Thank you for visiting georgiahealthinfo.gov. By completing the following survey, you will
allow us to improve your Web site experience. The security of the information you
provide is very important to the Georgia Department of Community Health, and we are
committed to protecting such information against unauthorized use or disclosure.
 It should take less than 5 minutes for you to complete this survey.

Thank you for your time and comments!
                                 

* 1. How did you hear about georgiahealthinfo.gov ?
    Please select all that apply.






* 2. You are a:
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* 3. How would you rate the usefulness of the information
    provided on georgiahealthinfo.gov?
 *
Very UsefulUsefulNot UsefulDoes Not Apply
Users Guide
Diseases & Conditions
Search for Care
Compare Health Plans
Medical FAQs
Healthy Living
Cost and Quality Information
Overall content
* 4. Were you able to find the information you were looking for?

If yes, please rate the information you found.



* 5. Did your visit to georgiahealthinfo.gov increase
    your knowledge of your health concern/issue?

If yes, are you now able to make better health care
choices and decisions?


(Optional) Please explain why you are able (or not able) to make better health
care decisions.
* 6. Have you visited other health information Web sites in the past?

If yes, please write the name(s) of the health information Web site you
have visited in the past and rate this Web site against georgiahealthinfo.gov .
 
Much BetterBetterAbout the sameWorseMuch Worse
* 7.   How satisfied are you with your visit to georgiahealthinfo.gov ?




(Optional) If you are dissatisfied, please describe the reasons for your dissatisfaction below:
* 8. Would you recommend georgiahealthinfo.gov
     to a friend or family member?

9. (Optional) What other improvements do you recommend adding to georgiahealthinfo.gov ?
* 10. Which of the following is your source of health insurance coverage?









  
(Optional) The following questions are designed to provide us with more
 information about who is using the Web site. Please tell us about yourself.
11. Where do you most often access the internet?




  
12.   How would you rate yourself as an Internet user?


13. What is your gender?

14. What is your age?




15. What is your primary language?


  
16. What is your household Income?







17. What is the highest level of school you have completed?






  
18. Would you like to be added to our mailing list (optional)? 

If you answered yes, please enter your e-mail address:
 
We will not disclose your e-mail to third parties except as required by law