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2011
December
L
LHB Client Information Sources
LHB Client Information Sources
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Hello:
You are invited to participate in our client information survey. Participants will be asked to complete a survey that asks questions about where our program's clients receive their information. It will take approximately five minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions so we can better reach those who need the help and support of our programs.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact John Thompson at (314) 423-4333 x115 or by email at
[email protected]
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
What best describes you?
ADULT child with parent who has experienced vision loss
Parent or legal guardian of a child who is visually impaired
How did you hear about our agency?
Where do you most frequently get your daily news?
Newspaper
Radio
Television
Internet
Social Media
Friends
Other
What newspaper do you most often read?
What radio station do you most often listen to?
What websites do you use to check the news?
What television channel do you most often watch?
What Social Media channels do you participate in?
Facebook
LinkedIn
Twitter
Blogs
Other
Please rank 1 - 7 in order of what you like to do for entertainment (1 being most liked and 7 being least liked):
Read
-- Select --
1
2
3
4
5
6
7
Go the movies
-- Select --
1
2
3
4
5
6
7
Watch television
-- Select --
1
2
3
4
5
6
7
Listen to the radio
-- Select --
1
2
3
4
5
6
7
Exercise
-- Select --
1
2
3
4
5
6
7
Go out to dinner
-- Select --
1
2
3
4
5
6
7
Attend live shows
-- Select --
1
2
3
4
5
6
7
Have you visited our website?
Yes
No
Did our website provide the information you were seeking?
Yes
No
How could we improve the way information is communicated on our website?
Have you visited our Facebook page?
Yes
No
What information would you like to see posted on our Facebook page?
What is your gender?
Male
Female
What age group do you fall into?
< 20 yrs
21 - 30 yrs
31 - 40 yrs
41 - 50 yrs
> 50 yrs
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