| Model Instance Name:  | 
		
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		| NIAMS Survey | 
		
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		| MID: | 
		pNdwFkVhhx9dMQUowQBVVw== | 
		
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		| Date: | 
		8/8//2008 | 
		
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		| NIAMS Survey MODEL QUESTION LIST | 
		
	
		| Model questions utilize the ACSI methodology to determine scores and impacts | 
		
	
		
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		ELEMENTS (drivers of satisfaction) | 
		
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		CUSTOMER SATISFACTION | 
		
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		FUTURE BEHAVIORS | 
	
	
		
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		Content (1=Poor, 10=Excellent, Don't Know) | 
		
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		Satisfaction (1=Poor, 10=Excellent) | 
		
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		Likelihood to Return (1=Not Very Likely, 10=Very Likely) | 
	
	
		| 1 | 
		Please rate the accuracy of information on this site. | 
		23 | 
		What is your overall satisfaction with this site? | 
		26 | 
		How likely are you to return to this site? | 
	
	
		| 2 | 
		Please rate the quality of information on this site. | 
		24 | 
		How well does this site meet your expectations? | 
		
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		Recommend (1=Not Very Likely, 10=Very Likely) | 
	
	
		| 3 | 
		Please rate the freshness of content on this site. | 
		25 | 
		How does this site compare to your idea of an ideal website? | 
		27 | 
		How likely are you to recommend this site to someone else? | 
	
	
		
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		Functionality (1=Poor, 10=Excellent, Don't Know) | 
		
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		Primary Resource (1=Not Very Likely, 10=Very Likely) | 
	
	
		| 4 | 
		Please rate the usefulness of the services provided on this site. | 
		
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		28 | 
		How likely are you to use this site as your primary resource for obtaining information from this organization? | 
	
	
		| 5 | 
		Please rate the convenience of the services on this site. | 
		
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		| 6 | 
		Please rate the ability to accomplish what you wanted to on this site. | 
		
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		Look and Feel (1=Poor, 10=Excellent, Don't Know) | 
		
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		| 7 | 
		Please rate the ease of reading this site. | 
		
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		| 8 | 
		Please rate the clarity of site organization. | 
		
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		| 9 | 
		Please rate the clean layout of this site. | 
		
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		Navigation (1=Poor, 10=Excellent, Don't Know) | 
		
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		| 10 | 
		Please rate the degree to which the number of steps it took to get where you want is acceptable. | 
		
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		| 11 | 
		Please rate the ability to find the information you want on this site. | 
		
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		| 12 | 
		Please rate the clarity of site map/directory. | 
		
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		| 13 | 
		Please rate the ease of navigation on this site. | 
		
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		Site Performance (1=Poor, 10=Excellent, Don't Know) | 
		
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		| 14 | 
		Please rate the speed of loading the page on this site. | 
		
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		| 15 | 
		Please rate the consistency of speed on this site. | 
		
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		| 16 | 
		Please rate the reliability of site performance on this site. | 
		
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		Search (1=Poor, 10=Excellent, Don't Know) | 
		
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		| 23 | 
		Please rate the usefulness of search results on this site. | 
		
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		| 24 | 
		Please rate how this site provides comprehensive search results. | 
		
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		| 25 | 
		Please rate the organization of search results for this site. | 
		
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		| 26 | 
		Please rate how the search feature helps you to narrow the results to find the information you want. | 
		
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		| Model Instance Name:  | 
		
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		red & strike-through:  DELETE | 
		
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		| NIAMS Survey | 
		
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		underlined & italicized: RE-ORDER | 
		
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		| MID: pNdwFkVhhx9dMQUowQBVVw== | 
		
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		pink: ADDITION | 
		
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		| Date: | 
		3/1/2008 | 
		blue + -->: REWORDING | 
		
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		| NIAMS Survey CUSTOM QUESTION LIST | 
		
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		| QID | 
		Skip Logic Label / question order | 
		Question Text | 
		Answer Choices  (limited to 50 characters) | 
		Skip to | 
		Type (select from list) | 
		Single or Multi | 
		Required Y/N | 
		Special Instructions | 
		
		25 character limit. 
		CQ Label  | 
		
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		| 6139 | 
		
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		How frequently do you visit this website? | 
		First time | 
		
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		Radio button,  one-up vertical | 
		Single | 
		Y | 
		
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		More than once a day | 
		
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		Daily | 
		
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		About once a week | 
		
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		About once a month | 
		
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		Every 6 months or less | 
		
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		| 6143 | 
		
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		Which of the following best describes your role in coming to the website today? | 
		General public | 
		
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		Radio button,  one-up vertical | 
		Single | 
		Y | 
		Skip Logic Group | 
		
