Q_NIDCR_Web_Browse Q_NIDCR_Web_Browse_20180719_DOT

E-Government Website Customer Satisfaction Surveys

Q_NIDCR_Web_Browse_20180719_DOT.xlsx

Mapping and Questionnaire Documents IA 30825 A0 (NIH)

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

How to read this file
Foreign Language Translation
Survey Invitation
Welcome and Thank You Text
Welcome and Thank You Text (SP)
Model Questions
MQs (SP)
Custom Questions
CQs Spanish Translations
CQs Spanish (7-19-18)
CQs (2-21-18)
CQs Spanish (2-21-18)
CQs (2-13-17)


Sheet 1: How to read this file

Survey Invitation





This is the standard survey invitation. Default text is included. If you would like to modify this text please check with your analyst/client manager.












Welcome and Thank You Text





The text you see here will appear at the top and bottom of your survey. Default text is included and you may modify this text as needed.












Model Questions





As discussed during the kick-off call, the model questions are part of the ForeSee methodology. For consistency within the model, these questions are standardized and have been tested and validated. Standardization of model questions allows benchmarking across companies/industries, and these questions are used in calculating scores and impacts.





Focus on the future behaviors; I’ve started with some that I believe are a good fit but we can certainly make adjustments. These are desired customer outcomes that are impacted by customer satisfaction.












Custom Questions





When reviewing the custom questions tab, keep in mind these questions are used for segmentation analysis of the model data. It is suggested that you add, delete or change custom questions over time, as your needs or business objectives change.





Focus Area #1: Achieving Actionable Data
- Know what changes are being made based on the intelligence
- Change Custom Questions so that stakeholders see a clear “must do”






Focus Area #2: Aligning Data to Business Strategies
- Update your Custom Questions as business cycles change
- Integrate Executive Level questions to evaluate initiatives






Focus Area #3: Strategic and Tactical Value
- Influence Board Room Decisions
- Change Operational Approaches
- Mature Your Research













Making Changes





Simply make the change that you desire and highlight that change with a different color text. Red works well because it stands out.
If the change is "complicated" a brief explanation about what you would like to accomplish will help us understand your request and figure out the best way to implement. -Or- Just give us a call; talking through changes over the phone makes it quick and easy.








Sheet 2: Foreign Language Translation

Measure Name NIDCR Desktop



Custom Qualifier Page



Custom Invitation Text



Custom Tracker Text










MID Language Target Country Target Audience Website URL Notes
oQVZB5gtMlUAAwEpIhR8Bg4C English (Master MID) US


BZYpJRstFs8pYNcgQplB0Q4C English US


cEhYF9sttwh1UUINFQ0IBA4C Spanish US


























































































































Sheet 3: Survey Invitation


This is the standard survey invitation.





Default text is included. If you would like to modify this text please check with your analyst/client manager.














Survey Invitation Text
Survey Invitation Text (STEP 1)

Desktop
Tablet / Phone










We'd welcome your feedback!


We'd welcome your feedback!










Thank you for visiting ourthe NIDCR website. You have been selected to participate in a brief customer satisfaction survey to let us know how we can improve your experienceour website.


Can we email or text you later a brief customer satisfaction survey so we can improve your mobile experience?










The survey is designed to measure your entire experience, please look for itthe survey at the conclusion of your visit.


(Button text) No, thanks Yes, I'll help










This survey is conducted by an independent company ForeSee, on behalf of the site you are visiting.

Survey Invitation Text (STEP 2)





Tablet / Phone


(Button text) No, thanks Yes, I'll give feedback










Thank you for helping!

Example Desktop








Please provide your email address or mobile number (US and CA only). After your visit we’ll send you a link to the survey. Text Messaging rates apply.










(Button text) Cancel email/text me









Examples Tablet / Phone














































































































































































































































Sheet 4: 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
Welcome Text - Tablet / Phone






Thank you for visiting NIDCR.NIH.gov. You've been randomly chosen to take part in a brief survey to let us know what we're doing well and where we can improve.

Please take a few minutes to share your opinions, which are essential in helping us provide the best online experience possible.

Thank you for visiting NIDCR.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 Text
Thank You Text - Tablet / Phone






Thank you for taking our survey - and for helping us serve you better.

Please note you will not receive a response from us based on your survey comments. If you would like us to contact you about your feedback, please visit the Contact Us section of our website.

Thank you for taking our survey - and for helping us serve you better.
We appreciate your input!





































Example Desktop
Example Mobile






























































































































































Sheet 5: Welcome and Thank You Text (SP)


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
Welcome Text - Tablet / Phone






Gracias por visitar NIDCR.NIH.gov/Espanol. Usted ha sido seleccionado al azar para participar en una breve encuesta para saber qué estamos haciendo bien y en qué podemos mejorar.

Por favor tome unos minutos para compartir sus opiniones, que nos ayudarán a ofrecerle la mejor experiencia en línea posible.

Gracias por visitar NIDCR.NIH.gov/Espanol. Usted ha sido seleccionado para participar en una breve encuesta para decirnos cómo podemos mejorar su experiencia. Por favor tome un minuto para compartir sus opiniones.





































Thank You Text
Thank You Text - Tablet / Phone






Gracias por contestar la encuesta y por ayudarnos a servirle mejor.

Tenga en cuenta que no recibirá una respuesta de nosotros con base en sus comentarios en la encuesta. Si desea que nos comuniquemos con usted en referencia a sus comentarios, por favor visite la sección Contáctenos de nuestro sitio web.

Gracias por contestar la encuesta y por ayudarnos a servirle mejor.
¡Agradecemos su opinión!





































Example Desktop
Example Mobile






























































































































































Sheet 6: Model Questions

Model Name
NIDCR Desktop

EN MID: BZYpJRstFs8pYNcgQplB0Q4C
Red & Strike-Through: Delete
Model ID
oQVZB5gtMlUAAwEpIhR8Bg4C



Underlined & Italicized: Re-order
Partitioned
No



Pink: Addition
Date
5/1/2016



Blue: Reword










Label Element Questions
Label Satisfaction Questions
Label Future Behaviors





Look and Feel (1=Poor, 10=Excellent, Don't Know)

Satisfaction

Return
(1=Very Unlikely, 10=Very Likely)
1 Look and Feel - Appeal Please rate the visual appeal of this site. 13 Satisfaction - Overall What is your overall satisfaction with this site?
(1=Very Dissatisfied, 10=Very Satisfied)
16 Return How likely are you to return to NIDCR.NIH.gov in the future?
2 Look and Feel - Balance Please rate the balance of graphics and text on this site. 14 Satisfaction - Expectations How well does this site meet your expectations?
(1=Falls Short, 10=Exceeds)


Recommend Company
(1=Very Unlikely, 10=Very Likely)
3 Look and Feel - Readability Please rate the readability of the pages on this site. 15 Satisfaction - Ideal How does this site compare to your idea of an ideal website?
(1=Not Very Close, 10=Very Close)
17 Recommend How likely are you to recommend NIDCR to someone else?


Site Performance (1=Poor, 10=Excellent, Don't Know)





4 Site Performance - Loading Please rate how quickly pages load on this site.





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.







