| Measures Name/Client name (CDs and Answer choices) | ||||||||||||||||
| FCG | ||||||||||||||||
| QID (Group ID) |
Skip Logic Label | Question Text | Answer Choices (limited to 50 characters) |
Skip to | Type (select from list) | Single or Multi | Required Y/N |
Special Instructions | CQ Label | |||||||
| KFB07695 | Which of the following role best describes you? | Federal employee | A | Radio button, one-up vertical | Single | Y | Best Describes Role | |||||||||
| Government Contractor (Supplier) | ||||||||||||||||
| Government Contractor (IT Support) | ||||||||||||||||
| Government Contractor (Management Consultant) | ||||||||||||||||
| Government Contractor (Coach) | ||||||||||||||||
| Government Contractor (Call Center Staff) | ||||||||||||||||
| Private Sector (Supplier) | ||||||||||||||||
| Private Sector (IT Support) | ||||||||||||||||
| Private Sector (Management Consultant) | ||||||||||||||||
| Private Sector (Coach) | ||||||||||||||||
| Private Sector (Call Center Staff) | ||||||||||||||||
| Military (General/Admiral) | ||||||||||||||||
| Military (Colonel/Captain/Lt. Colonel/Commander) | ||||||||||||||||
| Military (Major/Commander) | ||||||||||||||||
| Academic (instructor, professor, lecturer, researcher) | ||||||||||||||||
| General public | ||||||||||||||||
| Media | ||||||||||||||||
| Other, please specify | B | |||||||||||||||
| KFB07696 | A | If you are a Federal employee, what best describes your grade level? | SES | Radio button, one-up vertical | Single | N | Best Describes_Grade | |||||||||
| GS-14/15 | ||||||||||||||||
| GS-12/13 | ||||||||||||||||
| Other | ||||||||||||||||
| KFB07697 | B | If you are not any of these roles listed above, what other role best describes you? | Text area, no char limit | N | Best Describes Role_Other | |||||||||||
| KFB07698 | What is your primary reason for visiting this site today? | To learn more about FCG | Radio button, one-up vertical | Single | Y | Primary Reason | ||||||||||
| To look for Consulting Services | ||||||||||||||||
| To look for Coaching Services | ||||||||||||||||
| To register for seminars | ||||||||||||||||
| To get contact information | ||||||||||||||||
| To register for Communities of practice | ||||||||||||||||
| To look for ACSI information/ services | ||||||||||||||||
| To browse/ see what's new | ||||||||||||||||
| Other, please specify | A | |||||||||||||||
| KFB07699 | A | Please specify the other reason you are visiting the site: | Text area, no char limit | Primary Reason_Other | ||||||||||||
| KFB07700 | How frequently do you visit this site? | First time | Radio button, one-up vertical | Single | Y | Frequency | ||||||||||
| More than once a day | ||||||||||||||||
| Daily | ||||||||||||||||
| About once a week | ||||||||||||||||
| About once a month | ||||||||||||||||
| Every 6 months or less | ||||||||||||||||
| KFB07701 | Which parts of the site are you primarily visiting today? | What we do part of site | Checkbox, one-up vertical | Multi | N | Parts of Site Visiting | ||||||||||
| Who we are part of site | ||||||||||||||||
| The 'Resources' part of the site | ||||||||||||||||
| The 'News' (events, seminars) part of the site | ||||||||||||||||
| FAQ page | ||||||||||||||||
| ACSI Results | ||||||||||||||||
| Consulting Services | ||||||||||||||||
| Coaching Services | ||||||||||||||||
| Other | ||||||||||||||||
| KFB07702 | Did you find the information that you were looking for today? | Yes | Radio button, one-up vertical | Single | Y | Find Information | ||||||||||
| No. Please specify what you were looking for: | A | |||||||||||||||
| Still looking | ||||||||||||||||
| KFB07703 | A | Other information you could not find: | Text area, no char limit | N | Find Information_Other | |||||||||||
