Virginia Easy Access Website Survey

Your survey responses are confidential. Thank you for taking the time to help us improve the Virginia Easy Access website.
1
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
2
Tell us about yourself (Check all that apply):
Senior (60 or above)
Person with a disability
Caregiver
Professional
Other, please specify
3
How often do you visit the site?
This is my first visit
Daily
Weekly
Monthly
Other, please specify
4
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
5
Were you able to find the information you were looking for?
If no, what information were you unable to find on the website?
6
Would you recommend this website to others?
Additional Comment
7
How easy was the website to use?
Very easySomewhat easyNeither easy or difficultSomewhat difficultVery difficult
8
How would you rate the overall appearance of the website (colors, graphics, layout, etc.)?
Excellent
Good
Fair
Poor
Comment
9
We appreciate your feedback. Please tell us how we might improve the Virginia Easy Access website.
10
May we contact you to discuss your survey response?
Name:
Email:
Phone Number: