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SVH Heart Health Website Survey
1.
What is your gender?
Female
Male
2.
What is your age?
25 to 34
35 to 44
45 to 54
55 to 64
65 to 74
75 or older
3.
Are you of Aboriginal or Torres Strait Island descent?
No
Yes
4.
In what type of community do you live?
City or urban community
Suburban community
Rural community
Other (please specify)
5.
Do you have access to the internet?
Yes
No
6.
Which of the following devices do you use to connect to the internet?
Computer
Tablet
Smart phone
7.
Where are you when you use the internet? (Check all that apply)
Home
Cafe or shop
Friend's home
Work
Other (please specify)
8.
What is your relationship to our website?
I'm a patient
I'm a friend, family or carer of someone with a heart condition
I'm a healthcare worker
I'm a member of the community visiting the website
Other (please specify)
9.
Prior to visiting the website, who provided you with information that you needed about your heart condition or procedure?
Local doctor (GP)
Specialist (Cardiologist or Surgeon)
Ward nurse
Cardiac rehabilitation staff
Another website
I did not receive any information about my heart condition or procedure
Other (please specify)
10.
Prior to visiting the website, how much of the information that you needed about your heart did you get?
All of the information
Most of the information
Some of the information
A little of the information
None of the information
11.
How useful is this website to you?
Extremely useful
Very useful
Moderately useful
Slightly useful
Not at all useful
12.
What would make you more likely to use our website?
13.
If you are not likely to use our website, why not?
14.
How easy is it to understand the information on our website?
Extremely easy
Very easy
Somewhat easy
Not so easy
Not at all easy
15.
How much do you trust the information on our website?
A great deal
A lot
A moderate amount
A little
Not at all
16.
How easy is it to find what you were looking for on our website?
Extremely easy
Very easy
Somewhat easy
Not so easy
Not at all easy
17.
What do you like most about our website?
18.
How likely would you be to recommend our website to others?
Extremely likely
Very likely
Moderately likely
Slightly likely
Not at all likely
19.
If you're not likely to recommend the website, why not?
20.
If you're likely to recommend the website, why?
21.
Would you like your feedback to be anonymous?
Yes
No
If you answered "No" please provide your First Name, Last Name and postcode