C | Underlined & Italicized: Re-order | |||||||
| Partitioned | 2MQ | Pink: Addition | |||||||
| Date | 8/15/2018 | Blue: Reword | |||||||
| QID | QUESTION META TAG | Skip From | Question Text | Answer Choices | Skip To | Required Y/N |
Type | Special Instructions | CQ Label |
| KMJ6611Q001 | Role | Which of the following best describes your role in coming to the site today? | Person with health concerns | Y | Radio button, one-up vertical | Role | |||
| Family member or friend of a patient | |||||||||
| Scientific researcher | |||||||||
| Student | |||||||||
| Physician/physician assistant | |||||||||
| Nurse/nurse practitioner | |||||||||
| Health insurer | |||||||||
| Health care administrator | |||||||||
| Diabetes educator | |||||||||
| Other health professional | |||||||||
| Other | |||||||||
| KMJ6611Q002 | Visit Frequency | How frequently do you visit this site? | First time | Y | Radio button, one-up vertical | Visit Frequency | |||
| Daily | |||||||||
| Weekly | |||||||||
| Monthly | |||||||||
| Once every few months | |||||||||
| Once every 6 months or less | |||||||||
| KMJ6611Q003 | How did you hear about or find this website? | Search engine (e.g., Google, Yahoo!) | Y | Radio button, one-up vertical | Found Website | ||||
| Another website | |||||||||
| Doctor, nurse, or other healthcare professional | |||||||||
| Health fair or community event | |||||||||
| Family or friend | |||||||||
| Social media (e.g., Facebook, Twitter) | |||||||||
| News report | |||||||||
| Familiar with NIDDK | |||||||||
| Other | |||||||||
| KMJ6611Q004 | How familiar were you with NIDDK prior to your visit today? | Not at all | Y | Radio button, one-up vertical | NIDDK Awareness | ||||
| Not very familiar | |||||||||
| Somewhat familiar | |||||||||
| Very familiar | |||||||||
| KMJ6611Q005 | What type of information were you primarily looking for today? Information about… | NIDDK | Y | Radio button, one-up vertical | Type of Info | ||||
| Digestive Diseases | |||||||||
| Diabetes | |||||||||
| Kidney Disease | |||||||||
| Urologic Diseases | |||||||||
| Liver Disease | |||||||||
| Endocrine Diseases | |||||||||
| Blood Diseases | |||||||||
| Diet & Nutrition | |||||||||
| Weight Management | |||||||||
| Research Funding or Research Resources | |||||||||
| News | |||||||||
| Other | |||||||||
| KMJ6611Q006 | Accomplish | Did you find the information you were looking for? | Yes | A | Y | Radio button, one-up vertical | Skip Logic Group* | Find Information | |
| No | B | ||||||||
| KMJ6611Q007 | A | How satisfied are you with the amount of time it took to find the information you were looking for? | Very dissatisfied | Y | Radio button, one-up vertical | Skip Logic Group* | Find Info Time | ||
| Somewhat dissatisfied | |||||||||
| Neither satisfied nor dissatisfied | |||||||||
| Somewhat satisfied | |||||||||
| Very satisfied | |||||||||
| KMJ6611Q008 | B | What specific information couldn't you find? | N | Text area, no char limit | Skip Logic Group* | OE_Information Seeking | |||
| KMJ6611Q011 | How would you describe your navigation experience on this site today? (Please select all that apply.) | I had no difficulty navigating on this site | Y | Checkbox, one-up vertical | Multually Exclusive | Navigation Experience | |||
| Links often did not take me where I expected | |||||||||
| Too many links/navigational options to choose from | |||||||||
| Had technical difficulties (error messages, broken links, etc.) | |||||||||
| Could not navigate back to previous information | |||||||||
| Too much scrolling was required | |||||||||
| Site did not display well on my phone | |||||||||
| I had a navigation difficulty not listed above | |||||||||
| KMJ6611Q012 | How will you use the information you find on this site? | To share and discuss with my health care provider | Y | Radio button, one-up vertical | How Use Info | ||||
| To address personal health issues | |||||||||
| To aid others who have health concerns | |||||||||
| To pursue a career as a medical researcher | |||||||||
| To support new or current research projects | |||||||||
| To explore or support business opportunities | |||||||||
