Form Q_SAMHSAMain_Web_B Q_SAMHSAMain_Web_Browse_201760518

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Overview

Model Qsts
Current CQs
CQs (6-20-16)
CQs (8-6-15)
CQs (12-2-14)

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Sheet 1: Model Qsts

Model Instance Name:				red & strike-through: DELETE
SAMHSA Main Site v3				underlined & italicized: RE-ORDER
MID: 9FgNoVA0V5Io9hhcJxwtBQ4C				pink: ADDITION
Date:	1/20/2021			blue + -->: REWORDING
SAMHSA Main Site v2
Model questions utilize the ACSI methodology to determine scores and impacts
		ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION			FUTURE BEHAVIORS
	MQ labels					MQ labels
		Navigation (1=Poor, 10=Excellent, Don't Know)		Satisfaction			Return (1=Very Unlikely, 10=Very Likely)
1	Navigation - Organized	Please rate how well the site is organized.	16	What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)	19	Return	How likely are you to return to this site?
2	Navigation - Options	Please rate the options available for navigating this site.	17	How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)			Recommend (1=Very Unlikely, 10=Very Likely)
3	Navigation - Layout	Please rate how well the site layout helps you find what you are looking for.	18	How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)	20	Recommend	How likely are you to recommend this site to someone else?
		Site Performance (1=Poor, 10=Excellent, Don't Know)					Primary Resource (1=Very Unlikely, 10=Very Likely)
4	Site Performance - Loading	Please rate how quickly pages load on this site.			21	Primary Resource	How likely are you to use this site as your primary resource for obtaining information about mental health and substance abuse issues?
5	Site Performance - Consistency	Please rate the consistency of speed from page to page on this site.					Trust (1=Strongly Disagree, 10=Strongly Agree)
6	Site Performance - Errors	Please rate the ability to load pages without getting error messages on this site.			22	Trust - Best Interests	I can count on this agency to act in my best interests.
		Site Information (1=Poor, 10=Excellent, Don't Know)			23	Trust - Trustworthy	I consider this agency to be trustworthy.
7	Site Information - Thoroughness	Please rate the thoroughness of information provided on this site.			24	Trust - Do Right	This agency can be trusted to do what is right.
8	Site Information - Understandable	Please rate how understandable this site’s information is.
9	Site Information - Answers	Please rate how well the site’s information provides answers to your questions.
		Look and Feel (1=Poor, 10=Excellent, Don't Know)
10	Look and Feel - Appeal	Please rate the visual appeal of this site.
11	Look and Feel - Balance	Please rate the balance of graphics and text on this site.
12	Look and Feel - Readability	Please rate the readability of the pages on this site.
		Information Browsing (1=Poor, 10=Excellent, Don't Know)
13	Browsing - Sort	Please rate the ability to sort information by criteria that are important to you on this site.
14	Browsing - Narrow	Please rate the ability to narrow choices to find the information you are looking for on this site.
15	Browsing - Features	Please rate how well the features on the site help you find the information you are looking for.

