Living Well Survey July 2010

We want to know what you think about Living Well. Share your impressions and what information you’d like to see in this publication. When you complete this survey, you will be entered in a drawing for one of five $50 certificates for dinner at a local restaurant.

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1. How often do you typically read Living Well?

How often do you typically read Living Well? Every issue

Most issues

Occasional issues

This is my first issue

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2. How much of Living Well do you read?

How much of Living Well do you read? 100%

50% - 99%

25% - 49%

Less than 25%

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3. Please rate the quality of the following:

	Excellent	Very Good	Good	Poor	Very Poor	No Opinion
Articles	*Please rate the quality of the following: Articles Excellent	Articles Very Good	Articles Good	Articles Poor	Articles Very Poor	Articles No Opinion
Cover	Cover Excellent	Cover Very Good	Cover Good	Cover Poor	Cover Very Poor	Cover No Opinion
Ease of reading	Ease of reading Excellent	Ease of reading Very Good	Ease of reading Good	Ease of reading Poor	Ease of reading Very Poor	Ease of reading No Opinion
Layout and design	Layout and design Excellent	Layout and design Very Good	Layout and design Good	Layout and design Poor	Layout and design Very Poor	Layout and design No Opinion

4. The number of topics that Living Well can focus on is virtually unlimited. Please tell us what health and wellness topics you’d be interested in seeing in this publication:

The number of topics that Living Well can focus on is virtually unlimited. Please tell us what health and wellness topics you’d be interested in seeing in this publication:

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5. What actions have you taken as a result of reading Living Well (check all that apply):

What actions have you taken as a result of reading Living Well (check all that apply): Spoke with my physician or other healthcare professional

Visited www.livingstonhealthcare.org

Attended an event

Made a donation to Livingston HealthCare Foundation

Recommended Living Well to someone else

Recommended Livingston HealthCare to someone

Discussed or forwarded an article or issue

Saved an article or issue

No action taken

Other

6. What is your gender?

What is your gender? Male

Female

7. What is your age?

What is your age? Under 25

25-34

35-49

50-64

over 64

8. Household Size:

Household Size: 1

2-4

5 or more

9. What is the primary source from which you obtain healthcare information?

What is the primary source from which you obtain healthcare information? What is the primary source from which you obtain healthcare information?

Physician, Physician Assistant, Nurse Practitioner, or Nurse

Chiropractor, Naturopath, Acupuncturist, etc.

Internet

Friends and family

Print publications: Please list

TV/Radio

10. Please provide your name and phone number if you would like to be entered in the drawing to win one of five $50 gift certificates to a local restaurant.

Please provide your name and phone number if you would like to be entered in the drawing to win one of five $50 gift certificates to a local restaurant.

Living Well Survey July 2010
Exit this survey

1. Living Well Survey

*
1. How often do you typically read Living Well?

*
2. How much of Living Well do you read?

*
3. Please rate the quality of the following:

4. The number of topics that Living Well can focus on is virtually unlimited. Please tell us what health and wellness topics you’d be interested in seeing in this publication:

*
5. What actions have you taken as a result of reading Living Well (check all that apply):

6. What is your gender?

7. What is your age?

8. Household Size:

9. What is the primary source from which you obtain healthcare information?

10. Please provide your name and phone number if you would like to be entered in the drawing to win one of five $50 gift certificates to a local restaurant.

Living Well Survey July 2010Exit this survey

1. Living Well Survey

*1. How often do you typically read Living Well?

*2. How much of Living Well do you read?

*3. Please rate the quality of the following:

4. The number of topics that Living Well can focus on is virtually unlimited. Please tell us what health and wellness topics you’d be interested in seeing in this publication:

*5. What actions have you taken as a result of reading Living Well (check all that apply):

6. What is your gender?

7. What is your age?

8. Household Size:

9. What is the primary source from which you obtain healthcare information?

10. Please provide your name and phone number if you would like to be entered in the drawing to win one of five $50 gift certificates to a local restaurant.

Living Well Survey July 2010
Exit this survey

*
1. How often do you typically read Living Well?

*
2. How much of Living Well do you read?

*
3. Please rate the quality of the following:

*
5. What actions have you taken as a result of reading Living Well (check all that apply):