Form 1 2018 AHRQ QI SURVEY

Appendix: AHRQ QI Customer Survey Screen Shots
Enclosed are screen shots of the web survey. All items are labeled and indicate the intended respondent(s) based on survey skip
patterns. Note that in some cases the image of one screen carries over multiple pages of this document.

Introduction page

M.1 (Respondent: Users and Potential Users)

M.2 (Respondent: Users)

M.3 (Respondent: Users)

M.4 (Respondent: Potential Users)

M.5 (Respondent: Users)

M.6a (Respondent: Users who indicated they use the IQIs in M.5)

M.6b (Respondent: Users who indicated they use the PSIs in M.5)

M.6c (Respondent: Users who indicated they use the PDIs in M.5)

M.6d (Respondent: Users who indicated they use the PQIs in M.5)

M.7 (Respondent: Users and Potential Users)

M.8 (Respondent: Users and Potential Users)

T.1 (Respondent: Users)

T.2 (Respondent: Users who indicated they used the Toolkit in T.1)

T.3a (Respondent: Users)

T3.b (Respondent: Potential Users)

S.1 (Respondent: Users)

S.2 (Respondent: Users)

S.3 (Respondent: Users who use the WinQI software)

S.4 (Respondent: Users who use the WinQI software)

S.5 (Respondent: Users who use the WinQI software)

S.6 (Respondent: Users who use the WinQI software)

S.7 (Respondent: Users who use the WinQI software)

S.8 (Respondent: Users who use the WinQI software)

S.9 (Respondent: Users who use the WinQI software)

S.10 (Respondent: Users and Potential Users)

A.1 (Respondent: Users and Potential Users)

A.2 (Respondent: Users and Potential Users)

Thank you screen

Save survey screen