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Your survey responses are confidential. Thank you for taking the time to help us improve the Virginia Easy Access website.
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1
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How did you find out about this website? (Check all that apply)
| Radio/Television |
| Newspaper/Print Media |
| Internet |
| Friend or Relative |
| Service Provider (e.g. physician, case manager) |
| Community Organization (e.g. association or non profit) |
| Senior Provider Event |
| Disability Provider Event |
| 2-1-1 Virginia |
| Area Agency on Aging |
| Other, please specify |
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2
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Tell us about yourself (Check all that apply):
| Senior (60 or above) |
| Person with a disability |
| Caregiver |
| Professional |
| Other, please specify |
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3
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How often do you visit the site?
| This is my first visit |
| Daily |
| Weekly |
| Monthly |
| Other, please specify |
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4
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Check all the features that you have used:
| Community Supports |
| Emergency Preparedness |
| Financial Help |
| Housing |
| My Rights: Who Can Help? |
| Transportation |
| Veterans |
| Related Links |
| 2-1-1 Virginia |
| VirginiaNavigator |
| Other, please specify |
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5
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Were you able to find the information you were looking for?
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If no, what information were you unable to find on the website?
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6
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Would you recommend this website to others?
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7
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How easy was the website to use?
| Very easy | Somewhat easy | Neither easy or difficult | Somewhat difficult | Very difficult |
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2
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3
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4
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5
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8
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How would you rate the overall appearance of the website (colors, graphics, layout, etc.)?
| Excellent |
| Good |
| Fair |
| Poor |
| Comment |
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9
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We appreciate your feedback. Please tell us how we might improve the Virginia Easy Access website. If you were unable to find what you were searching for, please use Question #5 to tell us what you were hoping to find.
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10
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May we contact you to discuss your survey response?
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