| KFB07704 | How did you find out about this site? | External Search Engine (Google, Yahoo etc) | Radio button, one-up vertical | Single | Y | Find Out About Site | ||||||||||
| USA.gov or USA.gov Search | ||||||||||||||||
| Email/ email newsletters | ||||||||||||||||
| Federal agency colleague | ||||||||||||||||
| Publications | ||||||||||||||||
| Conference | ||||||||||||||||
| FCG Seminars and/or workshops | ||||||||||||||||
| Print Ad | ||||||||||||||||
| Other | ||||||||||||||||
| KFB07705 | Are you a current FCG customer? | Yes | Radio button, one-up vertical | Single | Y | Current Customer | ||||||||||
| No | ||||||||||||||||
| Plan to become a customer in the future | ||||||||||||||||
| Do not plan to become a customer in the future | ||||||||||||||||
| KFB07706 | What improvements and/or additional information would you like to see on this site? | Text area, no char limit | N | Improvements and Information | ||||||||||||
| KFB07707 | How did you primarily look for information on the site today? | Top navigation bar | Radio button, one-up vertical | Single | Y | Look For Info | ||||||||||
| Left-hand side navigation bar | ||||||||||||||||
| Links within page text | ||||||||||||||||
| Site map | ||||||||||||||||
| Search box | ||||||||||||||||
| KFB07708 | Please describe your site experience today. | I had no problem browsing through the site | Radio button, one-up vertical | Single | Y | Site Experience | ||||||||||
| I found the general area but could not find specific information | ||||||||||||||||
| Links did not take me to what I was looking for | ||||||||||||||||
| Too many links or navigational choices | ||||||||||||||||
| I found links that did not work | ||||||||||||||||
| Other | A | |||||||||||||||
| KFB07709 | A | Please describe any other experience you had: | Text area, no char limit | n | Site Experience_Other | |||||||||||
| KFB07710 | How would you rate your familiarity with social media on the web? Flickr |
View and contribute often | Drop down, select one | Single | y | Multiple Lists Group | SM_Familiar | |||||||||
| View often and contribute occasionally | ||||||||||||||||
| View often but don’t contribute | ||||||||||||||||
| View and contribute occasionally | ||||||||||||||||
| View occasionally but don’t contribute | ||||||||||||||||
| No familiarity | ||||||||||||||||
| KFB07711 | View and contribute often | Drop down, select one | Single | y | Multiple Lists Group | SM_Facebook | ||||||||||
| View often and contribute occasionally | ||||||||||||||||
| View often but don’t contribute | ||||||||||||||||
| View and contribute occasionally | ||||||||||||||||
| View occasionally but don’t contribute | ||||||||||||||||
| No familiarity | ||||||||||||||||
| KFB07712 | YouTube | View and contribute often | Drop down, select one | Single | y | Multiple Lists Group | SM_YouTube | |||||||||
| View often and contribute occasionally | ||||||||||||||||
| View often but don’t contribute | ||||||||||||||||
| View and contribute occasionally | ||||||||||||||||
| View occasionally but don’t contribute | ||||||||||||||||
| No familiarity | ||||||||||||||||
| KFB07713 | View and contribute often | Drop down, select one | Single | y | Multiple Lists Group | SM_Twitter | ||||||||||
| View often and contribute occasionally | ||||||||||||||||
| View often but don’t contribute | ||||||||||||||||
| View and contribute occasionally | ||||||||||||||||
| View occasionally but don’t contribute | ||||||||||||||||
| No familiarity | ||||||||||||||||
| IRS Sat Survey | ||||||||||||||||
| CWS03941 | B | What specific search term(s) did you use to find information on our site? | Open-ended | Y | ||||||||||||
| VA My HealtheVet | ||||||||||||||||
| Have you ever printed out any information from My HealtheVet? | Yes | A | Radio button, one-up vertical | Single | Y | |||||||||||
| No | ||||||||||||||||