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Sheet 2: Current CQs

Model Instance Name:				red & strike-through: DELETE
SAMHSA Main Site v3				underlined & italicized: RE-ORDER
MID: 9FgNoVA0V5Io9hhcJxwtBQ4C				pink: ADDITION
Date	1/20/2021				blue + -->: REWORDING
SAMHSA Main Site v3 CUSTOM QUESTION LIST
QID (Group ID)	QUESTION META TAG	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Required Y/N	Special Instructions	CQ Label
KMJ6067Q001			What is your primary interest in Substance Abuse and Mental Health today?	Personal		Radio button, one-up vertical	Y		Primary interest
				Professional
				Both Personal and Professional
KMJ6067Q026	Role		What best describes your role:	General public		Drop down, select one	Y	Skip Logic Group	Role
				Clinician/medical professional
				Consultant
				Educator/school teacher
				Program or service provider/worker
				Researcher
				Social Worker/counselor
				Student
				Other, please specify:	A
KMJ6067Q027		A	Please specify your other role.			Text area, no char limit	N	Skip Logic Group	Other role
KMJ6067Q028			What best describes your Organization type?	Behavioral health treatment facility		Drop down, select one	Y	Skip Logic Group	Workplace
				Church/faith-based organization
				Client/patient homes
				Criminal justice/courts
				Health insurer
				Human resources/employee assistance program
				Individual or group private practice
				Managed care/insurance company office
				Military/veterans group
				Non-Profit/Community-Based Org/Coalition
				Non-residential/out-patient facility
				Public place/Interacting in community
				Residential/in-patient facility
				School/university
				Other, please specify:	A
KMJ6067Q029		A	Please specify your organization.			Text area, no char limit	n	Skip Logic Group	Other workplace
KMJ6067Q002			What area(s) of the site did you visit today? (Please select all that apply.)	Find Help & Treatment		Checkbox, one-up vertical	Y	Skip Logic Group	Area Visited
				Topics
				Programs & Campaigns
				Grants
				Data
				About Us
				Publications
				Newsroom
				Other	A
KMJ6067Q003		A	Please specify the area of the site you visited today.			Text area, no char limit	N	Skip Logic Group	OE_Area
KMJ6067Q004	Primary Reason - Federal Government or Informational Non-Profit		What is the main reason(s) for your visit today? (Please select all that apply.)	Find a treatment program/facility or helpline numbers		Checkbox, one-up vertical	Y	Skip Logic Group	Reason
				Find grant information
				Find SAMHSA’s contact information (phone number or email)
				Get help for mental health and/or substance use disorders
				Get information on SAMHSA’s programs, campaigns, technical assistance centers, or resource centers
				Get latest news, events, or press releases
				Get online training or other learning resources (such as webinars)
				Get survey/statistical data or data reports
				Learn about SAMHSA, including SAMHSA’s policies and priorities
				Order publications
				Research information by issues/topics, including how to prevent, treat, and recover from substance use disorders and mental illness
				Other, please specify:	A
KMJ6067Q005		A	Other reason			Text area, no char limit	N	Skip Logic Group	Other reason
KMJ6067Q006			Which of the following types of content would you like to see highlighted on SAMHSA's homepage? (Please select all that apply.)	Data reports or research studies (most recent or SAMHSA-featured)		Checkbox, one-up vertical	Y	Skip Logic Group	Homepage all
				Funding and grant related information (most recent or SAMHSA-featured)
				Helplines, such as those for suicide prevention, veterans, and disaster distress
				Information about SAMHSA, such as strategic initiatives, priorities, and budget
				News and upcoming events. Please specify:	A
				Press releases or newsletters
				Programs, campaigns, or initiatives (most recent or SAMHSA-featured)
				Publications (most recent or SAMHSA-featured)
				Topics (most visited or SAMHSA-featured)
				Training and learning resources, such as webinars, videos, or audio recordings
				Treatment facility information for mental health or substance abuse
				Other, please specify:	B
KMJ6067Q007		A	Please specify the news and upcoming events you would like to see highlighted.			Text area, no char limit	N	Skip Logic Group	Other homepage news
KMJ6067Q008		B	What other content would you like to see highlighted?			Text area, no char limit	N	Skip Logic Group	Other homepage
KMJ6067Q009			Of the following types of content which one would you most like to see highlighted on SAMHSA's homepage?	Data reports or research studies (most recent or SAMHSA-featured)		Drop down, select one	Y	Skip Logic Group	Homepage one
				Funding and grant related information (most recent or SAMHSA-featured)
				Helplines, such as those for suicide prevention, veterans, and disaster distress
				Information about SAMHSA, such as strategic initiatives, priorities, and budget
				News and upcoming events
				Press releases or newsletters
				Programs, campaigns, or initiatives (most recent or SAMHSA-featured)
				Publications (most recent or SAMHSA-featured)
				Topics (most visited or SAMHSA-featured)
				Training and learning resources, such as webinars, videos, or audio recordings
				Treatment facility information for mental health or substance abuse
				Other, please specify:	A
KMJ6067Q010		A	Please specify what you would most like to see highlighted.			Text area, no char limit	N	Skip Logic Group	Other most highlighted
KMJ6067Q011			Did you find what you were looking for?	Yes		Radio button, one-up vertical	Y	Skip Logic Group	Find info
				No	A
				Partially	A
KMJ6067Q012		A	If you could not fully find what you were looking for, what was it?			Text area, no char limit	N	Skip Logic Group	No info found
KMJ6067Q013			What method did you primarily use today to find your information?	Site's search feature	B	Radio button, one-up vertical	Y	Skip Logic Group	Method
				Advanced search	B
