Form 1002 Disability.gov

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Overview

Welcome and Thank You Text
Model Qsts V3
V3 Current CQs
V3 CQs (1-29-14)
V3 CQs (12-6-12)
V3 CQs (12-3-12)
V3 CQs (11-29-12)
V3 CQs - original
Current CQs V2

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Sheet 1: Welcome and Thank You Text

Model Instance Name:
Disability.gov V2
MID:	R1E1JscENsQ08YktMkZpxA==
Date:	Fill In Date
Welcome and Thank You Text
	Directions:
	This welcome text is shown at the top of the questionnaire window and the thank you text at the bottom. This is a good place to mention the site/company/agency name so the visitor knows whom they are taking the survey for. Feel free to modify the standard Welcome text shown in the box below.
					Examples
					Welcome Text Example
	Welcome Text
	Thank you for visiting our site. You've been randomly chosen to take part in a brief survey to let us know what we're doing well and where we can improve. Please take a few minutes to share your opinions, which are essential in helping us provide the best online experience possible.
					Thank You Text Example
	Thank You Text
	Thank you for taking our survey - and for helping us serve you better. Please note you will not receive a response from us based on your survey comments. If you would like us to contact you about your feedback, please visit the Contact Us section of our website.

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Sheet 2: Model Qsts V3

Model Instance Name:
Disability.gov V3
MID: 5l0gF1IR98F1NkBM0FUZBw==
Partitioned (Y/N)?		Y
NOTE: All non-partitioned surveys will NOT be imputed and the elements will be rotated as a default unless otherwise specified and approved by Research.
Date:		1/6/2012
Disability.gov V2
Model questions utilize the ACSI methodology to determine scores and impacts
		ELEMENTS (drivers of satisfaction)		MQ Label	CUSTOMER SATISFACTION		MQ Label	FUTURE BEHAVIORS
	MQ Label
		Content (1=Poor, 10=Excellent, Don't Know/NA)			Satisfaction			Primary Resource
	1	Please rate how well the content on this website provides a clear explanation of available resources.		16	What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)		19	How likely are you to use this site as your primary resource for disability-related information?
	2	Please rate how up-to-date the content appears to be on this website.		17	How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)			Recommend
	3	Please rate how accurate the information appears to be on this website.		18	How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)		20	How likely are you to recommend this site to someone else?
		Functionality (1=Poor, 10=Excellent, Don't Know/NA)						Return
	4	Please rate the usefulness of the website tools (Search box, Information by Topic menus, etc.) provided on this site.					21	How likely are you to return to this site?
	5	Please rate the convenient placement of the website tools on this site (Search box, Information by Topic menus, etc.).						Subscribe
	6	Please rate the variety of website tools on this site (Search box, Information by Topic menus, etc.).					22	How likely are you to subscribe for, or continue to receive, e-mail updates from Disability.gov?
		Look and Feel (1=Poor, 10=Excellent, Don't Know/NA)
	7	Please rate the visual appeal of this site.
	8	Please rate the balance of graphics and text on this site.
	9	Please rate the readability of the pages on this site.
		Navigation (1=Poor, 10=Excellent, Don't Know/NA)
	10	Please rate how well the site is organized.
	11	Please rate the options available for navigating this site.
	12	Please rate how well the site layout helps you find what you are looking for.
		Site Performance (1=Poor, 10=Excellent, Don't Know/NA)
	13	Please rate how quickly pages load on this site.
	14	Please rate the consistency of speed from page to page on this site.
	15	Please rate the ability to load pages without getting error messages on this site.

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Sheet 3: V3 Current CQs

Model Instance Name			red & strike-through: DELETE
Disability.gov V3			underlined & italicized: RE-ORDER
MID: 5l0gF1IR98F1NkBM0FUZBw==			pink: ADDITION
Date:	1/17/2012		blue + -->: REWORDING
Disability.gov V3 CUSTOM QUESTION LIST
QID	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
SAC6967		How often do you visit Disability.gov?	Today was my first time		Radio button, one-up vertical	single	Y		Visit frequency
			Every day
			A few times a week
			At least once a week
			At least once a month
			Every few months
			Once a year or less
SAC6942		Which sentence best describes you?	I am a person with a disability or am disabled		Radio button, one-up vertical	single	Y	Skip Logic Group	Role
			I am a parent, caregiver, family member or friend of someone with a disability
			I am a professional or service provider who works with people with disabilities
			I am an educator who works with students with disabilities
			I am an employer or human resource (HR) professional
			None of the above	A
SAC6943	A	Please tell us what role best describes you:			Text field, <100 char		N	Skip Logic Group	Other role
SAC6944		Which topic(s) did you want to get information about? Please choose all that apply:	Employment (such as finding a job, starting a business or hiring someone with a disability)		Checkbox, one-up vertical	Multi	Y		Specific Information
			Benefits (such as getting Social Security (SSI/SSDI) benefits or other financial assistance)
			Housing (such as finding an affordable apartment, paying for home repairs, making your home accessible, or filing a charge of housing discrimination)
			Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws and regulations, voting or filing a complaint)
			Education (such as getting money for school, going to college or teaching students with disabilities)
			Health (such as information on different disabilities, finding health care, or getting health or dental insurance)
			Community Life (such as sports, volunteering or independent living)
			Technology (such as assistive technology, accessible technology or help paying for technology)
			Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications)
			Emergency Preparedness (such as emergency or disaster preparedness or emergency management)
			I do not know which subject to choose
HAR0047945		Did you find the information you were looking for on Disability.gov today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
			Somewhat	N
			No	N
HAR0047947	N	Please tell us what you did not find on Disability.gov:			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
HAR0047948		How did you begin to look for information on Disability.gov? Please choose the best answer:	I began my search with the "Information by Topic" icon list. For example, I selected "Benefits" (next to the dollar sign icon), "Health" (next to the heart icon) or "Housing" (next to the house icon), etc.		Radio button, one-up vertical	Single	Y		First Look
			I began my search with the "Guide Me/Get Started " tool on the home page, which used four steps to take me to information
			I began my search by typing a word into the Search Box next to the sentence, "What are you looking for?"
			I began my search by clicking on one of the "Need Help?" links (such as "How to Use This Site" or "Contact Us")
			I began my search by clicking on one of the "Learn More" or "News and Events" links (such as "About Us" or "Disability.gov's Guides to Information")
			I do not know how I began my search
			None of the above
HAR0047950		Which sentence best describes the method you used most often today when looking for information on the site?	I used the "Information by Topic" icon list most often. For example, I selected "Benefits" (next to the dollar sign icon), "Health" (next to the heart icon) or "Housing" (next to the house icon), etc.	I, K	Radio button, one-up vertical	Single	Y	Skip Logic Group	Method of Looking
			I used the "Guide Me/Get Started" tool on the home page most often	G
			I used the Search Box next to the sentence, "What are you looking for?" on the home page most often	S, K
			I used both the Search Box on the home page and the "Information by Topic" icons equally	Z, K
			I do not know which method I used most often	K
			None of the above
HAR0047951	G	Which sentence best describes your experience with the "Guide Me/Get Started" tool?	The "Guide Me/Get Started" tool was very easy to use and understand		Radio button, one-up vertical	Single	Y	Skip Logic Group	Guide Me Rating
			The "Guide Me/Get Started" tool was somewhat easy to use and understand
			My experience was neutral
			The "Guide Me/Get Started" tool was somewhat hard to use and understand	H
			The "Guide Me/Get Started" tool was very hard to use and understand	H
HAR0047952	H	Please tell us why you think the "Guide Me" tool was hard to use and understand:			Text area, no char limit		N	Skip Logic Group*	Guide Me Issue
HAR0047953	I	After you chose an "Information by Topic" icon (such as "Benefits" next to the dollar sign, or "Health" next to the heart icon), what did you do next?	I chose a sub-topic (for example, Medicare under the major Health category)		Radio button, one-up vertical	Single		Skip Logic Group	Topic Next Act
			I chose to "view all resources," not just one of the sub-topics
			I do not know what I did next
HAR0047954	S	Please tell us about your experience with the site's Search Box today. Please choose all that apply:	The resources listed in the search results were helpful		Checkbox, one-up vertical	Multi	Y	Skip Logic Group*	Search Experience
			The resources listed in the search results were not helpful	T
			There were too many resources listed in the search results	T
			There were not enough resources listed in the search results	T
			There were no resources listed in the search results	T
			I received an error message(s)	U
			The search speed was too slow
			I experienced a different search issue	U
HAR0047955	T	What search term(s) did you use?			Text area, no char limit		N	Skip Logic Group*	Search Terms
HAR0047956	U	Please tell us about the search issue(s) and/or errors you experienced:			Text area, no char limit		N	Skip Logic Group*	Search Issue
HAR0047957	Z	Which sentence best describes your experience using both the Search Box and "Information by Topics" icon list?	I liked using the Search Box to find information better		Radio button, one-up vertical	Single	Y	Skip Logic Group	Both Experience
			I liked using the "Information by Topics" icon list to find information better
			Both methods worked equally well for me today
			Neither method helped me find the information I was looking for
HAR0047958	K	After receiving your results, how did you look through them? Please choose all that apply:	I picked the resources I wanted to look at from the main screen		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Method of Review
			I sorted the resources that came up by "Newest" or "Oldest"
			I used the "Filter Your Results" options (e.g., topics, location, audiences, disabilities) to help me find what I was looking for	L
			After looking at my results, I decided to search through them by using the search box at the top of the page
			I decided to start my search over
			None of the above
HAR0047967	L	Did the "Filter by Results" options help you find the resources you were looking for?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group*	Filter Rating
			Somewhat
			No	M
HAR0047968	M	Please tell us how the "Filter your Results" option could be improved to help you find resources on the site:			Text area, no char limit		N	Skip Logic Group*	Filter Improve
HAR0047970		Were you looking for resources or information in the United States or its territories?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Area National
			No
HAR0047971	A	Please tell us which state or territory you were looking for information from:	Alabama		Drop down, select one	Single	N	Skip Logic Group	Area State
			Alaska
			American Samoa
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			District of Columbia
			Florida
			Georgia
			Guam
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			N. Mariana Islands
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Puerto Rico
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Virgin Islands
			Washington
			West Virginia
			Wisconsin
			Wyoming
ACQinh0019392		Please tell us if there is anything else Disability.gov could do to improve your experience on the website:			Text area, no char limit		N		Improvement
SAC6966		Disability.gov is a website that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a website that sends you to other sites for information?	Yes		Drop down, select one	Single	Y		Portal
			No
SAC6968		How old are you?	Under 18		Drop down, select one	single	N		Age
			18 - 24
			25 - 34
			35 - 44
			45 - 54
			55 - 64
			65 or older
			I prefer not to answer

