Form NIH NCCIH Mobile I NIH NCCIH Mobile I NIH NCCIH Mobile Informationa 09282018_DOT

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Overview

Welcome and Thank You Text
Model Questions
Custom Questions

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Sheet 1: Welcome and Thank You Text

	The text you see here will appear at the top and bottom of your survey, examples below.
	Default text is included and you may modify this text as needed.
	Welcome and Thank You Text
		Welcome Text - Tablet / Phone		Thank You Text - Tablet / Phone
		Thank you for visiting nccih.nih.gov. You've been selected to participate in a brief survey to let us know how we can improve your experience. Please take a minute to share your opinions.		Thank you for taking our survey - and for helping us serve you better. We appreciate your input!
		Example Mobile

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Sheet 2: Model Questions

Model Name		NIH NCCIH Mobile Informational					Red & Strike-Through: Delete
Model ID		lod4AZlxcFQohU9pAQ8w8Q4C					Underlined & Italicized: Re-order
Partitioned		Yes - 2MQ					Pink: Addition
Date		9/11/2018					Blue: Reword
Model Version		17.2.G
	Label	Element Questions		Label	Satisfaction Questions		Label	Future Behaviors
		Look and Feel (1=Poor, 10=Excellent, Don't Know)			Satisfaction			Trust (1=Not at all Trustworthy, 10=Very Trustworthy)
1	Look and Feel - Appeal	Please rate the visual appeal of this site.	19	Satisfaction - Overall	What is your overall satisfaction with this mobile site? (1=Very Dissatisfied, 10=Very Satisfied)	22	Trust-Level	Please rate your level of trust in this organization.
2	Look and Feel - Balance	Please rate the balance of graphics and text on this site.	20	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 site.	21	Satisfaction - Ideal	How does this site compare to an ideal mobile site? (1=Not Very Close, 10=Very Close)	23	Return	How likely are you to return to nccih.nih.gov in the future?
		Site Performance (1=Poor, 10=Excellent, Don't Know)						Recommend Company (1=Very Unlikely, 10=Very Likely)
4	Site Performance - Loading	Please rate how quickly pages load on this site.				24	Recommend Company	How likely are you to recommend NIH - NCCIH to someone else?
5	Site Performance - Consistency	Please rate the consistency of speed from page to page on this site.
6	Site Performance - Completeness	Please rate how completely the page content loads on this site.
		Navigation (1=Poor, 10=Excellent, Don't Know)
7	Navigation - Organized	Please rate how well this site is organized.
8	Navigation - Options	Please rate the options available for navigating this site.
9	Navigation - Layout	Please rate how well the site layout helps you find what you need.
		Information Browsing (1=Poor, 10=Excellent, Don't Know)
10	Information Browsing - Sort	Please rate the ability to sort information by criteria that are important to you on this site.
11	Information Browsing - Narrow	Please rate the ability to narrow choices to find the information you are looking for on this site.
12	Information Browsing - Features	Please rate how well the features on the site help you find the information you need.
		Site Information (1=Poor, 10=Excellent, Don't Know)
13	Site Information - Thoroughness	Please rate the thoroughness of information provided on this site.
14	Site Information - Understandable	Please rate how understandable this site’s information is.
15	Site Information - Answers	Please rate how well the site’s information provides answers to your questions.