				Top navigation bar
				Quick link in the pages
				Site map
				Just browsed the pages
				Other, please specify:	A
KMJ6067Q014		A	Other method			Text area, no char limit	N	Skip Logic Group	Other method
KMJ6067Q015		B	Please tell us about your experience with the site's search feature today. (Please select all that apply.)	The search feature met my needs today.		Checkbox, one-up vertical	Y	Mutually Exclusive	Search Exp
				It was not clear to me how to use the search feature.				Skip Logic Group
				I had issues with the search results I received.	D
				I had issues with sorting, filtering, advanced search, or lack of these options.	E
				I had a different issue with the search feature.	F
KMJ6067Q016		F	Please briefly describe the issue you faced with the search feature.			Text area, no char limit	N	Skip Logic Group	OE_Search Feature
KMJ6067Q017		E	Please describe the issue you faced with sorting, filtering or advanced search options.			Text area, no char limit	N	Skip Logic Group	OE_Sort, Filter
KMJ6067Q018		D	What were your issues with the search results? (Please select all that apply.)	Results were not relevant/not what I wanted.		Checkbox, one-up vertical	Y	Skip Logic Group	Search Results Issues
				I could not see much difference between the listings/items.
				There was too little information in the results for me to decide which to choose.
				The visual display of the results (such as image use, font color, and font size) was not helpful.
				There were too many results.
				There were not enough results.
				There were NO results.
				I had a different issue with the search results.	I
KMJ6067Q019		I	Please briefly describe the issue you faced with the search results.			Text area, no char limit	N	Skip Logic Group	OE_Search Results
KMJ6067Q020			How would you describe your overall navigation/browsing experience on this site today? (Please select all that apply.)	I had no difficulty navigating/browsing on this site.		Checkbox, one-up vertical	Y	Mutually Exclusive	Nav Exp
				Links often did not take me where I expected.	B			Skip Logic Group
				Links are difficult to understand.	B
				The site has too many links/navigational options to choose from.	B
				I had technical difficulties (error messages, broken links, etc.).	B
				I could not navigate back to previous information.	B
				I had a navigation difficulty not listed above.	A,B
KMJ6067Q021		A	Please specify the navigation difficulty you encountered.			Text area, no char limit	N	Skip Logic Group	OE_Nav Diff
KMJ6067Q022		B	What specific ways can we improve your experience navigating/browsing on this site?			Text area, no char limit	N	Skip Logic Group	OE_Nav Imp
KMJ6067Q023			What do you think of the overall site information? (Such as its ease of understanding, thoroughness, and presentation.)			Text area, no char limit	N		OE_Site Info
KMJ6067Q024	Accomplish		Did you accomplish what you wanted to on this site?	Yes		Radio button, one-up vertical	Y		Accomplish
				No
KMJ6067Q025	Visit Frequency		How frequently do you visit this site?	First time		Drop down, select one	Y		Frequency of visits
				Daily
				Weekly
				Monthly
				Once every few months or less often
KMJ6067Q030			Is there anything else that is not covered above, which you feel is important for us to know?			Text area, no char limit	N	Skip Logic Group	Other workplace
			Do you use your mobile device to access SAMHSA.gov?	Yes	A	Radio button, one-up vertical	Y	Skip Logic Group	Mobile use
				No
		A	Were you successful in viewing the content that you were seeking with your mobile device?	Yes		Radio button, one-up vertical	Y	Skip Logic Group	Mobile success
				No
			What content were you unable to find through your mobile device?			Text area, no char limit	N	Skip Logic Group	OE_Mobile non-success
	a11_satisfaction		Please rate your level of agreement with the following statements about your experience on the website today. I am satisfied with the service I received from [CLIENT].			Radio button, scale, no don't know	N		A11 Satisfaction
	a11_confidence		This interaction increased my confidence in [CLIENT].			Radio button, scale, no don't know	N		A11 Confidence
	a11_quality		My need was addressed.			Radio button, scale, no don't know	N		A11 Quality
	a11_ease		It was easy to complete what I needed to do.			Radio button, scale, no don't know	N		A11 Ease
	a11_efficiency		It took a reasonable amount of time to do what I needed to do.			Radio button, scale, no don't know	N		A11 Efficiency
	a11_equity_digital		I was easily able to access the website on my device.			Radio button, scale, no don't know	N		A11 Equity Digital
	a11_helpful_digital		The website helped me do what I needed to do.			Radio button, scale, no don't know	N		A11 Helpful Digital
KMJ6067Q031	Demographics: Gender		What is your gender?	Female		Drop down, select one	N		Gender
				Male
				I prefer not to respond
KMJ6067Q032	Demographics: Age		Please select the category that includes your age.	17 and under		Drop down, select one	N		Age
				18 - 24
				25 - 34
				35 - 44
				45 - 54
				55 - 64
				65 and over
				I prefer not to respond
KMJ6067Q033			Which of the following best describes the highest level of education you have completed?	Current middle or high school student		Drop down, select one	N		Education
				Did not complete high school
				High school graduate
				Some college/vocational school
				College graduate
				Some postgraduate school
				Graduate/professional degree
				MD/PhD
				Prefer not to respond
NEL0121957			Are you living in a:	Urban area		Drop down, select one	N		Living area
				Rural area
				Don't know
KMJ6067Q035			How do you describe your ethnicity?	Hispanic		Drop down, select one	N		Ethnicity
				Non-Hispanic
				I prefer not to respond
KMJ6067Q036			How do you describe your race?	American Indian or Alaska Native		Drop down, select one	N		Race
				Asian or Pacific Islander
				African American or Black
				White
				Other
				I prefer not to respond

