This short questionaire should take no more than 2 minutes to answer. Thank you.
How did you hear about the Eldercare Home Health website?
Recieved information in the mail
A co-worker
Internet search engine (like Google)
Did you find the Eldercare Home Health website easy to use?
Very
Somewhat
No not at all
Did you find the Eldercare Home Health website informative?
Very
Somewhat
Not at all
Would you recommend the Eldercare Home Health website to a client as a helpful resource?
Yes
No
Do you have any suggestions that would help us make the Eldercare home Health website even more useful (please write in the space below)?
Thank you for visiting the new Eldercare Home Health website. Please fill in your contact information so that we can notify you if you win the BODY SHOP gift basket. The winner of the basket will be announced on this site on June 30 03.
First name
Last name
Hospital or institution
Street address
City
Province
Postal code
Phone number
Your e-mail
Is there someone who you think would be interested in hearing about the Eldercare Home Health website? If so, please enter their e-mail address below and we'll send them a short note with a link to our site.
e-mail of friend/co-worker/client
Thank you for taking the time to fill out this quentionaire