30724 Q_Medicaid.g 30724 Q_Medicaid.gov_updated by Michelle July 14 2020

E-Government Website Customer Satisfaction Surveys

30724 Q_Medicaid.gov_updated by Michelle July 14 2020.xlsx

OMB: 1090-0008

Document [xlsx]
Download: xlsx | pdf

Overview

How to read this file
Welcome and Thank You Text
W & TY Text_06-25-2020
W & TY Text 6-23-2020
Model Questions
Custom Questions
CQs 7-14-20
CQs (2020-04-15)
CQs 4-8-2020


Sheet 1: How to read this file

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















Sheet 2: 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 medicaid.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. If you are looking for Medicaid or Children’s Health Insurance Program (CHIP) coverage, eligibility, or enrollment information, please refer to your state and local resources.

Thank you for visiting medicaid.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. If you are looking for Medicaid or Children’s Health Insurance Program (CHIP) coverage, eligibility, or enrollment information, please refer to your state and local resources.




*Please note that in the new text that is being added in pink, the words "state and local resources" should be set up as a hyperlink that links to: https://protect2.fireeye.com/url?k=bd2fd35e-e17bfa75-bd2fe261-0cc47a6d17cc-f01a58bc63d75d1a&u=https://www.medicaid.gov/about-us/contact-us/contact-your-state-questions/index.html






























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 3: W & TY Text_06-25-2020


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 medicaid.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. If you are looking for Medicaid or Children’s Health Insurance Program (CHIP) coverage, eligibility, or enrollment information, please refer to your state and local resources.

Thank you for visiting medicaid.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. If you are looking for Medicaid or Children’s Health Insurance Program (CHIP) coverage, eligibility, or enrollment information, please refer to your state and local resources.




*Please note that in the new text that is being added in pink, the words "state and local resources" should be set up as a hyperlink that links to: https://protect2.fireeye.com/url?k=bd2fd35e-e17bfa75-bd2fe261-0cc47a6d17cc-f01a58bc63d75d1a&u=https://www.medicaid.gov/about-us/contact-us/contact-your-state-questions/index.html






























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 4: W & TY Text 6-23-2020


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 medicaid.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 medicaid.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: Model Questions

Model Name
Medicaid.gov Browse 2017



Red & Strike-Through: Delete
Model ID
8JoZ5kNQ85kl58El4JU09w4C



Underlined & Italicized: Re-order
Partitioned
Yes - 2MQ



Pink: Addition
Date





Blue: Reword
Model Version
17.2.G















Label Element Questions
Label Satisfaction Questions
Label Future Behaviors





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

Satisfaction

Return
(1=Very Unlikely, 10=Very Likely)
1 Look and Feel - Appeal Please rate the visual appeal of this site. 19 Satisfaction - Overall What is your overall satisfaction with this site?
(1=Very Dissatisfied, 10=Very Satisfied)
23 Return How likely are you to return to medicaid.gov in the future?
2 Look and Feel - Balance Please rate the balance of graphics and text on this site. 20 Satisfaction - Expectations How well does this site meet your expectations?
(1=Falls Short, 10=Exceeds)


Recommend
(1=Very Unlikely, 10=Very Likely)
3 Look and Feel - Readability Please rate the readability of the pages on this site. 21 Satisfaction - Ideal How does this site compare to an ideal website?
(1=Not Very Close, 10=Very Close)
24 Recommend How likely are you to recommend Medicaid.gov 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 getting information on Medicaid?
5 Site Performance - Consistency Please rate the consistency of speed from page to page on this site.





6 Site Performance - Completeness Please rate how completely the page content loads on this site.







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





7 Navigation - Organized Please rate how well this site is organized.





8 Navigation - Options Please rate the options available for navigating this site.





9 Navigation - Layout Please rate how well the site layout helps you find what you need.







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





10 Information Browsing - Sort Please rate the ability to sort information by criteria that are important to you on this site.





11 Information Browsing - Narrow Please rate the ability to narrow choices to find the information you are looking for on this site.