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Sheet 3: CQs (6-20-16)

Model Instance Name:				red & strike-through: DELETE
SAMHSA Main Site v3				underlined & italicized: RE-ORDER
MID: 9FgNoVA0V5Io9hhcJxwtBQ4C				pink: ADDITION
Date	1/20/2021				blue + -->: REWORDING
SAMHSA Main Site v3 CUSTOM QUESTION LIST
QID (Group ID)	QUESTION META TAG	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Required Y/N	Special Instructions	CQ Label
KMJ6067Q001			What is your primary interest in Substance Abuse and Mental Health today?	Personal		Radio button, one-up vertical	Y		Primary interest
				Professional
				Both Personal and Professional
KMJ6067Q026	Role		What best describes your role:	General public		Drop down, select one	Y	Skip Logic Group	Role
				Clinician/medical professional
				Consultant
				Educator/school teacher
				Program or service provider/worker
				Researcher
				Social Worker/counselor
				Student
				Other, please specify:	A
KMJ6067Q027		A	Please specify your other role.			Text area, no char limit	N	Skip Logic Group	Other role
KMJ6067Q028			What best describes your Organization type?	Behavioral health treatment facility		Drop down, select one	Y	Skip Logic Group	Workplace
				Church/faith-based organization
				Client/patient homes
				Criminal justice/courts
				Government office
				Health insurer
				Human resources/employee assistance program
				Individual or group private practice
				Managed care/insurance company office
				Military/veterans group
				Non-Profit/Community-Based Org/Coalition
				Non-residential/out-patient facility
				Other corporate office
				Public place/Interacting in community
				Residential/in-patient facility
				School/university
				Other, please specify:	A
KMJ6067Q029		A	Please specify your organization.			Text area, no char limit	n	Skip Logic Group
KMJ6067Q002			What area(s) of the site did you visit today? (Please select all that apply.)	Find Help & Treatment		Checkbox, one-up vertical	Y	Skip Logic Group	Area Visited
				Topics
				Programs & and Campaigns
				Grants
				Data
				About Us
				Publications
				Newsroom
				Strategic Initiative Pages
				Priorities -
				Other	A
KMJ6067Q003		A	Please specify the area of the site you visited today.			Text area, no char limit	N	Skip Logic Group	OE_Area
KMJ6067Q004	Primary Reason - Federal Government or Informational Non-Profit		What is the main reason(s) for your visit today? (Please select all that apply.)	Find a treatment program/facility or helpline numbers		Checkbox, one-up vertical	Y	Skip Logic Group	Reason
				Find grant information
				Find SAMHSA’s contact information (phone number or email)
				Get help for mental health and/or substance use disorders
				Get information on SAMHSA’s programs, campaigns, technical assistance centers, or resource centers
				Get latest news, events, or press releases
				Get online training or other learning resources (such as webinars)
				Get survey/statistical data or data reports
				Learn about SAMHSA, including SAMHSA’s policies and priorities
				Order publications
				Research information by issues/topics, including how to prevent, treat, and recover from substance use disorders and mental illness
				Other, please specify:	A
KMJ6067Q005		A	Other reason			Text area, no char limit	N	Skip Logic Group	Other reason
KMJ6067Q006			Which of the following types of content would you like to see highlighted on SAMHSA's homepage? (Please select all that apply.)	Data reports or research studies (most recent or SAMHSA-featured)		Checkbox, one-up vertical	Y	Skip Logic Group	Homepage all
				Funding and grant related information (most recent or SAMHSA-featured)
				Helplines, such as those for suicide prevention, veterans, and disaster distress
				Information about SAMHSA, such as strategic initiatives, priorities, and budget
				News and upcoming events. Please specify:	A
				Press releases or newsletters
				Programs, campaigns, or initiatives (most recent or SAMHSA-featured)
				Publications (most recent or SAMHSA-featured)
				Topics (most visited or SAMHSA-featured)
				Training and learning resources, such as webinars, videos, or audio recordings
				Treatment facility information for mental health or substance abuse
				Other, please specify:	B
KMJ6067Q007		A	Please specify the news and upcoming events you would like to see highlighted.			Text area, no char limit	N	Skip Logic Group	Other homepage news
KMJ6067Q008		B	What other content would you like to see highlighted?			Text area, no char limit	N	Skip Logic Group	Other homepage
KMJ6067Q009			Of the following types of content which one would you most like to see highlighted on SAMHSA's homepage?	Data reports or research studies (most recent or SAMHSA-featured)		Drop down, select one	Y	Skip Logic Group	Homepage one
				Funding and grant related information (most recent or SAMHSA-featured)
				Helplines, such as those for suicide prevention, veterans, and disaster distress
				Information about SAMHSA, such as strategic initiatives, priorities, and budget
				News and upcoming events
				Press releases or newsletters
				Programs, campaigns, or initiatives (most recent or SAMHSA-featured)
				Publications (most recent or SAMHSA-featured)
				Topics (most visited or SAMHSA-featured)
				Training and learning resources, such as webinars, videos, or audio recordings
				Treatment facility information for mental health or substance abuse
				Other, please specify:	A
KMJ6067Q010		A	Please specify what you would most like to see highlighted.			Text area, no char limit	N	Skip Logic Group	Other most highlighted
KMJ6067Q011			Did you find what you were looking for?	Yes		Radio button, one-up vertical	Y	Skip Logic Group	Find info
				No	A
				Partially	A
KMJ6067Q012		A	If you could not fully find what you were looking for, what was it?			Text area, no char limit	N	Skip Logic Group	No info found
KMJ6067Q013			What method did you primarily use today to find your information?	Site's search feature	B	Radio button, one-up vertical	Y	Skip Logic Group	Method
				Advanced search	B
				Top navigation bar
				Quick link in the pages
				Site map
				Just browsed the pages
				Other, please specify:	A
KMJ6067Q014		A	Other method			Text area, no char limit	N	Skip Logic Group	Other method
KMJ6067Q015		B	Please tell us about your experience with the site's search feature today. (Please select all that apply.)	The search feature met my needs today.		Checkbox, one-up vertical	Y	Mutually Exclusive	Search Exp
				It was not clear to me how to use the search feature.				Skip Logic Group
				I had issues with the search results I received.	D
				I had issues with sorting, filtering, advanced search, or lack of these options.	E
				I had a different issue with the search feature.	F
KMJ6067Q016		F	Please briefly describe the issue you faced with the search feature.			Text area, no char limit	N	Skip Logic Group	OE_Search Feature
KMJ6067Q017		E	Please describe the issue you faced with sorting, filtering or advanced search options.			Text area, no char limit	N	Skip Logic Group	OE_Sort, Filter
KMJ6067Q018		D	What were your issues with the search results? (Please select all that apply.)	Results were not relevant/not what I wanted.		Checkbox, one-up vertical	Y	Skip Logic Group	Search Results Issues
				I could not see much difference between the listings/items.
				There was too little information in the results for me to decide which to choose.
				The visual display of the results (such as image use, font color, and font size) was not helpful.
				There were too many results.
				There were not enough results.
				There were NO results.
				I had a different issue with the search results.	I
KMJ6067Q019		I	Please briefly describe the issue you faced with the search results.			Text area, no char limit	N	Skip Logic Group	OE_Search Results
KMJ6067Q020			How would you describe your overall navigation/browsing experience on this site today? (Please select all that apply.)	I had no difficulty navigating/browsing on this site.		Checkbox, one-up vertical	Y	Mutually Exclusive	Nav Exp
				Links often did not take me where I expected.	B			Skip Logic Group
				Links are difficult to understand.	B
				The site has too many links/navigational options to choose from.	B
				I had technical difficulties (error messages, broken links, etc.).	B
				I could not navigate back to previous information.	B
				I had a navigation difficulty not listed above.	A,B
KMJ6067Q021		A	Please specify the navigation difficulty you encountered.			Text area, no char limit	N	Skip Logic Group	OE_Nav Diff
KMJ6067Q022		B	What specific ways can we improve your experience navigating/browsing on this site?			Text area, no char limit	N	Skip Logic Group	OE_Nav Imp
KMJ6067Q023			What do you think of the overall site information? (Such as its ease of understanding, thoroughness, and presentation.)			Text area, no char limit	N		OE_Site Info
KMJ6067Q024	Accomplish		Did you accomplish what you wanted to on this site?	Yes		Radio button, one-up vertical	Y		Accomplish
				No
KMJ6067Q025	Visit Frequency		How frequently do you visit this site?	First time		Drop down, select one	Y		Frequency of visits
				Daily
				Weekly
				Monthly
				Once every few months or less often
				Once every 6 months or less
KMJ6067Q030			Is there anything else that is not covered above, which you feel is important for us to know?			Text area, no char limit	N	Skip Logic Group	Other workplace
KMJ6067Q031	Demographics: Gender		What is your gender?	Female		Drop down, select one	N		Gender
				Male
				I prefer not to respond
KMJ6067Q032	Demographics: Age		Please select the category that includes your age.	17 and under		Drop down, select one	N		Age
				18 - 24
				25 - 34
				35 - 44
				45 - 54
				55 - 64
				65 and over
				I prefer not to respond
KMJ6067Q033			Which of the following best describes the highest level of education you have completed?	Current middle or high school student		Drop down, select one	N		Education
				Did not complete high school
				High school graduate
				Some college/vocational school
				College graduate
				Some postgraduate school
				Graduate/professional degree
				MD/PhD
				Prefer not to respond
			Are you living in a:	Urban area		Drop down, select one	N		Living area
				Rural area
				Don't know
KMJ6067Q034	Demographics: Income		Which category includes your household income?	Under $25,000		Radio button, one-up vertical	N		Income
				$25,000 - $49,999
				$50,000 - $74,999
				$75,000 - $99,999
				$100,000 - $124,999
				$125,000 - $149,999
				$150,000 or more
				Prefer not to respond
KMJ6067Q035			How do you describe your ethnicity?	Hispanic		Drop down, select one	N		Ethnicity
				Non-Hispanic
				I prefer not to respond
KMJ6067Q036			How do you describe your race?	American Indian or Alaska Native		Drop down, select one	N		Race
				Asian or Pacific Islander
				African American or Black
				White
				Other
				I prefer not to respond

