349 CQs for OMB 8- 349 CQs for OMB 8-9-2010 to 8-25-2010

Measures Name/Client name (CDs and Answer choices)
USDA FSA Intranet
EDO04985	H	What search terms did you use on this website today?				Text area, no char limit		Y	Skip Logic Group	Search Keyword
EDO04986		Do you consider your race:	EDO04986A001	White		Radio button, one-up vertical	Single	N		Race
			EDO04986A002	Black or African American
			EDO04986A003	American Indian or Alaska Native
			EDO04986A004	Native Hawaiian or other Pacific Islander
			EDO04986A005	Asian
			EDO04986A006	Other race
EDO04987		Do you consider yourself to be of Hispanic, Latino, or Spanish origin?	EDO04987A001	Yes		Radio button, one-up vertical	Single	N		Origin
			EDO04987A002	No
			EDO04987A003	Don't know
EDO04988		What is your gender?	EDO04988A001	Yes		Radio button, one-up vertical	Single	N		Gender
			EDO04988A002	No
EDO04989		Do you have any suggestions for ways to improve the FSA Intranet site?				Text area, no char limit		N		Improvements
MedlinePlus After 5-12-2004
EDO05099		What is your primary reason you are visiting the MedlinePlus site today?	EDO05099A001	Find info on alternative treatments, herbals, or vitamins		Radio button, one-up vertical	S	Y	Randomize	Reason for Visit
			EDO05099A002	To look for drugs and supplements
			EDO05099A003	Keep up with breaking health news					Skip Logic Group
			EDO05099A004	Search for health care products or services
			EDO05099A005	Find general health and wellness info
			EDO05099A006	Find info on a specific disease, condition, diagnosis, or treatment
			EDO05099A007	Find info on medicines or prescription drugs
			EDO05099A008	Search for health care provider (physician/dentist/hospital/etc.)
			EDO05099A009	Other ,please specify	A				Anchor Answer Choice
EDO05100	A	Other Reason for visit:				Text area, no char limit	S	N	Skip Logic Group	Other reason for visit
EDO05101		What area of the site did you look for your information? (select all that apply)	EDO05101A001	Videos and Cool Tools		Checkbox, one-up vertical	M	Y	Randomize
			EDO05101A002	Drugs and Supplements					Skip Logic Group
			EDO05101A003	Health Topics
			EDO05101A004	Medical Dictionary
			EDO05101A005	Medical Encyclopedia
			EDO05101A006	Health News
			EDO05101A007	Other, please specify:	A				Anchor Answer Choice
EDO05102	A	Other area of site to look for information:				Text area, no char limit	S	N	Skip Logic Group	Other areas of the site
EDO05103	A	What type of health care provider?	EDO05103A001	Physician, primary care		Radio button, one-up vertical	S	Y	Skip Logic Group	Health Care Provider Type
			EDO05103A002	Physician, specialist (e.g., cardiologist, neurologist)
			EDO05103A003	Dentist
			EDO05103A004	Physician Assistant (dietician, physical therapist, dental hygienist)
			EDO05103A005	Psychologist
			EDO05103A006	Social Worker
			EDO05103A007	Other ,please specify	B
EDO05104	B	Other Health Care Provider				Text area, no char limit	S	N	Skip Logic Group	Other Health Care Provider
EDO05105		In the last three months, have you done any of the following: [Please select all that apply]:	EDO05105A001	Watch videos on a Web site		Checkbox, one-up vertical	M	Y	Skip Logic Group	Social Media last 3 months
			EDO05105A002	Receive/send text messages using my mobile phone / device
			EDO05105A003	Sign up for email updates from a website
			EDO05105A004	Participate in Facebook
			EDO05105A005	Participate in Twitter
			EDO05105A006	Use personalized web pages (such as iGoogle or My Yahoo!)
			EDO05105A007	Listen to podcasts or audio on a Web site
			EDO05105A008	Browse Web sites using my mobile phone / device
			EDO05105A009	Bookmark or tag websites (using social bookmarking sites as Digg or Del.icio.us)
			EDO05105A010	Other, please specify	A
EDO05106	A	Other social media participation				Text area, no char limit	S	N	Skip Logic Group	Other Social Media
EDO05107		Which of the following items do you use from MedlinePlus? [Please select all that apply]:	EDO05107A001	Email updates from MedlinePlus		Checkbox, one-up vertical	M	Y	Skip Logic Group	MedinePlus Participation
			EDO05107A002	Share (Bookmark and share via Facebook, Digg, email, etc.)
