Form 32105 M1NIH-OAR Cl 32105 M1NIH-OAR Cl NIH-OAR ClinicalInfo_Survey_9.18.24

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Overview

Model Questions
Clinicalinfo Custom Questions

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Sheet 1: Model Questions

Model Name		NIH-OAR Clinicalinfo Digital Survey
Model ID
Partitioned		No
Date		8/16/2024
Model Version		17.3.Y		OMB control number1090-0008 Expiring 10/31/2024
	Label	Model Questions			Model Quesitons - SP
		Satisfaction
1	Satisfaction - Overall	What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)
2	Satisfaction - Expectations	How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)
3	Satisfaction - Ideal	How does this site compare to an ideal website? (1=Not Very Close, 10=Very Close)
		Recommend (NPS) (1=Very Unlikely, 10=Very Likely)
4	Recommend	How likely are you to recommend clinicalinfo.hiv.gov to someone else?
		Return (1=Very Unlikely, 10=Very Likely)
5	Return	How likely are you to return to clinicalinfo.hiv.gov in the future?
		Paperwork Reduction Act Statement: We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C. 3501 et seq.) To ensure data-driven and statistically valid approach to understanding customer satisfaction with agency websites, which are playing a strategic role of ever-increasing importance. The ultimate objective is to help agencies become more citizen-centric and achieve higher levels of citizen trust and confidence. Your response is voluntary and we will not share the results publicly. We may not conduct or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB Control Number. OMB has reviewed and approved this survey and assigned OMB Control Number 1090-0008.
		Estimated Burden Statement: We estimate the survey will take you 2.5 minutes to complete, including time to read instructions, gather information, and complete and submit the survey. You may submit comments on any aspect of this information collection to the Information Collection Clearance Officer,
		Department of the Interior, Office of the Secretary, 1849 C Street, NW Washington, DC 20240.

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Sheet 2: Clinicalinfo Custom Questions

Model Name		NIH-OAR Clinicalinfo Digital Survey
Model ID		0
Partitioned		Yes - 2MQ
Date		4/1/2024	OMB control number1090-0008 Expiring 10/31/2024
QID	Skip From	Question Text	Question Text - SP	Answer Choices	Answer Choices - SP	Skip To	CQ Label
6		What type of information were you looking for today?		i. Basic information about HIV (e.g., fact sheets, infographics)
				ii. Contact information for resources and services
				iii. Definitions
				iv. Clinical Guidelines
				v. Drug Database
				vi. Available clinical trials looking for participants
				vii. Other resources (please specify below)
7		Did you find what you were looking for?		i. Yes, and it was easy to find.
				ii. Yes, but it was difficult to find.
				iii. No
				iv. No I was looking for (open text)
8		How likely are you to recommend this website to someone in your personal or professional network?		i. Very likely
				ii. Likely
				iii. Not likely
				iv. Not at all
9		How are you involved with the HIV community?		i. I provide care for people with HIV, as a clinician.
				ii. I am a caregiver for someone with HIV.
				iii. I create policies that affect people with HIV.
				iv. I advocate for the HIV community.
				v. I conduct research related to HIV.
				vi. I am pursuing a degree in an HIV-related field.
				vii. I have questions about my own HIV risk or diagnosis.
				viii. I have questions about a family member or friend's HIV risk or diagnosis.
				ix. I want to learn about HIV for myself and/or others.
				x. Other (please specify below):
10		Please provide any additional thoughts in the box below:		[open text]