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Sheet 4: CQs (8-6-15)

Model Instance Name:

red & strike-through: DELETE

SAMHSA Main Site v2

underlined & italicized: RE-ORDER

MID: 4d9YNFlQEM5I5F8tdJAdoA4C

pink: ADDITION

Date

8/6/2015

blue + -->: REWORDING

SAMHSA Main Site v2 CUSTOM QUESTION LIST

QID (Group ID)

Skip Logic Label

Question Text

Answer Choices (limited to 50 characters)

Skip to

Type (select from list)

Single or Multi

Required Y/N

Special Instructions

CQ Label

MAC1724

What is your primary interest in Substance Abuse and Mental Health today:

MAC1724A01

Personal

Radio button, one-up vertical

S

Y

Primary interest

MAC1724A02

Professional

Both Personal and Professional

MAC1725

What area(s) of the site did you visit today? (Please select all that apply.)

MAC172501

Grants

Checkbox, one-up vertical

M

Y

Skip Logic Group

Area Visited

MAC172502

Publications

MAC172503

Data

MAC172504

Newsroom

MAC172505

Topics

MAC172506

About Us

MAC172508

Strategic Initiative Pages

Find Help

Programs and Campaigns

Priorities

MAC172509

Other

A

HAR0072127

A

Please specify the area of the site you visited today.

Text area, no char limit

N

Skip Logic Group

OE_Area

MAC1726

What is the main reason(s) for your visit today? (Please select all that apply.)

MAC1726A01

Find a treatment program/facility or helpline numbers

Checkbox, one-up vertical

M

Y

Skip Logic Group

Reason

MAC1726A02

Find grant information

MAC1726A03

Find SAMHSA’s contact information (phone number or email)

Get help for mental health and/or substance use disorders

MAC1726A04

Get information on SAMHSA’s programs, campaigns, technical assistance centers, or resource centers

MAC1726A05

Get latest news, events, or press releases

MAC1726A06

Get online training or other learning resources (such as webinars)

MAC1726A07

Get survey / statistical data or data reports

MAC1726A08

Learn about SAMHSA, including SAMHSA’s policies and priorities

MAC1726A09

Order publications

MAC1726A10

Research information by issues/topics, including how to prevent, treat, and recover from substance use disorders and mental illness

Get Information on the Prevention of Substance Abuse and Mental Illness

Find information related to Health Reform

Look up events & exhibits

Listen to Podcasts or Audio

Watch Vodcasts or Video

MAC1726A15

Other, please specify:

A

MAC1727

A

Other reason

Text area, no char limit

N

Skip Logic Group

Other reason

Which of the following types of content would you like to see highlighted on SAMHSA's homepage? (Select all that apply.)