12 Information Browsing - Features Please rate how well the features on the site help you find the information you need.







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





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





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





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






Sheet 6: Custom Questions

Model Name
Medicaid.gov Browse 2017


Red & Strike-Through: Delete











Model ID
8JoZ5kNQ85kl58El4JU09w4C


Underlined & Italicized: Re-order










Partitioned
Yes - 2MQ


Pink: Addition










Date
6/6/2017


Blue: Reword
































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









JHR7446Q001 Primary Reason
What was your primary reason for visiting the website? Federal policy or program information for Medicaid or CHIP
Y Radio button, one-up vertical Skip Logic Group* Primary Reason













State-specific policy or program information for Medicaid or CHIP


















COVID-19 information and/or policy details


















Federal Medicaid or CHIP guidance (regulation, SHO and SMD policy letters, etc.)


















Medicaid or CHIP data


















Section 1115 demonstration or other waiver information


















Other (Please specify). A













JHR7446Q002
A Please explain your primary reason for visiting the website. (Please refrain from entering personal information.)

N Text field, <100 char Skip Logic Group* Primary Reason - Other









SZA0405901

Did you find what you were looking for? Yes B Y Radio button, one-up vertical Skip Logic Group* Info Found













No C













SZA0405902
B Was the information you found useful? Yes
Y Radio button, one-up vertical Skip Logic Group* Info Useful













No D













SZA0405903
C Please describe what you were looking for but couldn't find. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* OE Info Not Found









SZA0405904
D Please describe what was not useful about the information you found. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* OE Info Not Useful









JHR7446Q003 Role
Which of these best describes you? Federal employee
Y Radio button, one-up vertical
Role













State government employee


















Local government employee


















Elected official


















Academic researcher


















Media


















Healthcare policy analyst


















Intergovernmental liaison


















Professional healthcare provider (doctor, physician assistant, nurse, etc.)


















Individual looking for Medicaid coverage information for myself or another person.














JHR7446Q004

What best describes your organization? Research institute or association
Y Radio button, one-up vertical
Organization













Law firm


















National state government association (Executive Branch)


















National state government association (Legislative Branch)


















National local government association (county)


















National local government association (city/municipal)


















National healthcare policy association


















Other A













SZA0405905
A Please describe your organization. (Please refrain from entering personal information.)

N Text field, <100 char Skip Logic Group* OE Organization Other









JHR7446Q005

How did you look for information or navigate the site today? (Please select all that apply.) Top navigation bar
Y Checkbox, one-up vertical Skip Logic Group* Navigation Method













Middle navigation bar


















Search feature Y,X,Z

















Clicked on links on the page


















Page bookmark or favorite link


















Site map


















Google or other search engine


















Other (Please specify). A

















Don't recall


Mutually Exclusive










JHR7446Q006
A Please tell us how else you looked for information. (Please refrain from entering any personal information.)

N Text field, <100 char Skip Logic Group* Navigation Method - Other









JHR7446Q007
Y Please tell us about your experience with the site's search feature today. (Please select all that apply.) Results were not relevant/not what I wanted
Y Checkbox, one-up vertical Randomize Search Experience













Too many results/I needed to refine my search


















Not enough results


Skip Logic Group*














Returned NO results


















Received error message(s)


















Search speed was too slow


















I experienced a different search issue: C

Anchor Answer Choice














I had no difficulty with search/results were helpful


Mutually Exclusive










JHR7446Q008
C Please specify the search issue you experienced. (Please refrain from entering any personal information.)

N Text area, no char limit Skip Logic Group* Search Issue - Other









JHR7446Q009
X Did you try using the site's navigational links before using the search feature today? Yes, I navigated first
Y Radio button, one-up vertical Skip Logic Group* Search or Nav First













No, I went straight to the search feature


















Don't recall














JHR7446Q010
Z Did the search feature help you to locate what you were looking for today? Yes B Y Radio button, one-up vertical Skip Logic Group* Search Help Locate













Partially B

















No B













JHR7446Q011
B Please describe in detail what you were primarily searching for. (Please refrain from entering any personal information.)