Site Information (1=Poor, 10=Excellent, Don't Know)





10 Site Information - Thoroughness Please rate the thoroughness of information provided on this site.





11 Site Information - Understandable Please rate how understandable this site’s information is.





12 Site Information - Answers Please rate how well the site’s information provides answers to your questions.






Sheet 7: MQs (SP)

Model Name
NIDCR Desktop (SP)



Red & Strike-Through: Delete
Model ID
cEhYF9sttwh1UUINFQ0IBA4C



Underlined & Italicized: Re-order
Partitioned
No



Pink: Addition
Date
9/14/2016



Blue: Reword










Label Element Questions
Label Satisfaction Questions
Label Future Behaviors





Apariencia general (1=Mediocre, 10=Excelente, No sabe)

Satisfacción

Volver al sitio
(1=Muy improbable, 10=Muy probable)
1 Apariencia general: atractivo Califique el atractivo visual de este sitio. 13 Satisfacción: General ¿Cuál es su nivel de satisfacción general con este sitio?
(1=Muy insatisfecho(a), 10=Muy satisfecho(a))
16 Volver al sitio ¿Qué probabilidad hay de que regrese a este sitio?
2 Apariencia general: equilibrio Califique el equilibrio entre los gráficos y el texto en este sitio. 14 Satisfacción: Expectativas ¿En qué medida cumple este sitio con sus expectativas?
(1=Se queda corto, 10=Las sobrepasa)


Recomendación de compañía (1=Muy improbable, 10=Muy probable)
3 Apariencia general: facilidad de lectura Califique la facilidad de lectura de las páginas de este sitio. 15 Satisfacción: Ideal ¿Cómo se compara este sitio con su idea de lo que es un sitio web ideal?
(1=No se aproxima mucho, 10=Se aproxima mucho)
17 Recomendación de compañía ¿Qué probabilidad hay de que recomiende NIDCR a otra persona?


Desempeño del sitio (1=Mediocre, 10=Excelente, No sabe)





4 Desempeño del sitio: carga Califique qué tan rápido se cargan las páginas en este sitio.





5 Desempeño del sitio: uniformidad Califique la uniformidad de la velocidad con que se pasa de una página a otra en este sitio.





6 Desempeño del sitio: totalidad Califique la totalidad con la que se carga el contenido de las páginas de este sitio.







Navegación (1=Mediocre, 10=Excelente, No sabe)





7 Navegación: organizada Califique qué tan bien está organizado este sitio.





8 Navegación: opciones Califique las opciones disponibles para navegar por este sitio.





9 Navegación: diseño Califique cuánto contribuye el diseño del sitio para encontrar lo que necesita.







Información del sitio (1=Mediocre, 10=Excelente, No sabe)





10 Información del sitio: exhaustiva Califique la exhaustividad de la información contenida en este sitio.





11 Información del sitio: entendible Califique en qué medida la información de este sitio es entendible.





12 Información del sitio: respuestas Califique en qué medida la información de este sitio responde a sus preguntas.






Sheet 8: Custom Questions

Model Name
NIDCR Desktop
EN MID: BZYpJRstFs8pYNcgQplB0Q4C
Red & Strike-Through: Delete
Brown: Changes by Nicole

Model ID
oQVZB5gtMlUAAwEpIhR8Bg4C


Underlined & Italicized: Re-order


Partitioned
No


Pink: Addition


Date
9/14/2016


Blue: Reword














QID QUESTION META TAG Skip From Question Text Answer Choices Skip To Required
Y/N
Type Special Instructions CQ Label
ESK7134Q001 Primary Reason
What was your main reason for visiting this site? Health information (for self or friend/family member) B Y Radio button, one-up vertical Skip Logic Group Primary Reason




Health information (for patients, clients) B








Find a dentist or dental care









Clinical trials or research studies









Data and statistics









Grants/funding information









Science news









Publications









Research tools (e.g. animal models, tissue arrays)









Jobs, fellowships, internships









Continuing education (CDE)









Teaching tools (for K-12 instruction)









Teaching tools (for dental/medical professional or student instruction)









NIDCR mission/plans









Other (please specify): A




ESK7134Q002
A What you were looking for?

N Text area, no char limit Skip Logic Group Other_Primary Reason
ESK7134Q003
B What health information were you looking for? (Please select all that apply.)
Burning mouth
Y Checkbox, one-up vertical Skip Logic Group Looking For_Health Info


Dry mouth



Gum disease



Oral cancer



TMJ (temporomandibular joints)



Tooth decay



Other (please specify): B1
ESK7134Q004
B1 What topic you were looking for?

N Text area, no char limit Skip Logic Group Other_Looking For
ESK7134Q005

Did you find what you were looking for on this site today? Yes
Y Radio button, one-up vertical Skip Logic Group* Find




Partially A








No A




ESK7134Q006
A What were you unable to find?

N Text area, no char limit Skip Logic Group* OE_Find - What Unable
ESK7134Q007
A Why were you unable to accomplish your task?

N Text area, no char limit Skip Logic Group* OE_Find - Why Unable
ESK7134Q008 Visit Frequency
How often do you visit this site? This is my first visit
Y Radio button, one-up vertical Skip Logic Group Visit Frequency




Once every 6 months or less often A








Once every few months A








Monthly A








Weekly A








Daily or more often A




TAR0213368
A Did you notice any changes to the NIDCR site during your visit today? Yes B,D,E Y Radio button, one-up vertical Skip Logic Group* Redesign Notice




No





TAR0213369
B Do you agree or disagree with the following statements about the new NICDR site:
New site's look and feel is visually pleasing. 
1=Strongly Disagree
Y Radio button, scale, has don't know Skip Logic Group* Redesign Look and Feel




2









3









4









5









6









7









8









9









10=Strongly Agree









Don't know





TAR0213370
D New site makes it easier to find the information I want. 1=Strongly Disagree
Y Radio button, scale, has don't know Skip Logic Group* Redesign Easier Find




2









3









4









5









6









7









8









9









10=Strongly Agree









Don't know





TAR0213371
E New site is an improvement over the previous one. 1=Strongly Disagree 1 Y Radio button, scale, has don't know Skip Logic Group* Redesign Improvement




2 1








3 1








4 1








5 1








6 2








7 2








8 2








9 2








10=Strongly Agree 2








Don't know





TAR0213373
1 Why you think the new site is NOT an improvement over the previous site?

N Text area, no char limit Skip Logic Group* OE_Redesign Not Improvement
TAR0213374
2 What aspects of the new site are improvements over the previous site?

N Text area, no char limit Skip Logic Group* OE_Redesign Improvement
ESK7134Q009 Role
Which best describes your role in visiting the NIDCR website today? Person with a health concern
Y Radio button, one-up vertical Skip Logic Group Role




Family member/friend of a person with a health concern


Randomize





Health educator









Health care provider B








Scientist/Researcher D








Business owner/Entrepreneur









Policy analyst









Student D, S








Teacher/Professor D, T








Other (please specify): A

Anchor Answer Choice

ESK7134Q010
A Please describe your role in visiting the site.

N Text area, no char limit Skip Logic Group Other_Role
ESK7134Q011
B What type of health care provider are you? Dentist
Y Radio button, one-up vertical Skip Logic Group Role_Health Care Provider




Dental Hygienist









Dental Assistant









Physician









Nurse









Physician Assistant/Nurse Practitioner









Other (please specify): B1




ESK7134Q012
B1 Please specify what type of health care provider you are.

