GeorgiaCancerInfo.org Website Survey

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* 1. What is your gender?

Male

Female

Other (please specify)

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* 2. What is your age?

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* 3. Which race/ethnicity best describes you? (Please choose only one.)

Black/African American

White/Non-Hispanic

White/Hispanic

Asian American/Pacific Islander

American Indian or Alaskan Native

Latino/Hispanic

Multiracial (please specify)

Other (please specify)

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* 4. You can best be described as:

Cancer Patient in active treatment

Cancer Survivor finished with active treatment

Caregiver for a Cancer Patient/Survivor

Family/Friend of a Cancer Patient/Survivor

Doctor

Nurse, Navigator or Healthcare Professional

Minister/Clergy

Dietician

Social Worker

Other (please specify)

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* 5. What is your zip code?

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* 6. How did you hear about GeorgiaCancerInfo.org?

Doctor or Healthcare Professional

Family or Friend

Media (Web Ad, Newspaper, TV, Radio)

Social Media (Facebook, Twitter, LinkedIn)

Poster or Brochure

Google

Flyer /Postcard about Cancer License Tags

Other (please specify)

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* 7. Ranging from very easy to very difficult, please tell us:

	Very Difficult	Difficult	Neutral	Easy	Very Easy
How easy was it for you to navigate the website?	How easy was it for you to navigate the website? Very Difficult	How easy was it for you to navigate the website? Difficult	How easy was it for you to navigate the website? Neutral	How easy was it for you to navigate the website? Easy	How easy was it for you to navigate the website? Very Easy
How easy was it for you to find the information you wanted?	How easy was it for you to find the information you wanted? Very Difficult	How easy was it for you to find the information you wanted? Difficult	How easy was it for you to find the information you wanted? Neutral	How easy was it for you to find the information you wanted? Easy	How easy was it for you to find the information you wanted? Very Easy

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* 8. Ranging from very satisfied to very unsatisfied, please tell us:

	Very Unsatisfied	Unsatisfied	Neutral	Satisfied	Very Satisfied
How satisfied were you with GeorgiaCancerInfo.org?	How satisfied were you with GeorgiaCancerInfo.org? Very Unsatisfied	How satisfied were you with GeorgiaCancerInfo.org? Unsatisfied	How satisfied were you with GeorgiaCancerInfo.org? Neutral	How satisfied were you with GeorgiaCancerInfo.org? Satisfied	How satisfied were you with GeorgiaCancerInfo.org? Very Satisfied

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* 9. What kind of information did you come to the website to find?

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* 10. What additional content would you like to see on the website?

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* 11. List any ideas, comments or suggestions.

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* 12. Thank you for your time! If you are a cancer survivor, consider taking our cancer survivorship needs assessment survey. Click here to learn more.