N Text area, no char limit Skip Logic Group* Search Detail OE









JHR7446Q012

How would you describe your browsing experience on the site today? (Please select all that apply.) Links often did not take me where I expected L Y Checkbox, one-up vertical Skip Logic Group* Navigation Experience













I had difficulty finding relevant information


















Links and labels were difficult to understand U

















There were too many links or navigation options to choose from


Randomize














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

















I could not navigate back to previous information


















I had a different navigation difficulty A

Anchor Answer Choice














I had no difficulty navigating the site


Mutually Exclusive










JHR7446Q013
A Please specify your navigation difficulty. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Navigation Experience - Other









JHR7446Q014
L Please describe any specific navigation links or paths that did not take you where they should have. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Navigation Not Expected OE









JHR7446Q015
U What specific links or labels were difficult to understand? (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Nav Links and Labels OE









JHR7446Q016
T Please describe the technical difficulty you encountered (include as much detail as possible). (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Navigation Technical Issue OE









JHR7446Q017

Which of the following issues, if any, did you experience while reviewing information? (Please select all that apply.) Information was not up to date
Y Checkbox, one-up vertical Skip Logic Group* Information Issues













Information did not answer my questions B

















Information was not presented in a concise format


















Wording was not clear


















Text was difficult to read


















Other (please specify) A

















I did not experience any issues while reviewing information


Mutually Exclusive










JHR7446Q018
A Please describe the issue you experienced reviewing information. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Other Information Issues









JHR7446Q019
B What information were you looking for that you could not find? (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Information Looking For









JHR7446Q020

In which state/territory do you live? Alabama
Y Drop down, select one
State













Alaska


















American Samoa


















Arizona


















Arkansas


















California


















Colorado


















Connecticut


















Delaware


















District of Columbia


















Florida


















Georgia


















Guam


















Hawaii


















Idaho


















Illinois


















Indiana


















Iowa


















Kansas


















Kentucky


















Louisiana


















Maine


















Maryland


















Massachusetts


















Michigan


















Minnesota


















Mississippi


















Missouri


















Montana


















Nebraska


















Nevada


















New Hampshire


















New Jersey


















New Mexico


















New York


















North Carolina


















North Dakota


















Northern Mariana Islands


















Ohio


















Oklahoma


















Oregon


















Pennsylvania


















Puerto Rico


















Rhode Island


















South Carolina


















South Dakota


















Tennessee


















Texas


















U.S. Virgin Islands


















Utah


















Vermont


















Virginia


















Washington


















West Virginia


















Wisconsin


















Wyoming


















I live outside of the United States


















Prefer not to respond














SZA0405906

How often do you visit our site? Every 6 months or less
Y Drop down, select one
Visit Frequency Overall













About once a month


















About once a week


















Daily


















More than once a day














JHR7446Q021 Visit Frequency
How often do you visit our site using a mobile device? Every 6 months or less
Y Drop down, select one
Mobile Visit Frequency













About once a month


















About once a week


















Daily


















More than once a day


















I have never accessed the site using a mobile device














JHR7446Q022

Are you affiliated with an American Indian/Alaskan Native Tribe? Yes
Y Drop down, select one
Native Tribe Affiliation













No


















Prefer not to respond














JHR7446Q023 OE_Improve Experience
What else would you like to share with us to help improve your online experience with the medicaid.gov site? (Please refrain from entering any personal information.)


Y Text area, no char limit
Improve









new

Would you like to be contacted by a CMS representative? (If so, a contact form will display upon completion of the survey.) Yes
Y Drop down, select one
Contact













No















Sheet 7: CQs 7-14-20

Model Name
Medicaid.gov Browse 2017


Red & Strike-Through: Delete











Model ID
8JoZ5kNQ85kl58El4JU09w4C


Underlined & Italicized: Re-order










Partitioned
Yes - 2MQ


Pink: Addition










Date
6/6/2017


Blue: Reword
































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









JHR7446Q001 Primary Reason
What was your primary reason for visiting the website? Federal policy or program information for Medicaid or CHIP
Y Radio button, one-up vertical Skip Logic Group* Primary Reason













State-specific policy or program information for Medicaid or CHIP


















COVID-19 information and/or policy details


















Federal Medicaid or CHIP guidance (regulation, SHO and SMD policy letters, etc.)


