N Text area, no char limit Skip Logic Group Other_Role_Health Care Provider
ESK7134Q013
D Have you ever...? Applied for funding from NIDCR
Y Checkbox, one-up vertical Skip Logic Group Role_Funding




Received funding from NIDCR









Neither of the above


mutually exclusive

ESK7134Q014
S What type of student are you? K-12th grade
Y Radio button, one-up vertical Skip Logic Group Role_Student




Vocational/technical school









Undergraduate









Graduate









Professional









Other





ESK7134Q015
T What type of teacher/professor are you? K-12th grade
Y Radio button, one-up vertical Skip Logic Group Role_Teacher




Vocational/technical school









Undergraduate









Graduate









Professional









Other





ESK7134Q016

Did you visit NIDCR's Spanish-language site today? Yes A Y Radio button, one-up vertical Skip Logic Group Visited Spanish Site




No





ESK7134Q017
A How did you find out about NIDCR's Spanish-language site? Search engine (e.g. Google, Yahoo, Bing)
Y Radio button, one-up vertical Skip Logic Group Spanish Site Find Out About




Followed Español link from English NIDCR website








Link from another site








Publications/products








Family member, friend, neighbor, etc.








I don’t remember








Other (please specify): B



ESK7134Q018
B Please specify how you found out about this site.

N Text field, <100 char Skip Logic Group Other_Spanish Site Find Out About
ESK7134Q019
A What is your country/region of origin? United States
Y Radio button, one-up vertical Skip Logic Group Spanish Site Region of Origin




Mexico









Puerto Rico









Central America









South America









Caribbean









Europe









Other (please specify): C




ESK7134Q020
C Please specify your country/region of origin.

N Text field, <100 char Skip Logic Group Other_Spanish Site Region of Origin
ESK7134Q021 OE_Improve Experience
If you could make one improvement to the NIDCR site, what would it be?

N Text area, no char limit
One Improvement
ESK7134Q022

From where are you accessing this site? United States
Y Radio button, one-up vertical Skip Logic Group Accessing




Mexico








Puerto Rico








Central America








South America








Caribbean








Europe








Other (please specify): B



ESK7134Q023
B Please specify from where you are accessing this site.

N Text field, <100 char Skip Logic Group Other_Accessing
ESK7134Q024 Demographics: Gender
What is your gender? Male
Y Radio button, one-up vertical
Demographics: Gender




Female









Prefer not to answer





ESK7134Q025

Which category includes your age? Under 18
Y Radio button, one-up vertical
Demographics: Age




18 - 24









25 - 34









35 - 44









45 - 54









55 - 64









65 - 74









75 or older









Prefer not to answer





ESK7134Q026

What is your race or ethnicity? (Please select all that apply.) American Indian/Alaska Native
Y Checkbox, one-up vertical
Demographics: Race Ethnicity




Asian









Black/African American









Hispanic/Latino









Native Hawaiian or Other Pacific Islander









White









Other









Prefer not to answer


mutually exclusive

ESK7134Q027

What is your highest level of education? Less than high school
Y Radio Button, one-up vertical
Demographics: Education




High school diploma/GED









Associate Degree









Bachelor's Degree









Master's Degree









Doctorate (PhD, MD, DMD)

















Sheet 9: CQs Spanish Translations

Model Name
NIDCR Desktop (SP)


Red & Strike-Through: Delete
Brown: Changes by Nicole


Model ID
cEhYF9sttwh1UUINFQ0IBA4C


Underlined & Italicized: Re-order



Partitioned
No


Pink: Addition



Date
9/14/2016


Blue: Reword
















QID QUESTION META TAG Skip From Question Text Answer Choices Skip To Required
Y/N
Type Special Instructions CQ Label Spanish CQ Label
ESK7134Q001

¿Cuál fue su motivo principal para visitar este sitio? Información de salud (para mí o un amigo o familiar) B Y Radio button, one-up vertical Skip Logic Group
Primary Reason




Información de salud (para pacientes, clientes) B









Encontrar un dentista o cuidado dental










Estudios clínicos o estudios de investigación










Datos y estadísticas










Información sobre subvenciones y fuentes de financiamiento










Noticias sobre ciencia










Publicaciones










Herramientas de investigación (como modelos animales, matrices de tejidos)










Trabajos, becas, pasantías










Educación continua (CDE, por su sigla en inglés)










Herramientas de enseñanza (para instrucción de grados K-12)










Herramientas de enseñanza (para instrucción de profesionales dentistas/médicos o de estudiantes)










Misión/planes del NIDCR










Otro (por favor especifique): A





ESK7134Q002
A ¿Qué información estaba buscando?

N Text area, no char limit Skip Logic Group
Other_Primary Reason
ESK7134Q003
B ¿Qué información de salud estaba buscando? (Seleccione todos los que apliquen). Síndrome de la boca ardiente
Y Checkbox, one-up vertical Skip Logic Group
Looking For_Health Info

Boca seca o xerostomía



Enfermedad de las encías



Cáncer oral



Articulaciones temporomandibulares (ATM)



Caries dental



Otro (por favor especifique): B1

ESK7134Q004
B1 ¿Qué tema estaba buscando?

N Text area, no char limit Skip Logic Group
Other_Looking For
ESK7134Q005 Accomplish
¿Encontró lo que estaba buscando hoy en este sitio?
Y Radio button, one-up vertical Skip Logic Group*
Find




Parcialmente A









No A





ESK7134Q006
A ¿Qué información no pudo encontrar?

N Text area, no char limit Skip Logic Group*
OE_Find - What Unable
ESK7134Q007
A ¿Por qué no pudo terminar lo que deseaba cumplir?

N Text area, no char limit Skip Logic Group*
OE_Find - Why Unable
ESK7134Q008 Visit Frequency
¿Con qué frecuencia visita este sitio? Esta es la primera vez
Y Radio button, one-up vertical Skip Logic Group*
Visit Frequency




Una vez cada 6 meses, o menos
A








Una vez cada unos pocos meses
A








Cada mes
A








Cada semana
A








Una vez al día o más
A




TAR0213368
A ¿Notó algún cambio en el sitio del NIDCR durante su visita de hoy? B,D,E Y Radio button, one-up vertical Skip Logic Group*
Redesign Notice




No






TAR0213369
B ¿Está o no de acuerdo con las siguientes afirmaciones sobre el nuevo sitio:
La apariencia del nuevo sitio es visualmente agradable.
1=Muy en desacuerdo
Y Radio button, scale, has don't know Skip Logic Group*
Redesign Look and Feel




2










3










4










5










6










7










8










9










10=Muy de acuerdo










No sé






TAR0213370
D Es más fácil encontrar la información que quiero en el nuevo sitio. 1=Muy en desacuerdo
Y Radio button, scale, has don't know Skip Logic Group*
Redesign Easier Find




2










3










4










5










6










7










8










9










10=Muy de acuerdo










No sé






TAR0213371
E El nuevo sitio es mejor que el anterior. 1=Muy en desacuerdo 1 Y Radio button, scale, has don't know Skip Logic Group*
Redesign Improvement




2 1









3 1









4 1









5 1









6 2









7 2









8 2









9 2









10=Muy de acuerdo 2









No sé






TAR0213373
1 ¿Por qué cree que el nuevo sitio NO es mejor que el anterior?

N Text area, no char limit Skip Logic Group*
OE_Redesign Not Improvement
TAR0213374
2 ¿Qué aspectos del nuevo sitio le parecen mejores que los del sitio anterior?

N Text area, no char limit Skip Logic Group*
OE_Redesign Improvement
ESK7134Q009

¿Cómo describe mejor su papel al visitar hoy el sitio web del NIDCR? Persona con un problema de salud
Y Radio button, one-up vertical Skip Logic Group
Role




Familiar o amigo de una persona con un problema de salud


Randomize






Educador de salud










Profesional de la salud B









Científico/investigador D









Dueño de negocio/empresario










Analista de políticas










Estudiante D, S









Maestro/profesor D, T









Otro (por favor especifique): A

Anchor Answer Choice


ESK7134Q010
A Por favor describa su papel al visitar el sitio.

