Form 025 2019 025 NIDCR FeedbackSurvey
E-Government Website Customer Satisfaction Surveys
2019 025 NIDCR FeedbackSurvey.xlsx
2019 025 NIDCR FeedbackSurvey
OMB: 1090-0008
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1090-0008 can be found here:
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NIDCR Feedback1
Overview
Welcome and Thank You TextNIDCR Feedback1
Sheet 1: Welcome and Thank You Text
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| Welcome and Thank You Text | ||||||
| Welcome Text | Thank You Text | |||||
| Welcome! Thank you for providing your feedback on the NIDCR website. | Thank you for your feedback. | |||||
Sheet 2: NIDCR Feedback1
| Model Name | ForeSee Feedback Questions | |||
| Date | 3/26/2019 |
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| Question Text | Answer Choices | |||
| Please rate your overall experience. | 1 Star | |||
| 2 Stars | ||||
| 3 Stars | ||||
| 4 Stars | ||||
| 5 Stars | ||||
| What information were you seeking from the site today? | Science News | |||
| Grants/Research Funding | ||||
| Jobs, fellowships, internships | ||||
| Health information (for self or friend/family member) | ||||
| Health information (for patients, clients) | ||||
| NIDCR mission/plans | ||||
| Data and Statistics | ||||
| Find dentist or dental care | ||||
| Clinical trials or research studies | ||||
| Other (Skip to question below) | ||||
| What specifically were you looking for? | ||||
| Did you find what you were looking for? | Yes | |||
| No (Skip to question below) | ||||
| Partially (Skip to question below) | ||||
| Still looking | ||||
| What specifically were you looking for? | ||||
| How can we improve the site? | ||||
| Which best describes you? | Scientist/Researcher (Skip to question below) | |||
| Health care provider (Skip to question below) | ||||
| Person with health concern | ||||
| Family member/friend of person with health concern | ||||
| Health educator | ||||
| Journalist/Media | ||||
| Policy analyst | ||||
| Other (Skip to question below) | ||||
| What kind of Health Care Provider are you? (Skip from Health care provider) | Dentist | |||
| Dental Hygienist | ||||
| Physician | ||||
| Nurse | ||||
| Dental Assistant | ||||
| Physician Assistant/Nurse Practitioner | ||||
| Other health care provider (Skip to question below) | ||||
| What kind of Health Care Provider are you? | ||||
| Have you ever …? (Skip from Scientist/Researcher) | Applied for funding from NIDCR |
|||
| Received funding from NIDCR | ||||
| Neither of the above | ||||
| How would you describe the information on this page? | Very easy to understand | |||
| Somewhat easy to understand | ||||
| Somewhat difficult to understand | ||||
| Very difficult to understand | ||||
| What other information or resources would you like to see on this page? | ||||
| How do you plan to use the information on this page? | ||||
| How would you improve this page? | ||||
| How often do you visit this site? | First time | |||
| Daily | ||||
| Once per week | ||||
| Once per month | ||||
| (For Spanish Site only) What is your preferred language? | English | |||
| Spanish | ||||
| Other, please specify (open end) | ||||
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |
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