Form 951 2015 951 HRSA Mobile Survey_11-12-2015

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Overview

Model Questions
Custom Questions

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Sheet 1: Model Questions

Model Name	HRSA Mobile
Model questions utilize the Foresee methodology to determine scores and impacts
	ELEMENTS (drivers of satisfaction)		CUSTOMER SATISFACTION	FUTURE BEHAVIORS
	Look and Feel (1=Poor, 10=Excellent, Don't Know)		Satisfaction	Return (1=Very Unlikely, 10=Very Likely)
Look and Feel - Appeal	Please rate the visual appeal of this site.	Satisfaction - Overall	What is your overall satisfaction with this site? (1=Very Dissatisfied, 10=Very Satisfied)	How likely are you to return to the HRSA site?
Look and Feel - Balance	Please rate the balance of graphics and text on this site.	Satisfaction - Expectations	How well does this site meet your expectations? (1=Falls Short, 10=Exceeds)	Recommend (1=Very Unlikely, 10=Very Likely)
Look and Feel - Readability	Please rate the readability of the pages on this site.	Satisfaction - Ideal	How does this site compare to your idea of an ideal website? (1=Not Very Close, 10=Very Close)	How likely are you to recommend the HRSA site to someone else?
	Site Performance (1=Poor, 10=Excellent, Don't Know)			Primary Resource1=Very Unlikely, 10=Very Likely)
Site Performance - Loading	Please rate how quickly pages load on this site.			How likely are you to use the HRSA site as your primary resource for accessing health resources and services?
Site Performance - Consistency	Please rate the consistency of speed from page to page on this site.
Site Performance - Completeness	Please rate how completely page content loads on this site.
	Navigation (1=Poor, 10=Excellent, Don't Know)
Navigation - Organized	Please rate how well the site is organized.
Navigation - Options	Please rate the options available for navigating this site.
Navigation - Layout	Please rate how well the site layout helps you find what you need.
	Information Browsing (1=Poor, 10=Excellent, Don't Know)
Information Browsing - Sort	Please rate the ability to sort information by criteria that are important to you on this site.
Information Browsing - Narrow	Please rate the ability to narrow choices to find the information you are looking for on this site.
Information Browsing - Features	Please rate how well the features on the site help you find the information you need.
	Site Information (1=Poor, 10=Excellent, Don't Know)
Site Information - Thoroughness	Please rate the thoroughness of information provided on this site.
Site Information - Understandable	Please rate how understandable this site's information is.
Site Information - Answers	Please rate how well the site's information provides answers to your questions.

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Sheet 2: Custom Questions

Model Name	HRSA Mobile				Red & Strike-Through: Delete
CUSTOM QUESTION LIST
QID (Group ID)	Skip Logic Label	Question Text	Answer Choices (limited to 50 characters)	Skip to	Type (select from list)	Single or Multi	Required Y/N	Special Instructions	CQ Label
		How frequently do you visit this site?	First time		Drop down, select one	S	Y		Frequency of Visit
			More than once a day
			Daily
			About once a week
			About once a month
			Every 6 months or less
		What is your primary reason for visiting this site today?	Grants	B	Radio button, one-up vertical	S	Y	Skip Logic Group	Reason for Visit
			Loans & Scholarships	C
			Data & Statistics	D
			Public Health Information					Randomize
			Learn about HRSA
			Get Health Care Information
			Other, please specify:	AA				Anchor Answer Choice
	AA	If you selected "other" to "what was your primary reason for visiting the site", please specify:			Text field, <100 char		N	Skip Logic Group	Other Reason for Visit
	B	Which of the following grants related activities did you attempt?	Seek open grant opportunities		Checkbox, one-up vertical	M	Y	Skip Logic Group	Grant Activity
			Seek information on grant application assistance
			Track my application					Randomize
			Seek technical assistance
			Manage my grant
			Search for an active, awarded grant
			Other, please specify:	BB				Anchor Answer Choice
	BB	What other grant related activity did you attempt?			Text field, <100 char		N	Skip Logic Group	Other Grant Activity
	C	Which of the following loans & scholarships related activities did you attempt?	Seek loan repayment information		Checkbox, one-up vertical	M	Y	Skip Logic Group	Loans & Scholarship Activity
			Seek scholarship information					Randomize
			Seek loan information
			Other, please specify:	CC				Anchor Answer Choice
	CC	What other loan and scholarship related activity did you attempt?			Text field, <100 char		N	Skip Logic Group	Other Loan & Scholarship Activity
	D	What type of data and/or statistics were you seeking?	Data by topic		Checkbox, one-up vertical		Y	Skip Logic Group	Data/Statistics Activity
			Mapping services
			Health center data					Randomize
			Customized report
			XML download
			Other, please specify:	DD				Anchor Answer Choice
	DD	What other type of data and/or statistics were you seeking?			Text field, <100 char		N	Skip Logic Group	Other Data/Statistics Activity
		Did you accomplish what you wanted to during your site visit?	Yes		Radio button, one-up vertical	S	Y	Skip Logic Group	Accomplish
			Partially	F
			No	F
	F	What were you not able to accomplish today?			Text area, no char limit		N	Skip Logic Group	Not Able to Accomplish
		Please describe your experience with navigation on this site today.	I had no difficulty browsing on this site.		Checkbox, one-up vertical	M	Y		Navigation Experience
			Could not navigate back to previous information					Skip Logic Group
			Would often feel lost, not know where I was
			Links did not take me where I expected
			Links/labels are difficult to understand
			Too many links or navigational choices
			Had technical difficulties (e.g. broken link)
			Other, please specify:	A
	A	What other navigation experience did you have today?			Text area, no char limit		N	Skip Logic Group	Other Navigation Experience
		Did you use the search/text box feature of the site today?	Yes	A		S	Y	Skip Logic Group	Search Use
			No, I did not use it
			No, I did not know there was a search feature
	A	If you used the search/text box feature of the site today to find your information, what was your experience with the search functionality?	I did not encounter any difficulties		Checkbox, one-up vertical	M	N		Search Experience
								Skip Logic Group
			Search results were not helpful
			Returned too many results
			Returned not enough results
			Returned no results
			Returned results that were too similar/redundant
			Results were not relevant to my search
			Other, please specify:	AA
	AA	What other experience did you have with the search feature today?			Text area, no char limit		N	Skip Logic Group	Other Search Experience
		Which section or domain of the HRSA site did you primarily visit today?	National Health Service Corps		Radio button, one-up vertical	S	Y	Skip Logic Group	Sections of Site Visited
			Loans and Scholarships
			Health Centers
			Affordable Care Act and HRSA
			Health Professions
			HIV/AIDs
			Other, please specify:	A
	A	What other domains or sections of the HRSA site did you visit today?			Text area, no char limit	S	N	Skip Logic Group	Other Sections of the Site Visited
		Which best describes you?	Physician/Nurse/Health Professional		Radio button, one-up vertical	S	Y	Skip Logic Group	Role
			Student
			Employee of Fed/State/Local Gov’t
			Grantee
			Grant Writer
			Researcher
			Media Professional
			General Public
			Other, please specify:	A
	A	If you selected "other" to "which best describes you", please specify:			Text field, <100 char		N	Skip Logic Group	Other Best Describes
		If you could make one improvement to the site, what would it be?			Text area, no char limit		N		Improvement