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3. Thank you for taking the time to tell us about your experience with the ADRC website. Your feedback is so meaningful to us. The more information you provide, the better we can understand what is working well for people and what can be improved. You may also call us at 262-605-6646 or email at adrc@kenoshacounty.org
5. How often have you visited the ADRC Website?

   Select one best answer:

   1. Once
   2. 2 - 4 visits
   3. 6 or more visits
6. How confident are you using computers?

   Select one best answer:

   1. Very Confident
   2. Confident
   3. Not Confident
8. What were you looking for on your most recent visit to the website?
9. How easy was it to find what you were looking for?

   Select one best answer:

   1. Very Easy
   2. Easy
   3. Not Easy
11. What part of the website was most useful to you?
12. What were you hoping to find that you could not?
14. How clear and understandable was the content?

    Select one best answer

    1. Very Clear
    2. Clear
    3. Not Clear
15. How likely is it that you will return to the ADRC Website?

    Select one best answer:

    1. Very Likely
    2. Likely
    3. Not Likely
17. If you are willing to tell us a little more about yourself, please answer the following questions.
19. How would you best describe yourself?

    Select one best answer:

    1. Older person (age 60+)
    2. Person with a disability (age 18 - 59)
    3. Caregiver of an older person or person with a disability
    4. Family or friend of an older person or person with a disability
    5. Professional
    6. Other
20. What is your gender?

    1. Female
    2. Male
    3. Other
22. What is your race or ethnicity?

    Select one best answer:

    1. African American
    2. Asian
    3. Caucasian
    4. Hispanic
    5. Pacific Islander
    6. Native American
    7. Other
23. What is the highest level of education you completed?

    Select one best answer:

    1. Less than 6th grade
    2. Between grade 6 - 9
    3. Between grade 10-11
    4. High School (grade 12)
    5. Some college - no degree
    6. Associate degree
    7. Bachelor degree
    8. Master degree
    9. Doctorate degree
25. Thank you for sharing your thoughts with us!
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26. 1. Receive an email copy of this form.
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