Form 1105 2014 860 VA

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Overview

Guidelines
Welcome and Thank You Text
BLANK Current Model Qsts
BLANK Current CQs
CQs (9-2-14)

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Sheet 1: Guidelines

Questionnaire Management Guidelines

Goals:

�

One consolidated document to track all model and CQ changes throughout the life of the project

�

Questionnaire always matches the live survey

�

Easy and error-free way to submit CQ changes

�

All changes tracked and reflected in one document (DOT will help)

Questionnaire Resources:

1

Questionnaire Design and Approval Process

2

Question Grouping Rules

3

OPS vs. Skip Logic Decision for "Other, Please Specify"

4

Foreign Language Survey Instructions

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Sheet 2: Welcome and Thank You Text

Model Instance Name:
VA
MID:	Qp5RQMEAMhZsgoRFNM1Exg==
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 and Thank you text shown in the boxes below. Please read comments before using any of the text.
					Examples
					Welcome Text Example
	Welcome Text
	bharati.hulbanni: if STORES MEASURE: do NOT use any 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
	DEFAULT Thank You Text
	bharati.hulbanni: TY text can be used for all measure types (call center, web, stores, mobile etc.) Thank you for taking our survey - and for helping us serve you better. We appreciate your input!
	ALTERNATE WEB Thank You Text
	bharati.hulbanni: Use this TY text ONLY for WEB 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 3: BLANK Current Model Qsts

Model Instance Name:
VA
MID:		Qp5RQMEAMhZsgoRFNM1Exg==
Date:		1/16/2014
VA
Model questions utilize the ForeSee CXA methodology to determine scores and impacts
		ELEMENTS (drivers of satisfaction)			CUSTOMER SATISFACTION			FUTURE BEHAVIORS	FPI
	MQ Label			MQ Label			MQ Label		Y?
		Look and Feel (1=Poor, 10=Excellent, Don't Know)			Satisfaction (1=Poor, 10=Excellent)			Follow on Social Media (1=Very Unlikely, 10=Very Likely)
		Please rate the visual appeal of this site.			What is your overall satisfaction with this site?			How likely are you to follow this company on social media such as Facebook or Twitter?
		Please rate the balance of graphics and text on this site.			How well does this site meet your expectations?			Likelihood to Return (1=Not Very Likely, 10=Very Likely)
		Please rate the readability of the pages on this site.			How does this site compare to your idea of an ideal website?			How likely are you to return to this site within the next 60 days?
		Navigation (1=Poor, 10=Excellent, Don't Know)						Primary Resource (1=Very Unlikely, 10=Very Likely)
		Please rate how well the site is organized.						How likely are you to use this site as your primary resource for obtaining information from the U.S. Department of Veterns Affairs?
		Please rate the options available for navigating this site.						Recommend (1=Not Very Likely, 10=Very Likely)
		Please rate how well the site layout helps you find what you are looking for.						How likely are you to recommend this site to someone else?
		Plain Language (1=Poor, 10=Excellent, Don't Know)						Use Web Channel Over Others (1=Very Unlikely, 10=Very Likely)
		Please rate the clarity of the wording on this site.						How likely are you to use this site rather than seeking information from other channels such such as calling the agency helpline?
		Please rate how well you understand the wording on this site.
		Please rate this site on its use of short, clear sentences.
		Search (1=Poor, 10=Excellent, Don't Know)
		Please rate the relevance of search results on this site.
		Please rate the organization of search results on this site.
		Please rate how well the search results help you decide what to select.
		Please rate how well the search feature helps you to narrow the results to find what you want.
		Site Information (1=Poor, 10=Excellent, Don't Know)
		Please rate the thoroughness of information provided on this site.
		Please rate how understandable this site’s information is.
		Please rate how well the site’s information provides answers to your questions.
		Site Performance (1=Poor, 10=Excellent, Don't Know)
		Please rate how quickly pages load on this site.
		Please rate the consistency of speed from page to page on this site.
		Please rate the ability to load pages without getting error messages on this site.

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Sheet 4: BLANK Current CQs

Model Instance Name:

red & strike-through: DELETE

VA

underlined & italicized: RE-ORDER

MID: Qp5RQMEAMhZsgoRFNM1Exg==

pink: ADDITION

Date:

1/16/2014

blue + -->: REWORDING

VA 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

ACQhar0019537

How often do you visit the Veterans Affairs website (www.va.gov)?