Medicaid or CHIP data


















Section 1115 demonstration or other waiver information


















Other (Please specify). A













JHR7446Q002
A Please explain your primary reason for visiting the website. (Please refrain from entering personal information.)

N Text field, <100 char Skip Logic Group* Primary Reason - Other









SZA0405901

Did you find what you were looking for? Yes B Y Radio button, one-up vertical Skip Logic Group* Info Found













No C













SZA0405902
B Was the information you found useful? Yes
Y Radio button, one-up vertical Skip Logic Group* Info Useful













No D













SZA0405903
C Please describe what you were looking for but couldn't find. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* OE Info Not Found









SZA0405904
D Please describe what was not useful about the information you found. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* OE Info Not Useful









JHR7446Q003 Role
Which of these best describes you? Federal employee
Y Radio button, one-up vertical
Role













State government employee


















Local government employee


















Elected official


















Academic researcher


















Media


















Healthcare policy analyst


















Intergovernmental liaison


















Professional healthcare provider (doctor, physician assistant, nurse, etc.)


















Individual looking for Medicaid coverage information for myself or another person.














JHR7446Q004

What best describes your organization? Research institute or association
Y Radio button, one-up vertical
Organization













Law firm


















National state government association (Executive Branch)


















National state government association (Legislative Branch)


















National local government association (county)


















National local government association (city/municipal)


















National healthcare policy association


















Other A













SZA0405905
A Please describe your organization. (Please refrain from entering personal information.)

N Text field, <100 char Skip Logic Group* OE Organization Other









JHR7446Q005

How did you look for information or navigate the site today? (Please select all that apply.) Top navigation bar
Y Checkbox, one-up vertical Skip Logic Group* Navigation Method













Middle navigation bar


















Search feature Y,X,Z

















Clicked on links on the page


















Page bookmark or favorite link


















Site map


















Google or other search engine


















Other (Please specify). A

















Don't recall


Mutually Exclusive










JHR7446Q006
A Please tell us how else you looked for information. (Please refrain from entering any personal information.)

N Text field, <100 char Skip Logic Group* Navigation Method - Other









JHR7446Q007
Y Please tell us about your experience with the site's search feature today. (Please select all that apply.) Results were not relevant/not what I wanted
Y Checkbox, one-up vertical Randomize Search Experience













Too many results/I needed to refine my search


















Not enough results


Skip Logic Group*














Returned NO results


















Received error message(s)


















Search speed was too slow


















I experienced a different search issue: C

Anchor Answer Choice














I had no difficulty with search/results were helpful


Mutually Exclusive










JHR7446Q008
C Please specify the search issue you experienced. (Please refrain from entering any personal information.)

N Text area, no char limit Skip Logic Group* Search Issue - Other









JHR7446Q009
X Did you try using the site's navigational links before using the search feature today? Yes, I navigated first
Y Radio button, one-up vertical Skip Logic Group* Search or Nav First













No, I went straight to the search feature


















Don't recall














JHR7446Q010
Z Did the search feature help you to locate what you were looking for today? Yes B Y Radio button, one-up vertical Skip Logic Group* Search Help Locate













Partially B

















No B













JHR7446Q011
B Please describe in detail what you were primarily searching for. (Please refrain from entering any personal information.)

N Text area, no char limit Skip Logic Group* Search Detail OE









JHR7446Q012

How would you describe your browsing experience on the site today? (Please select all that apply.) Links often did not take me where I expected L Y Checkbox, one-up vertical Skip Logic Group* Navigation Experience













I had difficulty finding relevant information


















Links and labels were difficult to understand U

















There were too many links or navigation options to choose from


Randomize














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

















I could not navigate back to previous information


















I had a different navigation difficulty A

Anchor Answer Choice














I had no difficulty navigating the site


Mutually Exclusive










JHR7446Q013
A Please specify your navigation difficulty. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Navigation Experience - Other









JHR7446Q014
L Please describe any specific navigation links or paths that did not take you where they should have. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Navigation Not Expected OE









