Attachment BAttachment
B

Exit this survey >>

Centers for Disease Control and Prevention, National Center for
Health Statistics User Survey

You've been selected to
participate in a short, 13-question customer satisfaction survey. This survey
will NOT capture any personally-identifiable information. All submissions are
voluntary and anonymous. Your participation is extremely important, and will be
used to improve NCHS' products and services. All information will be treated
confidentially. Thank you for helping NCHS.

This survey has been approved by the Executive
Office of the President Office of Management and Budget (OMB). (Form Approved
OMB No. 0920-0729 Exp. Date 04/30/2014).

NOTICE - Public reporting burden of this collection of information is estimated
to average less than 10 minutes per person, including the time for reviewing
instructions, 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: CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road, MS D-74, Atlanta,
GA 30333, ATTN: PRA (0920-0729).

Assurance of Confidentiality - All information which would permit
identification of an individual, a practice, or an establishment will be held
confidential, will be used for statistical purposes only by NCHS staff,contractors, and agents only when required and with
necessary controls, and will not be disclosed or released to other persons
without the consent of the individual or establishment in accordance with
section 308(d) of the Public Health Service Act (42 USC 242m)and the Confidential
Information Protection and Statistical Efficiency Act (PL-107-347).

1.
Please indicate your opinion about the NCHS web site and the information you
obtain from it.

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

N/A

Information is easy to
find

Please indicate your opinion about the NCHS
web site and the information you obtain from it. Information is easy to find
Strongly agree

Agree

Neutral

Disagree

Strongly disagree

N/A

Information is easy to interpret

Information is easy to interpret Strongly agree

Agree

Neutral

Disagree

Strongly disagree

N/A

Information is relevant

Information is relevant Strongly agree

Agree

Neutral

Disagree

Strongly disagree

N/A

Information is accurate

Information is accurate Strongly agree

Agree

Neutral

Disagree

Strongly disagree

N/A

Information is timely

Information is timely Strongly agree

Agree

Neutral

Disagree

Strongly disagree

N/A

2.
About how many times have you visited the NCHS web site in the last year?
(Please include today's visit in your count.)

About how many times have you visited the NCHS
web site in the last year? (Please include today's visit in your count.)
1 time

2-5 times

6-11 times (less than
once a month)

12-23 times

24 times or more (twice
a month or more)

3.
On this occasion, how did you access the NCHS web site?

On this occasion, how did you access the NCHS
web site?   Bookmark
or favorites

Link from other site

Search engine (such as
Yahoo, Alta Vista, Lycos)

Typed the web address
directly

Other

4.
Why did you visit the NCHS website today? (Check all that apply)

Why did you visit the NCHS website today? (Check
all that apply)   To obtain information about a specific health topic

To download a specific
report, publication, or data table

To download public use
micro-data files or obtain information about these files

To identify survey
methods or data collection forms to apply to your own research

Received an e-mail about
survey through NCHS listserv

Other

5.
Please rate each of the following NCHS services and data products that you have
used in the last year.

Excellent

Very good

Good

Fair

Poor

N/A

Website

Please rate each of the following NCHS services
and data products that you have used in the last year. Website Excellent

Very good

Good

Fair

Poor

N/A

Public use microdata
files

Public use microdata
files Excellent

Very good

Good

Fair

Poor

N/A

Print reports/publications

Print reports/publications Excellent

Very good

Good

Fair

Poor

N/A

Listserv for one or more NCHS surveys

Listserv for one or more NCHS surveys Excellent

Very good

Good

Fair

Poor

N/A

E-mail notices about NCHS products

E-mail notices about NCHS products Excellent

Very good

Good

Fair

Poor

N/A

Customer service from an NCHS employee by
e-mail, U.S. mail, or telephone

Customer service from an NCHS employee by
e-mail, U.S. mail, or telephone Excellent

Very good

Good

Fair

Poor

N/A

6.
From which of the following health care surveys have you obtained information
in the last year? (Check all that apply)

From which of the following health care surveys
have you obtained information in the last year? (Check all that apply)   National Ambulatory Medical Care Survey (NAMCS)

National Hospital
Ambulatory Medical Care Survey (NHAMCS)

National Hospital
Discharge Survey (NHDS)

National Home and
Hospice Care Survey (NHHCS)

National Nursing Home
Survey (NNHS)

National Survey of
Ambulatory Surgery (NSAS)

None of the above

Don't know/not
applicable

7.
From which of the following household surveys have you obtained information in
the last year? (Check all that apply)

From which of the following household surveys
have you obtained information in the last year? (Check all that apply)   National Health Interview Survey (NHIS)

National Health and
Nutrition Examination Survey (NHANES)

National Survey of
Family Growth (NSFG)

State and Local Area
Integrated Telephone Survey (SLAITS)

None of the above

Don't know/not
applicable

8.
Have you obtained birth or death statistics (National Vital Statistics) in the
last year?

Have you obtained birth or death statistics
(National Vital Statistics) in the last year?   Yes

No

Don't know/not
applicable

9.
How do you use NCHS information? (Check all that apply)

How do you use NCHS information? (Check all that
apply)   Academic research/school
project

Health program planning,
administration or evaluation

To inform/develop policy
or legislation

Media/journalism

Market research/product
development

Personal interest

Other (please specify)

10.
Please describe any important gaps in the information or data that NCHS
provides.

Please describe any important gaps in the
information or data that NCHS provides.

11.
Which best describes your occupation?

Which best describes your occupation?   Health care provider

Health/public health
professional

Health
researcher/scientist

Legal professional

Market researcher,
analyst, or consultant

Media professional

Policy-maker, policy
analyst, or advocate

Retired

Student

Other (please specify)

12.
How would you best describe your organization?

How would you best describe your organization?
Academic/research
institution

Health care facility

Medical drug or device
industry or healthcare consulting

Media/communications
firm

Non-profit advocacy or
policy organization

Government

Not affiliated with an
organization

Other (please specify)

13.
Other comments:

Other comments: