The American Liver Foundation’s Connecticut Division would like your help in assessing the needs and interests of people who are affected by liver disease, either through having liver disease themselves or having a family member or friend who is afflicted. Thank you for your participation!

* 1. Where do you live?

* 2. What is your age?

* 3. Do you or someone you know have liver disease?

* 4. Would you be interested in an educational program about liver disease?

* 5. Do you think that your current medical provider has given adequate education and support to you or your loved ones with liver disease?

* 6. Do you receive information from the American Liver Foundation?

* 7. Do you think of the American Liver Foundation as a good resource for individuals with liver disease?

* 8. How do you see the American Liver Foundation best helping you?

* 9. Is there a specific liver condition that the American Liver Foundation should focus on?

* 10. How do you like to receive educational information from the American Liver Foundation regarding medical conditions?