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Sheet 4: V3 CQs (1-29-14)

Model Instance Name			red & strike-through: DELETE
Disability.gov V3			underlined & italicized: RE-ORDER
MID: 5l0gF1IR98F1NkBM0FUZBw==			pink: ADDITION
Date:	1/17/2012		blue + -->: REWORDING
Disability.gov V3 CUSTOM QUESTION LIST
QID	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
SAC6941		What information were you looking for on Disability.gov today? Please select the best answer.	Only information on programs or services in my state		Radio button, one-up vertical	Single	Y		Type of Information
			Only information on national programs or services
			Information on national and state programs or services
SAC6967		How often do you visit Disability.gov?	Today was my first time		Radio button, one-up vertical	single	Y		Visit frequency
			Every day
			A few times a week
			At least once a week
			At least once a month
			Every few months
			Once a year or less
SAC6942		Which of the following statements best describes you? Please select the best answer. Which sentence best describes you?	I am a person with a disability or am disabled		Radio button, one-up vertical	single	Y	Skip Logic Group	Role
			I am a parent, caregiver, family member or friend of someone with a disability
			I am a professional or service provider who works with people with disabilities
			I am an educator who works with students with disabilities
			I am an employer or human resource (HR) professional
			OtherNone of the above	A
SAC6943	A	Please explain briefly tell us what role best describes you:			Text field, <100 char		N	Skip Logic Group	Other role
SAC6944		In general, which subject(s) did you want to get information about? Please select all that apply. Which topic(s) did you want to get information about? Please choose all that apply:	Employment (such as finding a job, starting a business or hiring someone with a disability)		Checkbox, one-up vertical	Multi	Y		Specific Information
			Benefits (such as getting Social Security (SSI/SSDI) benefits, paying for prescriptions or access to financial assistance or other financial assistance)
			Housing (such as finding an affordable apartment, paying for home repairs, making your home accessible, or filing a charge of housing discrimination)
			Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws and regulations, voting or filing a complaint)
			Education (such as getting money for school, going to college or teaching students with disabilities)
			Health (such as information on different disabilities, finding health care, or getting health or dental insurance)
			Community Life (such as sports, volunteering or independent living)
			Technology (such as assistive technology, accessible technology or help paying for technology)
			Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications)
			Emergency Preparedness (such as emergency or disaster preparedness or emergency management)
			I’m not sure I do not know which subject to choose	KILL SKIP B
SAC6945	B	Please explain what information you were looking for on Disability.gov. (open-ended)			Text area, no char limit		N	Skip Logic Group	OE_Information
		Did you find the information you were looking for on Disability.gov today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Able to Find
			Somewhat	N
			No	N
	N	Please tell us what you did not find on Disability.gov:			Text area, no char limit	Single	N	Skip Logic Group	Unable to Find
ACQinh0019382		How did you first start to look for information on Disability.gov? Please select the best answer.	I used the search engine at the top of the page	C	Radio button, one-up vertical	Single	Y	Skip Logic Group	First Look
			I used the “Information by Topic” menu on the left side of the page	I
			I am not sure
ACQinh0019383	C	Did the search engine help you find the information you were looking for on Disability.gov?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Helped
			No	D
ACQinh0019396	D	Tell us more about your search experience. Please select all that apply.	I didn’t know which word or phrase to enter into the search engine	X	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Experience
			I did not receive any search results	X
			There were not enough search results	X
			There was not enough information in the description of the results to decide which resource to choose	F
			Many of the search results looked like the same resource	F
			The results were not organized in a helpful way	F
			The search results did not answer my question	F
			I had a different problem with the search results	E, F
ACQinh0019776	X	What search term or phrase did you use?			Text area, no char limit	Single	N	Skip Logic Group	OE_Search Term
ACQinh0019397	E	Please explain the problem you had with your search results.			Text area, no char limit	Single	N	Skip Logic Group	OE_Search Problem
ACQinh0019398	F	Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page?	Yes	H	Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Narrow
			No	G, H
ACQinh0019399	G	Please tell us why you didn't "Narrow Your Results."			Text area, no char limit	Single	N	Skip Logic Group	OE_Search Narrow
ACQinh0019400	H	How can we make the search engine more useful?			Text area, no char limit	Single	N	Skip Logic Group	OE_Search Changes2
ACQinh0019385	I	Did you have any problems using the “Information by Topic” menu on the left side of the page to find information on the site?	Yes	J, K	Radio button, one-up vertical	Single	Y	Skip Logic Group	Info by Topic Usage
			No
ACQinh0019387	J	How can we make the “Information by Topic” menu on the left side of the page more useful?			Text area, no char limit	Single	N	Skip Logic Group	OE_Info by Topic Changes
ACQinh0019388	K	Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Info by Topic Narrow
			No	L
ACQinh0019391	L	Please tell us why you didn't "Narrow Your Results."			Text area, no char limit		N	Skip Logic Group	OE_Info by Topic Narrow
		How did you begin to look for information on Disability.gov? Please choose the best answer:	I began my search with the "Information by Topic" icon list. For example, I selected "Benefits" (next to the dollar sign icon), "Health" (next to the heart icon) or "Housing" (next to the house icon), etc.		Radio button, one-up vertical	Single	Y		First Look
			I began my search with the "Guide Me/Get Started " tool on the home page, which used four steps to take me to information
			I began my search by typing a word into the Search Box next to the sentence, "What are you looking for?"
			I began my search by clicking on one of the "Need Help?" links (such as "How to Use This Site" or "Contact Us")
			I began my search by clicking on one of the "Learn More" or "News and Events" links (such as "About Us" or "Disability.gov's Guides to Information")
			I do not know how I began my search
			None of the above
		Which sentence best describes the method you used most often today when looking for information on the site?	I used the "Information by Topic" icon list most often. For example, I selected "Benefits" (next to the dollar sign icon), "Health" (next to the heart icon) or "Housing" (next to the house icon), etc.	I, K	Radio button, one-up vertical	Single	Y	Skip Logic Group	Method of Looking
			I used the "Guide Me/Get Started" tool on the home page most often	G
			I used the Search Box next to the sentence, "What are you looking for?" on the home page most often	S, K
			I used both the Search Box on the home page and the "Information by Topic" icons equally	Z, K
			I do not know which method I used most often	K
			None of the above
	G	Which sentence best describes your experience with the "Guide Me/Get Started" tool?	The "Guide Me/Get Started" tool was very easy to use and understand		Radio button, one-up vertical	Single	Y	Skip Logic Group	Guide Me Rating
			The "Guide Me/Get Started" tool was somewhat easy to use and understand
			My experience was neutral
			The "Guide Me/Get Started" tool was somewhat hard to use and understand	H
			The "Guide Me/Get Started" tool was very hard to use and understand	H
	H	Please tell us why you think the "Guide Me" tool was hard to use and understand:			Text area, no char limit		N	Skip Logic Group*	Guide Me Issue
	I	After you chose an "Information by Topic" icon (such as "Benefits" next to the dollar sign, or "Health" next to the heart icon), what did you do next?	I chose a sub-topic (for example, Medicare under the major Health category)		Radio button, one-up vertical	Single		Skip Logic Group	Topic Next Act
			I chose to "view all resources," not just one of the sub-topics
			I do not know what I did next
	S	Please tell us about your experience with the site's Search Box today. Please choose all that apply:	The resources listed in the search results were helpful		Checkbox, one-up vertical	Multi	Y	Skip Logic Group*	Search Experience
			The resources listed in the search results were not helpful	T
			There were too many resources listed in the search results	T
			There were not enough resources listed in the search results	T
			There were no resources listed in the search results	T
			I received an error message(s)	U
			The search speed was too slow
			I experienced a different search issue	U
	T	What search term(s) did you use?			Text area, no char limit		N	Skip Logic Group*	Search Terms
	U	Please tell us about the search issue(s) and/or errors you experienced:			Text area, no char limit		N	Skip Logic Group*	Search Issue
	Z	Which sentence best describes your experience using both the Search Box and "Information by Topics" icon list?	I liked using the Search Box to find information better		Radio button, one-up vertical	Single	Y	Skip Logic Group	Both Experience
			I liked using the "Information by Topics" icon list to find information better
			Both methods worked equally well for me today
			Neither method helped me find the information I was looking for
	K	After receiving your results, how did you look through them? Please choose all that apply:	I picked the resources I wanted to look at from the main screen		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Method of Review
			I sorted the resources that came up by "Newest" or "Oldest"
			I used the "Filter Your Results" options (e.g., topics, location, audiences, disabilities) to help me find what I was looking for	L
			After looking at my results, I decided to search through them by using the search box at the top of the page
			I decided to start my search over
			None of the above
	L	Did the "Filter by Results" options help you find the resources you were looking for?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group*	Filter Rating
			Somewhat
			No	M
	M	Please tell us how the "Filter your Results" option could be improved to help you find resources on the site:			Text area, no char limit		N	Skip Logic Group*	Filter Improve
		Were you looking for resources or information in the United States or its territories?	Yes	A	Radio button, one-up vertical	Single	Y	Skip Logic Group	Area National
			No
	A	Please tell us which state or territory you were looking for information from:	Alabama		Drop down, select one	Single	N	Skip Logic Group	Area State
			Alaska
			American Samoa
			Arizona
			Arkansas
			California
			Colorado
			Connecticut
			Delaware
			District of Columbia
			Florida
			Georgia
			Guam
			Hawaii
			Idaho
			Illinois
			Indiana
			Iowa
			Kansas
			Kentucky
			Louisiana
			Maine
			Maryland
			Massachusetts
			Michigan
			Minnesota
			Mississippi
			Missouri
			Montana
			N. Mariana Islands
			Nebraska
			Nevada
			New Hampshire
			New Jersey
			New Mexico
			New York
			North Carolina
			North Dakota
			Ohio
			Oklahoma
			Oregon
			Pennsylvania
			Puerto Rico
			Rhode Island
			South Carolina
			South Dakota
			Tennessee
			Texas
			Utah
			Vermont
			Virginia
			Virgin Islands
			Washington
			West Virginia
			Wisconsin
			Wyoming
ACQinh0019392		What would you like to see improved on Disability.gov? Please tell us if there is anything else Disability.gov could do to improve your experience on the website:			Text area, no char limit		N		Improvement
SAC6966		Disability.gov is a web portal website that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a portal website that sends you to other sites for information?	Yes		Drop down, select one	Single	Y		Portal
			No
SAC6968		How old are you?	Under 18		Drop down, select one	single	N		Age
			18 - 24
			25 - 34
			35 - 44
			45 - 54
			55 - 64
			65 or older
			I prefer not to answer

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Sheet 5: V3 CQs (12-6-12)

