Form 0920-1071 DFWED Data System User Feedback Survey

[NCEZID] Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

DFWED System User Satisfaction_final

DFWED Data System User Feedback Survey

OMB: 0920-1071

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Form Approved

OMB No. 0920-1071

Exp. Date 05/31/2024

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CDC estimates the average public reporting burden for this collection of information as 15 minutes per response, including the time for reviewing instructions, searching existing data/information sources, gathering and maintaining the data/information 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 CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS H21-8, Atlanta, Georgia 30333; ATTN: PRA (0920-1071)



Thank you for using our system and voluntarily agreeing to provide feedback. Your survey results are anonymous. Please take a few minutes to share your opinions, which are essential in helping us provide the best online experience possible. Do NOT include personal information in your responses. Personal Information is information that identifies you as an individual, including, but not limited to: your name, postal address, telephone number, email address, social security number, etc.

Please answer the following system user acceptance/satisfaction questions using:

Likert scale of 5 (1=Strongly disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree, 9=N/A)

  1. Overall, I am satisfied with the usability of this system.

  2. It is simple to use this system.

  3. I can effectively complete my work using this system.

  4. I am able to complete my work quickly using this system.

  5. I am able to efficiently complete my work using this system.

  6. I feel comfortable using this system.

  7. It was easy to learn to use this system.

  8. I believe my productivity increased using this system.

  9. The system gives error messages that clearly tell me how to fix problems.

  10. Whenever I make a mistake using the system, I recover easily and quickly.

  11. The information (such as on-line help, on-screen messages and other documentation) provided with this system is clear.

  12. It is easy to find the information I need within the system.

  13. The training and troubleshooting information provided with the system is easy to understand.

  14. Information learned from data housed in the system is effective in helping me complete my work.

  15. The data is organized and displayed clearly.

Note: The interface includes those items that you use to interact with the system. For example, some components of the interface are the keyboard, the mouse, the screens (including their use of graphics and language).

  1. The interface of this system is pleasant aesthetically.

  2. I like using the interface of this system.

  3. This system has all the functions and capabilities I expect it to have.

  4. Overall, I am satisfied with this system.

  5. The system is useful for my current workflow processes.

  6. The system is relevant with today’s technology.

  7. The system is flexible enough for changing needs.

  8. System enhancements and system updates are well-conceived and add value to the system.

  9. I understand my role in the system.

  10. I am confident about the accuracy of information in the system.

  11. I am confident about the security of my data in the system.

  12. Overall, I would recommend the system to a colleague.



  1. State

  2. Sex

  3. How long have you been in your current position?

  4. Previously attended training for this system? (Y/N)

  5. Last time attended a training for this system?

  6. Does your jurisdiction receive ELC funding for this system activities (including OutbreakNet Enhanced, FoodCORE, or Centers of Excellence Funding)?

  7. How much time do you spend using this system each week? In minutes

  8. How much time do you feel this system has saved you each week compared to other systems or methodologies? In minutes

  9. List three things that make this system useful to you.

  10. List three things you think could be improved in this system.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBottichio, Lyndsay (CDC/DDID/NCEZID/DFWED) (CTR)
File Modified0000-00-00
File Created2024-07-25

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