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Council for Children & Adolescents
with Chronic Health Conditions

Web Site Evaluation Survey

By completing the confidential evaluation survey below, you will help the Council to improve its website and to advocate for the service and support needs that are critical to families with children and adolescents with chronic health conditions.

1. Did you find the information that you were looking for?

Excellent       Good       Fair       Poor


2. Did your visit to our website increase your awareness and understanding of the impact that chronic health conditions have on children and adolescents and their families?

Excellent       Good       Fair       Poor


3. Will the information that you found on our website help you, or someone you know, to locate a service and/or support that will meet your needs or the needs of a family with a child with a chronic health condition?

Excellent       Good       Fair       Poor

Please use the section below to suggest ways to enhance our website to better serve you.

Please indicate who you are:

Family member of a child/adolescent with a chronic health condition
Friend of a family member of a child/adolescent with a chronic health condition
Educator
Nonprofit organization
Health care provider
NH State Employee
Legislator
Business/Industry
Interested citizen


Your name: (optional)
Telephone Number: (optional)
Zip Code: (optional)
Country:(other than U.S.) (optional)

Thank you and please visit us often.
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