Data reports or research studies (most recent or SAMHSA-featured)

Checkbox, one-up vertical

M

Y

Skip Logic Group

Homepage all

Funding and grant related information (most recent or SAMHSA-featured)

Helplines, such as those for suicide prevention, veterans, and disaster distress

Information about SAMHSA, such as strategic initiatives, priorities, and budget

News and upcoming events. Please specify:

A

Press releases or newsletters

Programs, campaigns, or initiatives (most recent or SAMHSA-featured)

Publications (most recent or SAMHSA-featured)

Topics (most visited or SAMHSA-featured)

Training and learning resources, such as webinars, videos, or audio recordings

Treatment facility information for mental health or substance abuse

Other: Please specify:

B

A

Please specify the news and upcoming events you would like to see highlighted.

Text area, no char limit

N

Other homepage news

B

What other content would you like to see highlighted.?

Text area, no char limit

N

Other homepage

Of the following types of content which one would you most like to see highlighted on SAMHSA's homepage?

Data reports or research studies (most recent or SAMHSA-featured)

Drop down, select one

S

Y

Homepage one

Funding and grant related information (most recent or SAMHSA-featured)

Helplines, such as those for suicide prevention, veterans, and disaster distress

Information about SAMHSA, such as strategic initiatives, priorities, and budget

News and upcoming events

Press releases or newsletters

Programs, campaigns, or initiatives (most recent or SAMHSA-featured)

Publications (most recent or SAMHSA-featured)

Topics (most visited or SAMHSA-featured)

Training and learning resources, such as webinars, videos, or audio recordings

Treatment facility information for mental health or substance abuse

Other: Please specify:

A

A

Please specify what you would most like to see highlighted.

Text area, no char limit

N

Other most highlighted

MAC1730

Did you find what you were looking for?

MAC1730A01

Yes

Radio button, one-up vertical

S

Y

Skip Logic Group

Find info

MAC1730A02

No

A

MAC1730A03

Partially

A

MAC1731

A

If you could not fully find what you were looking for, what was it?

Text area, no char limit

N

Skip Logic Group

No info found

MAC1728

What method did you primarily use today to find your information?

MAC1728A01

Site's search feature

B

Radio button, one-up vertical

S

Y

Skip Logic Group

Method

MAC1728A02

Advanced search

B

MAC1728A03

Top navigation bar

MAC1728A04

Quick link in the pages

MAC1728A05

Site map

MAC1728A06

Just browsed the pages

MAC1728A07

Other, please specify:

A

MAC1729

A

Other method

Text area, no char limit

N

Skip Logic Group

Other method

HAR0072128

B

Please tell us about your experience with the site's search feature today. (Please select all that apply.)

The search feature met my needs today.

Checkbox, one-up vertical

M

Y

Skip Logic Group

Search Exp

It was not clear to me how to use the search feature.

I had issues with the search results I received.

D

I had issues with sorting, filtering, advanced search, or lack of these options.

E

I had a different issue with the search feature.

F

Mutually Exclusive

HAR0072132

F

Please briefly describe the issue you faced with the search feature.

Text area, no char limit

N

Skip Logic Group

OE_Search Feature

HAR0072133

E

Please describe the issue you faced with sorting, filtering or advanced search option.

Text area, no char limit

N

Skip Logic Group

OE_Sort, Filter

HAR0072134

D

What were your issues with the search results? (Please select all that apply.)

Results were not relevant/not what I wanted.

Checkbox, one-up vertical

M

Y

Skip Logic Group

Search Results Issues

I could not see much difference between the listings/items.

There was too little information in the results for me to decide which to choose.

The visual display of the results (such as image use, font color, and font size) was not helpful.

There were too many results.

There were not enough results.

There were NO results.

I had a different issue with the search results.

I

Mutually Exclusive

HAR0072135

I

Please briefly describe the issue you faced with the search results.

Text area, no char limit

N

Skip Logic Group

OE_Search Results

HAR0072136

How would you describe your overall navigation / browsing experience on this site today? (Please select all that apply.)

I had no difficulty navigating/browsing on this site.

Checkbox, one-up vertical

M

Y

Skip Logic Group

Nav Exp

Links often did not take me where I expected.

B

Links are difficult to understand.

B

The site has too many links/navigational options to choose from.

B

I had technical difficulties (error messages, broken links, etc.)

B

I could not navigate back to previous information.

B

I had a navigation difficulty not listed above.

A,B

HAR0072137

A

Please specify the navigation difficulty you encountered.

Text area, no char limit

N

Skip Logic Group

OE_Nav Diff

HAR0072138

B

What specific ways can we improve your experience navigating/browsing on this site?

Text area, no char limit

N

Skip Logic Group

OE_Nav Imp

HAR0072139

What do you think of the overall site information? (Such as its ease of understanding, thoroughness, and presentation.)

Text area, no char limit

N

OE_Site Info

Did you accomplish what you wanted to on this site?

Yes

Radio button, one-up vertical

S

Y

Accomplish

No

MAC1734

How frequently do you visit this site?

