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U.S. Department of Health & Human Services - 200 Independence Avenue, S.W. - Washington, D.C. 20201 1
Survey Results Report Template
Testing Conducted _________________
Submitted: [Date]
U.S. Department of Health & Human Services - 200 Independence Avenue, S.W. - Washington, D.C. 20201 2
Document Status
Item Description
Document Title
File Name
Disposition
Author(s)
Document
Description
U.S. Department of Health & Human Services - 200 Independence Avenue, S.W. - Washington, D.C. 20201 3
TABLE OF CONTENTS
EXECUTIVE SUMMARY................................................................................................................. 5
SURVEY OBJECTIVES .................................................................................................................... 5
PARTICIPANTS.............................................................................................................................. 5
Methodology ............................................................................................................................... 5
DATA COLLECTED ........................................................................................................................ 5
RESULTS ....................................................................................................................................... 6
Question 1 ............................................................................................................... 6
Question 2 ............................................................................................................... 6
Etc. .......................................................................................................................... 6
RECOMMENDATIONS .................................................................................................................. 6
APPENDIX A – Survey Text ........................................................................................................... 6
U.S. Department of Health & Human Services - 200 Independence Avenue, S.W. - Washington, D.C. 20201 4
EXECUTIVE SUMMARY
SURVEY OBJECTIVES
PARTICIPANTS
The total number of individuals who attempted the card sort was ___ …
Of those, ___ completed and saved their sort.
Of those, ___ did not actually sort any cards.
The following results cover the __ participants who truly attempted the sort.
METHODOLOGY
The survey was conducted using ________________. Form Approved OMB # ____-___
Exp. Date ____ (http://www.hhs.gov/Disclaimer.html#omb) Commented [HHS1]: If conducted by or for a Federal
Department, Office or Agency
DATA COLLECTED
The facilitator collected two forms of data:
U.S. Department of Health & Human Services - 200 Independence Avenue, S.W. - Washington, D.C. 20201 5
RESULTS
The results are broken out by category and listed by question.
Question 1
Question 2
Etc.
RECOMMENDATIONS
High – the greatest potential for improved user satisfaction
Medium – greater potential for improved user satisfaction
Low – the potential for improved user satisfaction
Recommendation Effect
1 High
2 Medium
3 Low
U.S. Department of Health & Human Services - 200 Independence Avenue, S.W. - Washington, D.C. 20201 6