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 NJ ARCH
Consumer Survey Evaluation Form
 

Thank you for visiting and utilizing the services on our website.  Feel free to take this
opportunity to tell us what we did well and where there is room for us to improve. 
Please fill out the following as completely as possible.  This information will be critical
in helping us make sure we are addressing all the possible concerns and needs of the
people we serve.  We assure you that any information you share will remain confidential.

Please provide the following information:

Zip Code:
Family Status:
Gender:
Race:         
If Other was selected, specify:
Cultural Background:
Primary Language:
Age:

Pick the answer that most closely reflects how you feel:

1. The website provided me with information that addressed my questions and concerns.

Strongly Agree Agree Neutral Disagree Strongly Disagree
 

2. The website was "User friendly".

Strongly Agree Agree Neutral Disagree Strongly Disagree
 

3. The website was easy to find and access.

Strongly Agree Agree Neutral Disagree Strongly Disagree
 

4. I would visit the NJ ARCH website again if I had questions or concerns in the future.

Strongly Agree Agree Neutral Disagree Strongly Disagree
 

5. I would recommend the NJ ARCH website to a friend who had questions or concerns about adoption.

Strongly Agree Agree Neutral Disagree Strongly Disagree
 

6. I have increased my knowledge and understanding of some aspect of adoption through my contact with NJ ARCH.

Strongly Agree Agree Neutral Disagree Strongly Disagree
 

7. I found the NJ ARCH website:
    Indicate which one:

 

8. Please tell us what you felt was the most appealing or beneficial page of the website.

9. Please tell us what page or
    section of the website you   feel could be improved and how we could make that happen?

Thank you so much for your participation, your contribution is appreciated!