First time

Radio Button One Up Vertical

Single

Y

Skip Logic

Visit Frequency

More than once a day

A, B

Daily

A,B

About once a week

A,B

About once a month

A,B

Every 6 months or less

A,B

ACQhar0019538

A

Please select the statement which best describes your experience with the new Veterans Affairs (www.va.gov)  homepage redesign:

It is easier to find what I am looking for

Radio Button One Up Vertical

Single

Y

Skip Logic

redesign ability to find

It is harder to find what I am looking for

My experience is no different when looking for information on the new site

Don't Know

ACQhar0019539

B

Do you like the new layout of the homepage?

Yes

Radio Button One Up Vertical

Single

Y

Skip Logic

Opinion of Redesign

No

BB

No opinion

ACQhar0019540

BB

What didn't you like about the new homepage?

Text Area – no character limit

Single

N

Skip Logic

OE_Dislike redesign

Do you use VA.gov with an assistive technology? (i.e. JAWS, Window-Eyes, MAGic)

Yes

A

Radio button, one-up vertical

Single

Y

OPS Group*

AssistiveTech

No

A

Please select which technology you use.

Dragon Medical

Radio button, one-up vertical

Single

Y

OPS Group*

WhatTech

JAWS

MAGic

Window-Eyes

ZoomText

Other/Don't Know

A

How easy is the site to use with your technology?

Very Easy

Drop down, select one

Single

Y

OPS Group*

TechEasy

Easy

Average

Difficult

B

Very Difficult

B

B

Please describe what difficulties you had.

Open-ended

Single

N

OPS Group*

OE_TechEasy

ALM0002

Please tell us who you are. (Check all that apply)

Veteran

B, C, D

Check-boxes

Multi

Y

Skip Logic Group*

Best describes you

Active duty

Dependent or beneficiary of a veteran

VA employee

Volunteer

Spouse/relative of veteran

Caregiver

Other

A

AED01259

A

Please tell us who you are.

Open-ended

Single

N

Skip Logic Group*

OE_WhoYouAre

MAD0056964

B

Please select the year when you FIRST served.

1935

Drop down, select one

Single

Y

Skip Logic Group*

Start of service

1936

1937

1938

1939

1940

1941

1942

1943

1944

1945

1946

1947

1948

1949

1950

1951

1952

1953

1954

1955

1956

1957

1958

1959

1960

1961

1962

1963

1964

1965

1966

1967

1968

1969

1970

1971

1972

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

MAD0056953

C

Please select the year when you LAST served.

1935

Drop down, select one

Single

Y

Skip Logic Group*

End of service

1936

1937

1938

1939

1940

1941

1942

1943

1944

1945

1946

1947

1948

1949

1950

1951

1952

1953

1954

1955

1956

1957

1958

1959

1960

1961

1962

1963

1964

1965

1966

1967

1968

1969

1970

1971

1972

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

MAD0056966

D

Did you serve in a combat role during your period of service?

Yes

E

Radio Button Two Up Vertical

Single

Y

Skip Logic Group*

CombatService

No

MAD0056967

E

How many times did you serve in a combat role?

One

Radio Button Two Up Vertical

Single

Y

Skip Logic Group*

NumberofTours

Two

Three or more

ALM0041

Please select your age range.

17 or under

Radio Button Two Up Vertical

Single

Y

Age

18-24

25-34

35-44

45-54

55-64

65-74

75-84

85+

AED01262

Please select your gender:

Male

Dropdown (Select-one)

Single

Y

Gender

Female

Transgender

I'd prefer not to answer

AKR1685

Where do you live?

Alabama

Dropdown (Select-one)

Single

Y

Reside

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

Minor Outlying Islands

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Northern Mariana Islands

Ohio

Oklahoma

Oregon

Pennsylvania

Puerto Rico

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

U.S. Virgin Islands

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Canada

I live elsewhere

AED02830

What information were you primarily looking for today?

Employment

Radio Button One Up Vertical

Single

Y

OPS Group*

Primary_Interest

Healthcare

Burial services and benefits

Disability and compensation

Family and dependent benefits

Education

Housing

Other, please specify

A

AED02831

A

What information were you primarily looking for today?

Open-ended

Single

N

OPS Group*

OE_Primary

Have you seen the video programs VA News, Still Serving or The American Veteran?

Yes

A

Radio button, one-up vertical

Single

Y

OPS Group*

VAShows

No

A

Where did you watch this program?

