Health Survey - Tell Us What You Think

Thank you for visiting our Health and Medicine Web site.  If you choose to leave an e-mail address, we will be happy to respond to you.   Responses and comments will be collected in a group format.  No personally identifying information will be retained.

1) Please describe yourself:

I am seeking information for myself or a friend.
I am seeking information for a client or customer.
I am a student researching a health topic.
Other (please describe):

2) What is your ZIP code?

3) Did you find what you needed?

Yes
Mostly yes
Somewhat
No

4) Will you use this site again?

Yes
Most likely
No

5) What additional topics should be included?

Other comments or questions? If you leave an e-mail address, we will be happy to respond. 

Comments or Questions:

E-mail Address:

Thank you for completing this survey!