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["PROPOSED FORESEE RESULTS MODEL QUESTIONS FOR MyHealtheVet\nModel questions utilize the ACSI methodology to determine scores and impacts"]
["ELEMENTS (drivers of satisfaction)",null,"CUSTOMER SATISFACTION",null,"FUTURE BEHAVIORS"]
["All questions under each element are required.\nElement questions are partitioned among surveys.",null,"Satisfaction questions are required.\nSatisfaction questions appear on all surveys.",null,"Future behaviors may be modified based on your site's objectives.\nFuture behavior questions appear on all surveys."]
["REQUIRED ELEMENTS (common to all websites)"]
["Content (1=Poor, 10=Excellent, Don't Know)",null,"Satisfaction (1=Poor, 10=Excellent)",null,"Likelihood to Return (1=Not Very Likely, 10=Very Likely)"]
["Please rate the accuracy of information on this site.",null,"What is your overall satisfaction with this site?",null,"How likely are you to return to this site?"]
["Please rate the quality of information on this site.",null,"How well does this site meet your expectations?",null,"Recommend (1=Not Very Likely, 10=Very Likely)"]
["Please rate the freshness of content on this site.",null,"How does this site compare to your idea of an ideal website?",null,"How likely are you to recommend this site to someone else?"]
["Functionality (1=Poor, 10=Excellent, Don't Know)",null,null,null,"Organization Satisfaction (1=Poor, 10=Excellent)"]
["Please rate the usefulness of the services provided on this site.",null,null,null,"Considering all of your experiences to date, how satisfied are you with the My HealtheVet program overall?"]
["Please rate the convenience of the services on this site."]
["Please rate the ability to accomplish what you wanted to on this site."]
["Look and Feel (1=Poor, 10=Excellent, Don't Know)"]
["Please rate the ease of reading this site."]
["Please rate the clarity of site organization."]
["Please rate the clean layout of this site."]
["Navigation (1=Poor, 10=Excellent, Don't Know)"]
["Please rate the degree to which the number of steps to get where you want is acceptable."]
["Please rate the ability to find information you want on this site."]
["Please rate the clarity of site map/directory."]
["Please rate the ease of navigation on this site."]
["Site Performance (1=Poor, 10=Excellent, Don't Know)"]
["Please rate the speed of loading the page on this site."]
["Please rate the consistency of speed on this site."]
["Please rate the reliability of site performance on this site."]
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["*Please See Next Tab for Recommended Custom Questions"]

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[{"$nulls":4},"PROPOSED CUSTOM QUESTIONS FOR MyHealtheVet\nCustom questions complement the model questions and allow for additional data analysis"]
["Date Added (hide)","Date Modified (hide)","Date Removed (hide)","Qst ID (hide)","Question Text","Answer Value (hide)","Answer Choices \n\n(limited to 50 characters)\n","Type \ndrop-down menu check boxes radio buttons open-ended","Required\nY/N","Select one or all that apply","isNumeric (hide)","respTypeId (hide)"]
[{"$nulls":4},"How frequently do you visit the My HealtheVet web site?",null,"First time\nDaily\nMore than once a day\nAbout once a week\nAbout once a month\nAbout every 3 months\nAbout every 6 months\nLess than every 6 months","Drop-down menu","Y","select one"]
[{"$nulls":4},"What best describes you?",null,"Active duty\nVeteran\nFamily member of a veteran\nVeteran service organization\nNews media\nGeneral public\nVA employee\nFederal government employee\nState/local government employee\nOther (please specify):","Radio buttons","Y","select one"]
[{"$nulls":4},"If applicable, please indicate your military period(s) of service:",null,"Operation Enduring Freedom/Iraqi Freedom\nGulf War\nVietnam Era\nKorean Conflict\nWorld War II\nWorld War I\nPeacetime Service","check boxes","N","select all that apply"]
[{"$nulls":4},"What were you trying to accomplish today in My HealtheVet?  (please select all that apply)",null,"Enter/keep track of personal information (My Caregivers, etc.)\nEnter/keep track of personal health care information (blood pressure, blood sugar, etc.)\nLook up information about a medication\nRequest a prescription refill\nAccess prescription history from my VA medical record \nFind a VA health care facility\nResearch a health condition\nFind information about VA Benefits\nOther (please specify):","check boxes","Y","select all that apply"]
[{"$nulls":4},"How were you trying to locate this information? (please select all that apply)",null,"Browsing (following links in page)\nSearch engine\nTop navigation bar\nQuick links\nSite map\nOther","check boxes","Y","select all that apply"]
[{"$nulls":4},"Did you accomplish what you wanted to in My HealtheVet?",null,"Yes\nNo\nPartially","Drop-down menu","Y","select one"]
[{"$nulls":4},"If you did not accomplish what you wanted to in My HealtheVet, please specify what you wanted to do.",null,null,"Open-ended","N"]
[{"$nulls":4},"If you have utilized any of the following My HealtheVet features, which, if any, did you find particularly useful?  Which, if any, have you had difficulty using? ",null,"Health Education Libraries & Condition Centers (Research Health)\nPersonal Health Care Information (such as Caregivers, Treatment Facilities, etc.) \nOnline Prescription Refill Requests (Pharmacy)\nMy Medications & Supplements (Self-entered, Pharmacy)\nMy Complete Medications List (combined view of both VA and self-entered)\nHealth Calendar (Get Care)\nHealtheLogs (self-entered, such as Vitals, Tests, Allergies, etc.)\nHealth History (personal, family, or military health history)\nPersonal Health Summary (Track Health)","Drop-down menu","N","select one"]
[{"$nulls":4},"What additional services would you like to see on My HealtheVet? (please select all that apply)",null,"View upcoming appointments\nSchedule or change appointments\nCommunicate electronically with my doctor\nAccess to my medical record information\nDelegate access to my personal health record to another person\nWellness reminders\nDrug interaction checking\nOpt-in monthly email newsletter\nAdvance check in for clinic visits\nEducational programs\nProvider report card\nNotification of new content/features on the site\nOther (please specify):","check boxes","N","select all that apply"]
[{"$nulls":4},"What is your age range?",null,"18 or under\n19 - 30\n31 - 40\n41 - 50\n51 - 60\n61 - 70\n71 or older","Drop-down menu","N","select one"]
[{"$nulls":4},"Are you a registered user on the MyHealtheVet web site?",null,"Yes\nNo\nNot sure","Drop-down menu","Y","select one"]
[{"$nulls":4},"Have you visited your VA Facility in person to show your ID and be \"in-person authenticated\" (IPA) for My HealtheVet?",null,"Yes\nNo\nNot sure\nNot applicable","Drop-down menu","Y","select one"]
[{"$nulls":4},"If not, why have you not been \"In-Person Authenticated\"?",null,null,"Open-ended","N"]
[{"$nulls":4},"Did you take part in a pilot project for the My HealtheVet web site?",null,"Yes\nNo\nNot sure","Drop-down menu","Y","select one"]
[{"$nulls":4},"My use of the My HealtheVet personal health record has improved my ability to manage my health.",null,"Strongly agree, Agree, Not sure, Disagree, Strongly disagree, Not applicable","Drop-down menu","Y","select one"]
[{"$nulls":4},"What is the main improvement that you would suggest for the My HealtheVet web site?",null,null,"Open-ended","N"]