Pine Rest Web Site Survey

Thank you for participating in our User Survey! Your input will help Pine Rest Christian Mental Health Services to serve you better in the future. There's nothing to identify you personally, and you won't receive any email or other solicitations by participating.

The survey consists of 12 questions, and takes less than two minutes to complete. Please answer each question as best you can, and thanks again for your help.

1. I learned about this Web site from: (Please select all that apply.)
	Class, workshop or professional meeting Family member or friend Physician Newspaper advertisement Radio advertisement Internet search engine (Yahoo, Netscape, MSN, Google, etc.) Link from another Web site             Please identify: Don't know Other:
2. Which best describes your role in visiting our Web site today?
	<select one> Health Care Professional Pastor General Public Employee of Pine Rest Current or Previous Patient Insurance Provider Educational Institution Student Other   (If "Other", please specify:)
3. From the choices below, please select one answer that best describes your main reason for visiting our Web site today. Finding additional information about:
	Employment opportunities Clinic information Historical / background information Upcoming events Professional lecture information Support groups and classes Specific behavioral health information Services available at Pine Rest Understanding mental health terminology The Employee Assistance Program The Church Assistance Program Donating to Pine Rest The Pine Rest Foundation The Family Institute Internships Other (please specify)
4. Has our Web site guided you to the information you were looking for?
	Yes     No Comments:
5. The following is a list of areas on the home page. How helpful was each in guiding you to the information you were looking for today?
		Not at all Helpful				Extremely Helpful	Did not Use
		1	2	3	4	5
	Educational Resources
	Our Services
	About Us
	Opportunities
	Events
	Giving
	Clinician Search
	Web Site Search
	Site Map
6. During today's visit to our Web site, how satisfied were you with the following?
		Not at all Satisfied				Extremely Satisfied
		1	2	3	4	5
	Ease of getting around
	Simple labeling and layout
	Style/ Design of Web site
	Finding what I was looking for
	Information was useful
	Information was easy to understand
7. Overall, how satisfied are you with your experience with our Web site?
	Not at all Satisfied Extremely Satisfied
	1   2   3   4   5
8. Which best describes how often you visit our Web site?
	Daily Weekly Monthly Every three months This is my first visit
9. Please rate your level of experience with the Internet in general:
	Not at all Experienced Extremely Experienced
	1    2    3    4    5
10. How old are you?
	<Please select...> 18-24 25-34 35-44 45-54 55-64 65 or over
11. What is the highest level of education you have completed?
	<Please select...> Less than High School High School Some College College Graduate Post Graduate
12. Do you have any additional comments or suggestions about our Web site?
	Click the Submit button only once. It may take 5 to 10 seconds to send in the survey.