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Questions marked with a * are required Exit Survey
 
 
1. How did you find our site? *
 
Link from another website
 
Friend/Relative
 
Searching the Internet
 
Flier
 
Government Office
 
Other, please specify
 
 
 
What topics were you interested in locating? *
   
 
 
 
2. Did you find the information you were looking for? *
 
Yes
 
No
 
 
 
Additional Comments for Question 2
   
 
 
 
3. Please rate the quality of information found. *
 
Poor
 
Fair
 
Average
 
Good
 
Excellent
 
 
4. Please rate your satisfaction with the following website components: (Ex: 1 = lowest; 5 = highest)
1 2 3 4 5
Overall Organization *
Appearance *
Ease of Navigation *
Home Page *
Services Offered *
Contact Information *
 
 
 
5. Would you refer our website to a friend, family member or colleague? *
 
Yes
 
No
 
 
 
Additional Comments for Question 5
   
 
 
 
6. Is there a topic or information that you did not find that would be helpful to the public?
   
 
 
If you would like follow up to your survey responses, please provide your contact information below:
First Name : 
Last Name : 
Phone : 
Email Address : 
 
Monmouth County Regional Health Commission #1
1540 West Park Avenue
Ocean Township, NJ 07712
(732) 493-9520