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Sheet 3: Custom Questions

Model Name			NIH NCCIH Mobile Informational				Red & Strike-Through: Delete
Model ID			lod4AZlxcFQohU9pAQ8w8Q4C				Underlined & Italicized: Re-order
Partitioned			Yes - 2MQ				Pink: Addition
Date			9/11/2018				Blue: Reword
QID	AP Question Tag	Skip From	Question Text	Answer Choices	Skip To	AP Answer Tag	Required Y/N	Type	Special Instructions	CQ Label
JHR8253Q001	fs_primary_reason_govt		What is the primary information you were looking for today?	General information about NCCIH		general_information_about_nccih	Y	Radio button, one-up vertical	Skip Logic Group*	Primary Reason
				Specific disease or condition	A	specific_disease_or_condition			Randomize
				Specific herb, supplement, or health approach	B	specific_herb_supplement_or_health_approach
				Safety information		safety_information
				Clinical guidelines		clinical_guidelines
				Research results		research_results
				Research funding or grants		research_funding_or_grants
				Professional continuing education credits		professional_continuing_education_credits
				Find a complementary health practitioner		find_a_complementary_health_practitioner
				Jobs		jobs
				Events		events
				Other (please specify)	C	other_please_specify			Anchor Answer Choice
JHR8253Q002	nih_nccih_nih_nccih_mobile_informational_primary_reason__disease	A	Please specify the disease or condition.				N	Text field, <100 char	Skip Logic Group*	Primary reason -- disease
JHR8253Q003	nih_nccih_nih_nccih_mobile_informational_primary_reason__type_of	B	Please specify the herb, supplement, or health approach.				N	Text field, <100 char	Skip Logic Group*	Primary reason -- type of
JHR8253Q004	nih_nccih_nih_nccih_mobile_informational_primary_reason_other	C	Please specify the reason for your visit.				N	Text field, <100 char	Skip Logic Group*	Primary Reason - Other
JHR8253Q005	fs_accomplish		Did you find the information you were looking for today?	Yes	B	yes	Y	Radio button, one-up vertical	Skip Logic Group*	Accomplish
				No		no
JHR8253Q006	fs_accomplish_experience	B	Was the information easy to find?	Yes		yes	Y	Radio button, one-up vertical	Skip Logic Group*	Easy Accomplish
				No	B1	no
JHR8253Q007	fs_not_easy_accomplish	B1	Why was this information difficult to find?				N	Text area, no char limit	Skip Logic Group*	Not Easy Accomplish
JHR8253Q008	fs_role_healthcare		What role best describes you today?	General health consumer		general_health_consumer	Y	Radio button, one-up vertical	Skip Logic Group*	Role
				Patient		patient			Randomize
				Family or friend of patient		patient_family
				Researcher or grant applicant		researcher_or_grant_applicant
				Journalist/media professional		journalist_media_professional
				Health care professional	A	medical_professional
				Student		student
				Educator		educator
				Other (please specify)	B	other_please_specify			Anchor Answer Choice
JHR8253Q009	nih_nccih_nih_nccih_mobile_informational_oe_healthcare_role	A	What type of health care professional are you?				N	Text area, no char limit	Skip Logic Group*	OE_Healthcare Role
JHR8253Q010	nih_nccih_nih_nccih_mobile_informational_oe_role_other	B	Please specify your role today.				N	Text area, no char limit	Skip Logic Group*	OE_Role_Other
JHR8253Q011	fs_visit_frequency		How often do you visit this site?	This is my first visit		first_visit	Y	Radio button, one-up vertical		Visit Frequency
				Once every 6 months or less often		six_months
				Once every few months		few_months
				Monthly		monthly
				Weekly		weekly
				Daily or more often		daily
JHR8253Q012	nih_nccih_nih_nccih_mobile_informational_site_sections		What sections of the site did you visit today? (Select all that apply.)	Health Information		health_information	Y	Checkbox, one-up vertical	Skip Logic Group*	Site Sections
				Research		research			Randomize
				Grants & funding	E	grants_funding
				Training		training
				News & Events		news_events
				About NCCIH		about_nccih
				Information for health care providers		information_for_health_care_providers
				NCCIH research blog		nccih_research_blog
				Other (please specify)	A	other_please_specify			Anchor Answer Choice
