Georgia Collaborative ASO Website Feedback Survey
We want to hear from you! Thank you for visiting this website! Please take a moment to complete our short survey. We need your feedback in order to continue to improve the quality of this website. Your answers are completely confidential.
1.
Is this the first time you have visited our Website?
Yes
No
Not Sure
2.
Was the Website easy to use?
Yes
No
Not Sure
If NO, please describe what was not easy to use.
3.
Was the information easy to understand?
Yes
No
Not Sure
If NO, please describe what was not easy to understand.
4.
Did you find the information you were looking for?
Yes
No
Not Sure
If NO, what were you looking for that you could not find?
5.
Was the information you found useful?
Yes
No
Not Sure
If no, please specify
6.
If you have questions or need information about Behavioral Health services or I/DD services, would you visit this Website again?
Yes
No
Not Sure
7.
Would you recommend this Website to others?
Yes
No
Not Sure
8.
What did you like best about this Website?
9.
Any suggestions to improve this Website? We would like to hear from you!
Please tell us a little about yourself. We will not share this information.
10.
Are you a (choose all that apply):
Person receiving services
Family member
Provider
Support Coordinator
State employee
Professional
Other, Please Specify
11.
In what county do you live?
Outside Georgia
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Camden
Candler
Caroll
Catoosa
Charlton
Chatham
Chattahoochee
Chattooga
Cherokee
Clarke
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Dawson
Decatur
DeKalb
Dodge
Dooly
Dougherty
Douglas
Early
Echols
Effingham
Elbert
Emanual
Evans
Fannin
Fayette
Floyd
Forsyth
Franklin
Fulton
Gilmer
Glascock
Glenn
Gordon
Grady
Greene
Gwinnett
Habersham
Hall
Hancock
Haralson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jeff Davis
Jefferson
Jenkins
Johnson
Jones
Lamar
Lanier
Laurens
Lee
Liberty
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion
McDuffie
Mcintosh
Meriwether
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
Newton
Oglethorpe
Onconee
Paulding
Peach
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Rabun
Randolph
Richmond
Rockdale
Schley
Screven
Seminole
Spaulding
Stephens
Stewart
Sumter
Talbot
Tallaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tift
Toombs
Towns
Treutlin
Troup
Turner
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
Wilkes
Wilkinson
Worth
12.
Why did you visit our Website today?
Looking for general information.
Looking for provider information.
Curious about the site.
Looking for information on the quality of services.
To find a link to something.
Other, please specify
13.
How did you find out about the Website?
Online or a link from another Website.
Found by using a search engine (like Google).
Was told by a friend.
Was told by my Provider or Support Coordinator.
Read about it in a newsletter.
Other, please specify
Thank you for helping us make this Website a better source of information for you!
