Thank you for visiting our web site! We are interested in your opinion of our
pages so we can make them better in the future. Please take a few minutes and fill
out the following survey. All of your answers are anonymous (we don't know your name!)
and we will not release your information to anyone else.
- Which pages did you look at? Select all that apply.
- Please check this box if you are interested in entering a random drawing to win 1 of 10 Widen the Web T-shirts. You will be asked for your mailing address on the next page.
The following statements are about what you learned from this web site.
Check whether you agree or disagree with each of the following statements.
- I learned a lot about people who have had experiences with cancer.
- I feel closer to other people who have had experiences with cancer.
- I would like to help other people who have had experiences with cancer.
- I am very comfortable using the World Wide Web.
- How many years old are you?
- Are you female or male?
- What is your highest level of school?
- What is your race/ethnic group?
- Which of these statements best describes your personal experience with cancer?
- Which of these statements best describes your relationship to someone with cancer?
- Which of these statements best describes your role as a caregiver to someone
with cancer?
- How many years have you used the World Wide Web?
- Where did you access these web pages? Select all that apply:
- Do you have any suggestions about how these pages can be improved?
- How did you find out about this web site?
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