HealthIT.gov Website Satisfaction Survey

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

0990-0379 Site and Page Level Survey Questions_FINAL

HealthIT.gov Website Satisfaction Survey

OMB: 0990-0379

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Form Approved

OMB No. 0990-0379

Exp. Date 09/30/2020



Page Level Survey

Question 1:

Was this page helpful?

  • Yes

  • No

Question 2:

If Yes to Question 1:

I found this page helpful because the content on the page: (check all that apply)

  • Had the information I needed

  • Was trust worthy

  • Was up-to-date

  • Was written clearly

  • Other… (Triggers free text field)

If No to Question 1:

What can we do to improve this page?

{Free Text Field}

-End Survey-



Site Level Survey Questions:

Question 1: Why did you visit HealthIT.gov today?

  • Learn about Certified Health IT Products

  • Learn more about ONC Funding Opportunities

  • Learn EHR and Health IT Incentive Programs

  • Learn about ONC’s Cures Act Final Rule

  • Learn about Health IT basics

  • Figure out how to access or download my health information

  • Find out about Federal Advisory Committees

  • Other… (Triggers free text field)

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer

Question 2: Were you able to find what you're looking for?

  • Yes

  • Partially

  • No

Question 3: How long did it take to find the information?

  • Immediately

  • A few minutes

  • A long time

Question 4: Did you find the information helpful?

  • Yes

  • Partially

  • No

Question 5: What information were you looking for that you could not find on HealthIT.gov?

{Free Text Field}

Question 6: What can we do to make the information more helpful?

{Free Text Field}

Question 7: What can we do to make HealthIT.gov better?

{Free Text Field}

-End Survey-



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorKeesey, Peter (OS/ONC)
File Modified0000-00-00
File Created2021-01-14

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