| |
* Indicates required field |
| |
| |
How would you describe yourself? |
| |
|
|
| |
| |
Other: |
|
| |
| |
Gender: |
|
| |
| |
Age Group: |
| |
|
| |
| |
| |
You and Your Needs… |
| |
| |
What type of information were you looking for when you came to bmc.org?
Please check all that apply: |
| |
|
|
| |
| |
Other: |
|
| |
| |
Was the information you were looking for easy to find? |
|
| |
| |
If you answered, ‘No,’ please describe it here. If possible, copy the URL of the page you were on into the text box and then describe your concerns. |
| |
| |
Any comments or concerns? |
|
| |
| |
What sections of the website did you find most useful?
Please check all that apply: |
| |
|
|
| |
| |
Specific Clinical Service / Department: |
|
| |
| |
How would you rate the site overall? |
| |
| |
|
| |
| |
Are you likely to recommend the site to someone else? |
|
| |
| |
How often will you return to the website? |
| |
|
| |
| |
Would you like to be notified by email about updates we make to our website? |
| |
If so, please provide your email address: |
|
| |
| |
* |
|
| |
| |
THE INTERNET IS NOT SECURE ─ WE HIGHLY RECOMMEND AND ADVISE YOU NOT TO PROVIDE ANY CONFIDENTIAL OR SENSITIVE INFORMATION OVER THE INTERNET. IF YOU CHOOSE TO DO SO, IT IS AT YOUR OWN RISK. ANY UNLAWFUL OR CRIMANAL CONTENT PROVIDED, WILL BE SUBJECT TO LAW ENFORCEMENT REVIEW. |
| |
|
|
Thank you for your time! |
