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User Survey

Because we receive support for this website from various organizations as well as gifts from individuals, we would appreciate your answering our survey below so that we can keep them informed about the use of our site.

You can also use this form to communicate your questions to us.

Thank you, in advance, for your cooperation.

  1. What was your reason for coming to our site:
    2. Patient Nurse
    Caregiver for a family member Caregiver for a friend
    Patient advocate Physician
    Other health care professional Social worker
    or, 
    Other interested person (please tell us what your role is): 
  2. Did you find what you were looking for? Yes No

    3. If you didn't find what you wanted, please tell us the topic(s) you wanted:
  3. How would you rate the quality of what you found?
    4. High Moderately high Medium Moderately low Low
  4. How would you rate the difficulty of the material you found?
    5. Too hard Pretty hard About right Pretty easy Too easy
  5. Please send us any comments or questions you wish.  If you would like us to telephone you, please include your name and telephone number with your question or comment:


  6. To protect your privacy, we strip off the incoming email headers before anybody reads your answers to our survey questions. So, if you want us to answer your email, please insert your email address in the box below. Otherwise, this is optional.

Thank you again for your visit to our web site.


Copyright 2005 You Are Not Alone
Most recent update: 04 Oct 2005 22:03

To comment on the survey or structure of this page, send email to:
 

The Webmaster