N Text area, no char limit Skip Logic Group
Other_Role
ESK7134Q011
B ¿Qué tipo de profesional de la salud es usted? Dentista
Y Radio button, one-up vertical Skip Logic Group
Role_Health Care Provider




Higienista dental










Asistente dental










Médico










Enfermera o enfermero










Asistente médico/Profesional en enfermería ("Nurse Practitioner")










Otro (por favor especifique): B1





ESK7134Q012
B1 Por favor especifique qué tipo de profesional de la salud es usted.

N Text area, no char limit Skip Logic Group
Other_Role_Health Care Provider
ESK7134Q013
D ¿Usted alguna vez ha… Solicitado financiamiento del NIDCR?
Y Checkbox, one-up vertical Skip Logic Group
Role_Funding




Recibido financiamiento del NIDCR?










Ninguno de los anteriores


mutually exclusive


ESK7134Q014
S ¿Qué tipo de estudiante es usted? Grados K-12
Y Radio button, one-up vertical Skip Logic Group
Role_Student




Instituto vocacional o escuela técnica










Estudios universitarios










Estudios de postgrado










Profesional










Otro






ESK7134Q015
T ¿Qué tipo de maestro/profesor es usted? Grados K-12
Y Radio button, one-up vertical Skip Logic Group
Role_Teacher




Instituto vocacional o escuela técnica










Estudios universitarios










Estudios de postgrado










Profesional










Otro






ESK7134Q016

¿Hoy visitó el sitio del NIDCR en español? A Y Radio button, one-up vertical Skip Logic Group
Visited Spanish Site




No






ESK7134Q017
A ¿Cómo se enteró del sitio del NIDCR en español? Por medio de una búsqueda (por ejemplo, Google, Yahoo, Bing)
Y Radio button, one-up vertical Skip Logic Group
Spanish Site Find Out About




A través del enlace "español" del sitio del NIDCR en inglés









Enlace desde otro sitio









Publicaciones/productos









Familiar, amigo, vecino, etc.









No lo recuerdo









Otro (por favor especifique): B




ESK7134Q018
B Por favor díganos cómo supo de este sitio.

N Text field, <100 char Skip Logic Group
Other_Spanish Site Find Out About
ESK7134Q019
A ¿Cuál es su país o región geográfica de origen? Estados Unidos
Y Radio button, one-up vertical Skip Logic Group
Spanish Site Region of Origin




México










Puerto Rico










Centroamérica










Sudamérica










El Caribe










Europa










Otro (por favor especifique): C





ESK7134Q020
C Por favor especifique su país o región geográfica de origen.

N Text field, <100 char Skip Logic Group
Other_Spanish Site Region of Origin
ESK7134Q021

Si pudiera hacer un cambio al sitio del NIDCR, ¿qué haría?

N Text area, no char limit

One Improvement
ESK7134Q022

¿Desde dónde está accediendo a este sitio? Estados Unidos
Y Radio button, one-up vertical Skip Logic Group
Accessing




México









Puerto Rico









Centroamérica









Sudamérica









El Caribe









Europa









Otro (por favor especifique): B




ESK7134Q023
B Por favor díganos desde dónde está accediendo a este sitio.

N Text field, <100 char Skip Logic Group
Other_Accessing
ESK7134Q024 Demographics: Gender
¿Cuál es su sexo? Masculino
Y Radio button, one-up vertical

Demographics: Gender




Femenino










Prefiero no contestar






ESK7134Q025 Demographics: Age
¿A qué categoría de edad pertenece? Menor de 18 años
Y Radio button, one-up vertical

Demographics: Age




18 - 24










25 - 34










35 - 44










45 - 54










55 - 64










65 - 74










75 o más










Prefiero no contestar






ESK7134Q026

¿Cuál es su raza o grupo étnico? (Seleccione todos los que apliquen). Indio norteamericano/nativo de Alaska
Y Checkbox, one-up vertical

Demographics: Race Ethnicity




Asiático










Negro/afroamericano










Hispano/latino










Nativo de Hawái u otras islas del Pacífico










Blanco










Otro










Prefiero no contestar


mutually exclusive


ESK7134Q027

¿Cuál es el grado de educación más alto que ha terminado? No terminé la secundaria
Y Radio Button, one-up vertical

Demographics: Education




Terminé la secundaria/GED










Grado asociado ("Associate Degree")










Licenciatura










Estudios de maestría










Estudios de doctorado (PhD, MD, DMD)



















Sheet 10: CQs Spanish (7-19-18)

Model Name
NIDCR Desktop (SP)


Red & Strike-Through: Delete
Brown: Changes by Nicole


Model ID
cEhYF9sttwh1UUINFQ0IBA4C


Underlined & Italicized: Re-order



Partitioned
No


Pink: Addition



Date
9/14/2016


Blue: Reword
















QID QUESTION META TAG Skip From Question Text Answer Choices Skip To Required
Y/N
Type Special Instructions CQ Label Spanish CQ Label
ESK7134Q001

¿Cuál fue su motivo principal para visitar este sitio? Información de salud (para mí o un amigo o familiar) B Y Radio button, one-up vertical Skip Logic Group
Primary Reason




Información de salud (para pacientes, clientes) B









Encontrar un dentista o cuidado dental










Estudios clínicos o estudios de investigación










Datos y estadísticas










Información sobre subvenciones y fuentes de financiamiento










Noticias sobre ciencia










Publicaciones










Herramientas de investigación (como modelos animales, matrices de tejidos)










Trabajos, becas, pasantías










Educación continua (CDE, por su sigla en inglés)










Herramientas de enseñanza (para instrucción de grados K-12)










Herramientas de enseñanza (para instrucción de profesionales dentistas/médicos o de estudiantes)










Misión/planes del NIDCR










Otro (por favor especifique): A





ESK7134Q002
A ¿Qué información estaba buscando?

N Text area, no char limit Skip Logic Group
Other_Primary Reason
ESK7134Q003
B ¿Qué información de salud estaba buscando? (Seleccione todos los que apliquen). Síndrome de la boca ardiente
Y Checkbox, one-up vertical Skip Logic Group
Looking For_Health Info

Boca seca o xerostomía



Enfermedad de las encías



Cáncer oral



Articulaciones temporomandibulares (ATM)



Caries dental



Otro (por favor especifique): B1

ESK7134Q004
B1 ¿Qué tema estaba buscando?

N Text area, no char limit Skip Logic Group
Other_Looking For
ESK7134Q005 Accomplish
¿Encontró lo que estaba buscando hoy en este sitio?
Y Radio button, one-up vertical Skip Logic Group*
Find




Parcialmente A









No A





ESK7134Q006
A ¿Qué información no pudo encontrar?

N Text area, no char limit Skip Logic Group*
OE_Find - What Unable
ESK7134Q007
A ¿Por qué no pudo terminar lo que deseaba cumplir?

N Text area, no char limit Skip Logic Group*
OE_Find - Why Unable
ESK7134Q008 Visit Frequency
¿Con qué frecuencia visita este sitio? Esta es la primera vez
Y Radio button, one-up vertical Skip Logic Group*
Visit Frequency




Una vez cada 6 meses, o menos
A








Una vez cada unos pocos meses
A








Cada mes
A








Cada semana
A








Una vez al día o más
A




TAR0213368
A ¿Notó algún cambio en el sitio del NIDCR durante su visita de hoy? B,D,E Y Radio button, one-up vertical Skip Logic Group*
Redesign Notice




No






TAR0213369
B ¿Está o no de acuerdo con las siguientes afirmaciones sobre el nuevo sitio:
La apariencia del nuevo sitio es visualmente agradable.
1=Muy en desacuerdo
Y Radio button, scale, has don't know Skip Logic Group*
Redesign Look and Feel




2










3










4










5










6










7










8










9










10=Muy de acuerdo










No sé






TAR0213370
D Es más fácil encontrar la información que quiero en el nuevo sitio. 1=Muy en desacuerdo
Y Radio button, scale, has don't know Skip Logic Group*
Redesign Easier Find




2










3










4










5










6










7










8










9










10=Muy de acuerdo










No sé






TAR0213371
E El nuevo sitio es mejor que el anterior. 1=Muy en desacuerdo 1 Y Radio button, scale, has don't know Skip Logic Group*
Redesign Improvement




2 1









3 1









4 1









5 1









6 2









7 2









8 2









9 2









10=Muy de acuerdo 2









No sé






TAR0213373
1 ¿Por qué cree que el nuevo sitio NO es mejor que el anterior?

N Text area, no char limit Skip Logic Group*
OE_Redesign Not Improvement
TAR0213374
2 ¿Qué aspectos del nuevo sitio le parecen mejores que los del sitio anterior?

N Text area, no char limit Skip Logic Group*
OE_Redesign Improvement
ESK7134Q009

¿Cómo describe mejor su papel al visitar hoy el sitio web del NIDCR? Persona con un problema de salud
Y Radio button, one-up vertical Skip Logic Group
Role




Familiar o amigo de una persona con un problema de salud


Randomize






Educador de salud










Profesional de la salud B









Científico/investigador D









Dueño de negocio/empresario










Analista de políticas










Estudiante D, S









Maestro/profesor D, T









Otro (por favor especifique): A

Anchor Answer Choice


ESK7134Q010
A Por favor describa su papel al visitar el sitio.

N Text area, no char limit Skip Logic Group
Other_Role
ESK7134Q011
B ¿Qué tipo de profesional de la salud es usted? Dentista
Y Radio button, one-up vertical Skip Logic Group
Role_Health Care Provider




Higienista dental










Asistente dental










Médico










Enfermera o enfermero










Asistente médico/Profesional en enfermería ("Nurse Practitioner")










Otro (por favor especifique): B1





ESK7134Q012
B1 Por favor especifique qué tipo de profesional de la salud es usted.

N Text area, no char limit Skip Logic Group
Other_Role_Health Care Provider
ESK7134Q013
D ¿Usted alguna vez ha… Solicitado financiamiento del NIDCR?
Y Checkbox, one-up vertical Skip Logic Group
Role_Funding




Recibido financiamiento del NIDCR?










Ninguno de los anteriores


mutually exclusive


ESK7134Q014
S ¿Qué tipo de estudiante es usted? Grados K-12
Y Radio button, one-up vertical Skip Logic Group
Role_Student




Instituto vocacional o escuela técnica










Estudios universitarios










Estudios de postgrado










Profesional










Otro






ESK7134Q015
T ¿Qué tipo de maestro/profesor es usted? Grados K-12
Y Radio button, one-up vertical Skip Logic Group
Role_Teacher




Instituto vocacional o escuela técnica










Estudios universitarios










Estudios de postgrado










Profesional










Otro






ESK7134Q016

¿Hoy visitó el sitio del NIDCR en español? A Y Radio button, one-up vertical Skip Logic Group
Visited Spanish Site




No






ESK7134Q017
A ¿Cómo se enteró del sitio del NIDCR en español? Por medio de una búsqueda (por ejemplo, Google, Yahoo, Bing)
Y Radio button, one-up vertical Skip Logic Group
Spanish Site Find Out About




A través del enlace "español" del sitio del NIDCR en inglés









Enlace desde otro sitio









Publicaciones/productos









Familiar, amigo, vecino, etc.









No lo recuerdo









Otro (por favor especifique): B




ESK7134Q018
B Por favor díganos cómo supo de este sitio.

N Text field, <100 char Skip Logic Group
Other_Spanish Site Find Out About
ESK7134Q019
A ¿Cuál es su país o región geográfica de origen? Estados Unidos
Y Radio button, one-up vertical Skip Logic Group
Spanish Site Region of Origin




México










Puerto Rico










Centroamérica










Sudamérica










El Caribe










Europa










Otro (por favor especifique): C





ESK7134Q020
C Por favor especifique su país o región geográfica de origen.

N Text field, <100 char Skip Logic Group
Other_Spanish Site Region of Origin
ESK7134Q021

Si pudiera hacer un cambio al sitio del NIDCR, ¿qué haría?

N Text area, no char limit

One Improvement
ESK7134Q022

¿Desde dónde está accediendo a este sitio? Estados Unidos
Y Radio button, one-up vertical Skip Logic Group
Accessing




México









Puerto Rico









Centroamérica









Sudamérica









El Caribe









Europa









Otro (por favor especifique): B




ESK7134Q023
B Por favor díganos desde dónde está accediendo a este sitio.

N Text field, <100 char Skip Logic Group
Other_Accessing
ESK7134Q024 Demographics: Gender
¿Cuál es su sexo? Masculino
Y Radio button, one-up vertical

Demographics: Gender




Femenino










Prefiero no contestar






ESK7134Q025 Demographics: Age
¿A qué categoría de edad pertenece? Menor de 18 años
Y Radio button, one-up vertical

Demographics: Age




18 - 24










25 - 34










35 - 44










45 - 54










55 - 64










65 - 74










75 o más










Prefiero no contestar






ESK7134Q026

¿Cuál es su raza o grupo étnico? (Seleccione todos los que apliquen). Indio norteamericanos/nativo de Alaska
Y Checkbox, one-up vertical

Demographics: Race Ethnicity




Asiático










Negro/afroamericano










Hispano/latino










Nativo de Hawái u otras islas del Pacífico










Blanco










Otro










Prefiero no contestar


mutually exclusive


ESK7134Q027

¿Cuál es el grado de educación más alto que ha terminado? No terminé la secundaria
Y Radio Button, one-up vertical

Demographics: Education




Terminé la secundaria/GED










Grado asociado ("Associate Degree")










Estudios universitarios Licenciatura










Estudios de maestría










Estudios de doctorado (PhD, MD, DMD)



















Sheet 11: CQs (2-21-18)

Model Name
NIDCR Desktop
EN MID: BZYpJRstFs8pYNcgQplB0Q4C
Red & Strike-Through: Delete
Brown: Changes by Nicole

Model ID
oQVZB5gtMlUAAwEpIhR8Bg4C


Underlined & Italicized: Re-order


Partitioned
No


Pink: Addition


Date
9/14/2016


Blue: Reword














QID QUESTION META TAG Skip From Question Text Answer Choices Skip To Required
Y/N
Type Special Instructions CQ Label
ESK7134Q001 Primary Reason
What was your main reason for visiting this site? Health information (for self or friend/family member) B Y Radio button, one-up vertical Skip Logic Group Primary Reason




Health information (for patients, clients) B








Find a dentist or dental care









Clinical trials or research studies









Data and statistics









Grants/funding information









Science news









Publications









Research tools (e.g. animal models, tissue arrays)









Jobs, fellowships, internships









Continuing education (CDE)









Teaching tools (for K-12 instruction)









Teaching tools (for dental/medical professional or student instruction)









NIDCR mission/plans









Other (please specify): A




ESK7134Q002
A What you were looking for?

N Text area, no char limit Skip Logic Group Other_Primary Reason
ESK7134Q003
B What health information were you looking for? (Please select all that apply.)
Burning mouth
Y Checkbox, one-up vertical Skip Logic Group Looking For_Health Info


Dry mouth



Gum disease



Oral cancer



TMJ (temporomandibular joints)



Tooth decay



Other (please specify): B1
ESK7134Q004
B1 What topic you were looking for?

N Text area, no char limit Skip Logic Group Other_Looking For
ESK7134Q005

Did you find what you were looking for on this site today? Yes
Y Radio button, one-up vertical Skip Logic Group* Find




Partially A








No A




ESK7134Q006
A What were you unable to find?

N Text area, no char limit Skip Logic Group* OE_Find - What Unable
ESK7134Q007
A Why were you unable to accomplish your task?

N Text area, no char limit Skip Logic Group* OE_Find - Why Unable
ESK7134Q008 Visit Frequency
How often do you visit this site? This is my first visit
Y Radio button, one-up vertical Skip Logic Group Visit Frequency




Once every 6 months or less often A








Once every few months A








Monthly A








Weekly A








Daily or more often A






A Did you notice any changes to the NIDCR site during your visit today? Yes B,D,E Y Radio button, one-up vertical Skip Logic Group* Redesign Notice




No







B Do you agree or disagree with the following statements about the new NICDR site:
New site's look and feel is visually pleasing. 
1=Strongly Disagree
Y Radio button, scale, has don't know Skip Logic Group* Redesign Look and Feel




2









3









4









5









6









7









8









9









10=Strongly Agree









Don't know







D New site makes it easier to find the information I want. 1=Strongly Disagree
Y Radio button, scale, has don't know Skip Logic Group* Redesign Easier Find




2









3









4









5









6









7









8









9









10=Strongly Agree









Don't know







E New site is an improvement over the previous one. 1=Strongly Disagree 1 Y Radio button, scale, has don't know Skip Logic Group* Redesign Improvement




2 1








3 1








4 1








5 1








6 2








7 2








8 2








9 2








10=Strongly Agree 2








Don't know







1 Why you think the new site is NOT an improvement over the previous site?

N Text area, no char limit Skip Logic Group* OE_Redesign Not Improvement


2 What aspects of the new site are improvements over the previous site?

N Text area, no char limit Skip Logic Group* OE_Redesign Improvement
ESK7134Q009 Role
Which best describes your role in visiting the NIDCR website today? Person with a health concern
Y Radio button, one-up vertical Skip Logic Group Role




Family member/friend of a person with a health concern


Randomize





Health educator









Health care provider B








Scientist/Researcher D








Business owner/Entrepreneur









Policy analyst









Student D, S








Teacher/Professor D, T








Other (please specify): A

Anchor Answer Choice

ESK7134Q010
A Please describe your role in visiting the site.

N Text area, no char limit Skip Logic Group Other_Role
ESK7134Q011
B What type of health care provider are you? Dentist
Y Radio button, one-up vertical Skip Logic Group Role_Health Care Provider




Dental Hygienist









Dental Assistant









Physician









Nurse









Physician Assistant/Nurse Practitioner









Other (please specify): B1




ESK7134Q012
B1 Please specify what type of health care provider you are.

N Text area, no char limit Skip Logic Group Other_Role_Health Care Provider
ESK7134Q013
D Have you ever...? Applied for funding from NIDCR
Y Checkbox, one-up vertical Skip Logic Group Role_Funding




Received funding from NIDCR









Neither of the above


mutually exclusive

ESK7134Q014
S What type of student are you? K-12th grade
Y Radio button, one-up vertical Skip Logic Group Role_Student




Vocational/technical school









Undergraduate









Graduate









Professional









Other





ESK7134Q015
T What type of teacher/professor are you? K-12th grade
Y Radio button, one-up vertical Skip Logic Group Role_Teacher




Vocational/technical school









Undergraduate









Graduate









Professional









Other





ESK7134Q016

Did you visit NIDCR's Spanish-language site today? Yes A Y Radio button, one-up vertical Skip Logic Group Visited Spanish Site




No





ESK7134Q017
A How did you find out about NIDCR's Spanish-language site? Search engine (e.g. Google, Yahoo, Bing)
Y Radio button, one-up vertical Skip Logic Group Spanish Site Find Out About




Followed Español link from English NIDCR website








Link from another site








Publications/products








Family member, friend, neighbor, etc.








I don’t remember








Other (please specify): B



ESK7134Q018
B Please specify how you found out about this site.

N Text field, <100 char Skip Logic Group Other_Spanish Site Find Out About
ESK7134Q019
A What is your country/region of origin? United States
Y Radio button, one-up vertical Skip Logic Group Spanish Site Region of Origin




Mexico









Puerto Rico









Central America









South America









Caribbean









Europe









Other (please specify): C




ESK7134Q020
C Please specify your country/region of origin.

N Text field, <100 char Skip Logic Group Other_Spanish Site Region of Origin
ESK7134Q021 OE_Improve Experience
If you could make one improvement to the NIDCR site, what would it be?

N Text area, no char limit
One Improvement
ESK7134Q022

From where are you accessing this site? United States
Y Radio button, one-up vertical Skip Logic Group Accessing




Mexico








Puerto Rico








Central America








South America








Caribbean








Europe








Other (please specify): B



ESK7134Q023
B Please specify from where you are accessing this site.

N Text field, <100 char Skip Logic Group Other_Accessing
ESK7134Q024 Demographics: Gender
What is your gender? Male
Y Radio button, one-up vertical
Demographics: Gender




Female









Prefer not to answer





ESK7134Q025

Which category includes your age? Under 18
Y Radio button, one-up vertical
Demographics: Age




18 - 24









25 - 34









35 - 44









45 - 54









55 - 64









65 - 74









75 or older









Prefer not to answer





ESK7134Q026

What is your race or ethnicity? (Please select all that apply.) American Indian/Alaska Native
Y Checkbox, one-up vertical
Demographics: Race Ethnicity




Asian









Black/African American









Hispanic/Latino









Native Hawaiian or Other Pacific Islander









White









Other









Prefer not to answer


mutually exclusive

ESK7134Q027

What is your highest level of education? Less than high school
Y Radio Button, one-up vertical
Demographics: Education




High school diploma/GED









Associate Degree









Bachelor's Degree









Master's Degree









Doctorate (PhD, MD, DMD)

















Sheet 12: CQs Spanish (2-21-18)

Model Name
NIDCR Desktop (SP)


Red & Strike-Through: Delete
Brown: Changes by Nicole


Model ID
cEhYF9sttwh1UUINFQ0IBA4C


Underlined & Italicized: Re-order



Partitioned
No


Pink: Addition



Date
9/14/2016


Blue: Reword
















QID QUESTION META TAG Skip From Question Text Answer Choices Skip To Required
Y/N
Type Special Instructions CQ Label Spanish CQ Label
ESK7134Q001

¿Cuál fue su motivo principal para visitar este sitio? Información de salud (para mí o un amigo o familiar) B Y Radio button, one-up vertical Skip Logic Group
Primary Reason




Información de salud (para pacientes, clientes) B









Encontrar un dentista o cuidado dental










Estudios clínicos o estudios de investigación










Datos y estadísticas










Información sobre subvenciones y fuentes de financiamiento










Noticias sobre ciencia










Publicaciones










Herramientas de investigación (como modelos animales, matrices de tejidos)










Trabajos, becas, pasantías










Educación continua (CDE, por su sigla en inglés)










Herramientas de enseñanza (para instrucción de grados K-12)










Herramientas de enseñanza (para instrucción de profesionales dentistas/médicos o de estudiantes)










Misión/planes del NIDCR










Otro (por favor especifique): A





ESK7134Q002
A ¿Qué información estaba buscando?

