| Survey: | 
		SAMHSA | 
		
  | 
	
	
		| IA#: | 
		30839 Amend 0 | 
		
  | 
	
	
		| Date: | 
		
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  | 
	
	
		
  | 
		
  | 
		
  | 
	
	
		| SURVEY TYPE:  | 
		Relationship (tab 4) | 
		
  | 
	
	
		
  | 
		
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		| Survey Q# | 
		Type# | 
		Type Topic | 
	
	
		| 1 | 
		Standard | 
		Navigation - Organized | 
	
	
		| 2 | 
		Standard | 
		Navigation - Options | 
	
	
		| 3 | 
		Standard | 
		Navigation - Layout | 
	
	
		| 4 | 
		Standard | 
		Site Performance - Loading | 
	
	
		| 5 | 
		Standard | 
		Site Performance - Consistency | 
	
	
		| 6 | 
		Standard | 
		Site Performance - Completeness | 
	
	
		| 7 | 
		Standard | 
		Site Information - Thoroughness | 
	
	
		| 8 | 
		Standard | 
		Site Information - Understandable | 
	
	
		| 9 | 
		Standard | 
		Site Information - Answers | 
	
	
		| 10 | 
		Standard | 
		Look and Feel - Appeal | 
	
	
		| 11 | 
		Standard | 
		Look and Feel - Balance | 
	
	
		| 12 | 
		Standard | 
		Look and Feel - Readability | 
	
	
		| 13 | 
		Standard | 
		Information Browsing - Sort | 
	
	
		| 14 | 
		Standard | 
		Information Browsing - Narrow | 
	
	
		| 15 | 
		Standard | 
		Information Browsing - Features | 
	
	
		| 16 | 
		Standard | 
		Satisfaction - Overall | 
	
	
		| 17 | 
		Standard | 
		Satisfaction - Expectations | 
	
	
		| 18 | 
		Standard | 
		Satisfaction - Ideal | 
	
	
		| 19 | 
		Standard | 
		Return | 
	
	
		| 20 | 
		Standard | 
		Recommend | 
	
	
		| 21 | 
		Standard | 
		Primary Resource | 
	
	
		| 22 | 
		Standard | 
		Trust - Best interest  | 
	
	
		| 23 | 
		Standard | 
		Trust - Trustworthy  | 
	
	
		| 24 | 
		Standard | 
		Trust - Do right  | 
	
	
		| 25 | 
		Custom  | 
		Primary Interest  | 
	
	
		| 26 | 
		Custom  | 
		Role  | 
	
	
		| 27 | 
		Custom  | 
		Other Role  | 
	
	
		| 28 | 
		Custom  | 
		Workplace | 
	
	
		| 29 | 
		Custom  | 
		Other Workplace  | 
	
	
		| 30 | 
		Custom  | 
		Area Visited  | 
	
	
		| 31 | 
		Custom  | 
		Other - Area visited  | 
	
	
		| 32 | 
		Custom  | 
		Reason  | 
	
	
		| 33 | 
		Custom  | 
		Other Reason  | 
	
	
		| 34 | 
		Custom  | 
		Homapage all  | 
	
	
		| 35 | 
		Custom  | 
		Other Homepage News | 
	
	
		| 36 | 
		Custom  | 
		Other Homepage  | 
	
	
		| 37 | 
		Custom  | 
		Homepage One  | 
	
	
		| 38 | 
		Custom  | 
		Other Most Highlighted | 
	
	
		| 39 | 
		Custom  | 
		Find Info  | 
	
	
		| 40 | 
		Custom  | 
		No Info Found  | 
	
	
		| 41 | 
		Custom  | 
		Method  | 
	
	
		| 42 | 
		Custom  | 
		Other Method  | 
	
	
		| 43 | 
		Custom  | 
		Search Experience | 
	
	
		| 44 | 
		Custom  | 
		Other Search Feature | 
	
	
		| 45 | 
		Custom  | 
		Other Sort, Filter | 
	
	
		| 46 | 
		Custom  | 
		search Results Issues  | 
	
	
		| 47 | 
		Custom  | 
		Other Search Results | 
	
	
		| 48 | 
		Custom  | 
		Navigation Experience  | 
	
	
		| 49 | 
		Custom  | 
		Other Navigation Difficulty  | 
	
	
		| 50 | 
		Custom  | 
		Other Navigation Improvement  | 
	
	
		| 51 | 
		Custom  | 
		Other Site Information | 
	
	
		| 52 | 
		Custom  | 
		Accomplish  | 
	
	
		| 53 | 
		Custom  | 
		Frequency of visit  | 
	
	
		| 54 | 
		Custom  | 
		Other Workplace  | 
	
	
		| 55 | 
		Custom  | 
		Gender | 
	
	
		| 56 | 
		Custom  | 
		Age | 
	
	
		| 57 | 
		Custom  | 
		Education | 
	
	
		| 58 | 
		Custom  | 
		Living area | 
	
	
		| 59 | 
		Custom  | 
		Ethnicity  | 
	
	
		| 60 | 
		Custom  | 
		Race  | 
	
	
	