Model Instance Name				red & strike-through: DELETE
Disability.gov V3				underlined & italicized: RE-ORDER
MID: 5l0gF1IR98F1NkBM0FUZBw==				pink: ADDITION
Date:	1/17/2012			blue + -->: REWORDING
Disability.gov V3 CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	AnswerIDs (DOT)	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
SAC6941		What information were you looking for on Disability.gov today? Please select the best answer.	SAC6941A001	Only information on programs or services in my state		Radio button, one-up vertical	Single	Y		Type of Information
			SAC6941A002	Only information on national programs or services
			SAC6941A003	Information on national and state programs or services
SAC6942		Which of the following statements best describes you? Please select the best answer.	SAC6942A001	I am a person with a disability or am disabled		Radio button, one-up vertical	single	Y	Skip Logic Group	Role
			SAC6942A002	I am a caregiver, family member or friend of someone with a disability
			SAC6942A003	I am a professional or service provider who works with people with disabilities
			SAC6942A004	I am an educator who works with students with disabilities
			SAC6942A006	I am an employer or human resource (HR) professional
			SAC6942A007	Other	A
SAC6943	A	Please explain briefly what role best describes you:				Text field, <100 char		N	Skip Logic Group	Other role
SAC6944		In general, which subject(s) did you want to get information about? Please select all that apply.	SAC6944A001	Employment (such as finding a job, starting a business or hiring someone with a disability)		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Specific Information
			SAC6944A002	Benefits (such as getting Social Security (SSI/SSDI) benefits, paying for prescriptions or access to financial assistance)
			SAC6944A003	Housing (such as finding an affordable apartment, paying for a house, home repairs or housing discrimination)
			SAC6944A004	Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws and regulations, voting or filing a complaint)
			SAC6944A005	Education (such as getting money for school, going to college or teaching students with disabilities)
			SAC6944A006	Health (such as information on specific disabilities, getting health insurance, dental or health care or caregiver resources)
			SAC6944A007	Community Life (such as sports, volunteering or independent living)
			SAC6944A008	Technology (such as assistive technology, accessible technology or help paying for technology)
			SAC6944A009	Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications)
			SAC6944A010	Emergency Preparedness (such as emergency or disaster preparedness or emergency management)
			SAC6944A011	I’m not sure which subject to choose	B
SAC6945	B	Please explain what information you were looking for on Disability.gov. (open-ended)				Text area, no char limit		N	Skip Logic Group	OE_Information
ACQinh0019382		How did you first start to look for information on Disability.gov? Please select the best answer.	ACQinh0019382A01	I used the search engine at the top of the page	C	Radio button, one-up vertical	Single	Y	Skip Logic Group	First Look
			ACQinh0019382A02	I used the “Information by Topic” menu on the left side of the page	I
			ACQinh0019382A03	I am not sure
ACQinh0019383	C	Did the search engine help you find the information you were looking for on Disability.gov?	ACQinh0019383A01	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Helped
			ACQinh0019383A02	No	D
ACQinh0019396	D	Tell us more about your search experience. Please select all that apply.	ACQinh0019396A01	I didn’t know which word or phrase to enter into the search engine	X	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Experience
			ACQinh0019396A02	I did not receive any search results	X
			ACQinh0019396A03	There were not enough search results	X
			ACQinh0019396A04	There was not enough information in the description of the results to decide which resource to choose	F
			ACQinh0019396A05	Many of the search results looked like the same resource	F
			ACQinh0019396A06	The results were not organized in a helpful way	F
			ACQinh0019396A07	The search results did not answer my question	F
			ACQinh0019396A08	I had a different problem with the search results	E, F
	X	What search term or phrase did you use?				Text area, no char limit	Single	N	Skip Logic Group	OE_Search Term
ACQinh0019397	E	Please explain the problem you had with your search results.				Text area, no char limit	Single	N	Skip Logic Group	OE_Search Problem
ACQinh0019398	F	Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page?	ACQinh0019398A01	Yes	H	Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Narrow
			ACQinh0019398A02	No	G, H
ACQinh0019399	G	Please tell us why you didn't "Narrow Your Results."				Text area, no char limit	Single	N	Skip Logic Group	OE_Search Narrow
ACQinh0019400	H	How can we make the search engine more useful?				Text area, no char limit	Single	N	Skip Logic Group	OE_Search Changes2
ACQinh0019385	I	Did you have any problems using the “Information by Topic” menu on the left side of the page to find information on the site?	ACQinh0019385A01	Yes	J, K	Radio button, one-up vertical	Single	Y	Skip Logic Group	Info by Topic Usage
			ACQinh0019385A02	No
ACQinh0019387	J	How can we make the “Information by Topic” menu on the left side of the page more useful?				Text area, no char limit	Single	N	Skip Logic Group	OE_Info by Topic Changes
ACQinh0019388	K	Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page?	ACQinh0019388A01	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Info by Topic Narrow
			ACQinh0019388A02	No	L
ACQinh0019391	L	Please tell us why you didn't "Narrow Your Results."				Text area, no char limit		N	Skip Logic Group	OE_Info by Topic Narrow
ACQinh0019392		What would you like to see improved on Disability.gov?				Text area, no char limit		N		Improvement
SAC6966		Disability.gov is a web portal that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a portal that sends you to other sites for information?	SAC6966A001	Yes		Drop down, select one	Single	Y		Portal
			SAC6966A002	No
SAC6967		How often do you visit Disability.gov?	SAC6967A001	Today was my first time		Drop down, select one	single	Y		Visit frequency
			SAC6967A002	Every day
			SAC6967A003	A few times a week
			SAC6967A004	At least once a week
			SAC6967A005	At least once a month
			SAC6967A006	Every few months
			SAC6967A007	Once a year or less
SAC6968		How old are you?	SAC6968A001	Under 18		Drop down, select one	single	N		Age
			SAC6968A002	18 - 24
			SAC6968A003	25 - 34
			SAC6968A004	35 - 44
			SAC6968A005	45 - 54
			SAC6968A006	55 - 64
			SAC6968A007	65 or older
			SAC6968A008	I prefer not to answer

---

Sheet 6: V3 CQs (12-3-12)

