English Questions

Attachment 5_English Questions.docx

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

English Questions

OMB: 0925-0648

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NIDCR Web Surveys: Desktop, Tablet, and Mobile


Site-Wide Survey

OMB Control #: 0925-0648

Shape1

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 currently 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.



Expiration: 06/30/2023


English 

Welcome text: Thank you for visiting the NIDCR site. You've been chosen to take a two-minute survey. [button labeled “Continue” will be on the pop-up]


Number

Question

Answer Choices

Skip to

Type

Special Instructions

1

Overall, how satisfied are you with our website?


5 Extremely satisfied

4 Somewhat satisfied

3 Neither satisfied nor dissatisfied

2 Somewhat dissatisfied

1 Extremely dissatisfied

N/A

Radio button, one up vertical

N/A

2

What information were you looking for today?

Health information for myself/friend/family member


Heath information for my patients/clients


Research (clinical trials, studies, statistics)


Grants/funding information


Jobs, fellowships, internships


Teaching tools


Other, please specify __________

N/A

Radio button, one up vertical

N/A

3

Did you find what you were looking for?

1 - Yes, 2 - No, 3 - I'm still looking

If no, go to to 4. If yes, skip to 5

Radio button

Skip logic group,

4

We're sorry to hear you did not find what you were looking for today. What specifically were you looking for?

N/A

N/A

Text area, no character limit

Skip logic group, skip from question 3

5

How easy or difficult was it for you to find what you were looking for today?

5 Extremely easy

4 Somewhat easy

3 Neither easy nor difficult

2 Somewhat difficult

1 Extremely difficult

N/A

Radio button

Skip Logic group, skip from question 3

6

How easy or difficult was it for you to navigate the website today?

5 Extremely easy

4 Somewhat easy

3 Neither easy nor difficult

2 Somewhat difficult

1 Extremely difficult

N/A

Radio button

N/A

7

How fast or slow did the site content load for you today?

5 Extremely fast

4 Somewhat fast

3 Neither fast nor slow

2 Somewhat slow

1 Extremely slow

N/A

Radio button

N/A

8

How helpful or unhelpful was the content (descriptions, pictures, videos, reports, etc.) you viewed on the website?

5 Extremely helpful

4 Somewhat helpful

3 Neither helpful nor unhelpful

2 Somewhat unhelpful

1 Extremely unhelpful

N/A

Radio button

N/A

9

How appealing or unappealing was the visual design of the website to you?

5 Extremely appealing

4 Somewhat appealing

3 Neither appealing nor unappealing

2 Somewhat unappealing

1 Extremely unappealing

N/A

Radio button

N/A

10

What else can you share about your experience on the website today?

N/A

N/A

Text box, no character limit

N/A


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

 













In-Page Survey

OMB Control #: 0925-0648

Shape2

Public reporting burden for this collection of information is estimated to average 1 minute 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 currently 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.



Expiration: 06/30/2023



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorHenry, Jessica (NIH/NIDCR) [E]
File Modified0000-00-00
File Created2023-08-26

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