JHR8253Q013	nih_nccih_nih_nccih_mobile_informational_oe_site_sections	A	Please tell us the sections of the site you visited.				N	Text field, <100 char	Skip Logic Group*	OE_Site Sections
JHR8253Q014	nih_nccih_nih_nccih_mobile_informational_specific_funding_info	E	What type of funding information were you looking for? (Please select all that apply.)	Available funding opportunities		available_funding_opportunities	Y	Checkbox, one-up vertical	Skip Logic Group*	Specific Funding Info
				Clinical trials funding		clinical_trials_funding
				Policies regarding funding		policies_regarding_funding			Randomize
				List of grants that have already been awarded		list_of_grants_that_have_already_been_awarded
				Grant writing advice		grant_writing_advice
				Other (please specify)	G	other_please_specify			Anchor Answer Choice
JHR8253Q015	nih_nccih_nih_nccih_mobile_informational_oe_specific_funding_info	G	What other funding information were you looking for today?				N	Text area, no char limit		OE_Specific Funding Info
JHR8253Q016	fs_search_use		Did you use the search feature during your visit today?	Yes	Y	yes	Y	Radio button, one-up vertical	Skip Logic Group*	Search Use
				No		no
				Don't recall		donot_recall
JHR8253Q017	fs_search_experience	Y	Please tell us about your experience with the site's search feature today. (Select all that apply.)	Results were not relevant/not what I wanted		results_not_relevant	Y	Checkbox, one-up vertical	Randomize	Search Experience
				Too many results/I needed to refine my search		too_many_results
				Not enough results		not_enough_results			Skip Logic Group*
				Returned NO results		returned_no_results
				Received error message(s)		received_error_message
				Search speed was too slow		search_speed_was_too_slow
				Other (please specify)	A	different_issue			Anchor Answer Choice
				I had no difficulty with search/results were helpful		no_difficulty			Mutually Exclusive
JHR8253Q018	fs_search_issue_other	A	Please specify what you experienced.				N	Text area, no char limit	Skip Logic Group*	Search Issue - Other
JHR8253Q019	fs_info_issues		What issues, if any, did you experience while reviewing information? (Please select all that apply.)	Information was not up to date		information_not_up_to_date	Y	Checkbox, one-up vertical	Skip Logic Group*	Information Issues
				Information did not answer my questions	B	information_did_not_answer_questions
				Information was not presented in a concise format		information_not_concise
				Wording was not clear		wording_not_clear
				Text was difficult to read		text_difficult_to_read
				Other (please specify)	A	other_please_specify
				I had no issues while reviewing information.		no_issues			Mutually Exclusive
JHR8253Q020	fs_other_info_issues	A	Please describe the issue you experienced while reviewing information.				N	Text area, no char limit	Skip Logic Group*	Other Information Issues
JHR8253Q021	fs_info_looking_for	B	What questions were not answered?				N	Text area, no char limit	Skip Logic Group*	Information questions
JHR8253Q022	fs_location		From what location were you accessing this site?	Home		home	Y	Radio button, one-up vertical		Location
				Work		work
				In-transit		in_transit
				Other		other
JHR8253Q023	fs_demos_age		Which category includes your age?	Under 18		under_18	N	Radio button, one-up vertical		Demos: Age
				18 - 24		18_24
				25 - 34		25_34
				35 - 44		35_44
				45 - 54		45_54
				55 - 64		55_64
				65 or older		65_or_older
				Prefer not to respond		prefer_not_to_respond
JHR8253Q024	nih_nccih_nih_nccih_mobile_informational_demos_language		What is your primary language?	English		english	N	Radio button, one-up vertical	Skip Logic Group*	Demos: Language
				Spanish		spanish
				Other (please specify)	A	other_please_specify
				Prefer not to respond		prefer_not_to_respond
JHR8253Q025	nih_nccih_nih_nccih_mobile_informational_oe_language	A	Please specify your primary language.				N	Text area, no char limit	Skip Logic Group*	OE_Language
JHR8253Q026	fs_improve		What else would you like to share with us to help improve your online experience with nccih.nih.gov?				N	Text area, no char limit		Improve