Model Instance Name				red & strike-through: DELETE
Disability.gov V3				underlined & italicized: RE-ORDER
MID: 5l0gF1IR98F1NkBM0FUZBw==				pink: ADDITION
Date:	1/17/2012			blue + -->: REWORDING
Disability.gov V3 CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	AnswerIDs (DOT)	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
SAC6941		What information were you looking for on Disability.gov today? Please select the best answer.	SAC6941A001	Only information on programs or services in my state		Radio button, one-up vertical	Single	Y		Type of Information
			SAC6941A002	Only information on national programs or services
			SAC6941A003	Information on national and state programs or services
SAC6942		Which of the following statements best describes you? Please select the best answer.	SAC6942A001	I am a person with a disability or am disabled		Radio button, one-up vertical	single	Y	Skip Logic Group	Role
			SAC6942A002	I am a caregiver, family member or friend of someone with a disability
			SAC6942A003	I am a professional or service provider who works with people with disabilities
			SAC6942A004	I am an educator who works with students with disabilities
			SAC6942A006	I am an employer or human resource (HR) professional
			SAC6942A007	Other	A
SAC6943	A	Please explain briefly what role best describes you:				Text field, <100 char		N	Skip Logic Group	Other role
SAC6944		In general, which subject(s) did you want to get information about? Please select all that apply.	SAC6944A001	Employment (such as finding a job, starting a business or hiring someone with a disability)		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Specific Information
			SAC6944A002	Benefits (such as getting Social Security (SSI/SSDI) benefits, paying for prescriptions or access to financial assistance)
			SAC6944A003	Housing (such as finding an affordable apartment, paying for a house, home repairs or housing discrimination)
			SAC6944A004	Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws and regulations, voting or filing a complaint)
			SAC6944A005	Education (such as getting money for school, going to college or teaching students with disabilities)
			SAC6944A006	Health (such as information on specific disabilities, getting health insurance, dental or health care or caregiver resources)
			SAC6944A007	Community Life (such as sports, volunteering or independent living)
			SAC6944A008	Technology (such as assistive technology, accessible technology or help paying for technology)
			SAC6944A009	Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications)
			SAC6944A010	Emergency Preparedness (such as emergency or disaster preparedness or emergency management)
			SAC6944A011	I’m not sure which subject to choose	B
SAC6945	B	Please explain what information you were looking for on Disability.gov. (open-ended)				Text area, no char limit		N	Skip Logic Group	OE_Information
ACQinh0019382		How did you first start to look for information on Disability.gov? Please select the best answer.	ACQinh0019382A01	I used the search engine at the top of the page	C	Radio button, one-up vertical	Single	Y	Skip Logic Group	First Look
			ACQinh0019382A02	I used the “Information by Topic” menu on the left side of the page	I
			ACQinh0019382A03	I am not sure
ACQinh0019383	C	Did the search engine help you find the information you were looking for on Disability.gov?	ACQinh0019383A01	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Helped
			ACQinh0019383A02	No	D
ACQinh0019396	D	Tell us more about your search experience. Please select all that apply.	ACQinh0019396A01	I didn’t know which word or phrase to enter into the search engine	X	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Experience
			ACQinh0019396A02	I did not receive any search results	X
			ACQinh0019396A03	There were not enough search results	X
			ACQinh0019396A04	There was not enough information in the description of the results to decide which resource to choose	F
			ACQinh0019396A05	Many of the search results looked like the same resource	F
			ACQinh0019396A06	The results were not organized in a helpful way	F
			ACQinh0019396A07	The search results did not answer my question	F
			ACQinh0019396A08	I had a different problem with the search results	E, F
ACQinh0019397	E	Please explain the problem you had with your search results.				Text area, no char limit	Single	N	Skip Logic Group	OE_Search Problem
ACQinh0019410	X	How can we make the search engine more useful?				Text area, no char limit	Single	N	Skip Logic Group	OE_Search Changes1
ACQinh0019398	F	Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page?	ACQinh0019398A01	Yes	H	Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Narrow
			ACQinh0019398A02	No	G, H
ACQinh0019399	G	Please tell us why you didn't "Narrow Your Results."				Text area, no char limit	Single	N	Skip Logic Group	OE_Search Narrow
ACQinh0019400	H	How can we make the search engine more useful?				Text area, no char limit	Single	N	Skip Logic Group	OE_Search Changes2
ACQinh0019385	I	Did you have any problems using the “Information by Topic” menu on the left side of the page to find information on the site?	ACQinh0019385A01	Yes	J, K	Radio button, one-up vertical	Single	Y	Skip Logic Group	Info by Topic Usage
			ACQinh0019385A02	No
ACQinh0019387	J	How can we make the “Information by Topic” menu on the left side of the page more useful?				Text area, no char limit	Single	N	Skip Logic Group	OE_Info by Topic Changes
ACQinh0019388	K	Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page?	ACQinh0019388A01	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Info by Topic Narrow
			ACQinh0019388A02	No	L
ACQinh0019391	L	Please tell us why you didn't "Narrow Your Results."				Text area, no char limit		N	Skip Logic Group	OE_Info by Topic Narrow
ACQinh0019392		What would you like to see improved on Disability.gov?				Text area, no char limit		N		Improvement
SAC6966		Disability.gov is a web portal that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a portal that sends you to other sites for information?	SAC6966A001	Yes		Drop down, select one	Single	Y		Portal
			SAC6966A002	No
SAC6967		How often do you visit Disability.gov?	SAC6967A001	Today was my first time		Drop down, select one	single	Y		Visit frequency
			SAC6967A002	Every day
			SAC6967A003	A few times a week
			SAC6967A004	At least once a week
			SAC6967A005	At least once a month
			SAC6967A006	Every few months
			SAC6967A007	Once a year or less
SAC6968		How old are you?	SAC6968A001	Under 18		Drop down, select one	single	N		Age
			SAC6968A002	18 - 24
			SAC6968A003	25 - 34
			SAC6968A004	35 - 44
			SAC6968A005	45 - 54
			SAC6968A006	55 - 64
			SAC6968A007	65 or older
			SAC6968A008	I prefer not to answer