			EDO05107A003	Videos
			EDO05107A004	Podcasts
			EDO05107A005	RSS feeds
			EDO05107A006	MedlinePlus4You twitter feed
			EDO05107A007	Search cloud widget
			EDO05107A008	Mobile MedlinePlus (http://m.medlineplus.gov)
			EDO05107A009	Other, please specify	A				Skip Logic Group
EDO05108	A	Other social media participation on MedlinePlus				Text area, no char limit	S	N	Skip Logic Group	Other MedlinePlus Participation
EDO05109		Did you use the search box to find something on this Web site during your visit today?	EDO05109A001	Yes	A,B,C	Radio button, one-up vertical	S	Y	Skip Logic Group	Used Search
			EDO05109A002	No
			EDO05109A003	Unsure
EDO05110	A	Please describe your experience with Search	EDO05110A001	I had no problems		Drop down, select one	S	Y	Skip Logic Group	Search Experience
			EDO05110A002	Returned too many results
			EDO05110A003	Returned not enough (or zero) results
			EDO05110A004	Results were not relevant to my search
			EDO05110A005	Other, please specify	A1
EDO05111	A1	Other search experience				Text area, no char limit	S	N	Skip Logic Group	Other Search Experience
EDO05112	B	Did the top results answer your question?	EDO05112A001	Yes		Drop down, select one	S	Y	Skip Logic Group	Top Results
			EDO05112A002	No
			EDO05112A003	Unsure
EDO05113	C	Did you use the “Refine by” links to the left of the search results to narrow your results?	EDO05113A001	Yes		Drop down, select one	S	Y	Randomize	Refine by Links
			EDO05113A002	No
			EDO05113A003	Unsure
EDO05114		Did you find what you were looking for?	EDO05114A001	Yes		Radio button, one-up vertical	S	Y		Found Info
			EDO05114A002	No	A
			EDO05114A003	Partially	A
EDO05115	A	What specific information were you looking for?				Text area, no char limit	S	N		Specific Info Seeking
EDO05116		How could we improve MedlinePlus?				Text area, no char limit	S	N		Improvements
CMS - Cahaba J10 MAC
EDO05180		In addition to the currently used communication tools (example: Internet, email lists), would you be interested in receiving Cahaba Medicare Services related information through the following Social Media outlets: (Please select all that apply)	EDO05180A001	Facebook		Radio button, one-up vertical	Multi	Y
			EDO05180A002	Twitter
			EDO05180A003	YouTube
			EDO05180A004	RSS Feed
			EDO05180A005	Podcast
			EDO05180A006	LinkedIn
			EDO05180A007	None
			EDO05180A008	Other (please specify)	J
EDO05181	J	Please list the other social media outlet:				Text area, no char limit
EDO05182		Does your place of business allow you to access social media outlets for work-related information during work hours? (i.e. Facebook, YouTube etc.)	EDO05182A001	Yes		Radio button, one-up vertical	Single	Y
			EDO05182A002	No	K
EDO05183	K	Would you access Cahaba Medicare Services social media outlets for information during off/non-business hours?	EDO05183A001	Yes		Radio button, one-up vertical	Single	Y
			EDO05183A002	No
FEMA Main v2 Survey
EDO05190	A	If you've visited the homepage before, what do you think of the new layout?	EDO05190A001	Better		Radio button, one-up vertical	Single	N	Skip Logic Group	Redesign
			EDO05190A002	The Same
			EDO05190A003	Worse	B
			EDO05190A004	Don't Know
EDO05191	B	Please explain why you feel the new homepage design is worse.				Text field, <100 char		N	Skip Logic Group	Redesign Worse
UNICOR Satisfaction Survey
EDO05193	Z	Did you make a purchase on UNICOR.gov today?	EDO05193A001	Yes		Radio button, one-up vertical	Single	Yes	Skip Logic Group
			EDO05193A002	No	AA
EDO05194	AA	Why didn't you make a purchase during your visit today?	EDO05194A001	Couldn't find the item I was looking for		Radio button, one-up vertical	Single	No	Skip Logic Group
			EDO05194A002	Didn't have exact style or size I needed
			EDO05194A003	Didn't like the colors or materials available
			EDO05194A004	Item was too expensive
			EDO05194A005	Chose to purchase the item offline	CC, DD
			EDO05194A006	Chose to purchase from another site	FF
			EDO05194A007	I didn't plan on making a purchase
			EDO05194A008	Other	BB
EDO05195	BB	Please explain briefly why you didn't make a purchase during your visit today.				Text area, no char limit	Single	No	Skip Logic Group
EDO05196	CC	Where do you plan on making your offline purchase?				Text area, no char limit	Single	No	Skip Logic Group
EDO05197	DD	Why do you prefer to purchase offline?	EDO05197A001	I want to see the item before I purchase it		Radio button, one-up vertical	Single	No	Skip Logic Group
			EDO05197A002	I did not want to pay shipping costs
			EDO05197A003	I can find the best price offline
			EDO05197A004	I know it will be easier to return the product if I purchase it in a store
			EDO05197A005	More flexible delivery options
			EDO05197A006	Other	EE
EDO05198	EE	Please explain briefly why you prefer to purchase offline.				Text area, no char limit	Single	No	Skip Logic Group
EDO05199	FF	Where do you plan on making your online purchase?				Text area, no char limit	Single	No	Skip Logic Group
EDO05200	Q	What will you do next?	EDO05200A001	Call the customer service center		Radio button, one-up vertical	Single	Yes	Skip Logic Group
			EDO05200A002	Call a sales representative
			EDO05200A003	Return to the website later and try again
			EDO05200A004	Try another website
			EDO05200A005	Nothing, although I did not find what I wanted
			EDO05200A006	Other	R
EDO05201	R	Please briefly explain what you will do next.				Text area, no char limit	Single	No	Skip Logic Group