| A | I have printed the following from My HealtheVet: (Check all that apply) | My medication list | Checkbox, one-up vertical | Multi | Y | |||||||||||
| Information about myself that I collected at home (such as blood sugar, blood pressure, or weight) | ||||||||||||||||
| Information I entered in my Food or Activity Journals | ||||||||||||||||
| My health calendar | ||||||||||||||||
| Wellness Reminders | ||||||||||||||||
| Information about health (such as an article or information from the medical library) | ||||||||||||||||
| Information about VA benefits | ||||||||||||||||
| Other, please specify | B | |||||||||||||||
| B | What other information have you printed? | Text area, no char limit | N | |||||||||||||
| Have you ever saved any information from My HealtheVet to your computer? | Yes | A | Radio button, one-up vertical | Singly | Y | |||||||||||
| No | ||||||||||||||||
| A | I have saved the following from My HealtheVet to my computer: (Check all that apply) | My medication list | Checkbox, one-up vertical | Multi | Y | |||||||||||
| Information about myself that I collected at home (such as blood sugar, blood pressure, or weight) | ||||||||||||||||
| Information I entered in my Food or Activity Journals | ||||||||||||||||
| My health calendar | ||||||||||||||||
| Wellness Reminders | ||||||||||||||||
| Information about health (such as an article or information from the medical library) | ||||||||||||||||
| Information about VA benefits | ||||||||||||||||
| Other, please specify | B | |||||||||||||||
| B | What other information have you saved to your computer? | |||||||||||||||
| Have you ever sent information from My HealtheVet to another person? | Yes | A | Radio button, one-up vertical | Single | Y | |||||||||||
| No | ||||||||||||||||
| A | I have sent the following information from My HealtheVet to another person: (Check all that apply) | My medication list | Checkbox, one-up vertical | Multi | Y | |||||||||||
| Information about myself that I collected at home (such as blood sugar, blood pressure, or weight) | ||||||||||||||||
| Information I entered in my Food or Activity Journals | ||||||||||||||||
| My health calendar | ||||||||||||||||
| Wellness Reminders | ||||||||||||||||
| Information about health (such as an article or information from the medical library) | ||||||||||||||||
| Information about VA benefits | ||||||||||||||||
| Other, please specify | B | |||||||||||||||
| B | What other information did you send to another person? | Text area, no char limit | ||||||||||||||
| Would you save information from your Personal Health Record to some place outside of My HealtheVet If you could? | Yes | A | Radio button, one-up vertical | Single | Y | |||||||||||
| No | ||||||||||||||||
| Not sure | A | |||||||||||||||
| I would not find this useful | ||||||||||||||||
| A | I would: (check all that apply): | Save the information to another place (for example, by copying to a file on my computer) | Checkbox, one-up vertical | Multi | Y | |||||||||||
| Give the electronic information to my non-VA provider | ||||||||||||||||
| Share the information with a family member or friend | ||||||||||||||||
| Put the information into another Personal Health Record | ||||||||||||||||
| Use the information with another program (for example, to check for drug interactions) | ||||||||||||||||
| Put the information in another website (for example, to receive customized care recommendations or to use other kinds of tools) | ||||||||||||||||
| Other, please specify | B | |||||||||||||||
| B | Where else would you like to save information? | |||||||||||||||
| U.S. Department of State/ | Travel.State Satisfaction Survey v2 | |||||||||||||||
| Do you visit this site to learn about major events or crises abroad?” | Yes | B | Radio Button One Up Vertical | Single | Y | |||||||||||
| No | ||||||||||||||||
