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1-855-ORE-ADRC
Tel: 1-855-673-2372
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Website Survey
Provider Database Information
Survey questions
Thank you for providing your opinion of our website! Please check all that apply.
The website is easy to use.
Disagree
Neutral
Agree
Information is easy to read.
Disagree
Neutral
Agree
Screens have the right amount of information.
Disagree
Neutral
Agree
I can get to information quickly.
Disagree
Neutral
Agree
I found the website to be attractive.
Disagree
Neutral
Agree
The information on the website is valuable.
Disagree
Neutral
Agree
I will likely return to the website in the future.
Disagree
Neutral
Agree
How did you first hear about the ADRC of Oregon?
Another agency
Friend
Hospital or clinic
Family
Nursing home/assisted living facility
Phone book
Brochure or flyer
Media (newspaper, TV or radio)
Internet
Other
How many times have you used the ADRC of Oregon website?
1 time
2-3 times
4+ times
Would you recommend the ADRC of Oregon to a friend or family member?
Yes
No
Are you looking for information:
For yourself
For a friend or loved one
For a client or consumer
Which age category do you fall into?
18 - 39
40 - 59
60 - 74
75+
What is your ZIP code?
-
Suggestions or comments:
Email address:
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