Wyoming Office of Multicultural Health Website Visit Survey

Thank you for visiting the Wyoming Office of Multicultural Health website. Please take a moment to complete our survey. We ask for no personally identifying information. All requested information is to help improve our website or to satisfy reporting requirements of our funding agency.

1. Please identify your profession

Please identify your profession Medical Professional

Social Services Professional

Education Professional

Government Employee

Private Sector

Non-profit

Other (please specify)

2. Please indicate your race/ethnicity – please choose one only

Please indicate your race/ethnicity – please choose one only White

Hispanic/Latino

Black

Asian

American Indian/Alaskan Native

3. Are you male or female?

Are you male or female? Male

Female

4. Please indicate your age range

Please indicate your age range 6 – 12 years old

13 – 17 years old

18 – 24 years old

25 – 64 years old

65 or older

5. Please answer each of the following relating to your visit to the WOMH website today:

	Did you experience an increase in awareness and/or knowledge?	Did you experience a positive change in attitudes or perceptions?	Did you experience and enhancement of your skills?	Do you believe what you've learned today will result in a change in behavior?
*	Please answer each of the following relating to your visit to the WOMH website today: * Did you experience an increase in awareness and/or knowledge?	Did you experience a positive change in attitudes or perceptions?	Did you experience and enhancement of your skills?	Do you believe what you've learned today will result in a change in behavior?

6. Which areas of the website benefited you today?

Which areas of the website benefited you today? Cultural/Linguistically Appropriate Services in Health Care (CLAS)

Health Disparity Resources

Translation and Interpreter Information

Data Page

I was not benefited today

Other (please specify)

7. We appreciate your input. Do you have any suggestions for improvement of the website?

We appreciate your input. Do you have any suggestions for improvement of the website?