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Feedback Form

This questionnaire is for you to rate the services provided to you by the Division of lang Environmental Health internet. The information you provide will be used to help us improve our services.

Internet Survey

NOTE: Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

1. Were you able to find the information that you needed?
Yes   No

2. Could you find the information quickly?
Yes   No

3. Do you use the internet daily?
Yes   No

4. Was the information you found current?
Yes   No   Not sure

5. Did you find the site visually interesting?
Yes   No

6. Did the pages download quickly?
Yes   No

7. What kind of connection do you have?
56K Modem  Cable modem DSL Don't know

8. What initially brought you to our site?
I did a browser search (Yahoo, Google, etc) for a particular topic.
I did a search on Myflorida.com for a particular topic.
I saw your division's website, "MyfloridaEH.com", advertised on a keychain, mug, brochure etc). If so, specify location below:

9. What program/topic were you looking for:

10. What was your purpose for visiting our site?
Business-related (apply for a permit, obtain a business regulation, etc)
Personal health information

11. Please list any suggestions on how could we improve our site here.

If you would like us to contact you to discuss your responses, please provide the information below.
This is OPTIONAL.

Name:
Phone:
Email:

Thank-you for taking the time to complete this survey!

This questionnaire is for you to rate the services provided to you by the Division of lang Environmental Health internet. The information you provide will be used to help us improve our services.

Florida Department of HealthRevised:

Florida Department of Health
Revised: