Virginia Easy Access Website SurveyVirginia Easy Access Website Survey

Your survey responses are confidential. Thank you for taking the time to help us improve the Virginia Easy Access website.

1

How did you find out about this website? (Check all that apply)

How did you find out about this website? (Check all that apply) Radio/Television

Newspaper/Print Media

Internet

Friend or Relative

Service Provider (e.g. physician, case manager)

Community Organization (e.g. association or non profit)

Senior Provider Event

Disability Provider Event

2-1-1 Virginia

Area Agency on Aging

Other, please specify

2

Tell us about yourself (Check all that apply):

Tell us about yourself (Check all that apply): Senior (60 or above)

Person with a disability

Caregiver

Professional

Other, please specify

3

How often do you visit the site?

How often do you visit the site? This is my first visit

Daily

Weekly

Monthly

Other, please specify

4

Check all the features that you have used:

Check all the features that you have used: Community Supports

Emergency Preparedness

Financial Help

Housing

My Rights: Who Can Help?

Transportation

Veterans

Related Links

2-1-1 Virginia

VirginiaNavigator

Other, please specify

5

Were you able to find the information you were looking for?

Were you able to find the information you were looking for? Yes

No

If no, what information were you unable to find on the website?

6

Would you recommend this website to others?

Would you recommend this website to others? Yes

No

Additional Comment

7

How easy was the website to use?

Very easy	Somewhat easy	Neither easy or difficult	Somewhat difficult	Very difficult
*How easy was the website to use? Very easy	Somewhat easy	Neither easy or difficult	Somewhat difficult	Very difficult

8

How would you rate the overall appearance of the website (colors, graphics, layout, etc.)?

How would you rate the overall appearance of the website (colors, graphics, layout, etc.)? Excellent

Good

Fair

Poor

Comment

9

We appreciate your feedback. Please tell us how we might improve the Virginia Easy Access website. If you were unable to find what you were searching for, please use Question #5 to tell us what you were hoping to find.

10

May we contact you to discuss your survey response?

May we contact you to discuss your survey response? Name
Email
Phone Number