| B | What is the best way for us to provide this type of information? | Text area, no char limit | N | |||||||||||||
| Embassy Enterprise IIP | ||||||||||||||||
| B | What were you looking for? | |||||||||||||||
| Holocaust Memorial Museum | ||||||||||||||||
| Country of Residence | Afghanistan | Drop down, select one | Single | Y | OPS Group | |||||||||||
| Albania | ||||||||||||||||
| Algeria | ||||||||||||||||
| Argentina | ||||||||||||||||
| Australia | ||||||||||||||||
| Austria | ||||||||||||||||
| Azerbaijan | ||||||||||||||||
| Bahrain | ||||||||||||||||
| Bangladesh | ||||||||||||||||
| Belarus | ||||||||||||||||
| Belgium | ||||||||||||||||
| Belize | ||||||||||||||||
| Benin | ||||||||||||||||
| Bolivia | ||||||||||||||||
| Bosnia/Herzegovina | ||||||||||||||||
| Brazil | ||||||||||||||||
| Brunei Darussalam | ||||||||||||||||
| Bulgaria | ||||||||||||||||
| Burkina Faso | ||||||||||||||||
| Cameroon | ||||||||||||||||
| Canada | ||||||||||||||||
| Chad | ||||||||||||||||
| Chile | ||||||||||||||||
| China | ||||||||||||||||
| Colombia | ||||||||||||||||
| Comoros | ||||||||||||||||
| Costa Rica | ||||||||||||||||
| Côte D'Ivoire | ||||||||||||||||
| Croatia | ||||||||||||||||
| Cuba | ||||||||||||||||
| Czech Republic | ||||||||||||||||
| Denmark | ||||||||||||||||
| Djibouti | ||||||||||||||||
| Dominican Republic | ||||||||||||||||
| Ecuador | ||||||||||||||||
| Egypt | ||||||||||||||||
| El Salvador | ||||||||||||||||
| Equatorial Guinea | ||||||||||||||||
| Estonia | ||||||||||||||||
| Finland | ||||||||||||||||
| France | ||||||||||||||||
| Gabon | ||||||||||||||||
| Gambia | ||||||||||||||||
| Georgia | ||||||||||||||||
| Germany | ||||||||||||||||
| Greece | ||||||||||||||||
| Guatemala | ||||||||||||||||
| Guinea | ||||||||||||||||
| Guinea& Bissau | ||||||||||||||||
| Guyana | ||||||||||||||||
| Holy See/Vatican | ||||||||||||||||
| Honduras | ||||||||||||||||
| Hong Kong | ||||||||||||||||
| Hungary | ||||||||||||||||
| Iceland | ||||||||||||||||
| India | ||||||||||||||||
| Indonesia | ||||||||||||||||
| Iran | ||||||||||||||||
| Iraq | ||||||||||||||||
| Ireland | ||||||||||||||||
| Israel | ||||||||||||||||
| Italy | ||||||||||||||||
| Japan | ||||||||||||||||
| Jordan | ||||||||||||||||
| Kazakstan | ||||||||||||||||
| Korea, South | ||||||||||||||||
| Kuwait | ||||||||||||||||
| Kyrgyzstan | ||||||||||||||||
| Latvia | ||||||||||||||||
| Lebanon | ||||||||||||||||
| Libya | ||||||||||||||||
| Lithuania | ||||||||||||||||
| Luxembourg | ||||||||||||||||
| Malaysia | ||||||||||||||||
| Maldives | ||||||||||||||||
| Mali | ||||||||||||||||
| Mauritania | ||||||||||||||||
| Mauritius | ||||||||||||||||
| Mexico | ||||||||||||||||
| Moldova | ||||||||||||||||
| Morocco | ||||||||||||||||
| Mozambique | ||||||||||||||||
| Netherlands | ||||||||||||||||
| New Zealand | ||||||||||||||||
| Nicaragua | ||||||||||||||||
| Niger | ||||||||||||||||
| Nigeria | ||||||||||||||||
| Norway | ||||||||||||||||
| Oman | ||||||||||||||||
| Pakistan | ||||||||||||||||
| Palestinian Territory | ||||||||||||||||
| Panama | ||||||||||||||||
| Paraguay | ||||||||||||||||
| Peru | ||||||||||||||||
| Philippines | ||||||||||||||||
| Poland | ||||||||||||||||
| Portugal | ||||||||||||||||
| Puerto Rico | ||||||||||||||||
| Qatar | ||||||||||||||||
| Romania | ||||||||||||||||
| Russian Federation | ||||||||||||||||
| Rwanda | ||||||||||||||||
| Saudi Arabia | ||||||||||||||||
| Senegal | ||||||||||||||||
| Sierra Leone | ||||||||||||||||
| Singapore | ||||||||||||||||
| Slovakia | ||||||||||||||||
| Slovenia | ||||||||||||||||
| South Africa | ||||||||||||||||
| Spain | ||||||||||||||||
| Sudan | ||||||||||||||||
| Suriname | ||||||||||||||||
| Sweden | ||||||||||||||||
| Switzerland | ||||||||||||||||
| Syria | ||||||||||||||||
| Taiwan | ||||||||||||||||