VA.gov site

Radio button, one-up vertical

Single

Y

OPS Group*

VAShowWatch

Pentagon channel

Youtube

Television

Other

A

Would you recommend the video you watched to a friend?

Yes

Radio button, one-up vertical

Single

Y

OPS Group*

VAShowRec

No

B

B

Why would you not recommend the video?

Open-ended

Single

N

OPS Group*

OE_VAShow

ACQhar0019541

Did you find what you were looking for today?

Yes

Radio Button One Up Vertical

Single

Yes

OPS Group*

Task Accomplishment

No

A

ACQhar0019542

A

Please explain why you were unable to find what you were looking for today?

Text Area – no character limit

N

OPS Group*

OE_Unable to find

If you could suggest one improvement to the VA.gov web site, what would it be?

Text field, <100 char

Single

N

One Improvement

Which of the following sources drove you to visit the site today? Please rank the top 3 (Rank 1 is most important). Rank 1 (Required)

Message or recommendation from a friend on a social network

Drop down, select one

Single

Y

Rank Group

SV - Rank 1

Content on YouTube

Internet blogs or discussion forums

Adjust Template/Style Sheet

Content on Facebook

Randomize

Content on Twitter

Content on Google+

Content on Instagram

Content on Storify

Content on Pinterest

Message directly from the company on a social network

Online Pinboard (Pinterest)

Mobile phone text messages or alerts

Instant Message from a friend or colleague

Familiarity with this site

Promotional email(s) from this site

Search engine results

Word of mouth recommendation from someone I know

TV, radio, newspaper, or magazine advertising

Internet advertising

Don't know

Anchor Answer Choice

Other

Anchor Answer Choice

Rank 2 (Optional)

Message or recommendation from a friend on a social network

Drop down, select one

Single

N

Rank Group

SV - Rank 2

Content on YouTube

Internet blogs or discussion forums

Adjust Template/Style Sheet

Content on Facebook

Randomize

Content on Twitter

Content on Google+

Content on Instagram

Content on Storify

Content on Pinterest

Message directly from the company on a social network

Online Pinboard (Pinterest)

Mobile phone text messages or alerts

Instant Message from a friend or colleague

Familiarity with this site

Promotional email(s) from this site

Search engine results

Word of mouth recommendation from someone I know

TV, radio, newspaper, or magazine advertising

Internet advertising

Don't know

Anchor Answer Choice

Other

Anchor Answer Choice

Rank 3 (Optional)

Message or recommendation from a friend on a social network

Drop down, select one

Single

N

Rank Group

SV - Rank 3

Content on YouTube

Internet blogs or discussion forums

Adjust Template/Style Sheet

Content on Facebook

Randomize

Content on Twitter

Content on Google+

Content on Instagram

Content on Storify

Content on Pinterest

Message directly from the company on a social network

Online Pinboard (Pinterest)

Mobile phone text messages or alerts

Instant Message from a friend or colleague

Familiarity with this site

Promotional email(s) from this site

Search engine results

Word of mouth recommendation from someone I know

TV, radio, newspaper, or magazine advertising

Internet advertising

Don't know

Anchor Answer Choice

Other

Anchor Answer Choice

ACQLiv0017839

Do you ever access the Internet using a mobile phone or tablet?

Yes

A, B

Radio button, one-up vertical

Single

Y

Access Mobile Internet

No

ACQLiv0017840

Which of the following devices do you have?

A smart phone

W

Checkbox One Up Vertical

Multi

Y

Phone or Tablet

A tablet

X

None of these

ACQLiv0017841

Specifically, which type of mobile phone do you have?

iPhone

Radio button, one-up vertical

Single

Y

Phone Type

Android phone

Windows phone

Another phone

ACQLiv0017842

Specifically, which type of tablet do you have?

iPad

Radio button, one-up vertical

Single

Y

Tablet Type

Kindle

Android tablet

Windows tablet

Another tablet

ACQLiv0017843

Have you ever accessed ANY federal website using a mobile phone or tablet?

Yes

C

Radio button, one-up vertical

Single

Y

Federal Mobile Site Usage

No, but I plan to do so

No, but I might in the future

No, and I don't plan to do so

ACQLiv0017844

Have you ever accessed The Department of Veterans Affairs site (VA.gov) using a mobile phone or tablet?

Yes

Y, Z

Radio button, one-up vertical

Single

Y

Mobile Site Usage

No, but I plan to do so

Z

No, but I might in the future

Z

No, and I don't plan to do so

ACQLiv0017845

Y

What was the main reason you last visited VA.gov using a mobile phone or tablet?

