LINESCALE ® Mkt_ass Study

	[562009] Assessment of Medical Procedure Outcomes
	Closed on July 23, 2014





		Radio button answers encoded as numbers (e.g., first answer is "1," second answer is "2," etc.) and checkbox answers encoded as "1" or "0" (e.g., "1" if answer checked and "0" if not checked).
		Yes No
Questions
second_choice		If exactly this treatment or procedure for your [specify_condition] had not been available, what would your most likely alternative have been? (Please select or write in one)
third_choice		Aside from the treatment or procedure actually done for your [specify_condition] and [second_choice], what would your next most likely alternative have been? (Please select or write in one)
hospitalized_personally2		Have you personally been hospitalized for at least one of these conditions or procedures in the last ten years?
specify_condition		Please mark the one procedure you are rating.
accept_score		Would you change that score?
comments		What's the main reason you rated as you did?
reason		Which most contributed to your rating? (Please pick up to five main reasons for your rating.)
comment_features2		We're very interested to know why you rated as you did, particularly the highest and lowest rated. Please write your comments here - as much or little as you care to.
zipcode		What is your ZIP Code?
name		What is your name?
phone		The best phone number to call?
email_address		The best email address to reach you?
interview_rate		One final question - This is a new type of Internet interview. Did you enjoy it?
redirect_second		Okay, thank you. We have one other brief interview available about hotels and would like your opinion.
Ranking set - Competitive Benchmarks
control1_x		All things considered, how do you rate ? Please click on the blue Linescale to indicate your opinion.
control2_x		Okay, all things considered, how do you rate ? Please click on the blue Linescale to indicate your opinion.
concept_x		Thank you. Now think back to your expectations for the results of your treatment or procedure. Before your treatment or procedure, what were your expectations for the results?
experience_x		Thank you. Considering how you have been doing recently, how do you rate the overall results of the treatment or procedure? If somewhat better, click on the Linescale to the left of your previous rating. If somewhat worse, click to the right.
Ranking set - Treatment Features
experience_x		Thank you. Considering how you have been doing recently, how do you rate the overall results of the treatment or procedure? If somewhat better, click on the Linescale to the left of your previous rating. If somewhat worse, click to the right.
features2_1_x		Please rate the competence and professionalism of the doctors
features2_2_x		Please rate the care and attitude of the nursing staff
features2_3_x		Please rate the food choices and quality
features2_4_x		Please rate the general cleanliness and quality of the facility where you were treated
features2_5_x		Please rate the admission procedures and paperwork
features2_6_x		Please rate the out-of-pocket cost to you
features2_7_x		Please rate the visiting hours and way your visitors were treated
features2_8_x		Please rate the responsiveness to your needs and requests
Diagnostics and Single Linescales
diag1_x		Please rate the treatment or procedure for improvement in degree of pain or discomfort.
diag2_x		Please rate the treatment or procedure for improving your general feeling of health and well-being.
diag3_x		Please rate the treatment or procedure for improving your ability to manage your life day to day.
diag4_x		Would you recommend the treatment or procedure you received to your family and friends if they were in similar circumstances?
Demographics
gender		To confirm, what is your gender?
age		And your age?
income		For statistical reasons, please indicate your approximate annual household income.
Grid Questions
External Data (Parameters)
pid		SSI user ID
psid		SSI project ID
Internal values
linescore		Linescore
linescore_segment		Linescore segment
url		Referring URL
cell_id		Study ID
lupdate		Study completion date/time
session_id		Internal session ID
run_state		Internal run state