N Text area, no char limit Skip Logic Group
Other_Primary Reason
ESK7134Q003
B ¿Qué información de salud estaba buscando? (Seleccione todos los que apliquen). Síndrome de la boca ardiente
Y Checkbox, one-up vertical Skip Logic Group
Looking For_Health Info

Boca seca o xerostomía



Enfermedad de las encías



Cáncer oral



Articulaciones temporomandibulares (ATM)



Caries dental



Otro (por favor especifique): B1

ESK7134Q004
B1 ¿Qué tema estaba buscando?

N Text area, no char limit Skip Logic Group
Other_Looking For
ESK7134Q005 Accomplish
¿Encontró lo que estaba buscando hoy en este sitio?
Y Radio button, one-up vertical Skip Logic Group*
Find




Parcialmente A









No A





ESK7134Q006
A ¿Qué información no pudo encontrar?

N Text area, no char limit Skip Logic Group*
OE_Find - What Unable
ESK7134Q007
A ¿Por qué no pudo terminar lo que deseaba cumplir?

N Text area, no char limit Skip Logic Group*
OE_Find - Why Unable
ESK7134Q008 Visit Frequency
¿Con qué frecuencia visita este sitio? Esta es la primera vez
Y Radio button, one-up vertical Skip Logic Group*
Visit Frequency




Una vez cada 6 meses, o menos
A








Una vez cada unos pocos meses
A








Cada mes
A








Cada semana
A








Una vez al día o más
A






A ¿Notó algún cambio en el sitio del NIDCR durante su visita de hoy? B,D,E Y Radio button, one-up vertical Skip Logic Group*
Redesign Notice




No








B ¿Está o no de acuerdo con las siguientes afirmaciones sobre el nuevo sitio:
La apariencia del nuevo sitio es visualmente agradable.
1=Muy en desacuerdo
Y Radio button, scale, has don't know Skip Logic Group*
Redesign Look and Feel




2










3










4










5










6










7










8










9










10=Muy de acuerdo










No sé








D Es más fácil encontrar la información que quiero en el nuevo sitio. 1=Muy en desacuerdo
Y Radio button, scale, has don't know Skip Logic Group*
Redesign Easier Find




2










3










4










5










6










7










8










9










10=Muy de acuerdo










No sé








E El nuevo sitio es mejor que el anterior. 1=Muy en desacuerdo 1 Y Radio button, scale, has don't know Skip Logic Group*
Redesign Improvement




2 1









3 1









4 1









5 1









6 2









7 2









8 2









9 2









10=Muy de acuerdo 2









No sé








1 ¿Por qué cree que el nuevo sitio NO es mejor que el anterior?

N Text area, no char limit Skip Logic Group*
OE_Redesign Not Improvement


2 ¿Qué aspectos del nuevo sitio le parecen mejores que los del sitio anterior?

N Text area, no char limit Skip Logic Group*
OE_Redesign Improvement
ESK7134Q009

¿Cómo describe mejor su papel al visitar hoy el sitio web del NIDCR? Persona con un problema de salud
Y Radio button, one-up vertical Skip Logic Group
Role




Familiar o amigo de una persona con un problema de salud


Randomize






Educador de salud










Profesional de la salud B









Científico/investigador D









Dueño de negocio/empresario










Analista de políticas










Estudiante D, S









Maestro/profesor D, T









Otro (por favor especifique): A

Anchor Answer Choice


ESK7134Q010
A Por favor describa su papel al visitar el sitio.

N Text area, no char limit Skip Logic Group
Other_Role
ESK7134Q011
B ¿Qué tipo de profesional de la salud es usted? Dentista
Y Radio button, one-up vertical Skip Logic Group
Role_Health Care Provider




Higienista dental










Asistente dental










Médico










Enfermera o enfermero










Asistente médico/Profesional en enfermería ("Nurse Practitioner")










Otro (por favor especifique): B1





ESK7134Q012
B1 Por favor especifique qué tipo de profesional de la salud es usted.

N Text area, no char limit Skip Logic Group
Other_Role_Health Care Provider
ESK7134Q013
D ¿Usted alguna vez ha… Solicitado financiamiento del NIDCR?
Y Checkbox, one-up vertical Skip Logic Group
Role_Funding




Recibido financiamiento del NIDCR?










Ninguno de los anteriores


mutually exclusive


ESK7134Q014
S ¿Qué tipo de estudiante es usted? Grados K-12
Y Radio button, one-up vertical Skip Logic Group
Role_Student




Instituto vocacional o escuela técnica










Estudios universitarios










Estudios de postgrado










Profesional










Otro






ESK7134Q015
T ¿Qué tipo de maestro/profesor es usted? Grados K-12
Y Radio button, one-up vertical Skip Logic Group
Role_Teacher




Instituto vocacional o escuela técnica










Estudios universitarios










Estudios de postgrado










Profesional










Otro






ESK7134Q016

¿Hoy visitó el sitio del NIDCR en español? A Y Radio button, one-up vertical Skip Logic Group
Visited Spanish Site




No






ESK7134Q017
A ¿Cómo se enteró del sitio del NIDCR en español? Por medio de una búsqueda (por ejemplo, Google, Yahoo, Bing)
Y Radio button, one-up vertical Skip Logic Group
Spanish Site Find Out About




A través del enlace "español" del sitio del NIDCR en inglés









Enlace desde otro sitio









Publicaciones/productos









Familiar, amigo, vecino, etc.









No lo recuerdo









Otro (por favor especifique): B




ESK7134Q018
B Por favor díganos cómo supo de este sitio.

N Text field, <100 char Skip Logic Group
Other_Spanish Site Find Out About
ESK7134Q019
A ¿Cuál es su país o región geográfica de origen? Estados Unidos
Y Radio button, one-up vertical Skip Logic Group
Spanish Site Region of Origin




México










Puerto Rico










Centroamérica










Sudamérica










El Caribe










Europa










Otro (por favor especifique): C





ESK7134Q020
C Por favor especifique su país o región geográfica de origen.

N Text field, <100 char Skip Logic Group
Other_Spanish Site Region of Origin
ESK7134Q021

Si pudiera hacer un cambio al sitio del NIDCR, ¿qué haría?

N Text area, no char limit

One Improvement
ESK7134Q022

¿Desde dónde está accediendo a este sitio? Estados Unidos
Y Radio button, one-up vertical Skip Logic Group
Accessing




México









Puerto Rico









Centroamérica









Sudamérica









El Caribe









Europa









Otro (por favor especifique): B




ESK7134Q023
B Por favor díganos desde dónde está accediendo a este sitio.