---

Sheet 7: V3 CQs (11-29-12)

Model Instance Name				red & strike-through: DELETE
Disability.gov V3				underlined & italicized: RE-ORDER
MID: 5l0gF1IR98F1NkBM0FUZBw==				pink: ADDITION
Date:	1/17/2012			blue + -->: REWORDING
Disability.gov V3 CUSTOM QUESTION LIST
QID	Skip Logic Label	Question Text	AnswerIDs (DOT)	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
SAC6941		What information were you looking for on Disability.gov today? Please select the best answer.	SAC6941A001	Only information on programs or services in my state		Radio button, one-up vertical	Single	Y		Type of Information
			SAC6941A002	Only information on national programs or services
			SAC6941A003	Information on both national and state programs or services
SAC6942		Which of the following statements best describes you? Please select the best answer.	SAC6942A001	I am a person with a disability or am disabled		Radio button, one-up vertical	single	Y	Skip Logic Group	Role
			SAC6942A002	I am a caregiver, family member or friend of someone with a disability
			SAC6942A003	I am a professional or service provider who works with people with disabilities
			SAC6942A004	I am an educator who works with students with disabilities
			SAC6942A005	I am a student who is doing research
			SAC6942A006	I am an employer or human resource (HR) professional
			SAC6942A007	Other (please specify):	A
SAC6943	A	Please explain briefly what role best describes you:				Text field, <100 char		N	Skip Logic Group	Other role
SAC6944		In general, which subject(s) did you want to get information about? Please select all that apply.	SAC6944A001	Employment (such as finding a job, starting a business or hiring someone with a disability)		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Specific Information
			SAC6944A002	Benefits (such as getting Social Security (SSI/SSDI) benefits, Veterans or other benefits, paying for prescriptions or home energy assistance) access to financial assistance)
			SAC6944A003	Housing (such as getting Section 8 housing, finding an affordable apartment, buying a house or housing discrimination finding an affordable apartment, paying for a house, home repairs or housing discrimination)
			SAC6944A004	Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws and regulations, voting or filing a complaint)
			SAC6944A005	Education (such as getting money for school, going to college or teaching students with disabilities)
			SAC6944A006	Health (such as information on specific disabilities, getting health insurance, dental or health care or caregiver resources)
			SAC6944A007	Community Life (such as accessible sports, volunteering or independent living)
			SAC6944A008	Technology (such as assistive technology, accessible technology or help paying for technology)
			SAC6944A009	Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications)
			SAC6944A010	Emergency Preparedness (such as emergency or disaster preparedness at home or work or emergency management)
			SAC6944A011	I’m not sure which subject to choose	B
SAC6945	B	Please explain what information you were looking for on Disability.gov. (open-ended)				Text area, no char limit		N	Skip Logic Group	OE_Information
SAC6946		How did you look for information on Disability.gov? Please select the best answer.	SAC6946A001	I used the search engine at the top of the page	A, B	Radio button, one-up vertical	Single	Y	Skip Logic Group	Look for Information
			SAC6946A002	I used the “Information by Topic” and other menus on the left side of the page	G
			SAC6946A003	I used both the search engine at the top of the page, as well as the "Information by Topic” and other menus on the left side of the page	M, N, R
SAC6947	A	Please rate your overall happiness with the site’s search engine.	SAC6947A001	1 = Very unhappy		Radio button, scale, no don't know	Single	Y	Skip Logic Group	S_Search Rating
			SAC6947A002	2
			SAC6947A003	3
			SAC6947A004	4
			SAC6947A005	5
			SAC6947A006	6
			SAC6947A007	7
			SAC6947A008	8
			SAC6947A009	9
			SAC6947A010	10=Very happy
SAC6948	B	Did the search engine help you find the information you were looking for on Disability.gov today?	SAC6948A001	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	S_Search Helped
			SAC6948A002	No	F, I , Y
SAC6949	F	How can we make the search engine more useful to you?				Text area, no char limit	Single	N	Skip Logic Group	S_OE_Search Changes
SAC6950	I	Tell us more about your search experience. Please select all that apply.	SAC6950A001	I didn’t know which word or phrase to enter into the search engine to find the information I was looking for		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	S_Search Experience
			SAC6950A002	The results were not what I was looking for
			SAC6950A003	There were not enough results
			SAC6950A004	There was not enough information in the description of the results to decide which resource to choose
			SAC6950A005	Many of the search results looked like the same resource
			SAC6950A006	There were too many results
			SAC6950A007	The results were not organized in a helpful way
			SAC6950A008	The link didn’t take me to where I thought it was going to go	J
			SAC6950A009	I had a different problem with the search results	K
SAC6951	Y	Please tell us if there are any other websites you like to use to find similar information. (open-ended)				Text area, no char limit	Single	N	Skip Logic Group	S_OE_Other Sites
SAC6952	J	Please explain where you thought the link would take you.				Text area, no char limit	Single	N	Skip Logic Group	S_OE_Unexpected Link
SAC6953	K	Please explain the problem you had with your search results.				Text area, no char limit	Single	N	Skip Logic Group	S_OE_Problem with Search
SAC6954	G	Did you have any problems using the “Information by Topic” and other menus on the left side of the page to find information on the site?	SAC6954A001	Yes	L, AA	Radio button, one-up vertical	Single	Y	Skip Logic Group	T_Info by Topic Usage
			SAC6954A002	No
SAC6955	L	How can we make the “Information by Topic” and other menus on the left side of the page easier to use? (open-ended)				Text area, no char limit	Single	Y	Skip Logic Group	T_OE_Improve Info by Topic
SAC6956	AA	Please tell us if there are any other websites you like to use to find similar information. (open-ended)				Text area, no char limit	Single	N	Skip Logic Group	S_OE_Other Sites
SAC6957	M	Which option was more helpful?	SAC6957A001	I liked using the “Information by Topic” and other menus on the left side of the page to find resources on the site		Radio button, one-up vertical	Single	Y	Skip Logic Group	B_Option
			SAC6957A002	I liked using the search engine at the top of the page to find resources on the site