JHR7446Q015
U What specific links or labels were difficult to understand? (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Nav Links and Labels OE









JHR7446Q016
T Please describe the technical difficulty you encountered (include as much detail as possible). (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Navigation Technical Issue OE









JHR7446Q017

Which of the following issues, if any, did you experience while reviewing information? (Please select all that apply.) Information was not up to date
Y Checkbox, one-up vertical Skip Logic Group* Information Issues













Information did not answer my questions B

















Information was not presented in a concise format


















Wording was not clear


















Text was difficult to read


















Other (please specify) A

















I did not experience any issues while reviewing information


Mutually Exclusive










JHR7446Q018
A Please describe the issue you experienced reviewing information. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Other Information Issues









JHR7446Q019
B What information were you looking for that you could not find? (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Information Looking For









JHR7446Q020

In which state/territory do you live? Alabama
Y Drop down, select one
State













Alaska


















American Samoa


















Arizona


















Arkansas


















California


















Colorado


















Connecticut


















Delaware


















District of Columbia


















Florida


















Georgia


















Guam


















Hawaii


















Idaho


















Illinois


















Indiana


















Iowa


















Kansas


















Kentucky


















Louisiana


















Maine


















Maryland


















Massachusetts


















Michigan


















Minnesota


















Mississippi


















Missouri


















Montana


















Nebraska


















Nevada


















New Hampshire


















New Jersey


















New Mexico


















New York


















North Carolina


















North Dakota


















Northern Mariana Islands


















Ohio


















Oklahoma


















Oregon


















Pennsylvania


















Puerto Rico


















Rhode Island


















South Carolina


















South Dakota


















Tennessee


















Texas


















U.S. Virgin Islands


















Utah


















Vermont


















Virginia


















Washington


















West Virginia


















Wisconsin


















Wyoming


















I live outside of the United States


















Prefer not to respond














SZA0405906

How often do you visit our site? Every 6 months or less
Y Drop down, select one
Visit Frequency Overall













About once a month


















About once a week


















Daily


















More than once a day














JHR7446Q021 Visit Frequency
How often do you visit our site using a mobile device? Every 6 months or less
Y Drop down, select one
Mobile Visit Frequency













About once a month


















About once a week


















Daily


















More than once a day


















I have never accessed the site using a mobile device














JHR7446Q022

Are you affiliated with an American Indian/Alaskan Native Tribe? Yes
Y Drop down, select one
Native Tribe Affiliation













No


















Prefer not to respond














JHR7446Q023 OE_Improve Experience
What else would you like to share with us to help improve your online experience with the medicaid.gov site? (Please refrain from entering any personal information.)


Y Text area, no char limit
Improve










Sheet 8: CQs (2020-04-15)

Model Name
Medicaid.gov Browse 2017


Red & Strike-Through: Delete











Model ID
8JoZ5kNQ85kl58El4JU09w4C


Underlined & Italicized: Re-order










Partitioned
Yes - 2MQ


Pink: Addition










Date
6/6/2017


Blue: Reword
































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









JHR7446Q001 Primary Reason
What was your primary reason for visiting the website? Federal policy or program information for Medicaid or CHIP
Y Radio button, one-up vertical Skip Logic Group* Primary Reason













State-specific policy or program information for Medicaid or CHIP


















COVID-19 information and/or policy details


















Federal Medicaid or CHIP guidance (regulation, SHO and SMD policy letters, etc.)


















Medicaid or CHIP data


















Section 1115 demonstration or other waiver information


















Other (Please specify). A













JHR7446Q002
A Please explain your primary reason for visiting the website. (Please refrain from entering personal information.)

N Text field, <100 char Skip Logic Group* Primary Reason - Other









new

Did you find what you were looking for? Yes B Y Radio button, one-up vertical Skip Logic Group* Info Found













No C













new
B Was the information you found useful? Yes
Y Radio button, one-up vertical Skip Logic Group* Info Useful













No D













new
C Please describe what you were looking for but couldn't find. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* OE Info Not Found









new
D Please describe what was not useful about the information you found. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* OE Info Not Useful









JHR7446Q003 Role
Which of these best describes you? Federal employee
Y Radio button, one-up vertical
Role













State government employee


















Local government employee


















Elected official


















Academic researcher


















Media


















Healthcare policy analyst


















Intergovernmental liaison


















Professional healthcare provider (doctor, physician assistant, nurse, etc.)


