Text area, no char limit

Single

N

Mobile Primary Reason

ACQLiv0017846

Z

What additional resources might you want to access from VA.gov using a mobile phone or tablet?

Text area, no char limit

Single

N

MobileDesired Resources

Y

How would you rate your experience on the Department of Veterans Affairs mobile site? (1=Poor, 10=Excellent)

1

Radio button, scale, no don't know

Single

Y

MobileRate

2

3

4

5

6

7

8

9

10

Y

How would you describe the navigation experience on the mobile site?

Very easy

Drop down, select one

Single

Y

Skip Logic Group*

MobileNav

Easy

Average

Confusing

Very Confusing

Y

How does the experience on the Veterans Affairs mobile site compare to the full Veterans Affairs site?

Much better

Drop down, select one

Single

Y

Skip Logic Group*

MobileCompare

Better

About the same

Worse

Much worse

Y

Were you successful in viewing the content you were seeking with your mobile device?

Yes

Radio button, one-up vertical

Single

Y

Skip Logic Group*

MobileSuccess

No

Y

Did you have any difficulty accessing the Veterans Affairs mobile site?

Yes

A

Radio button, one-up vertical

Single

Y

Skip Logic Group*

MobileAccess

No

A

Do you believe the difficulty accessing the site was due to:

Problems with VA.gov

Radio button, one-up vertical

Single

Y

Skip Logic Group*

MobileDifficulty

Problems with my connection

Problems with my mobile device

Not sure

Y

Did you experience any technical problems on the VA mobile site?

Yes

Radio button, one-up vertical

Single

Y

OPS Group*

MobileErrors

No

AA

AA

Please tell us what technical problems you experienced:

Text area, no char limit

Single

N

OPS Group*

OE_MobileError

Y

How would you rate the speed of the VA site on your mobile device? (1=Very Slow, 10=Very Fast)

1

Radio button, scale, no don't know

Single

Y

MobileSpeed

2

3

4

5

6

7

8

9

10

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Sheet 5: CQs (9-2-14)

Model Instance Name:

red & strike-through: DELETE

VA

underlined & italicized: RE-ORDER

MID: Qp5RQMEAMhZsgoRFNM1Exg==

pink: ADDITION

Date:

1/16/2014

blue + -->: REWORDING

VA 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

ACQhar0019537

How often do you visit the Veterans Affairs website (www.va.gov)?

First time

Radio Button One Up Vertical

Single

Y

Skip Logic

Visit Frequency

More than once a day

A, B

Daily

A,B

About once a week

A,B

About once a month

A,B

Every 6 months or less

A,B

ACQhar0019538

A

Please select the statement which best describes your experience with the new Veterans Affairs (www.va.gov)  homepage redesign:

It is easier to find what I am looking for

Radio Button One Up Vertical

Single

Y

Skip Logic

redesign ability to find

It is harder to find what I am looking for

My experience is no different when looking for information on the new site

Don't Know

ACQhar0019539

B

Do you like the new layout of the homepage?

Yes

Radio Button One Up Vertical

Single

Y

Skip Logic

Opinion of Redesign

No

BB

No opinion

ACQhar0019540

BB

What didn't you like about the new homepage?

Text Area – no character limit

Single

N

Skip Logic

OE_Dislike redesign

Do you use VA.gov with an assistive technology? (i.e. JAWS, Window-Eyes, MAGic)

Yes

A

Radio button, one-up vertical

Single

Y

OPS Group*

AssistiveTech

No

A

Please select which technology you use.

Dragon Medical

Radio button, one-up vertical

Single

Y

OPS Group*

WhatTech

JAWS

MAGic

Window-Eyes

ZoomText

Other/Don't Know

A

How easy is the site to use with your technology?

Very Easy

Drop down, select one

Single

Y

OPS Group*

TechEasy

Easy

Average

Difficult

B

Very Difficult

B

B

Please describe what difficulties you had.

Open-ended

Single

N

OPS Group*

OE_TechEasy

ALM0002

Please tell us who you are. (Check all that apply)

Veteran

B, C, D

Check-boxes

Multi

Y

OPS Group*

Best describes you

Active duty

Dependent or beneficiary of a veteran

VA employee

Volunteer

Spouse/relative of veteran

Caregiver

Other

A

AED01259

A

Please tell us who you are.

