Online Feedback Form

1. How did you find our site?:

This survey distribution

Link from another web site

Health In Action promotional material

Health In Action exhibit

Listserv (e-mail discussion group)

Co-worker/friend

Search engine

Other, please specify:

2. How often have you visited the Health In Action site?:

First visit

I've visited before but not often

I occasionally visit

I often visit

I visit the site very often

Other, please specify:

4. Please select which geographic location BEST describes you:

Rural Alberta

Urban Alberta

Out of Province

Out of Canada

5. After using Health In Action, rate your level of satisfaction with the following

6. If you contacted Health In Action staff with a question, what was your satisfaction level with the response?

8. Please check which benefits you received as a result of using Health In Action:

Increased knowledge

Increased networking

Increased awareness of other initiatives

Improved program design, implementation or research

Other, please specify:

7. How do you rate Health In Action as an effective resource that has made a difference in your practice?:

Very Satisfied

Satisfied

Somewhat Satisfied

Unsatisfied

N/A

9. Do you have any specific ideas and/or comments you would like to share with us to improve Health In Action?:

After answering all of the questions, click the "submit" button below to complete the survey.

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