SAC6958	N	Did the search engine at the top of the page help you find the information you were looking for on Disability.gov today?	SAC6958A001	Yes		Radio button, one-up vertical				B_Search Helped
			SAC6958A002	No	T, U, Z
SAC6959	T	How can we make the search engine more useful to you?				Text area, no char limit				B_OE_Search Changes
SAC6960	U	Tell us more about your search experience. (Please select all that apply)	SAC6960A001	I didn’t know which word or phrase to enter into the search engine to find the information I was looking for		Checkbox, one-up vertical				B_Search Experience
			SAC6960A002	The results were not what I was looking for
			SAC6960A003	There were not enough results
			SAC6960A004	There was not enough information in the description of the results to decide which resource to choose
			SAC6960A005	Many of the search results looked like the same resource
			SAC6960A006	There were too many results
			SAC6960A007	The results were not organized in a helpful way
			SAC6960A008	The link didn’t take me to where I thought it was going to go	V
			SAC6960A009	I had a different problem with the search results	W
SAC6961	V	Please explain where you thought the link would take you.				Text area, no char limit	Single	N	Skip Logic Group	B_OE_Unexpected Link
SAC6962	Z	Please tell us if there are any other websites you like to use to find similar information. (open-ended)				Text area, no char limit	Single	N	Skip Logic Group	B_OE_Other Sites
SAC6963	W	Please explain the problem you had with your search results.				Text area, no char limit	Single	N	Skip Logic Group	B_OE_Problem with Search
SAC6964	R	Did you have any problems using the “Information by Topic” and other menus on the left side of the page to find information on the site?	SAC6964A001	Yes	X	Radio button, one-up vertical	Single	Y	Skip Logic Group	B_Info by Topic Usage
			SAC6964A002	No
SAC6965	X	How can we make the “Information by Topic” and other menus on the left side of the page easier to use?				Text area, no char limit	Single	Y	Skip Logic Group	B_OE_Improve Info by Topic
		How did you first start to look for information on Disability.gov? Please select the best answer.		I used the search engine at the top of the page	C	Radio button, one-up vertical	Single	Y	Skip Logic Group	First Look
				I used the “Information by Topic” menu on the left side of the page	I
				I am not sure
	C	Did the search engine help you find the information you were looking for on Disability.gov?		Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Helped
				No	D
	D	Tell us more about your search experience. Please select all that apply.		I didn’t know which word or phrase to enter into the search engine	H	Checkbox, one-up vertical	Multi	Y	Skip Logic Group	Search Experience
				I did not receive any search results	H
				There were not enough search results	H
				There was not enough information in the description of the results to decide which resource to choose	F
				Many of the search results looked like the same resource	F
				The results were not organized in a helpful way	F
				The search results did not answer my question	F
				I had a different problem with the search results	E, F
	E	Please explain the problem you had with your search results.				Text area, no char limit	Single	N	Skip Logic Group	OE_Search Problem
	F	Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page?		Yes	H	Radio button, one-up vertical	Single	Y	Skip Logic Group	Search Narrow
				No	G, H
	G	Please tell us why you didn't "Narrow Your Results."				Text area, no char limit	Single	N	Skip Logic Group	OE_Search Narrow
	H	How can we make the search engine more useful?				Text area, no char limit	Single	N	Skip Logic Group	OE_Search Changes
	I	Did you have any problems using the “Information by Topic” menu on the left side of the page to find information on the site?		Yes	J, K	Radio button, one-up vertical	Single	Y	Skip Logic Group	Info by Topic Usage
				No
	J	How can we make the “Information by Topic” menu on the left side of the page more useful? (open-ended)				Text area, no char limit	Single	N	Skip Logic Group	OE_Info by Topic Changes
	K	Did you choose to "Narrow Your Results" by topic(s), audience(s) or disability type(s), using the options on the left side of the page?		Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	Info by Topic Narrow
				No	L
	L	Please tell us why you didn't "Narrow Your Results."				Text area, no char limit		N	Skip Logic Group	OE_Info by Topic Narrow
		What would you like to see improved on Disability.gov?				Text area, no char limit		N		Improvement
SAC6966		Disability.gov is a web portal that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a portal that sends you to other sites for information?	SAC6966A001	Yes		Drop down, select one	Single	Y		Portal
			SAC6966A002	No
SAC6967		How often do you visit Disability.gov?	SAC6967A001	Today was my first time		Drop down, select one	single	Y		Visit frequency
			SAC6967A002	Every day
			SAC6967A003	A few times a week
			SAC6967A004	At least once a week
			SAC6967A005	At least once a month
			SAC6967A006	Every few months
			SAC6967A007	Once a year or less
SAC6968		How old are you?	SAC6968A001	Under 18		Drop down, select one	single	N		Age
			SAC6968A002	18 - 24
			SAC6968A003	25 - 34
			SAC6968A004	35 - 44
			SAC6968A005	45 - 54
			SAC6968A006	55 - 64
			SAC6968A007	65 or older
			SAC6968A008	I prefer not to answer
SAC6969		What is the highest level of education you have completed?	SAC6969A001	Some high school or less		Drop down, select one	single	N		Education
			SAC6969A002	Graduated high school
			SAC6969A003	Some college
			SAC6969A004	Trade, technical or vocational training
			SAC6969A005	Graduated from college
			SAC6969A006	Post-graduate work or degree
			SAC6969A007	I prefer not to answer
SAC6970		What racial group do you most strongly identify with?	SAC6970A001	American Indian or Alaskan Native		Drop down, select one	single	N		Race
			SAC6970A002	Asian
			SAC6970A003	Black or African-American
			SAC6970A004	White
			SAC6970A005	Native Hawaiian or other Pacific Islander
			SAC6970A006	Hispanic or Latino
			SAC6970A007	Other
			SAC6970A008	I prefer not to answer
SAC6971		What was your total household income last year?	SAC6971A001	Below $25,000		Drop down, select one	single	N		Income
			SAC6971A002	$25,000 - $49,999
			SAC6971A003	$50,000 - $74,999
			SAC6971A004	$75,000 - $99,999
			SAC6971A005	$100,000 - $124,999
			SAC6971A006	$125,000 or over
			SAC6971A007	I prefer not to answer
SAC6972		What is your gender?	SAC6972A001	Female		Drop down, select one	single	N		Gender
			SAC6972A002	Male
			SAC6972A003	I prefer not to answer