| Tajikistan | ||||||||||||||||
| Thailand | ||||||||||||||||
| Togo | ||||||||||||||||
| Tunisia | ||||||||||||||||
| Turkey | ||||||||||||||||
| Turkmenistan | ||||||||||||||||
| Ukraine | ||||||||||||||||
| United Arab Emirates | ||||||||||||||||
| United Kingdom | ||||||||||||||||
| Uruguay | ||||||||||||||||
| USA | ||||||||||||||||
| Uzbekistan | ||||||||||||||||
| Venezuela | ||||||||||||||||
| Viet Nam | ||||||||||||||||
| Western Sahara | ||||||||||||||||
| Yemen | ||||||||||||||||
| Yugoslavia | ||||||||||||||||
| Other, (please specify) | A | |||||||||||||||
| A | Other (please specify): country of residence | Text field, <100 char | N | OPS Group | ||||||||||||
| MEDC Michigan Advantage | ||||||||||||||||
| How would you most like to interact with this site? (Please select all that apply) | Bookmark or tag pages (i.e. Digg or Del.icio.us) | Checkbox, one-up vertical | Multi | N | OPS Group | SM_Preferred | ||||||||||
| In social networks | ||||||||||||||||
| In virtual worlds | ||||||||||||||||
| By adding comments, ratings, or reviews | ||||||||||||||||
| Reading blogs | ||||||||||||||||
| Contributing to wikis | ||||||||||||||||
| Receiving newsletters/email updates | ||||||||||||||||
| Subscribing to RSS feeds | ||||||||||||||||
| Listening to Podcasts or audio | ||||||||||||||||
| Watching video | ||||||||||||||||
| Adding a widget or gadget to my personalized page | ||||||||||||||||
| Following a microblog | ||||||||||||||||
| Other (please specify) | A | |||||||||||||||
| A | Other social media interaction | Text field, <100 char | Single | N | OPS Group | OE_Preferred SM | ||||||||||
| Which of the following MichiganAdvantage features/services have you interacted with? | The MichiganAdvantage Facebook page | Checkbox, one-up vertical | Multi | N | SM Interaction | |||||||||||
| The Michigan Upper Hand YouTube videos | ||||||||||||||||
| The Michigan Economic Development Corporation presence or MEDC staff on LinkedIn | ||||||||||||||||
| MIAdvantage on Twitter | ||||||||||||||||
| MichiganAdvantage RSS feeds | ||||||||||||||||
| The Michigan Upper Hand blog | ||||||||||||||||
| MichiganAdvantage photos on Flickr | ||||||||||||||||
| None of the above | A | |||||||||||||||
| NWHIC | ||||||||||||||||
| How would you rate your familiarity with the following? | S | Y | Matrix Group | |||||||||||||
| View and contribute often | Drop down, select one | S | Y | Matrix Group | Facebook Familiarity | |||||||||||
| View often and contribute occasionally | ||||||||||||||||
| View often but don't contribute | ||||||||||||||||
| View and contribute occasionally | ||||||||||||||||
| View occasionally but don't contribute | ||||||||||||||||
| No familiarity | ||||||||||||||||
| View and contribute often | Drop down, select one | S | Y | Matrix Group | Twitter Familiarity | |||||||||||
| View often and contribute occasionally | ||||||||||||||||
| View often but don't contribute | ||||||||||||||||
| View and contribute occasionally | ||||||||||||||||
| View occasionally but don't contribute | ||||||||||||||||
| No familiarity | ||||||||||||||||
| Flickr | View and contribute often | Drop down, select one | S | Y | Matrix Group | Flckr Familiarity | ||||||||||
| View often and contribute occasionally | ||||||||||||||||
| View often but don't contribute | ||||||||||||||||
| View and contribute occasionally | ||||||||||||||||
| View occasionally but don't contribute | ||||||||||||||||
| No familiarity | ||||||||||||||||
| MySpace | View and contribute often | Drop down, select one | S | Y | Matrix Group | MySpace Familiarity | ||||||||||
| View often and contribute occasionally | ||||||||||||||||
| View often but don't contribute | ||||||||||||||||
| View and contribute occasionally | ||||||||||||||||
| View occasionally but don't contribute | ||||||||||||||||
| No familiarity | ||||||||||||||||