Open-ended

Single

N

OPS Group*

OE_WhoYouAre

B

Please select the year when you FIRST served.

1935

Drop down, select one

Single

Y

OPS Group*

Start of service

1936

1937

1938

1939

1940

1941

1942

1943

1944

1945

1946

1947

1948

1949

1950

1951

1952

1953

1954

1955

1956

1957

1958

1959

1960

1961

1962

1963

1964

1965

1966

1967

1968

1969

1970

1971

1972

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

C

Please select the year when you LAST served.

1935

Drop down, select one

Single

Y

OPS Group*

End of service

1936

1937

1938

1939

1940

1941

1942

1943

1944

1945

1946

1947

1948

1949

1950

1951

1952

1953

1954

1955

1956

1957

1958

1959

1960

1961

1962

1963

1964

1965

1966

1967

1968

1969

1970

1971

1972

1973

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

D

Did you serve in a combat role during your period of service?

Yes

E

Radio Button Two Up Vertical

Single

Y

OPS Group*

CombatService

No

E

How many times did you serve in a combat role?

One

Radio Button Two Up Vertical

Single

Y

OPS Group*

NumberofTours

Two

Three or more

ALM0041

Please select your age range.

17 or under

Radio Button Two Up Vertical

Single

Y

Age

18-24

25-34

35-44

45-54

55-64

65-74

75-84

85+

AED01262

Please select your gender:

Male

Dropdown (Select-one)

Single

Y

Gender

Female

Transgender

I'd prefer not to answer

AKR1685

Where do you live?

Alabama

Dropdown (Select-one)

Single

Y

Reside

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

Minor Outlying Islands

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Northern Mariana Islands

Ohio

Oklahoma

Oregon

Pennsylvania

Puerto Rico

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

U.S. Virgin Islands

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Canada

I live elsewhere

AED02830

What information were you primarily looking for today?

Employment

Radio Button One Up Vertical

Single

Y

OPS Group*

Primary_Interest

Healthcare

Burial services and benefits

Disability and compensation

Family and dependent benefits

Education

Housing

Other, please specify

A

AED02831

A

What information were you primarily looking for today?

Open-ended

Single

N

OPS Group*

OE_Primary

Have you seen the video programs VA News, Still Serving or The American Veteran?

Yes

A

Radio button, one-up vertical

Single

Y

OPS Group*

VAShows

No

A

Where did you watch this program?

VA.gov site

Radio button, one-up vertical

Single

Y

OPS Group*

VAShowWatch

Pentagon channel

Youtube

Television

Other

A

Would you recommend the video you watched to a friend?

Yes

Radio button, one-up vertical

Single

Y

OPS Group*

VAShowRec

No

B

B

Why would you not recommend the video?

Open-ended

Single

N

OPS Group*

OE_VAShow

ACQhar0019541

Did you find what you were looking for today?

Yes

Radio Button One Up Vertical

Single

Yes

OPS Group*

Task Accomplishment

No

A

ACQhar0019542

A

Please explain why you were unable to find what you were looking for today?

Text Area – no character limit

N

OPS Group*

OE_Unable to find

If you could suggest one improvement to the VA.gov web site, what would it be?

Text field, <100 char

Single

N

One Improvement

Which of the following sources drove you to visit the site today? Please rank the top 3 (Rank 1 is most important). Rank 1 (Required)

Message or recommendation from a friend on a social network

Drop down, select one

Single

Y

Rank Group

SV - Rank 1

Content on YouTube

Internet blogs or discussion forums

Adjust Template/Style Sheet

Content on Facebook

Randomize

Content on Twitter

Content on Google+

Content on Instagram

Content on Storify

Content on Pinterest

Message directly from the company on a social network

Online Pinboard (Pinterest)

Mobile phone text messages or alerts

Instant Message from a friend or colleague

Familiarity with this site

Promotional email(s) from this site

Search engine results

Word of mouth recommendation from someone I know

TV, radio, newspaper, or magazine advertising

Internet advertising

Don't know

Anchor Answer Choice

Other

Anchor Answer Choice

Rank 2 (Optional)

Message or recommendation from a friend on a social network

Drop down, select one

Single

N

Rank Group

SV - Rank 2

Content on YouTube

Internet blogs or discussion forums

Adjust Template/Style Sheet

Content on Facebook

Randomize

Content on Twitter

Content on Google+

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Message directly from the company on a social network

Online Pinboard (Pinterest)