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		Patient | 
		
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		Family member of a patient | 
		
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		Scientist/Researcher | 
		
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		Student | 
		
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		Teacher | 
		
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		Health professional/primary care | 
		
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		Government staff/ policy professional | 
		
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		Non-Profit/ Professional organization staff | 
		
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		Insurance services/ health system infrastructure staff | 
		
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		Other   | 
		F | 
		
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		| ACQCol0010235 | 
		F | 
		What other role describes you? | 
		
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		Text field,  <100 char | 
		Open | 
		N | 
		Skip Logic Group | 
		Other_Role | 
		
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		| 6140 | 
		
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		Which of the following best describes what you are looking for visiting the website today?  | 
		Arthritis/rheumatic diseases | 
		
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		Radio button,  one-up vertical | 
		Single | 
		Y | 
		
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		Bone health and/or diseases | 
		
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		Skin diseases | 
		
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		Muscle injury and/or diseases | 
		
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		Patient research registries | 
		
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		Grant information | 
		
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		Contracts information | 
		
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		NIAMS laboratories | 
		
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		Clinical trials/studies with patients | 
		
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		Researcher resources | 
		
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		News and  events | 
		
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		Employment opportunities | 
		
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		Information about NIAMS | 
		
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		Links to other organizations  | 
		
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		Information in Spanish | 
		
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		Other | 
		B | 
		
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		| 6141 | 
		B | 
		What other information were you looking for today? | 
		
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		Text field,  <100 char | 
		Open | 
		N | 
		
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		| 51948 | 
		
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		Were you able to find what you were looking for? | 
		Yes | 
		
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		Dropdown (Select-one) | 
		Single | 
		Y | 
		
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		No | 
		A | 
		
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		Still looking | 
		
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		| 6142 | 
		A | 
		What information could you not find? | 
		
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		Text field,  <100 char | 
		Open | 
		N | 
		
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		| JDV00081 | 
		
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		How do you plan to use the information you find on this site today? | 
		To share and discuss with my health care provider | 
		
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		Radio button,  one-up vertical | 
		Single | 
		Y | 
		
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		To address personal health issues | 
		
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		To aid others who have health concerns | 
		
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		To pursue a career as a medical researcher | 
		
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		To support new or current research projects | 
		
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		To explore or support business opportunities in the field of biomedical research | 
		
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		To explore what you have to offer (just browsing) | 
		
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		Physicians & other health care providers - improved understanding of basic research concepts and findings for my own clinical research | 
		
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		Physicians & other health care providers - improved understanding of clinical research findings for my patient practice | 
		
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		Other | 
		
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		| 6144 | 
		
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		How could we improve our information to best meet your needs?   | 
		
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		Text area,  no char limit | 
		Single | 
		N | 
		
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		| HAR0063371 | 
		
  | 
		Which of the following best describes your age range (years of age)? | 
		Under 12 | 
		
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		Radio button,  one-up vertical | 
		Single | 
		N | 
		
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		Age | 
		
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		12-17 | 
		
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		18-25 | 
		
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		26-35 | 
		
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		36-45 | 
		
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		46-55 | 
		
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		56-65 | 
		
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		Over 65 | 
		
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		Prefer not to respond | 
		
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		| Model Instance Name:  | 
		
  | 
		
  | 
		red & strike-through:  DELETE | 
		
  | 
		
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		| NIAMS Survey | 
		
  | 
		
  | 
		underlined & italicized: RE-ORDER | 
		
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		| MID: pNdwFkVhhx9dMQUowQBVVw== | 
		
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  | 
		pink: ADDITION | 
		
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		| Date: | 
		3/1/2008 | 
		blue + -->: REWORDING | 
		
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		| NIAMS Survey CUSTOM QUESTION LIST | 
		
  | 
		
  | 
		
  | 
	
	
		| QID | 
		Skip Logic Label / question order | 
		Question Text | 
		Answer Choices  (limited to 50 characters) | 
		Skip to | 
		Type (select from list) | 
		Single or Multi | 
		Required Y/N | 
		Special Instructions | 
		
		25 character limit. 
		CQ Label  | 
		
  | 
		
  | 
		
  | 
	
	
		| 6139 | 
		
  | 
		How frequently do you visit this website? | 
		First time | 
		
  | 
		Radio button,  one-up vertical | 
		Single | 
		Y | 
		
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		More than once a day | 
		
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		Daily | 
		
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		About once a week | 
		
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		About once a month | 
		
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		Every 6 months or less | 
		
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		| 6143 | 
		
  | 
		Which of the following best describes your role in coming to the website today? | 
		General public | 
		
  | 
		Radio button,  one-up vertical | 
		Single | 
		Y | 
		Skip Logic Group | 
		
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		Representative from voluntary organization | 
		
