Form 1 FCR Website User Satisfaction Survey

FCR Website User Satisfaction

Start of Block: General Questions

OMB Control Number: 0925-0648  Public reporting burden for this collection of information is estimated to average 2 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An Agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a current valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to NIH, Project clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this address.

What was your main reason for visiting the Combat COVID site today? 

• To see how I can help combat COVID

• To get general information about COVID-19

• To learn about potential treatments

• To find monoclonal antibody treatment

• To learn about clinical trials

• To get information about vaccines

• Other - Please specify below ________________________________________________

Where did you first hear about combatcovid.hhs.gov? 

• Search engine

• Facebook

• Twitter

• Instagram

• LinkedIn

• Online ad

• Radio

• TV program

• Other - Please specify below ________________________________________________

For whom are you seeking information today?

• Myself

• A family member or friend

• A patient or client

• No one in particular, just curious

• Other - Please specify below ________________________________________________

Are you:

• An adult who has not been exposed to COVID-19?

• An adult with COVID-19, but not hospitalized?

• An adult who has been exposed to COVID-19, but has not developed the disease?

• A loved one or caregiver of someone hospitalized with COVID-19?

• An adult who has been discharged from the hospital with COVID-19?

• A healthcare provider looking for information for patients with COVID-19 who don’t require hospitalization?

• A healthcare provider looking for information for patients with COVID-19 who require hospitalization?

• A member of the press, media?

• An employee or contractor of a Federal agency?

• A member of an organization looking to partner with the Federal COVID Response?

• Other - Please specify below ________________________________________________

How can we improve the combatcovid.hhs.gov website?

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

When you are looking for health information online, which of these formats is helpful to you?

• Infographics (pictures that include text and data)

• Illustrations or photographs

• Fact sheets or handouts

• Graphs and charts

• Videos

• News articles

• Other - Please specify below ________________________________________________

How easy was it to find what you were looking for on this site?

• Very easy

• Somewhat easy

• Neither easy nor difficult

• Somewhat difficult

• Very difficult

Would you like to receive additional information about clinical trial participation?

• Yes - Please provide your email address below ________________________________________________

• No

What features of the site are you likely to use again?

• Information on clinical trails

• Information on treatment options

• Information on donating plasma

• Healthcare providers guide

• News and media

• Other - Please specify below ________________________________________________

• ⊗None

What is your highest level of education completed? (choose one)

• No formal schooling

• Less than high school/some high school, no diploma

• High school graduate or GED

• Some college or technical school

• 4-year college degree

• Post-graduate studies or advanced degree (master’s or higher)

Which of these best describes your ethnicity? (choose one)

• Hispanic or Latino

• Not Hispanic or Non-Latino

Which of these best describes your race? (choose one or more)

• American Indian or Alaska Native

• Asian

• Black or African American

• Native Hawaiian or Other Pacific Islander

• White

End of Block: General Questions

Start of Block: Page-Specific Questions

Did you find this page useful?

• Yes

• No

What can we do to improve this page?

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

Did you find the information you were looking for on this page?

• Yes

• No

Were you looking for anything that you could not find today?

• Yes

• No

What did you think was missing from this page?

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

End of Block: Page-Specific Questions

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