| Other | |||||||||
| KMJ6611Q013 | Demographics: Gender | What is your gender? | Male | Y | Radio button, one-up vertical | Gender | |||
| Female | |||||||||
| Prefer not to answer | |||||||||
| KMJ6611Q014 | Which category includes your age? | Younger than 18 | Y | Radio button, one-up vertical | Age | ||||
| 18 to 29 | |||||||||
| 30 to 49 | |||||||||
| 50 to 64 | |||||||||
| 65 or older | |||||||||
| Prefer not to answer | |||||||||
| KMJ6611Q015 | Which category includes your household income? | Less than $30K | Y | Radio button, one-up vertical | Income | ||||
| $30K to $59K | |||||||||
| $60K to $99K | |||||||||
| $100K to $150K | |||||||||
| Greater than $150K | |||||||||
| Prefer not to answer | |||||||||
| KMJ6611Q016 | What is your highest level of education completed? | Some high school or less | Y | Radio button, one-up vertical | Education | ||||
| High school graduate or GED | |||||||||
| Some college credit, no degree | |||||||||
| Associate's degree/technical degree | |||||||||
| Undergraduate degree | |||||||||
| Graduate degree | |||||||||
| Doctorate degree | |||||||||
| Prefer not to answer | |||||||||
| KMJ6611Q017 | What is your ethnicity/race? | White | Y | Checkbox, one-up vertical | Ethnicity | ||||
| Hispanic or Latino | |||||||||
| Black or African American | |||||||||
| Native American or American Indian | |||||||||
| Asian/Pacific Islander | |||||||||
| Other | |||||||||
| Prefer not to answer | Mutually Exclusive | ||||||||
| KMJ6611Q018 | What is your first language? | English | Y | Radio button, one-up vertical | Language | ||||
| Spanish/Español | |||||||||
| Other | |||||||||
| Prefer not to answer | |||||||||
| HOP0255448 | Do you live in the United States? | Yes | Y | Radio button, one-up vertical | US_Country | ||||
| No | |||||||||
| KMJ6611Q019 | OE_Improve Experience | If you could make one improvement to the site, what would it be? | N | Text area, no char limit | OE_Improvements | ||||
Sheet 4: CQs (8-20-18)
| Model Name | NIDDK Mobile |
|
|||||||
| Model ID | N4148N59tE00ZE48cMgI4A4C | Underlined & Italicized: Re-order | |||||||
| Partitioned | 2MQ | Pink: Addition | |||||||
| Date | 8/15/2018 | Blue: Reword | |||||||
| QID | QUESTION META TAG | Skip From | Question Text | Answer Choices | Skip To | Required Y/N |
Type | Special Instructions | CQ Label |
| KMJ6611Q001 | Role | Which of the following best describes your role in coming to the site today? | Person with health concerns | Y | Radio button, one-up vertical | Role | |||
| Family member or friend of a patient | |||||||||
| Scientific researcher | |||||||||
| Student | |||||||||
| Physician/physician assistant | |||||||||
| Nurse/nurse practitioner | |||||||||
| Health insurer | |||||||||
| Health care administrator | |||||||||
| Diabetes educator | |||||||||
| Other health professional | |||||||||
| Other | |||||||||
| KMJ6611Q002 | Visit Frequency | How frequently do you visit this site? | First time | Y | Radio button, one-up vertical | Visit Frequency | |||
| Daily | |||||||||
| Weekly | |||||||||
| Monthly | |||||||||
| Once every few months | |||||||||
| Once every 6 months or less | |||||||||
| KMJ6611Q003 | How did you hear about or find this website? | Search engine (e.g., Google, Yahoo!) | Y | Radio button, one-up vertical | Found Website | ||||
| Another website | |||||||||
| Doctor, nurse, or other healthcare professional | |||||||||
| Health fair or community event | |||||||||
| Family or friend | |||||||||
| Social media (e.g., Facebook, Twitter) | |||||||||
| News report | |||||||||
| Familiar with NIDDK | |||||||||
| Other | |||||||||
| KMJ6611Q004 | How familiar were you with NIDDK prior to your visit today? | Not at all | Y | Radio button, one-up vertical | NIDDK Awareness | ||||
| Not very familiar | |||||||||
| Somewhat familiar | |||||||||
| Very familiar | |||||||||
| KMJ6611Q005 | What type of information were you primarily looking for today? Information about… | NIDDK | Y | Radio button, one-up vertical | Type of Info | ||||
| Digestive Diseases | |||||||||
| Diabetes | |||||||||
| Kidney Disease | |||||||||
| Urologic Diseases | |||||||||