	
	
		| Survey: | 
		SAMHSA | 
		
  | 
	
	
		| IA#: | 
		30839 Amend 0 | 
		
  | 
	
	
		| Date: | 
		
  | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
	
	
		| SURVEY TYPE:  | 
		Relationship (tab 4) | 
		
  | 
	
	
		
  | 
		
  | 
		
  | 
	
	
		| Survey Q# | 
		Type# | 
		Type Topic | 
	
	
		| 1 | 
		Standard | 
		Navigation - Organized | 
	
	
		| 2 | 
		Standard | 
		Navigation - Options | 
	
	
		| 3 | 
		Standard | 
		Navigation - Layout | 
	
	
		| 4 | 
		Standard | 
		Site Performance - Loading | 
	
	
		| 5 | 
		Standard | 
		Site Performance - Consistency | 
	
	
		| 6 | 
		Standard | 
		Site Performance - Completeness | 
	
	
		| 7 | 
		Standard | 
		Site Information - Thoroughness | 
	
	
		| 8 | 
		Standard | 
		Site Information - Understandable | 
	
	
		| 9 | 
		Standard | 
		Site Information - Answers | 
	
	
		| 10 | 
		Standard | 
		Look and Feel - Appeal | 
	
	
		| 11 | 
		Standard | 
		Look and Feel - Balance | 
	
	
		| 12 | 
		Standard | 
		Look and Feel - Readability | 
	
	
		| 13 | 
		Standard | 
		Information Browsing - Sort | 
	
	
		| 14 | 
		Standard | 
		Information Browsing - Narrow | 
	
	
		| 15 | 
		Standard | 
		Information Browsing - Features | 
	
	
		| 16 | 
		Standard | 
		Satisfaction - Overall | 
	
	
		| 17 | 
		Standard | 
		Satisfaction - Expectations | 
	
	
		| 18 | 
		Standard | 
		Satisfaction - Ideal | 
	
	
		| 19 | 
		Standard | 
		Return | 
	
	
		| 20 | 
		Standard | 
		Recommend | 
	
	
		| 21 | 
		Standard | 
		Primary Resource | 
	
	
		| 22 | 
		Custom  | 
		Frequency of Visit  | 
	
	
		| 23 | 
		Custom  | 
		Primary Interest | 
	
	
		| 24 | 
		Custom  | 
		Personal Info for  | 
	
	
		| 25 | 
		Custom  | 
		Personal age  | 
	
	
		| 26 | 
		Custom  | 
		Personal info topic  | 
	
	
		| 27 | 
		Custom  | 
		Personal treatment  | 
	
	
		| 28 | 
		Custom  | 
		Personal SA prevention  | 
	
	
		| 29 | 
		Custom  | 
		Personal MH illness | 
	
	
		| 30 | 
		Custom  | 
		Personal Trauma  | 
	
	
		| 31 | 
		Custom  | 
		Personal other info  | 
	
	
		| 32 | 
		Custom  | 
		Organizqation Type  | 
	
	
		| 33 | 
		Custom  | 
		Other Organization type  | 
	
	
		| 34 | 
		Custom  | 
		Professional info for  | 
	
	
		| 35 | 
		Custom  | 
		Professional age  | 
	
	
		| 36 | 
		Custom  | 
		Professional info topic  | 
	
	
		| 37 | 
		Custom  | 
		Professional ACA  | 
	
	
		| 38 | 
		Custom  | 
		Professional treatment  | 
	
	
		| 39 | 
		Custom  | 
		Professional SA prevention  | 
	
	
		| 40 | 
		Custom  | 
		Professional MH illness | 
	
	
		| 41 | 
		Custom  | 
		 Profesional trauma | 
	
	
		| 42 | 
		Custom  | 
		Other Professional info  | 
	
	
		| 43 | 
		Custom  | 
		Find info  | 
	
	
		| 44 | 
		Custom  | 
		Content satisfaction | 
	
	
		| 45 | 
		Custom  | 
		Improve products  | 
	
	
		| 46 | 
		Custom  | 
		Other services wanted  | 
	
	
		| 47 | 
		Custom  | 
		Device type  | 
	
	
		| 48 | 
		Custom  | 
		Gender  | 
	
	
		| 49 | 
		Custom  | 
		Age  | 
	
	
		| 50 | 
		Custom  | 
		Education  | 
	
	
		| 51 | 
		Custom  | 
		State  | 
	
	
		| 52 | 
		Custom  | 
		Living area | 
	
	
		| 53 | 
		Custom  | 
		Ethnicity  | 
	
	
		| 54 | 
		Custom  | 
		Race  |