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		Representative from professional organization | 
		
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		Patient | 
		
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		Randomize | 
		
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		Family member of a patient | 
		
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		Scientist/Researcher | 
		
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		Student | 
		
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		Teacher | 
		
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		Retired | 
		
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		Health professional/primary care | 
		
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		Media | 
		
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		Government staff/ policy professional | 
		
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		Non-Profit/ Professional organization staff | 
		
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		Insurance services/ health system infrastructure staff | 
		
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		Other   | 
		F | 
		
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		Anchor Answer Choice | 
		
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		| ACQCol0010235 | 
		F | 
		What other role describes you? | 
		
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  | 
		Text field,  <100 char | 
		Open | 
		N | 
		Skip Logic Group | 
		Other_Role | 
		
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		| 6140 | 
		
  | 
		Which of the following best describes what you are looking for visiting the website today?  | 
		Health related information | 
		A | 
		Radio button,  one-up vertical | 
		Single | 
		Y | 
		
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		Arthritis/rheumatic diseases | 
		
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		Bone health and/or diseases | 
		
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		Skin diseases | 
		
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		Muscle injury and/or diseases | 
		
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		Patient research registries | 
		
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		Grant information | 
		
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		Contracts information | 
		
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  | 
		NIAMS laboratories | 
		
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		Clinical trials/studies with patients | 
		
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		Researcher resources | 
		
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		News and  events | 
		
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		Employment opportunities | 
		
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		Information about NIAMS | 
		
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		Links to other organizations  | 
		
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		Information in Spanish | 
		
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		Other | 
		B | 
		
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		| 6141 | 
		B | 
		What other information were you looking for today? | 
		
  | 
		
  | 
		Text field,  <100 char | 
		Open | 
		N | 
		
  | 
		
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  | 
	
	
		ACQOsl0002004 | 
		A | 
		What type of health related information were you primarily looking for today? | 
		Arthritis/rheumatic diseases | 
		
  | 
		Radio button,  one-up vertical | 
		Single | 
		Y | 
		
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		Bone health and/or diseases | 
		
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		Skin diseases | 
		
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		Muscle injury and/or diseases | 
		
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		Other | 
		C | 
		
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  | 
	
	
		ACQOsl0002005 | 
		C | 
		What other type of health related information were you looking for? | 
		
  | 
		
  | 
		Text field,  <100 char | 
		Open | 
		N | 
		
  | 
		
  | 
		
  | 
		
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  | 
	
	
		| 51948 | 
		
  | 
		Did you find what you were looking for? Were you able to find what you were looking for? | 
		Yes | 
		
  | 
		Dropdown (Select-one) | 
		Single | 
		Y | 
		
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		No | 
		A | 
		
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		Still looking | 
		
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  | 
	
	
		| 6142 | 
		A | 
		What information could you not find? | 
		
  | 
		
  | 
		Text field,  <100 char | 
		Open | 
		N | 
		
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  | 
		
  | 
		
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  | 
	
	
		| JDV00081 | 
		
  | 
		How do you plan to use the information you find on this site today? | 
		To share and discuss with my health care provider | 
		
  | 
		Radio button,  one-up vertical | 
		Single | 
		Y | 
		Skip Logic Group | 
		
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  | 
	
	
		
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  | 
		To address personal health issues | 
		
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		To aid others who have health concerns | 
		
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		To pursue a career as a medical researcher | 
		
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		To support new or current research projects | 
		
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		To explore or support business opportunities in the field of biomedical research | 
		
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		To explore what you have to offer (just browsing) | 
		
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  | 
	
	
		
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		Physicians & other health care providers - improved understanding of basic research concepts and findings for my own clinical research | 
		
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		Physicians & other health care providers - improved understanding of clinical research findings for my patient practice | 
		
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		Other | 
		Z | 
		
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  | 
	
	
		ACQCol0010236 | 
		Z | 
		How else do you plan to use the information you found on the site? | 
		
  | 
		
  | 
		Text area,  no char limit | 
		Single | 
		N | 
		Skip Logic Group | 
		Other_Use Info | 
		
  | 
		
  | 
		
  | 
	
	
		51949 | 
		
  | 
		How did you look for the information today? | 
		I used the search function | 
		
  | 
		Radio button,  one-up vertical | 
		Single | 
		Y | 
		
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  | 
	
	
		
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		I used links from the Home Page | 
		
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  | 
	
	
		
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		I navigated using the top and left side navigation bars | 
		
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		I got to the page through a link of another site | 
		
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		I had a bookmark on the page I wanted | 
		
