SRHR Map: Feedback
We appreciate you taking the time to fill out our survey and give us feedback on our website. The more information you can provide, the better our resource will be.
Your Name (Not required)
First Name
Last Name
Your E-mail (Not required)
example@example.com
Which of the following describes you? *You can select more than one answer
SRHR Professional
Caseworker
Youth
Adult (30+)
Other
Overall Website Rating
1
2
3
4
5
User Friendliness
1
2
3
4
5
Visual Appeal
1
2
3
4
5
Overall, how well does our website meet your needs?
Extremely well
Very well
Somewhat well
Not so well
Not at all well
Overall. how easy was it to find what you were looking for on our website?
Extremely Easy
Very Easy
Somewhat easy
Not so easy
Not at all easy
Overall. how useful would our website be to you?
Extremely Useful
Very Useful
Somewhat Useful
Not so Useful
Not at all Useful
How likely is it that you would reccommend this website to a colleague or friend?
Not at all Likely
1
2
3
4
5
6
7
8
9
Extremely Likely
10
1 is Not at all Likely, 10 is Extremely Likely
What would you change about the website?
If you have any additional comments about our website please include them here.
Please verify that you are human
*
Geolocation
*
Please select the option for any animal(s) that BOTH has hooves and makes a "neigh" sound.
*
Chicken
Cow
Goat
Horse
Math Challenge
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