Form Approved
OMB No. 0990-0379
Exp. Date 06/03/2014
Voice-of-Customer Surveys
for Vaccines.gov
What were you looking for on Vaccines.gov today?
Find out what I should know before getting vaccinated.
Get information about a vaccine for a particular disease.
Learn about vaccines for an infant or young child.
Learn about vaccines for older people.
Find out what I should do/get vaccinated for before I travel.
I had no agenda in mind when I came to the website today.
Other: ______________________
For whom were you looking for information on Vaccines.gov?
Myself
My spouse, partner or significant other
My child(ren)
My parents
A relative
A friend
No one in particular
Were you able to find what you were looking for?
Yes
Partially
No
[If Q3 response is YES]
How long did it take to find the information?
Immediately
Few minutes
A long time
Did you find the information helpful?
Yes
Partially
No
[If Q5 response is YES]
What did you like best about the content?
Based on today’s visit, how would you rate the following?
Overall site experience
Site design
Ease of navigation
How can we improve Vaccines.gov?
Would you recommend Vaccines.gov to a family member or friend?
Based on the information you found on this website, rate the probability of this statement: I am going to get the vaccine(s) I was researching because of information I found on Vaccines.gov.
Most likely
Likely
Not likely
No impact – I get vaccinated regularly
No impact – I don’t get vaccinated regularly
Based on the information you found on this website, rate the probability of this statement: I am going to get the flu vaccine because of information I found on Vaccines.gov.
Most likely
Likely
Not likely
No impact – I get the flu vaccine every year
No impact – I don’t get the flu vaccine every year
[If Q5 response is PARTIALLY or NO]
What can we do to make the information more helpful?
Based on today’s visit, how would you rate the following:
Overall site experience
Site design
Ease of navigation
What can we do to make Vaccines.gov better?
Would you recommend Vaccines.gov to a family member or friend?
Based on the information you found on this website, rate the probability of this statement: I am going to get the vaccine(s) I was researching because of information I found on Vaccines.gov.
Most likely
Likely
Not likely
No impact – I get vaccinated regularly
No impact – I don’t get vaccinated regularly
Based on the information you found on this website, rate the probability of this statement: I am going to get the flu vaccine because of information I found on Vaccines.gov.
Most likely
Likely
Not likely
No impact – I get the flu vaccine every year
No impact – I don’t get the flu vaccine every year
[If Q3 response is PARTIALLY or NO]
Are there questions about a vaccine or vaccines in general you didn’t find the answer to?
Based on today’s visit, how would you rate the following: How will this be rated? Qualitative comments wanted
Overall site experience
Site design
Ease of navigation
What can we do to make Vaccines.gov better?
Based on the information you found on this website, rate the probability of this statement: I am going to get the vaccine(s) I was researching because of information I found on Vaccines.gov.
Most likely
Likely
Not likely
No impact – I get vaccinated regularly
No impact – I don’t get vaccinated regularly
Based on the information you found on this website, rate the probability of this statement: I am going to get the flu vaccine because of information I found on Vaccines.gov.
Most likely
Likely
Not likely
No impact – I get the flu vaccine every year
No impact – I don’t get the flu vaccine every year
Was this page helpful?
Yes
No
[IF Q1 RESPONSE is YES]
I found this page helpful because the content on the page: (check all that apply)
Had the information I needed
Was trustworthy
Was up-to-date
Was written clearly
Other: ____________________________
What can we do to improve this page?
[IF Q1 RESPONSE is NO]
I did not find this page helpful because the content on the page: (check all that apply)
Had too little information
Had too much information
Was confusing
Was out-of-date
Other: ____________________________
What can we do to improve this page?
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 5 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review 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
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Achaia Walton |
File Modified | 0000-00-00 |
File Created | 2021-02-01 |