WV Cancer Resource Guide Satisfaction Survey

Thank you for taking time to provide feedback on the WV Cancer Resource Guide.

If you would like to add a resource, update an existing resource, or remove a resource from the WV Cancer Resource Guide please go to: https://www.surveymonkey.com/r/WVCRGsubmit

Question Title

* 1. For what purpose did you use the WV Cancer Resource Guide?

Personal

Friend or family member

On behalf of a patient as a patient or financial navigator, social worker, nurse, etc.

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* 2. Did you find the WV Cancer Resource Guide to be a helpful tool?

Yes

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* 3. Did you, a family member, or a patient utilize a resource within WV Cancer Resource Guide?

Yes

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* 4. If "yes" to question #3, which resource(s) did you utilize?

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* 5. How can we improve the WV Cancer Resource Guide?

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* 6. Do you have any additional comments or suggestions?

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* 7. Would you like to receive WV Cancer Resource Guide promotional materials to distribute in your community or at your work site?

Yes

Question Title

* 8. If "Yes" to question 6, please provide your address:
You will be contacted to determine what type(s) of materials you would like to receive.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

WV Cancer Resource Guide Satisfaction Survey

Thank you for taking time to provide feedback on the WV Cancer Resource Guide.

Question Title

* 1. For what purpose did you use the WV Cancer Resource Guide?

Question Title

* 2. Did you find the WV Cancer Resource Guide to be a helpful tool?

Question Title

* 3. Did you, a family member, or a patient utilize a resource within WV Cancer Resource Guide?

Question Title

* 4. If "yes" to question #3, which resource(s) did you utilize?

Question Title

* 5. How can we improve the WV Cancer Resource Guide?

Question Title

* 6. Do you have any additional comments or suggestions?

Question Title

* 7. Would you like to receive WV Cancer Resource Guide promotional materials to distribute in your community or at your work site?

Question Title

* 8. If "Yes" to question 6, please provide your address:You will be contacted to determine what type(s) of materials you would like to receive.

* 8. If "Yes" to question 6, please provide your address:
You will be contacted to determine what type(s) of materials you would like to receive.