| YouTube | View and contribute often | Drop down, select one | S | Y | Matrix Group | YouTube Familiarity | ||||||||||
| View often and contribute occasionally | ||||||||||||||||
| View often but don't contribute | ||||||||||||||||
| View and contribute occasionally | ||||||||||||||||
| View occasionally but don't contribute | ||||||||||||||||
| No familiarity | ||||||||||||||||
| Del.icio.us | View and contribute often | Drop down, select one | S | Y | Matrix Group | Del.icio.us Familiarity | ||||||||||
| View often and contribute occasionally | ||||||||||||||||
| View often but don't contribute | ||||||||||||||||
| View and contribute occasionally | ||||||||||||||||
| View occasionally but don't contribute | ||||||||||||||||
| No familiarity | ||||||||||||||||
| How would you most like to interact with this site? (Please select all that apply) | Bookmark or tag pages | Checkbox, one-up vertical | M | Y | OPS Group | Interaction Preference | ||||||||||
| In social networks | ||||||||||||||||
| In virtual worlds | ||||||||||||||||
| By adding comments, ratings, or reviews | ||||||||||||||||
| Reading blogs | ||||||||||||||||
| Contributing to wikis | ||||||||||||||||
| Receiving newsletters/email updates | ||||||||||||||||
| Subscribing to RSS feeds | ||||||||||||||||
| Listening to Podcasts or audio | ||||||||||||||||
| Watching Vodcasts or video | ||||||||||||||||
| Adding a widget or gadget to my personalized page | ||||||||||||||||
| Following a microblog | ||||||||||||||||
| None | ||||||||||||||||
| Other (please specify) | A | |||||||||||||||
| A | Other form of interacting | Text area, no char limit | open | N | Other Form of Interacting | |||||||||||
| FDA Browse | ||||||||||||||||
| Would you like to see content on the FDA site translated into another language? | Yes | A | Radio button, one-up vertical | Single | Y | Skip Logic Group | Site Translated | |||||||||
| No | ||||||||||||||||
| Don't Know | ||||||||||||||||
| A | In which of the following languages would you like to view content on the FDA site? | Spanish | Checkbox One Up Vertical | Single | N | Skip Logic Group | Language | |||||||||
| French | ||||||||||||||||
| Chinese | ||||||||||||||||
| German | ||||||||||||||||
| Japanese | ||||||||||||||||
| Korean | ||||||||||||||||
| Other (please specify) | B | |||||||||||||||
| B | Other languages you would like to view content on the FDA site: | Text area, no char limit | Single | N | Skip Logic Group | Other Language | ||||||||||
| FBI satisfaction survey | ||||||||||||||||
| EDO01220 | A | What specific crime statistics information were you looking for? | Text field, <100 char | Single | N | Skip Logic | ||||||||||
| EDO01221 | Did you use the search feature today? | Yes | C | Drop down, select one | Single | Y | Skip Logic | Search | ||||||||
| No | ||||||||||||||||
| EDO01222 | C | Please describe your search experience | I had no difficulty using the search feature on this site | Drop down, select one | Single | N | Skip Logic | |||||||||
| The search feature was difficult to find | ||||||||||||||||
| The search feature was difficult to use | ||||||||||||||||
| Returned no results/received an error message | ||||||||||||||||
| Could not tell where the search results would take me | ||||||||||||||||
| Too many results | ||||||||||||||||
| Too few results | ||||||||||||||||
| Results were not related to what I was looking for | ||||||||||||||||
| Could not sort the results | ||||||||||||||||
| Could not refine the results | ||||||||||||||||
| Other | B | |||||||||||||||
| EDO01223 | B | Other: Search Experience | Text field, <100 char | Single | N | Skip Logic | ||||||||||
| File Type | application/vnd.ms-excel |
| Author | silvina diaz |
| Last Modified By | sgrow |
| File Modified | 2010-03-29 |
| File Created | 2009-11-17 |