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		I was browsing | 
		
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  | 
	
	
		SAC6668 | 
		
  | 
		Which of the following sources drove you to visit the site today?  Please rank the top 3 (Rank 1 is most important). Rank 1 (Required) | 
		Message or recommendation from a friend on a social network | 
		
  | 
		Drop down,  select one | 
		Single  | 
		Y | 
		Rank Group | 
		SV - Rank 1 | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		Video I saw on YouTube | 
		
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  | 
	
	
		
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		Internet blogs or discussion forums | 
		
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  | 
		Adjust Template/Style Sheet | 
		
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  | 
	
	
		
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  | 
		Advertising on social networks (Facebook, MySpace, Twitter) | 
		
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  | 
		Randomize | 
		
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  | 
		
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  | 
	
	
		
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  | 
		Message directly from the company on a social network | 
		
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		Mobile phone text messages or alerts | 
		
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  | 
	
	
		
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		Instant Message from a friend or colleague | 
		
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  | 
	
	
		
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		Familiarity with site/company/brand | 
		
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  | 
	
	
		
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		Promotional email(s) from the agency | 
		
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  | 
	
	
		
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		Search engine results | 
		
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		Word of mouth recommendation from someone I know | 
		
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		TV, radio, newspaper, or magazine advertising | 
		
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		Internet advertising | 
		
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  | 
	
	
		
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		Don't know | 
		
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		Anchor Answer Choice | 
		
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  | 
	
	
		
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		Other | 
		
  | 
		
  | 
		
  | 
		
  | 
		Anchor Answer Choice | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		SAC6669 | 
		
  | 
		Rank 2 (Optional) | 
		Message or recommendation from a friend on a social network | 
		
  | 
		Drop down,  select one | 
		Single  | 
		N | 
		Rank Group | 
		SV - Rank 2 | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		Video I saw on YouTube | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
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  | 
		Internet blogs or discussion forums | 
		
  | 
		
  | 
		
  | 
		
  | 
		Adjust Template/Style Sheet | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		Advertising on social networks (Facebook, MySpace, Twitter) | 
		
  | 
		
  | 
		
  | 
		
  | 
		Randomize | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		Message directly from the company on a social network | 
		
  | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
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		Mobile phone text messages or alerts | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		Instant Message from a friend or colleague | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
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		Familiarity with site/company/brand | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		Promotional email(s) from the agency | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
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  | 
		Search engine results | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
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  | 
		Word of mouth recommendation from someone I know | 
		
  | 
		
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  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		TV, radio, newspaper, or magazine advertising | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		Internet advertising | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
		Don't know | 
		
  | 
		
  | 
		
  | 
		
  | 
		Anchor Answer Choice | 
		
  | 
		
  | 
		
  | 
		
  | 
	
	
		
  | 
		
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		Other | 
		
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		Anchor Answer Choice | 
		
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		SAC6670 | 
		
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		Rank 3 (Optional) | 
		Message or recommendation from a friend on a social network | 
		
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		Drop down,  select one | 
		Single  | 
		N | 
		Rank Group | 
		SV - Rank 3 | 
		
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		Video I saw on YouTube | 
		
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		Internet blogs or discussion forums | 
		
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		Adjust Template/Style Sheet | 
		
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		Advertising on social networks (Facebook, MySpace, Twitter) | 
		
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		Randomize | 
		
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		Message directly from the company on a social network | 
		
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		Mobile phone text messages or alerts | 
		
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		Instant Message from a friend or colleague | 
		
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		Familiarity with site/company/brand | 
		
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		Promotional email(s) from the agency | 
		
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		Search engine results | 
		
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		Word of mouth recommendation from someone I know | 
		
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		TV, radio, newspaper, or magazine advertising | 
		
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		Internet advertising | 
		
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		Don't know | 
		
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		Anchor Answer Choice | 
		
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		Other | 
		
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		Anchor Answer Choice | 
		
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		SAC6671 | 
		
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		If you heard about this website from a social network, please specify the site (i.e. Facebook, Twitter) | 
		
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		Text area,  no char limit | 
		
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		N | 
		
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		SV - Other Social Network | 
		
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		| 6144 | 
		
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		How could we improve our information to best meet your needs?   | 
		
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		Text area,  no char limit | 
		Single | 
		N | 
		
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		Which of the following best describes your age range (years of age)? | 
		Under 12 | 
		
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		Radio button,  one-up vertical | 
		Single | 
		N | 
		
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		Age | 
		
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		12-17 | 
		
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		18-25 | 
		
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		26-35 | 
		
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		36-45 | 
		
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		46-55 | 
		
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		56-65 | 
		
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		Over 65 | 
		
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		Prefer not to respond | 
		
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