| Model Name | 
		ForeSee Feedback Questions | 
		
  | 
		
  | 
		
  | 
	
	
		| Date | 
		6/11/2019 | 
		
  
		 | 
		
	
		
  | 
		
  | 
		
	
		| Question Text | 
		Answer Choices | 
		
	
		| Please rate your level of satisfaction with the NHLBI website. | 
		1 Star | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		2 Stars | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		3 Stars | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		4 Stars | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		5 Stars | 
		
  | 
		
  | 
		
  | 
	
	
		| What is your primary role in visiting the website today? | 
		Patient or person with health concerns | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Caregiver | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Family or friend of person with health concerns | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Medical / healthcare professional | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Public health professional / Health educator | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Patient advocate | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Community organizer | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		News media / journalist | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Teacher or educator | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Student | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Researcher | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Other [BRANCH TO QUESTION BELOW]   | 
		
  | 
		
  | 
		
  | 
	
	
		| What other role best describes you?  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| What health condition or topic are you most interested in? | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| If role was: Patients, Caregivers, Family / Friends:  Which of the following are your main goals when it comes to this topic? Please select all that apply:  | 
		Learn more for my own knowledge | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Share materials/resources with others [BRANCH TO QUESTION BELOW]   | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find specific info about symptoms, diagnosis, treatment, and living with a health condition | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find clinical trials | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find the latest research | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find the latest news | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find local events or activities | 
		
  | 
		
  | 
		
  | 
	
	
		| If role was: Student, Teacher or educator: Which of the following are your main goals when it comes to this topic? Please select all that apply:  | 
		Get information for a school/class project | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		To find information to teach others about a condition or topic | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Share materials/resources with others [SHARE - BRANCH TO QUESTION BELOW]   | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find the latest research | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find funding for grants, fellowships, internships | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find local events or activities | 
		
  | 
		
  | 
		
  | 
	
	
		| If role was: Medical/healthcare professional, Public health professional / health educator, Community organizer, Researcher, Advocate, Other: Which of the following are your main goals when it comes to this topic? Please select all that apply:  | 
		Find the latest scientific information on a topic | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Educate others | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find educational materials and resources for community / patient education [SHARE - BRANCH TO QUESTION BELOW] | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find specific observance month or campaign resources [SHARE – BRANCH TO QUESTION BELOW]  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find fact sheets, brochures, posters, etc. that I can share [SHARE – BRANCH TO QUESTION BELOW] | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find publications I can share [SHARE – BRANCH TO QUESTION BELOW] | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find clinical trials to share with my patients | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find guidelines and standards | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find the latest news on a health topic/condition | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find the latest research | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find local events or activities | 
		
  | 
		
  | 
		
  | 
	
	
		| If role was: News media / journalist: Which of the following are your main goals when it comes to this topic? Please select all that apply:  | 
		Learn more for my own knowledge | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Conduct research or find background material for a story or news feature | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Share materials/resources with others [BRANCH TO QUESTION BELOW]   | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find specific info about symptoms, diagnosis, treatment, and living with a health condition | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find the latest news on a health topic / condition | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find the latest research | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find the latest statistics on a health condition / topic | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find a spokesperson or expert on a health condition / topic | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Find local events or activities | 
		
  | 
		
  | 
		
  | 
	
	
		|  If goals included “Share materials / resources with others” or “Find educational materials and resources for community / patient education” : | 
		Recent date | 
		
  | 
		
  | 
		
  | 
	
	
		| How do you make decisions about what resources to share with others? What selection criteria do you use when picking materials to share? Please select all that apply. | 
		Length | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Topic | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Reading level | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Type of resource (e.g., fact sheet, etc.) | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Print / hard copy available | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Illustrations | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Diversity in images | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Source’s credibility | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Material format (e.g., PDF, web page) | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Other (please specify) | 
		
  | 
		
  | 
		
  | 
	
	
		| Other: What other criteria do you use?  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| Which materials/resources do you find most helpful?  Please select all that apply.   | 
		Health condition overview   | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Screening and prevention information   | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Signs, symptoms, and complications | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Causes, risk factors, diagnosis   | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Treatment and living with a health condition   | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Clinical trial information   | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Research studies, results, and findings | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		News   | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Events | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Health education program and outreach materials | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Data and statistics   | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Guidelines and standards   | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Motivational stories from patients / survivors | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Insights from healthcare professionals | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Other [BRANCH TO QUESTION BELOW]   | 
		
  | 
		
  | 
		
  | 
	
	
		| Other: What other materials/resources would be helpful?  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| Which of the following formats are most helpful to you?  Please select all that apply.  | 
		Website content and articles | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Illustrations, images, and animations of health conditions that can be shared | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Videos | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Fact sheets, brochures, flyers | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Posters | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		PowerPoint slides | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Resources and materials I can use for health awareness programs and initiatives | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Information and images that I can share on social media, such as infographics and shareable posts | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Other [BRANCH TO QUESTION BELOW]   | 
		
  | 
		
  | 
		
  | 
	
	
		| Other: What other formats would you like to have?  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| If formats had “Resources and materials I can use for health awareness programs and initiatives”: | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| What materials are most important for health awareness programs and initiatives? How do you share these materials with patients or people in your community? | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| How do you keep track of the latest information about this topic, including news, research, new content/resources, webinars, events, etc.?  | 
		Search the web | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Newsletters | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Listserv | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Social media | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Podcasts | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Other websites | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		Other | 
		
  | 
		
  | 
		
  | 
	
	
		| If keep track included Newsletters, Listserv, Social Media, Podcasts, Other websites, or Other:   | 
		Which ones do you use?    | 
		
  | 
		
  | 
		
  | 
	
	
		| Have you used the NHLBI website, content, publication and materials in the past?    | 
		Yes | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		No | 
		
  | 
		
  | 
		
  | 
	
	
		| If “Yes”:   | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| How did you use this information?    | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| What do you find helpful or useful with the content and materials that you’ve used from NHLBI?  [Use scale] | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| How do the materials on this NHLBI website compare to materials on other websites? | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| How easy was it to find health outreach materials on this website? [Use scale – 1-7 Very difficult / Very easy] | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| How could the content and materials be improved to better meet your needs? What, if anything, is missing? | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| How did you find out about the NHLBI website? | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| THANK YOU! | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| Interested in a follow-up discussion to share your thoughts and reactions to the NHLBI website? | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		| Email us at HealthEdu@nhlbi.nih.gov | 
		
  | 
		
  | 
		
  | 
		
  |