Form 1 Utility and Usability test

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIDA)

Attachment 1 Utility and Usability test - NIDA 07112016

Study of Bh-Works

OMB: 0925-0655

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Attachment 1 –

Utility and Usability Test

OMB Control #: 0925-0655
Expiration Date: 04/2018

Public reporting burden for this collection of information is estimated to average 10 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, and completing and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB control number. Send comments regarding
this burden estimate or any other aspect of this collection of information, including suggestions
for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974,
Bethesda, MD 20892- 7974, ATTN: PRA (0925-0476). Do not return the completed form to this
address.

Utility and Usability Questionnaire (UUQ)
Instructions: Thank you for taking the time to complete this questionnaire. Please select the
answer that best describes your opinion about each statement. You can choose to not
answer any questions by selecting the “I can’t answer” option.
I feel comfortable using this software.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
Using this software made me anxious.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
I recommend this software to others.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree

I don’t like the way the software looks.
 Strongly Disagree
 Disagree
 Neutral
 Agree


Strongly Agree

I felt frustrated using this software.






Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

The software screens are attractive.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
I made a lot of mistakes in using this software.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
This software does what I want it to do.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
I always know what is happening when I am using the software.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree

It was easy to select things in the software.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
This software will increase my ability to communicate with others.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
The software is helpful.






Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

The software was not friendly to use.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
I did not understand some of the words the software uses.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
This software almost operates itself.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
This software was hard to learn.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
I could quickly figure out how to use the software.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
Using this software takes a lot of training.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
This software was confusing.






Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

Using this software does not take much time.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
It took a lot of effort for me to use this software.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
I had to do things more than once to make the software work.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
This software is easy to use.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
I would use this software every day in my work.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
Using the software involves too many steps.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
This software covers the most important tasks I am aware of.






Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree

This software will not benefit patient care.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
The time and effort needed to use this software will be worthwhile.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
With this software, providers will have better information about their patients.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
I don’t feel this software can be trusted.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
Overall, I think this software is going to be useful.
 Strongly Disagree
 Disagree
 Neutral
 Agree
 Strongly Agree
Please enter the decade of your birth:
Your gender:
 female
 male
 other
Please mark all of the technologies you use on a regular basis:
 Mobile phone with a web browser
 Desktop computer
 Laptop computer
 Tablet computer
Please tell us how many hours a week you use the web:
Please tell us how many hours a week you use computer(s):


File Typeapplication/pdf
File TitleSubject ID: (text field)
AuthorMDLogix
File Modified2016-07-11
File Created2016-07-11

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