VISITOR FEEDBACK FORM


 

The website committee are keen to gather information from site visitors relating to your opinions about the appearance, contents and usability of this web site. We have prepared a questionnaire, (see below) containing a number of questions about matters that we feel are important to visitors. If you want to tell us something that is not asked please use the text box at the bottom to do so. We have also asked for some personal information to give us a sketch about you but if you'd rather not tell us anything about yourself, just complete the rest of the form.
 
Please note that under no circumstances whatsoever will we pass any information you supply to a third party and this includes your e-mail address, should you decide to provide it.
 


Name:

Address:
 

Post Code:

Telephone No:

E-mail address:


 
IN ORDER THAT WE MAY ESTABLISH A GENERAL VISITOR PROFILE, PLEASE INDICATE WHICH OF THE FOLLOWING APPLY TO YOURSELF.

My Gender is:

  Male

 

  Female
 

My Age Group is:

  Under 20yrs
 

  21-40yrs

 

  41-60yrs

 

  Over 60yrs
 

I am a:

  Service User
 

  Carer

 

  Health Professional

 

  None of these
 

English is my first language:

  Yes
 

  No
 

PLEASE INDICATE WHETHER YOU "AGREE", "DISAGREE" or "DON'T KNOW" IN RESPECT OF THE FOLLOWING STATEMENTS.
 

The "look and feel" of the site is clean and unobtrusive

Agree

Don't Know

Disagree


It's easy to get around the site and find out where things are

Agree

Don't Know

Disagree


The site content is comprehensive and up to date

Agree

Don't Know

Disagree


I expect to be using the site on a regular basis

Agree

Don't Know

Disagree


I would also like you to consider the following:-
[For instance: provision of translation services, e-mailed newsletter etc.]

 

 
 
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