MAC1734A01

First time

Drop down, select one

S

Y

Frequency of visits

MAC1734A02

Daily

About once a week

About once a month

Every few months or less often

MAC1734A03

Weekly

MAC1734A04

Monthly

Once every few months

MAC1734A05

Once every 6 months or less

MAC1735

What best describes your role:

MAC1735A01

General public

Drop down, select one

S

Y

Skip Logic Group

Role

MAC1735A02

Clinician/medical professional

MAC1735A03

Consultant

MAC1735A04

Educator/school teacher

MAC1735A05

Program or service provider/worker

MAC1735A06

Researcher

MAC1735A07

Social Worker/counselor

MAC1735A08

Student

MAC1735A09

Other, please specify:

A

MAC1736

A

Please specify your other role.

Text area, no char limit

N

Skip Logic Group

Other role

MAC1737

What best describes your current workplace:

MAC1737A01

Church/faith-based organization

Drop down, select one

S

Y

Skip Logic Group

Workplace

MAC1737A02

Client/patient homes

MAC1737A03

Government office

MAC1737A04

Individual or group private practice

MAC1737A05

Managed care/insurance company office

MAC1737A06

Non-Profit/Community-Based Org/Coalition

MAC1737A07

Non-residential/out-patient facility

MAC1737A08

Other corporate office

MAC1737A09

Public place/Interacting in community

MAC1737A10

Residential/in-patient facility

MAC1737A11

School/university

MAC1737A12

Other, please specify:

A

MAC1738

A

Please specify your other workplace.

Text area, no char limit

N

Skip Logic Group

Other workplace

MAC1740

Is there anything else that is not covered above, which you feel is important for us to know?

Text area, no char limit

N

Improvement

MAC1741

What is your gender?

MAC1741A01

Female

Drop down, select one

S

N

Gender

MAC1741A02

Male

MAC1741A03

I prefer not to respond

MAC1742

Please select the category that includes your age.

MAC1742A01

17 and under

Drop down, select one

S

N

Age

MAC1742A02

18 - 24

MAC1742A03

25 - 34

MAC1742A04

35 - 44

MAC1742A05

45 - 54

MAC1742A06

55 - 64

MAC1742A07

65 and over

MAC1742A08

I prefer not to respond

MAC1743

Which of the following best describes the highest level of education you have completed?

MAC1743A01

Current middle or high school student

Drop down, select one

S

N

Education

MAC1743A02

Did not complete high school

MAC1743A03

High school graduate

MAC1743A04

Some college/vocational school

MAC1743A05

College graduate

MAC1743A06

Some postgraduate school

MAC1743A07

Graduate/professional degree

MAC1743A08

MD/PhD

MAC1743A09

Prefer not to respond

Which category includes your household income?

Under $25,000

Radio button, one-up vertical

S

N

Income

$25,000 - $49,999

$50,000 - $74,999

$75,000 - $99,999

$100,000 - $124,999

$125,000 - $149,999

$150,000 or more

Prefer not to respond

MAC1744

How do you describe your ethnicity?

MAC1744A01

Hispanic

Drop down, select one

S

N

Ethnicity

MAC1744A02

Non-Hispanic

MAC1744A03

I prefer not to respond

MAC1745

How do you describe your race?

MAC1745A01

American Indian or Alaska Native

Drop down, select one

S

N

Race

MAC1745A02

Asian or Pacific Islander

MAC1745A03

African American or Black

MAC1745A04

White

MAC1745A05

Other

MAC1745A06

I prefer not to respond

---

Sheet 5: CQs (12-2-14)

