Thank you for utilizing our Workplace Disclosure Interactive Assistant. We value your feedback and would appreciate your completion of the quick survey below.

1. Please identify yourself:

2. Age:

3. What is your current employment status?

4. Please rate the following:

  Excellent Very Good Good Fair Poor
Ease of use

5. As a result of using the Interactive Assistant:

  Agree somewhat Agree Disagree somewhat Disagree Unsure N/A
I have a clearer picture of the things I need to consider before disclosing.
It made me think about the advantages and disadvantages of disclosure.
I have increased my knowledge of where to get information I need before making a decision.
I am more aware of where to go for assistance if I decide to disclose.

6. Are there any ways we can make the Interactive Assistant more useful?

7. Additional Comments: