NATT Website Feedback
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1. Default Section
Please answer the following 7 questions to help us serve your needs better. Questions with an asterisk are required.
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1
. Based on today's visit, how would you rate your site experience?
Very Bad
Bad
Fair
Good
Very Good
Outstanding
Your Experience
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Based on today's visit, how would you rate your site experience? Your Experience Very Bad
Your Experience Bad
Your Experience Fair
Your Experience Good
Your Experience Very Good
Your Experience Outstanding
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2
. What was the primary purpose of today's visit? Please check only one.
What was the primary purpose of today's visit? Please check only one.
Information about genetic testing
Information about INR monitoring / testing
Information about NATT events (e.g. Seminars, Support Groups)
Information about signs and symptoms or risk factors
Information about treatment and complications
Learn about the NATT organization
Make a donation
Stories from patients and family members
Other (please specify)
3
. In addition to the primary purpose of your visit was there other information you were seeking? Please check all that apply.
In addition to the primary purpose of your visit was there other information you were seeking? Please check all that apply.
Learn about the NATT organization
Information about NATT events (e.g. Seminars, Support Groups)
Make a donation
Information about INR monitoring / testing
Information about genetic testing
Information about treatment and complications
Information about signs and symptoms or risk factors
Stories from patients and family members
Other (please specify)
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4
. Were you able to complete the purpose of your visit today?
Were you able to complete the purpose of your visit today?
Yes
No
5
. Please tell about yourself and your interest in the NATT website, check all that apply:
Please tell about yourself and your interest in the NATT website, check all that apply:
I am a person with a blood clotting disorder
I am a family member or friend of a person with a blood clot or clotting disorder
I am a person who has had a blood clot
To my knowledge I have never had a blood clot
I am a healthcare provider
I am a student
Other (please specify)
6
. What do you value most about the NATT website?
What do you value most about the NATT website?
7
. What would you like to see changed or added to the NATT website?
What would you like to see changed or added to the NATT website?
8
. If you would like a copy of the evaluation results please provide your e-mail address below.
If you would like a copy of the evaluation results please provide your e-mail address below.
Email Address:
9
. If you would like to join our mailing list you can sign up below.
If you would like to join our mailing list you can sign up below.
Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
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