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Edward Online Survey


Tell us what you think about our web site, edward.org.

Help us improve edward.org. Complete the edward.org quiz and feedback survey below and you will be entered into a drawing to win an iPad2. You must complete the entire survey and provide name, address, phone and email to be entered. The deadline to complete the survey is December 31, 2011. The winner will be notified by email by January 6, 2012. You must be 18 years of age and a resident of Illinois to be entered into the drawing. Edward Hospital and Health Services employees or family members are not eligible for the drawing.

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Please provide the following information to help us best serve you.

First Name *
Last Name *
Email *
Street *
City *
State *
Zip *
Home Phone *

1. *
Age group
2. *
3. *
How did you first hear about the edward.org web site?

If Other, please specify:

4. *
How often do you visit edward.org?

If Other, please specify:

5. *
What is the primary reason you would visit edward.org? You may select more than one.

If Other, please specify:

6. *
Overall, this site is very easy to use.
7. *
I like the design (visual look) of this web site, it appeals to me.
8. *
I am likely to return to this web site.
9. *
I am likely to refer a friend, co-worker or relative to this web site.
10. *
What is your favorite feature of the web site?
11. *
What is your least favorite feature of the site?
12. *
Do you have suggestions for other services or information the web site should offer patients, physicians, families or the community?
13. *
We have three questions to test your knowledge of edward.org. First question: Name two of the five HealthAware tests we have on our web site.
14. *
What city is our sleep center located in?
15. *
What are two conditions or treatments listed under "C" in Conditions and Treatments?



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Edward Hospital & Health Services
801 S. Washington, Naperville, IL 60540 • (630) 527-3000

Naperville • Plainfield • Bolingbrook • Oswego • Woodridge
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