---

Sheet 8: V3 CQs - original

#REF!			red & strike-through: DELETE
Disability.gov V2			underlined & italicized: RE-ORDER
MID: R1E1JscENsQ08YktMkZpxA==			pink: ADDITION
Date:	3/1/2008		blue + -->: REWORDING
Disability.gov V2 CUSTOM QUESTION LIST
QID	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
AML001032		What information were you looking for on Disability.gov today? Please select the best answer.	Only information on programs or services in my state		Radio button, one-up vertical	Single	Y		Type of Information
			Only information on national programs or services
			Information on both national and state programs or services
		Which of the following statements best describes you? Please select the best answer.	I am a person with a disability or am disabled		Radio button, one-up vertical	single	N		Role
			I am a friend or family member of someone with a disability
			I am a professional who works with people with disabilities
			I am an educator who works with students with disabilities
			I am a student who is doing research
			I am an employer or human resource (HR) professional
			Other (please specify):	A
	A	Other reason for visiting Disability.gov			Text field, <100 char		N		Other role
AML001033		In general, which subject(s) did you want to get information about? Please select all that apply.	Employment (such as finding a job, starting a business or hiring someone with a disability)		Checkbox, one-up vertical	Multi	Y	OPS Group	Specific Information
			Benefits (such as getting Social Security (SSI/SSDI), Veterans or other benefits, paying for prescriptions or home energy assistance)
			Housing (such as getting Section 8 housing, finding an affordable apartment, buying a house or housing discrimination)
			Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws and regulations or filing a complaint)
			Education (such as money for school, going to college or teaching students with disabilities)
			Health (such as specific disabilities, getting health insurance, dental or health care or caregiver resources)
			Community Life (such as accessible sports, volunteering or independent living)
			Technology (such as assistive technology, accessible technology or help paying for technology)
			Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications)
			Emergency Preparedness (such as emergency or disaster preparedness at home or work or emergency management)
			I’m not sure which subject to choose	A
AML001034	A	Please explain what information you were looking for on Disability.gov. (open-ended)			Text area, no char limit			OPS Group	OE_Information
AML001035		How did you look for information on Disability.gov? Please select the best answer.	I used the search engine at the top of the page	A, B, C, D, E	Radio button, one-up vertical	Single	Y	Skip Logic Group	Look for Information
			I used the “Information by Topic” and other menus on the left side of the page	G, H
			I used both the search engine at the top of the page, as well as the "Information by Topic” and other menus on the left side of the page	M, N, O, P, Q, R, S
AML001036	A	Please rate your overall happiness with the site’s search engine.	1 = Very unhappy		Radio button, scale, no don't know	Single	Y	Skip Logic Group	S_Search Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Very happy
AML001037	B	Did the search engine help you find the information you were looking for on Disability.gov today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	S_Search Helped
			No	F, I , Y
AML001038	F	How can we make the search engine more useful to you?			Text area, no char limit	Single	N	Skip Logic Group	S_OE_Search Changes
AML001039	I	Tell us more about your search experience. Please select all that apply.	I didn’t know which word or phrase to enter into the search engine to find the information I was looking for		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	S_Search Experience
			The results were not what I was looking for
			There were not enough results
			There was not enough information in the description of the results to decide which resource to choose
			Many of the search results looked like the same resource
			There were too many results
			The results were not organized in a helpful way
			The link didn’t take me to where I thought it was going to go	J
			I had a different problem with the search results	K
	Y	Please tell us if there are any other websites you like to use to find similar information. (open-ended)			Text area, no char limit	Single	N	Skip Logic Group	S_OE_Other Sites
AML001040	J	Please explain where you thought the link would take you.			Text area, no char limit	Single	N	Skip Logic Group	S_OE_Unexpected Link
AML001041	K	Please explain the problem you had with your search results.			Text area, no char limit	Single	N	Skip Logic Group	S_OE_Problem with Search
AML001042	C	Did you use the magnifying glass icon under each search result to see where the resource is located on the site?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	S_Magnifying Glass
			No
AML001043	D	Please tell us the exact word or phrase you typed into the search engine:			Text area, no char limit	Single	N	Skip Logic Group	S_OE_Search Phrase
AML001044	E	Did you use the Advanced Search?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	S_Advanced Search
			No
AML001045	G	Did you have any problems using the “Information by Topic” and other menus on the left side of the page to find information on the site?	Yes	L, AA	Radio button, one-up vertical	Single	Y	Skip Logic Group	T_Info by Topic Usage
			No
AML001046	L	How can we make the “Information by Topic” and other menus on the left side of the page easier to use? (open-ended)			Text area, no char limit	Single	Y	Skip Logic Group	T_OE_Improve Info by Topic
	AA	Please tell us if there are any other websites you like to use to find similar information. (open-ended)			Text area, no char limit	Single	N	Skip Logic Group	S_OE_Other Sites
AML001047	H	Please tell us which categories and subcategories you visited today:			Text area, no char limit	Single	N	Skip Logic Group	T_OE_Topic Categories
AML001048	M	Which option was more helpful?	I liked using the “Information by Topic” and other menus on the left side of the page to find resources on the site		Radio button, one-up vertical	Single	Y	Skip Logic Group	B_Option
			I liked using the search engine at the top of the page to find resources on the site
AML001049	N	Did the search engine at the top of the page help you find the information you were looking for on Disability.gov today?	Yes		Radio button, one-up vertical				B_Search Helped
			No	T, U, Z
AML001050	T	How can we make the search engine more useful to you?			Text area, no char limit				B_OE_Search Changes
AML001051	U	Tell us more about your search experience. (Please select all that apply)	I didn’t know which word or phrase to enter into the search engine to find the information I was looking for		Checkbox, one-up vertical				B_Search Experience
			The results were not what I was looking for
			There were not enough results
			There was not enough information in the description of the results to decide which resource to choose
			Many of the search results looked like the same resource
			There were too many results
			The results were not organized in a helpful way
			The link didn’t take me to where I thought it was going to go	V
			I had a different problem with the search results	W
AML001052	V	Please explain where you thought the link would take you.			Text area, no char limit	Single	N	Skip Logic Group	B_OE_Unexpected Link
	Z	Please tell us if there are any other websites you like to use to find similar information. (open-ended)			Text area, no char limit	Single	N	Skip Logic Group	B_OE_Other Sites
AML001053	W	Please explain the problem you had with your search results.			Text area, no char limit	Single	N	Skip Logic Group	B_OE_Problem with Search
AML001054	O	Did you use the magnifying glass icon under each search result to see where the resource was located on the site?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	B_Magnifying Glass
			No
AML001055	P	Please tell us the exact word or phrase you typed into the search engine:			Text area, no char limit	Single	N	Skip Logic Group	B_OE_Search Phrase
AML001056	Q	Did you use the Advanced Search?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	B_Advanced Search
			No
AML001057	R	Did you have any problems using the “Information by Topic” and other menus on the left side of the page to find information on the site?	Yes	X	Radio button, one-up vertical	Single	Y	Skip Logic Group	B_Info by Topic Usage
			No
AML001058	X	How can we make the “Information by Topic” and other menus on the left side of the page easier to use?			Text area, no char limit	Single	Y	Skip Logic Group	B_OE_Improve Info by Topic
AML001059	S	Please tell us which categories and subcategories you visited today:			Text area, no char limit	Single	N	Skip Logic Group	B_OE_Topic Categories
AML001060		Disability.gov is a web portal that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a portal that sends you to other sites for information?	Yes		Drop down, select one	Single	Y		Portal
			No
		How often do you visit Disability.gov?	Today was my first time		Drop down, select one	single	N		Visit frequency
			Every day
			A few times a week
			At least once a week
			At least once a month
			Every few months
			Once a year or less
		How old are you?	Under 18		Drop down, select one	single	N		Age
			18 - 24
			25 - 34
			35 - 44
			45 - 54
			55 - 64
			65 or older
			I prefer not to answer
		What is the highest level of education you have completed?	Some high school or less		Drop down, select one	single	N		Education
			Graduated high school
			Some college
			Trade, technical or vocational training
			Graduated from college
			Post-graduate work or degree
			I prefer not to answer
		What racial group do you most strongly identify with?	American Indian or Alaskan Native		Drop down, select one	single	N		Race
			Asian
			Black or African-American
			White
			Native Hawaiian or other Pacific Islander
			Hispanic or Latino
			Other
			I prefer not to answer
		What was your total household income last year?	Below $25,000		Drop down, select one	single	N		Income
			$25,000 - $49,999
			$50,000 - $74,999
			$75,000 - $99,999
			$100,000 - $124,999
			$125,000 or over
			I prefer not to answer
		What is your gender?	Female		Drop down, select one	single	N		Gender
			Male
			I prefer not to answer