Model Instance Name:				red & strike-through: DELETE
SAMHSA Main Site v2				underlined & italicized: RE-ORDER
MID: 9FgNoVA0V5Io9hhcJxwtBQ4C				pink: ADDITION
Date: 7/30/2013				blue + -->: REWORDING
SAMHSA Main Site v2 CUSTOM QUESTION LIST
QID (Group ID)	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
MAC1724		What is your primary interest in Substance Abuse and Mental Health today:	Personal		Radio button, one-up vertical	S	Y		Primary interest
			Professional
			Both Personal and Professional
MAC1725		What area(s) of the site did you visit today? (Please select all that apply.)	Grants		Checkbox, one-up vertical	M	Y	Skip Logic Group	Area Visited
			Publications
			Data
			Newsroom
			Topics
			About Us
			Contact Us
			Strategic Initiative Pages
			Find Help
			Programs and Campaigns
			Priorities
			Other
	A	Please specify the area of the site you visited today.			Text area, no char limit		N	Skip Logic Group	OE_Area
MAC1726		Which of the following is the reason for your current visit to the website? What is the main reason(s) for your visit today? (Please select all that apply.)	Find Grant Information		Checkbox, one-up vertical	M	Y	Skip Logic Group	Reason
			Research information by issues/topics
			Order publications
			Get latest news/press releases
			Get Survey or Statistical Data
			Learn about SAMHSA
			Get Information on the Prevention of Substance Abuse and Mental Illness
			Learn about SAMHSA's Policies and Priorities
			Find information related to Health Reform
			Get help for mental health problems
			Get help for substance use issues
			Find a treatment program/facility
			Look up events & exhibits
			Find phone/email contact information
			Listen to Podcasts or Audio
			Watch Vodcasts or Video
			Other, please specify:	A
MAC1727	A	Other reason			Text area, no char limit		N	Skip Logic Group	Other reason
MAC1730		Did you find what you were looking for?	Yes		Radio button, one-up vertical	S	Y	Skip Logic Group	Find info
			No	A
			Partially	A
			Still looking	A
MAC1731	A	If you could not fully find what you were looking for, what was it?			Text area, no char limit		N	Skip Logic Group	No info found
MAC1728		What method did you primarily use today to find your information?	Site's search feature	B	Radio button, one-up vertical	S	Y		Method
			Advanced search	B
			Top navigation bar
			Quick link in the pages
			Site map
			Just browsed the pages
			Other, please specify:	A
MAC1729	A	Other method			Text area, no char limit		N		Other method
	B	Please tell us about your experience with the site's search feature today. (Please select all that apply.)	The search feature met my needs today.		Radio button, one-up vertical	M	Y	Skip Logic Group	Search Exp
			It was not clear to me how to use the search feature.
			I had issues with the search results I received.	D
			I had issues with sorting, filtering, advanced search, or lack of these options.	E
			I had a different issue with the search feature.	F				Mutually Exclusive
	F	Please briefly describe the issue you faced with the search feature.			Text area, no char limit		N	Skip Logic Group	OE_Search Feature
	E	Please describe the issue you faced with sorting, filtering or advanced search option.			Text area, no char limit		N	Skip Logic Group	OE_Sort, Filter
	D	What were your issues with the search results? (Please select all that apply.)	Results were not relevant/not what I wanted.		Radio button, one-up vertical	M	Y	Skip Logic Group	Search Results Issues
			I could not see much difference between the listings/items.
			There was too little information in the results for me to decide which to choose.
			The visual display of the results (such as image use, font color, and font size) was not helpful.
			There were too many results.
			There were not enough results.
			There were NO results.
			I had a different issue with the search results.	I
	I	Please briefly describe the issue you faced with the search results.			Text area, no char limit		N	Skip Logic Group	OE_Search Results
		How would you describe your overall navigation / browsing experience on this site today? (Please select all that apply.)	I had no difficulty navigating/browsing on this site.		Radio button, one-up vertical	M	Y	Skip Logic Group	Nav Exp
			Links often did not take me where I expected.	B
			Links are difficult to understand.	B
			The site has too many links/navigational options to choose from.	B
			I had technical difficulties (error messages, broken links, etc.)	B
			I could not navigate back to previous information.	B
			I had a navigation difficulty not listed above.	A,B
	A	Please specify the navigation difficulty you encountered.			Text area, no char limit		N	Skip Logic Group	OE_Nav Diff
	B	What specific ways can we improve your experience navigating/browsing on this site?			Text area, no char limit		N	Skip Logic Group	OE_Nav Imp
		What do you think of the overall site information? (Such as its ease of understanding, thoroughness, and presentation.)			Text area, no char limit		N		OE_Site Info
MAC1732		How do you mostly interact with this site?	Bookmark or tag pages		Radio button, one-up vertical	S	Y		Interaction with site
			Adding a widget or gadget to my personalized page
			By adding comments, ratings, or reviews
			Contributing to wikis
			Following a microblog
			In social networks
			In virtual worlds
			Listening to Podcasts or audio
			None
			Reading blogs
			Receiving newsletters/email updates
			Subscribing to RSS feeds
			Watching Vodcasts or video
			Other, please specify:	A
MAC1733	A	Other interaction			Text area, no char limit		N		Other site interaction
MAC1734		How frequently do you visit this site?	First time		Drop down, select one	S	Y		Frequency of visits
			Daily
			About once a week
			About once a month
			Every few months or less often
MAC1735		What best describes your role:	General public		Drop down, select one	S	Y		Role
			Clinician/medical professional
			Consultant
			Educator/school teacher
			Program or service provider/worker
			Researcher
			Social Worker/counselor
			Student
			Other, please specify:	A
MAC1736	A	Please specify your other role.			Text area, no char limit		N		Other role
MAC1737		What best describes your current workplace:	Church/faith-based organization		Drop down, select one	S	Y		Workplace
			Client/patient homes
			Government office
			Individual or group private practice
			Managed care/insurance company office
			Non-Profit/Community-Based Org/Coalition
			Non-residential/out-patient facility
			Other corporate office
			Public place/Interacting in community
			Residential/in-patient facility
			School/university
			Other, please specify:	A
MAC1738	A	Please specify your other workplace.			Text area, no char limit		N		Other workplace
MAC1739		What services could this agency provide to better serve you?			Text area, no char limit		N		Other services wanted
MAC1740		If you could improve one thing about this site, what would it be? Is there anything else that is not covered above, which you feel is important for us to know?			Text area, no char limit		N		Improvement
MAC1741		What is your gender?	Female		Drop down, select one	S	N		Gender
			Male
			I prefer not to respond
MAC1742		Please select the category that includes your age.	17 and under		Drop down, select one	S	N		Age
			18 - 24
			25 - 34
			35 - 44
			45 - 54
			55 - 64
			65 and over
			I prefer not to respond
MAC1743		Which of the following best describes the highest level of education you have completed?	Current middle or high school student		Drop down, select one	S	N		Education
			Did not complete high school
			High school graduate
			Some college/vocational school
			College graduate
			Some postgraduate school
			Graduate/professional degree
			MD/PhD
			Prefer not to respond
MAC1744		How do you describe your ethnicity?	Hispanic		Drop down, select one	S	N		Ethnicity
			Non-Hispanic
			I prefer not to respond
MAC1745		How do you describe your race?	American Indian or Alaska Native		Drop down, select one	S	N		Race
			Asian or Pacific Islander
			African American or Black
			White
			Other
			I prefer not to respond