Lanai Community Health Center Family Health History Post Survey Form

Thank you for participating in our Family Health History Tool Kit. Please complete this brief survey so that we may improve our services.

Question Title

* 1. Please rate the following questions on Family Health History.

  Very Much Pretty Much Just a Little Not at All
Did you have any trouble reading or understanding the booklets?
Did you find helpful information in the booklets?
Do you think the Family Health History Tool kit was helpful?
Did anyone explain to you how to use the tool kit?
Did you have trouble collecting information about your family?
Did you have any trouble on the Family Health Portrait website?
Were you able to contact us if you had a question or concern regarding the tool kit?
Were you able to complete your Pedigree?