User Survey

Thank you for taking a few minutes to let us know who you are, to tell us about your experience with the website and to give us your thoughts on it can be improved to serve you better.

Question Title

* 1. What is your gender?

Question Title

* 2. In what year were you born? (enter 4-digit birth year; for example, 1976)

Question Title

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

Question Title

* 5. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

Question Title

* 6. You can best be described as a:

Question Title

* 7. How did you hear about the Cancer Survivorship Connection?

Question Title

* 8. 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 Cancer Survivorship Connection?
How easy was it for you to find the information that you wanted?

Question Title

* 9. Ranging from very satisfied to very unsatified, please tell us:

  very unsatisfied unsatisfied neutral satisfied very satisfied
How satisfied were you with the Cancer Survivorship Connection?

Question Title

* 10. Please select the reason(s) why you logged onto the Cancer Survivorship Connection website. Please check all that apply.

Question Title

* 11. What could we do to make the Cancer Survivorship Connection more useful?

Question Title

* 12. Do you have any other ideas, comments or suggestions?

Question Title

* 13. Would you be willing to share your experience as a patient or survivor on a clinical trial with us?  You can enter your story on "Survivor's Voices" at https://www.georgiacancerinfo.org/survivorship/survivors-submit.aspx or you can contact us at info@georgiacore.org or at 404-523-8735.  Thank you and we look forward to hearing from you.

T