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User Review & Feedback Form for Stroke Survivors & Caregivers

 

Please rate this website by category Please include comments and suggestions

Rating Scale 1-5

1 Completely unnecessary, unhelpful, and/or irrelevant
2 Could be useful or helpful but needs more
3 Useful and helpful but would be even better if …..
4 Thorough, helpful, and applicable – an asset for stroke survivors and caregivers
5 Impressed me as a great resource every stroke survivor and caregiver should have

 

Information about aphasia
1
2
3
4
5
Local Resources (Martin County)
1
2
3
4
5
Resources for Emotional Support
1
2
3
4
5
Tips & Suggestions
1
2
3
4
5
Overall Program/Website
1
2
3
4
5

Comments:

 

 

 

 

Please respond to the following with yes (true), no (false) or Maybe (sort of)
Please include comments and suggestions

This Program website is reasonably easy to use
yes
no
sort of
This Program website is reasonably easy to find or access
yes
no
sort of
This Program website gets and holds my attention
yes
no
sort of
This Program website has a lot of good information and resources that are useful to me/us
yes
no
sort of
This Program website has useful and creative tips that really will help me/us
yes
no
sort of
This Program website is needed – there aren’t enough resources out there
yes
no
sort of
I will be happy to share this Program website with anyone I know that could benefit from it.
yes
no
sort of

I would like to see this Program website expand to include :

 

 

 



Additional feedback and comments welcome !!!

 

Which section of this program website did you like the best or think is the most useful/helpful ?

Which section was the least helpful or useful and why ?

Do you think a resource like this is needed ?

Who does this program help the most ? caregiver or stroke survivor ?

 


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