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Community Health Alert
,
Survey Form
Name:
Email Address
What were you looking for on our Web site?
Did you find everything you were looking for? (5=Exactly, 1=Not At All)
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5
How useful was the information you found? (5=Very Useful, 1=Not At All)
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5
Did you find our site easy to use? (5=Easy To use, 1=Very Difficult)
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2
3
4
5
How would you rate our site overall? (5=Perfect, 1=Needs a lot of Improvement)
1
2
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5
Will You Be Back?
Yes
Undecided
No
Please provide additional information or comments:
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