Form 1134 2014 889 Go4Life Mobile

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Overview

Welcome and Thank You Text
Model Qsts
Current CQs

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Sheet 1: Welcome and Thank You Text

Welcome and Thank You Text
	Your text			Your text
	Welcome Text			Thank You Text
	Thank you for visiting NIA's Go4Life website. You've been randomly chosen to take part in a brief survey to let us know where we can improve and what we're doing well. Please take a few minutes to share your opinions, which will help us provide the best online experience possible.			Thank you for taking our survey. 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.
	Example of how it will appear			Example of how it will appear

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Sheet 2: Model Qsts

Model Name		Go4Life Mobile
Model ID		New
Partitioned		NO
Date		11/25/2014
	Label	Element Questions		Label	Satisfaction Questions		Label	Future Behaviors
		Look and Feel (1=Poor, 10=Excellent, Don't Know)			Satisfaction			Return (1=Very Unlikely, 10=Very Likely)
1	Look and Feel - Appeal	Please rate the visual appeal of this site.	13	Satisfaction - Overall	What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)	16	Return	How likely are you to return to this site in the next 30 days?
2	Look and Feel - Balance	Please rate the balance of graphics and text on this site.	14	Satisfaction - Expectations	How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)			Recommend (1=Very Unlikely, 10=Very Likely)
3	Look and Feel - Readability	Please rate the readability of the pages on this site.	15	Satisfaction - Ideal	How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)	17	Recommend	How likely are you to recommend this site to someone else?
		Site Performance (1=Poor, 10=Excellent, Don't Know)						Primary Resource (1=Very Unlikely, 10=Very Likely)
4	Site Performance - Loading	Please rate how quickly pages load on this site.				18	Primary Resource	How likely are you to use this site as your primary resource for information about exercise for older adults?
5	Site Performance - Consistency	Please rate the consistency of speed from page to page on this site.						Use Website Tools (1=Very Unlikely, 10=Very Likely)
6	Site Performance - Completeness	Please rate how completely the page content loads on this site.				19	Use Website Tools	How likely are you to use My Go4Life?
		Navigation (1=Poor, 10=Excellent, Don't Know)
7	Navigation - Organized	Please rate how well the site is organized.
8	Navigation - Options	Please rate the options available for navigating this site.
9	Navigation - Layout	Please rate how well the site layout helps you find what you need.
		Site Information (1=Poor, 10=Excellent, Don't Know)
10	Site Information - Thoroughness	Please rate the thoroughness of information provided on this site.
11	Site Information - Understandable	Please rate how understandable this site’s information is.
12	Site Information - Answers	Please rate how well the site’s information provides answers to your questions.

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Sheet 3: Current CQs

Model Name	Go4Life Mobile
Model ID	New
Partitioned	NO
Date	12/01/2014
QID	Skip From	Question Text	Answer Choices	Skip To	Required Y/N	Type	Special Instructions	CQ Label
		Today, I was looking for information for…	Myself		Yes	Radio button scale, one up vertical		Info For
			Family or friends
			Organizations
			Health professionals
		Did you find what you were looking for?	Yes		Yes	Radio button scale, one up vertical	Skip Logic Group	Did You Find
			No	A
			Partially	A
	A	What were you looking for that you couldn't find?			No	Text area	Skip Logic Group	Looking For
		What part of Go4Life was most useful to you today?	Exercises to try		Yes	Radio button scale, one up vertical	OPS Group	Most Useful
			Success stories
			Online coaching			Rotate answer choices
			My Go4Life
			Tip sheets
			Safety information
			Healthy eating
			Other			Anchor
		How often do you exercise?	Daily		Yes	Radio button scale, one up vertical		Exercise Frequency
			1 - 2 times per week
			Occasionally
			Never
		How often do you use My Go4Life to track your physical activity?	I do not have a My Go4Life account		Yes	Radio button scale, one up vertical		Track Activity
			Very frequently
			Once in a while
			Never
		Please select the category that includes your age.	40 or under		No	Radio button scale, one up vertical		Age
			41 – 60
			61 – 70
			71 – 80
			81 or over