Individual looking for Medicaid coverage information for myself or another person.














JHR7446Q004

What best describes your organization? Research institute or association
Y Radio button, one-up vertical
Organization













Law firm


















National state government association (Executive Branch)


















National state government association (Legislative Branch)


















National local government association (county)


















National local government association (city/municipal)


















National healthcare policy association


















Other A













new
A Please describe your organization. (Please refrain from entering personal information.)

N Text field, <100 char Skip Logic Group* OE Organization Other









JHR7446Q005

How did you look for information or navigate the site today? (Please select all that apply.) Top navigation bar
Y Checkbox, one-up vertical Skip Logic Group* Navigation Method













Middle navigation bar


















Search feature Y,X,Z

















Clicked on links on the page


















Page bookmark or favorite link


















Site map


















Google or other search engine


















Other (Please specify). A

















Don't recall


Mutually Exclusive










JHR7446Q006
A Please tell us how else you looked for information. (Please refrain from entering any personal information.)

N Text field, <100 char Skip Logic Group* Navigation Method - Other









JHR7446Q007
Y Please tell us about your experience with the site's search feature today. (Please select all that apply.) Results were not relevant/not what I wanted
Y Checkbox, one-up vertical Randomize Search Experience













Too many results/I needed to refine my search


















Not enough results


Skip Logic Group*














Returned NO results


















Received error message(s)


















Search speed was too slow


















I experienced a different search issue: C

Anchor Answer Choice














I had no difficulty with search/results were helpful


Mutually Exclusive










JHR7446Q008
C Please specify the search issue you experienced. (Please refrain from entering any personal information.)

N Text area, no char limit Skip Logic Group* Search Issue - Other









JHR7446Q009
X Did you try using the site's navigational links before using the search feature today? Yes, I navigated first
Y Radio button, one-up vertical Skip Logic Group* Search or Nav First













No, I went straight to the search feature


















Don't recall














JHR7446Q010
Z Did the search feature help you to locate what you were looking for today? Yes B Y Radio button, one-up vertical Skip Logic Group* Search Help Locate













Partially B

















No B













JHR7446Q011
B Please describe in detail what you were primarily searching for. (Please refrain from entering any personal information.)

N Text area, no char limit Skip Logic Group* Search Detail OE









JHR7446Q012

How would you describe your browsing experience on the site today? (Please select all that apply.) Links often did not take me where I expected L Y Checkbox, one-up vertical Skip Logic Group* Navigation Experience













I had difficulty finding relevant information


















Links and labels were difficult to understand U

















There were too many links or navigation options to choose from


Randomize














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

















I could not navigate back to previous information


















I had a different navigation difficulty A

Anchor Answer Choice














I had no difficulty navigating the site


Mutually Exclusive










JHR7446Q013
A Please specify your navigation difficulty. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Navigation Experience - Other









JHR7446Q014
L Please describe any specific navigation links or paths that did not take you where they should have. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Navigation Not Expected OE









JHR7446Q015
U What specific links or labels were difficult to understand? (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Nav Links and Labels OE









JHR7446Q016
T Please describe the technical difficulty you encountered (include as much detail as possible). (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Navigation Technical Issue OE









JHR7446Q017

Which of the following issues, if any, did you experience while reviewing information? (Please select all that apply.) Information was not up to date
Y Checkbox, one-up vertical Skip Logic Group* Information Issues













Information did not answer my questions B

















Information was not presented in a concise format


















Wording was not clear


















Text was difficult to read


















Other (please specify) A

















I did not experience any issues while reviewing information


Mutually Exclusive










JHR7446Q018
A Please describe the issue you experienced reviewing information. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Other Information Issues









JHR7446Q019
B What information were you looking for that you could not find? (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Information Looking For