---

Sheet 9: Current CQs V2

#REF!			red & strike-through: DELETE
Disability.gov V2			underlined & italicized: RE-ORDER
MID: R1E1JscENsQ08YktMkZpxA==			pink: ADDITION
Date:	3/1/2008		blue + -->: REWORDING
Disability.gov V2 CUSTOM QUESTION LIST
QID	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
AML001032		Which type of information were you looking for on Disability.gov today? (Please select the best answer.)	Only information on programs or services in my state		Radio button, one-up vertical	Single	Y		Type of Information
			Only information on national programs or services
			Information on both national and state programs or services
AML001033		In general, which subject(s) did you want to get information about? (Please select all that apply.)	Employment (such as finding a job, starting a business or hiring someone with a disability)		Checkbox, one-up vertical	Multi	Y	OPS Group	Specific Information
			Benefits (such as getting Social Security (SSI/SSDI), Veterans or other benefits, paying for prescriptions or home energy assistance)
			Housing (such as getting Section 8 housing, finding an affordable apartment, buying a house or housing discrimination)
			Civil Rights (such as information about the Americans with Disabilities Act (ADA) and other laws & regulations or filing a complaint)
			Education (such as money for school, going to college or teaching students with disabilities)
			Health (such as specific disabilities, getting health insurance, dental or health care or caregiver resources)
			Community Life (such as accessible sports, volunteering or independent living)
			Technology (such as assistive technology, accessible technology or help paying for technology)
			Transportation (such as getting a ride, accessible transportation and paying for vehicle modifications)
			Emergency Preparedness (such as emergency/disaster preparedness at home or work or emergency management)
			I’m not sure which subject to choose	A
AML001034	A	Please explain what information you were looking for:			Text area, no char limit			OPS Group	OE_Information
AML001035		How did you look for information on Disability.gov? (Please select the best answer.)	I used the search engine	A, B, C, D, E	Radio button, one-up vertical	Single	Y	Skip Logic Group	Look for Information
			I used the “Information by Topic” menu on the left side of the page	G, H
			I used both the search engine and the “Information by Topic” menu on the left side of the page	M, N, O, P, Q, R, S
AML001036	A	Please rate your overall happiness with the site’s search engine.	1 = Very unhappy		Radio button, scale, no don't know	Single	Y	Skip Logic Group	S_Search Rating
			2
			3
			4
			5
			6
			7
			8
			9
			10=Very happy
AML001037	B	Did the search engine help you find the information you were looking for on Disability.gov today?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	S_Search Helped
			No	F, I
AML001038	F	How can we make the search engine more useful to you?			Text area, no char limit	Single	N	Skip Logic Group	S_OE_Search Changes
AML001039	I	Tell us more about your search experience. (Please select all that apply)	I didn’t know which word or phrase to enter into the search engine to find the information I was looking for		Checkbox, one-up vertical	Multi	Y	Skip Logic Group	S_Search Experience
			The results were not what I was looking for
			There were not enough results
			There was not enough information in the description of the results to decide which resource to choose
			Many of the search results looked like the same resource
			There were too many results
			The results were not organized in a helpful way
			The link didn’t take me to where I thought it was going to go	J
			I had a different problem with the search results	K
AML001040	J	Please explain where you expected the link to take you:			Text area, no char limit	Single	N	Skip Logic Group	S_OE_Unexpected Link
AML001041	K	Please explain the problem you had with your search results:			Text area, no char limit	Single	N	Skip Logic Group	S_OE_Problem with Search
AML001042	C	Did you use the magnifying glass icon under each search result to see where the resource is located on the site?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	S_Magnifying Glass
			No
AML001043	D	Please tell us the exact word or phrase you typed into the search engine:			Text area, no char limit	Single	N	Skip Logic Group	S_OE_Search Phrase
AML001044	E	Did you use the Advanced Search?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	S_Advanced Search
			No
AML001045	G	Did you have any problems using the “Information by Topic” menu on the left side of the page to find information on the site?	Yes	L	Radio button, one-up vertical	Single	Y	Skip Logic Group	T_Info by Topic Usage
			No
AML001046	L	How can we make the “Information by Topic” menu easier to use?			Text area, no char limit	Single	Y	Skip Logic Group	T_OE_Improve Info by Topic
AML001047	H	Please tell us which categories and subcategories you visited today:			Text area, no char limit	Single	N	Skip Logic Group	T_OE_Topic Categories
AML001048	M	Which option was more helpful?	I liked using the “Information by Topic” menu on the left side of the page to help me find the resources I wanted		Radio button, one-up vertical	Single	Y	Skip Logic Group	B_Option
			I liked using the search engine to help me find the resources I wanted
AML001049	N	Did the search engine help you find the information you were looking for on Disability.gov today?	Yes		Radio button, one-up vertical				B_Search Helped
			No	T, U
AML001050	T	How can we make the search engine more useful to you?			Text area, no char limit				B_OE_Search Changes
AML001051	U	Tell us more about your search experience. (Please select all that apply)	I didn’t know which word or phrase to enter into the search engine to find the information I was looking for		Checkbox, one-up vertical				B_Search Experience
			The results were not what I was looking for
			There were not enough results
			There was not enough information in the description of the results to decide which resource to choose
			Many of the search results looked like the same resource
			There were too many results
			The results were not organized in a helpful way
			The link didn’t take me to where I thought it was going to go	V
			I had a different problem with the search results	W
AML001052	V	Please explain where you expected the link to take you:			Text area, no char limit	Single	N	Skip Logic Group	B_OE_Unexpected Link
AML001053	W	Please explain the problem you had with your search results:			Text area, no char limit	Single	N	Skip Logic Group	B_OE_Problem with Search
AML001054	O	Did you use the magnifying glass icon under each search result to see where the resource was located on the site?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	B_Magnifying Glass
			No
AML001055	P	Please tell us the exact word or phrase you typed into the search engine:			Text area, no char limit	Single	N	Skip Logic Group	B_OE_Search Phrase
AML001056	Q	Did you use the Advanced Search?	Yes		Radio button, one-up vertical	Single	Y	Skip Logic Group	B_Advanced Search
			No
AML001057	R	Did you have any problems using the “Information by Topic” menu to find information on the site?	Yes	X	Radio button, one-up vertical	Single	Y	Skip Logic Group	B_Info by Topic Usage
			No
AML001058	X	How can we make the “Information by Topic” menu easier to use?			Text area, no char limit	Single	Y	Skip Logic Group	B_OE_Improve Info by Topic
AML001059	S	Please tell us which categories and subcategories you visited today:			Text area, no char limit	Single	N	Skip Logic Group	B_OE_Topic Categories
AML001060		Disability.gov is a web portal that directs people to information and resources on other websites. Before reading this statement, did you know that Disability.gov is a portal that sends you to other sites for information?	Yes		Drop down, select one	Single	Y		Portal
			No