| Liver Disease | |||||||||
| Endocrine Diseases | |||||||||
| Blood Diseases | |||||||||
| Diet & Nutrition | |||||||||
| Weight Management | |||||||||
| Research Funding or Research Resources | |||||||||
| News | |||||||||
| Other | |||||||||
| KMJ6611Q006 | Accomplish | Did you find the information you were looking for? | Yes | A | Y | Radio button, one-up vertical | Skip Logic Group* | Find Information | |
| No | B | ||||||||
| KMJ6611Q007 | A | How satisfied are you with the amount of time it took to find the information you were looking for? | Very dissatisfied | Y | Radio button, one-up vertical | Skip Logic Group* | Find Info Time | ||
| Somewhat dissatisfied | |||||||||
| Neither satisfied nor dissatisfied | |||||||||
| Somewhat satisfied | |||||||||
| Very satisfied | |||||||||
| KMJ6611Q008 | B | What specific information couldn't you find? | N | Text area, no char limit | Skip Logic Group* | OE_Information Seeking | |||
| KMJ6611Q011 | How would you describe your navigation experience on this site today? (Please select all that apply.) | I had no difficulty navigating on this site | Y | Checkbox, one-up vertical | Multually Exclusive | Navigation Experience | |||
| Links often did not take me where I expected | |||||||||
| Too many links/navigational options to choose from | |||||||||
| Had technical difficulties (error messages, broken links, etc.) | |||||||||
| Could not navigate back to previous information | |||||||||
| Too much scrolling was required | |||||||||
| Site did not display well on my phone | |||||||||
| I had a navigation difficulty not listed above | |||||||||
| KMJ6611Q012 | How will you use the information you find on this site? | To share and discuss with my health care provider | Y | Radio button, one-up vertical | How Use Info | ||||
| To address personal health issues | |||||||||
| To aid others who have health concerns | |||||||||
| To pursue a career as a medical researcher | |||||||||
| To support new or current research projects | |||||||||
| To explore or support business opportunities | |||||||||
| Other | |||||||||
| KMJ6611Q013 | Demographics: Gender | What is your gender? | Male | Y | Radio button, one-up vertical | Gender | |||
| Female | |||||||||
| Prefer not to answer | |||||||||
| KMJ6611Q014 | Which category includes your age? | Younger than 18 | Y | Radio button, one-up vertical | Age | ||||
| 18 to 29 | |||||||||
| 30 to 49 | |||||||||
| 50 to 64 | |||||||||
| 65 or older | |||||||||
| Prefer not to answer | |||||||||
| KMJ6611Q015 | Which category includes your household income? | Less than $30K | Y | Radio button, one-up vertical | Income | ||||
| $30K to $59K | |||||||||
| $60K to $99K | |||||||||
| $100K to $150K | |||||||||
| Greater than $150K | |||||||||
| Prefer not to answer | |||||||||
| KMJ6611Q016 | What is your highest level of education completed? | Some high school or less | Y | Radio button, one-up vertical | Education | ||||
| High school graduate or GED | |||||||||
| Some college credit, no degree | |||||||||
| Associate's degree/technical degree | |||||||||
| Undergraduate degree | |||||||||
| Graduate degree | |||||||||
| Doctorate degree | |||||||||
| Prefer not to answer | |||||||||
| KMJ6611Q017 | What is your ethnicity/race? | White | Y | Checkbox, one-up vertical | Ethnicity | ||||
| Hispanic or Latino | |||||||||
| Black or African American | |||||||||
| Native American or American Indian | |||||||||
| Asian/Pacific Islander | |||||||||
| Other | |||||||||
| Prefer not to answer | Mutually Exclusive | ||||||||
| KMJ6611Q018 | What is your first language? | English | Y | Radio button, one-up vertical | Language | ||||
| Spanish/Español | |||||||||
| Other | |||||||||
| Prefer not to answer | |||||||||
| Do you live in the United States? | Yes | Y | Radio button, one-up vertical | US_Country | |||||
| No | |||||||||
| KMJ6611Q019 | OE_Improve Experience | If you could make one improvement to the site, what would it be? | N | Text area, no char limit | OE_Improvements | ||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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