Mobile phone text messages or alerts

Instant Message from a friend or colleague

Familiarity with this site

Promotional email(s) from this site

Search engine results

Word of mouth recommendation from someone I know

TV, radio, newspaper, or magazine advertising

Internet advertising

Don't know

Anchor Answer Choice

Other

Anchor Answer Choice

Rank 3 (Optional)

Message or recommendation from a friend on a social network

Drop down, select one

Single

N

Rank Group

SV - Rank 3

Content on YouTube

Internet blogs or discussion forums

Adjust Template/Style Sheet

Content on Facebook

Randomize

Content on Twitter

Content on Google+

Content on Instagram

Content on Storify

Content on Pinterest

Message directly from the company on a social network

Online Pinboard (Pinterest)

Mobile phone text messages or alerts

Instant Message from a friend or colleague

Familiarity with this site

Promotional email(s) from this site

Search engine results

Word of mouth recommendation from someone I know

TV, radio, newspaper, or magazine advertising

Internet advertising

Don't know

Anchor Answer Choice

Other

Anchor Answer Choice

ACQLiv0017839

Do you ever access the Internet using a mobile phone or tablet?

Yes

A, B

Radio button, one-up vertical

Single

Y

Access Mobile Internet

No

ACQLiv0017840

Which of the following devices do you have?

A smart phone

W

Checkbox One Up Vertical

Multi

Y

Phone or Tablet

A tablet

X

None of these

ACQLiv0017841

Specifically, which type of mobile phone do you have?

iPhone

Radio button, one-up vertical

Single

Y

Phone Type

Android phone

Windows phone

Another phone

ACQLiv0017842

Specifically, which type of tablet do you have?

iPad

Radio button, one-up vertical

Single

Y

Tablet Type

Kindle

Android tablet

Windows tablet

Another tablet

ACQLiv0017843

Have you ever accessed ANY federal website using a mobile phone or tablet?

Yes

C

Radio button, one-up vertical

Single

Y

Federal Mobile Site Usage

No, but I plan to do so

No, but I might in the future

No, and I don't plan to do so

ACQLiv0017844

Have you ever accessed The Department of Veterans Affairs site (VA.gov) using a mobile phone or tablet?

Yes

Y, Z

Radio button, one-up vertical

Single

Y

Mobile Site Usage

No, but I plan to do so

Z

No, but I might in the future

Z

No, and I don't plan to do so

ACQLiv0017845

Y

What was the main reason you last visited VA.gov using a mobile phone or tablet?

Text area, no char limit

Single

N

Mobile Primary Reason

ACQLiv0017846

Z

What additional resources might you want to access from VA.gov using a mobile phone or tablet?

Text area, no char limit

Single

N

MobileDesired Resources

Y

How would you rate your experience on the Department of Veterans Affairs mobile site? (1=Poor, 10=Excellent)

1

Radio button, scale, no don't know

Single

Y

MobileRate

2

3

4

5

6

7

8

9

10

Y

How would you describe the navigation experience on the mobile site?

Very easy

Drop down, select one

Single

Y

Skip Logic Group*

MobileNav

Easy

Average

Confusing

Very Confusing

Y

How does the experience on the Veterans Affairs mobile site compare to the full Veterans Affairs site?

Much better

Drop down, select one

Single

Y

Skip Logic Group*

MobileCompare

Better

About the same

Worse

Much worse

Y

Were you successful in viewing the content you were seeking with your mobile device?

Yes

Radio button, one-up vertical

Single

Y

Skip Logic Group*

MobileSuccess

No

Y

Did you have any difficulty accessing the Veterans Affairs mobile site?

Yes

A

Radio button, one-up vertical

Single

Y

Skip Logic Group*

MobileAccess

No

A

Do you believe the difficulty accessing the site was due to:

Problems with VA.gov

Radio button, one-up vertical

Single

Y

Skip Logic Group*

MobileDifficulty

Problems with my connection

Problems with my mobile device

Not sure

Y

Did you experience any technical problems on the VA mobile site?

Yes

Radio button, one-up vertical

Single

Y

OPS Group*

MobileErrors

No

AA

AA

Please tell us what technical problems you experienced:

Text area, no char limit

Single

N

OPS Group*

OE_MobileError

Y

How would you rate the speed of the VA site on your mobile device? (1=Very Slow, 10=Very Fast)

1

Radio button, scale, no don't know

Single

Y

MobileSpeed

2

3

4

5

6

7

8

9

10