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Dr. Patrick Gill Asthma Education Centre Quality Feedback E-mail Form

We want to continually improve the Asthma Centre Website, so we need your help. Please fill out this Quality Feedback E-mail form so we can use your responses, comments and suggestions to make the Asthma Centre Website even better!

Are you a resident of P.E.I?
Yes No

Please indicate your age:
under 12 12-14 14-16 16-18 over 18




1) I have asthma.
Yes No

2) I know more about asthma because of visiting this site.
Yes No


3) I would recommend this site to a friend.
Yes No


4) I am more likely to take my medications after visiting this site.
Yes No Uncertain
Not Applicable


5) What did you like about the website?


6) What would you change about the website?


7) What did you like about the bulletin board?


8) What would you change about the bulletin board?

 

9) Do you know any other web sites that we should add links to?



10 ) Do you have any other comments or suggestions that would improve this site?


 

We would like to hear your FEEDBACK!

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