N Text field, <100 char Skip Logic Group
Other_Accessing
ESK7134Q024 Demographics: Gender
¿Cuál es su sexo? Masculino
Y Radio button, one-up vertical

Demographics: Gender




Femenino










Prefiero no contestar






ESK7134Q025 Demographics: Age
¿A qué categoría de edad pertenece? Menor de 18 años
Y Radio button, one-up vertical

Demographics: Age




18 - 24










25 - 34










35 - 44










45 - 54










55 - 64










65 - 74










75 o más










Prefiero no contestar






ESK7134Q026

¿Cuál es su raza o grupo étnico? (Seleccione todos los que apliquen). Indio norteamericanos/nativo de Alaska
Y Checkbox, one-up vertical

Demographics: Race Ethnicity




Asiático










Negro/afroamericano










Hispano/latino










Nativo de Hawái u otras islas del Pacífico










Blanco










Otro










Prefiero no contestar


mutually exclusive


ESK7134Q027

¿Cuál es el grado de educación más alto que ha terminado? No terminé la secundaria
Y Radio Button, one-up vertical

Demographics: Education




Terminé la secundaria/GED










Grado asociado ("Associate Degree")










Estudios universitarios










Estudios de maestría










Estudios de doctorado (PhD, MD, DMD)



















Sheet 13: CQs (2-13-17)

Model Name
NIDCR Desktop
EN MID: BZYpJRstFs8pYNcgQplB0Q4C
Red & Strike-Through: Delete
Brown: Changes by Nicole

Model ID
oQVZB5gtMlUAAwEpIhR8Bg4C


Underlined & Italicized: Re-order


Partitioned
No


Pink: Addition


Date
9/14/2016


Blue: Reword














QID QUESTION META TAG Skip From Question Text Answer Choices Skip To Required
Y/N
Type Special Instructions CQ Label
ESK7134Q001 Primary Reason
What was your main reason for visiting this site? Health information (for self or friend/family member) B Y Radio button, one-up vertical Skip Logic Group Primary Reason




Health information (for patients, clients) B








Find a dentist or dental care









Clinical trials or research studies









Data and statistics









Grants/funding information









Science news









Publications









Research tools (e.g. animal models, tissue arrays)









Jobs, fellowships, internships









Continuing education (CDE)









Teaching tools (for K-12 instruction)









Teaching tools (for dental/medical professional or student instruction)









NIDCR mission/plans









Other (please specify): A




ESK7134Q002
A What you were looking for?

N Text area, no char limit Skip Logic Group Other_Primary Reason
ESK7134Q003
B What health information were you looking for? (Please select all that apply.)
Burning mouth
Y Checkbox, one-up vertical Skip Logic Group Looking For_Health Info


Dry mouth



Gum disease



Oral cancer



TMJ (temporomandibular joints)



Tooth decay



Other (please specify): B1
ESK7134Q004
B1 What topic you were looking for?

N Text area, no char limit Skip Logic Group Other_Looking For
ESK7134Q005

Did you find what you were looking for on this site today? Yes
Y Radio button, one-up vertical Skip Logic Group* Find




Partially A








No A




ESK7134Q006
A What were you unable to find?

N Text area, no char limit Skip Logic Group* OE_Find - What Unable
ESK7134Q007
A Why were you unable to accomplish your task?

N Text area, no char limit Skip Logic Group* OE_Find - Why Unable
ESK7134Q008 Visit Frequency
How often do you visit this site? This is my first visit
Y Radio button, one-up vertical
Visit Frequency




Once every 6 months or less often









Once every few months









Monthly









Weekly









Daily or more often





ESK7134Q009 Role
Which best describes your role in visiting the NIDCR website today? Person with a health concern
Y Radio button, one-up vertical Skip Logic Group Role




Family member/friend of a person with a health concern


Randomize





Patient advocate









Health educator









Health care provider B








Scientist/Researcher D








NIDCR Council or committee member









NIDCR staff









Other government staff









Media









Business owner/Entrepreneur









Policy analyst









Student D, S








Teacher/Professor D, T








Other (please specify): A

Anchor Answer Choice

ESK7134Q010
A Please describe your role in visiting the site.

N Text area, no char limit Skip Logic Group Other_Role
ESK7134Q011
B What type of health care provider are you? Dentist
Y Radio button, one-up vertical Skip Logic Group Role_Health Care Provider




Dental Hygienist









Dental Assistant









Physician









Nurse









Physician Assistant/Nurse Practitioner









Other (please specify): B1




ESK7134Q012
B1 Please specify what type of health care provider you are.

N Text area, no char limit Skip Logic Group Other_Role_Health Care Provider
ESK7134Q013
D Have you ever...? Applied for funding from NIDCR
Y Checkbox, one-up vertical Skip Logic Group Role_Funding




Received funding from NIDCR









Neither of the above


mutually exclusive

ESK7134Q014
S What type of student are you? K-12th grade
Y Radio button, one-up vertical Skip Logic Group Role_Student




Vocational/technical school









Undergraduate









Graduate









Professional









Other





ESK7134Q015
T What type of teacher/professor are you? K-12th grade
Y Radio button, one-up vertical Skip Logic Group Role_Teacher




Vocational/technical school









Undergraduate









Graduate









Professional









Other





ESK7134Q016

Did you visit NIDCR's Spanish-language site today? Yes A Y Radio button, one-up vertical Skip Logic Group Visited Spanish Site




No





ESK7134Q017
A How did you find out about NIDCR's Spanish-language site? Search engine (e.g. Google, Yahoo, Bing)
Y Radio button, one-up vertical Skip Logic Group Spanish Site Find Out About




Followed Español link from English NIDCR website








Link from another site








Publications/products








Family member, friend, neighbor, etc.








I don’t remember








Other (please specify): B



ESK7134Q018
B Please specify how you found out about this site.

N Text field, <100 char Skip Logic Group Other_Spanish Site Find Out About
ESK7134Q019
A What is your country/region of origin? United States
Y Radio button, one-up vertical Skip Logic Group Spanish Site Region of Origin




Mexico









Puerto Rico









Central America









South America









Caribbean









Europe









Other (please specify): C




ESK7134Q020
C Please specify your country/region of origin.

N Text field, <100 char Skip Logic Group Other_Spanish Site Region of Origin
ESK7134Q021 OE_Improve Experience
If you could make one improvement to the NIDCR site, what would it be?

N Text area, no char limit
One Improvement
ESK7134Q022

From where are you accessing this site? United States
Y Radio button, one-up vertical Skip Logic Group Accessing




Mexico








Puerto Rico








Central America








South America








Caribbean








Europe








Other (please specify): B



ESK7134Q023
B Please specify from where you are accessing this site.

N Text field, <100 char Skip Logic Group Other_Accessing
ESK7134Q024 Demographics: Gender
What is your gender? Male
Y Radio button, one-up vertical
Demographics: Gender




Female









Prefer not to answer





ESK7134Q025

Which category includes your age? Under 18
Y Radio button, one-up vertical
Demographics: Age




18 - 24









25 - 34









35 - 44









45 - 54









55 - 64









65 - 74









75 or older









Prefer not to answer





ESK7134Q026

What is your race or ethnicity? (Please select all that apply.) American Indian/Alaska Native
Y Checkbox, one-up vertical
Demographics: Race Ethnicity




Asian









Black/African American









Hispanic/Latino









Native Hawaiian or Other Pacific Islander









White









Other









Prefer not to answer


mutually exclusive

ESK7134Q027

What is your highest level of education? Less than high school
Y Radio Button, one-up vertical
Demographics: Education




High school diploma/GED









Associate Degree









Bachelor's Degree









Master's Degree









Doctorate (PhD, MD, DMD)
















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