JHR7446Q020

In which state/territory do you live? Alabama
Y Drop down, select one
State













Alaska


















American Samoa


















Arizona


















Arkansas


















California


















Colorado


















Connecticut


















Delaware


















District of Columbia


















Florida


















Georgia


















Guam


















Hawaii


















Idaho


















Illinois


















Indiana


















Iowa


















Kansas


















Kentucky


















Louisiana


















Maine


















Maryland


















Massachusetts


















Michigan


















Minnesota


















Mississippi


















Missouri


















Montana


















Nebraska


















Nevada


















New Hampshire


















New Jersey


















New Mexico


















New York


















North Carolina


















North Dakota


















Northern Mariana Islands


















Ohio


















Oklahoma


















Oregon


















Pennsylvania


















Puerto Rico


















Rhode Island


















South Carolina


















South Dakota


















Tennessee


















Texas


















U.S. Virgin Islands


















Utah


















Vermont


















Virginia


















Washington


















West Virginia


















Wisconsin


















Wyoming


















I live outside of the United States


















Prefer not to respond














new

How often do you visit our site? Every 6 months or less
Y Drop down, select one
Visit Frequency Overall













About once a month


















About once a week


















Daily


















More than once a day














JHR7446Q021 Visit Frequency
How often do you visit our site using a mobile device? Every 6 months or less
Y Drop down, select one
Mobile Visit Frequency













About once a month


















About once a week


















Daily


















More than once a day


















I have never accessed the site using a mobile device














JHR7446Q022

Are you affiliated with an American Indian/Alaskan Native Tribe? Yes
Y Drop down, select one
Native Tribe Affiliation













No


















Prefer not to respond














JHR7446Q023 OE_Improve Experience
What else would you like to share with us to help improve your online experience with the medicaid.gov site? (Please refrain from entering any personal information.)


Y Text area, no char limit
Improve










Sheet 9: CQs 4-8-2020

Model Name
Medicaid.gov Browse 2017


Red & Strike-Through: Delete



Model ID
8JoZ5kNQ85kl58El4JU09w4C


Underlined & Italicized: Re-order


Partitioned
Yes - 2MQ


Pink: Addition


Date
6/6/2017


Blue: Reword
















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

JHR7446Q001 Primary Reason
What was your primary reason for visiting the website? Federal policy or program information for Medicaid or CHIP
Y Radio button, one-up vertical Skip Logic Group* Primary Reason





State-specific policy or program information for Medicaid or CHIP










Federal Medicaid or CHIP guidance (regulation, SHO and SMD policy letters, etc.)










Medicaid or CHIP data










Section 1115 demonstration or other waiver information










Other (Please specify). A





JHR7446Q002
A Please explain your primary reason for visiting the website. (Please refrain from entering personal information.)

N Text field, <100 char Skip Logic Group* Primary Reason - Other

JHR7446Q003 Role
Which of these best describes you? Federal employee
Y Radio button, one-up vertical
Role





State government employee










Local government employee










Elected official










Academic researcher










Media










Healthcare policy analyst










Intergovernmental liaison










Professional healthcare provider (doctor, physician assistant, nurse, etc.)










Individual looking for Medicaid coverage information for myself or another person.






JHR7446Q004

What best describes your organization? Research institute or association
Y Radio button, one-up vertical
Organization





Law firm










National state government association (Executive Branch)










National state government association (Legislative Branch)










National local government association (county)










National local government association (city/municipal)










National healthcare policy association










Other






JHR7446Q005

How did you look for information or navigate the site today? (Please select all that apply.) Top navigation bar
Y Checkbox, one-up vertical Skip Logic Group* Navigation Method





Middle navigation bar










Search feature Y,X,Z









Clicked on links on the page










Page bookmark or favorite link










Site map










Google or other search engine










Other (Please specify). A









Don't recall


Mutually Exclusive


JHR7446Q006
A Please tell us how else you looked for information. (Please refrain from entering any personal information.)

