H.E.L.P. Website
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1. Default Section
1
. Can you find the information you are looking for on our new site?
Can you find the information you are looking for on our new site?
Yes
No
I was looking for something?
Other (please specify)
2
. Did you use the "Search" feature?
Did you use the "Search" feature?
Yes
No
I didn't know there was a "Search" feature
I can't find the "Search" feature
Other (please specify)
3
. Do you like the new website design?
Do you like the new website design?
Yes
Yes, but there are a few problems
Yes, but there are a lot of problems
No
No, but it is easier to find what i need
4
. How long have you been using the H.E.L.P. website?
How long have you been using the H.E.L.P. website?
One Day
One Week
One Month
Six Months
One Year
More than One Year
5
. How long have you known about H.E.L.P.?
How long have you known about H.E.L.P.?
One Day
One Week
One Month
Six Months
One Year
More than One Year
6
. Do you have any other comments about the website?
Do you have any other comments about the website?
7
. Please fill in as much as you are comfortable.
Please fill in as much as you are comfortable.
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Country:
8
. Your Age
Your Age
Age
9
. Your Gender
Your Gender
Male
Female
10
. Your Race/Ethnicity (check all that apply)
Your Race/Ethnicity (check all that apply)
Hispanic/Latino/Latina
Black/African American
Asian American/Pacific Islander
Caucasian/European American
American Indian/Native American
Other (please specify)
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