N Text field, <100 char Skip Logic Group* Navigation Method - Other

JHR7446Q007
Y Please tell us about your experience with the site's search feature today. (Please select all that apply.) Results were not relevant/not what I wanted
Y Checkbox, one-up vertical Randomize Search Experience





Too many results/I needed to refine my search










Not enough results


Skip Logic Group*






Returned NO results










Received error message(s)










Search speed was too slow










I experienced a different search issue: C

Anchor Answer Choice






I had no difficulty with search/results were helpful


Mutually Exclusive


JHR7446Q008
C Please specify the search issue you experienced. (Please refrain from entering any personal information.)

N Text area, no char limit Skip Logic Group* Search Issue - Other

JHR7446Q009
X Did you try using the site's navigational links before using the search feature today? Yes, I navigated first
Y Radio button, one-up vertical Skip Logic Group* Search or Nav First





No, I went straight to the search feature










Don't recall






JHR7446Q010
Z Did the search feature help you to locate what you were looking for today? Yes B Y Radio button, one-up vertical Skip Logic Group* Search Help Locate





Partially B









No B





JHR7446Q011
B Please describe in detail what you were primarily searching for. (Please refrain from entering any personal information.)

N Text area, no char limit Skip Logic Group* Search Detail OE

JHR7446Q012

How would you describe your browsing experience on the site today? (Please select all that apply.) Links often did not take me where I expected L Y Checkbox, one-up vertical Skip Logic Group* Navigation Experience





I had difficulty finding relevant information










Links and labels were difficult to understand U









There were too many links or navigation options to choose from


Randomize






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









I could not navigate back to previous information










I had a different navigation difficulty A

Anchor Answer Choice






I had no difficulty navigating the site


Mutually Exclusive


JHR7446Q013
A Please specify your navigation difficulty. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Navigation Experience - Other

JHR7446Q014
L Please describe any specific navigation links or paths that did not take you where they should have. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Navigation Not Expected OE

JHR7446Q015
U What specific links or labels were difficult to understand? (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Nav Links and Labels OE

JHR7446Q016
T Please describe the technical difficulty you encountered (include as much detail as possible). (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Navigation Technical Issue OE

JHR7446Q017

Which of the following issues, if any, did you experience while reviewing information? (Please select all that apply.) Information was not up to date
Y Checkbox, one-up vertical Skip Logic Group* Information Issues





Information did not answer my questions B









Information was not presented in a concise format










Wording was not clear










Text was difficult to read










Other (please specify) A









I did not experience any issues while reviewing information


Mutually Exclusive


JHR7446Q018
A Please describe the issue you experienced reviewing information. (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Other Information Issues

JHR7446Q019
B What information were you looking for that you could not find? (Please refrain from entering personal information.)

N Text area, no char limit Skip Logic Group* Information Looking For

JHR7446Q020

In which state/territory do you live? Alabama
Y Drop down, select one
State





Alaska










American Samoa










Arizona










Arkansas










California










Colorado










Connecticut










Delaware










District of Columbia










Florida










Georgia










Guam










Hawaii










Idaho










Illinois










Indiana










Iowa










Kansas










Kentucky










Louisiana










Maine










Maryland










Massachusetts










Michigan










Minnesota










Mississippi










Missouri










Montana










Nebraska










Nevada










New Hampshire










New Jersey










New Mexico










New York










North Carolina










North Dakota










Northern Mariana Islands










Ohio










Oklahoma










Oregon










Pennsylvania










Puerto Rico










Rhode Island










South Carolina










South Dakota










Tennessee










Texas










U.S. Virgin Islands










Utah










Vermont










Virginia










Washington










West Virginia










Wisconsin










Wyoming










I live outside of the United States










Prefer not to respond






JHR7446Q021 Visit Frequency
How often do you visit our site using a mobile device? Every 6 months or less
Y Drop down, select one
Visit Frequency





About once a month










About once a week










Daily










More than once a day










I have never accessed the site using a mobile device






JHR7446Q022

Are you affiliated with an American Indian/Alaskan Native Tribe? Yes
Y Drop down, select one
Native Tribe Affiliation





No










Prefer not to respond






JHR7446Q023 OE_Improve Experience
What else would you like to share with us to help improve your online experience with the medicaid.gov site? (Please refrain from entering any personal information.)


Y Text area, no char limit
Improve

File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy