Thanks For Helping Us

The information you give us will help us to improve our web site. All answers are confidential and will in no way be linked to you. Thanks for your time.

Age

Where do you use a computer or the Internet? (Check all that apply)
Home    School    Friend's House    Library    Job
Parent's Office    Other    Do Not Use Even Though I have Access

Of the time that you spend on the computer, how much of it is spent on the Internet?
None    Very Little    Half    Most    All

How much time do you spend each day on the Internet?
< ½ Hour    1 Hour    2 Hours    3 Hours    4 Hours    More Than 4 Hours

How often do you surf the web?
This is My First Time    Less Than Once a Month    Once a Month
Several Times a Month    Once a Week    Several Times a Week    Every Day

Now that you have surfed the "ASK ZEN" website:

Name the three sites you like the most:
Medical Topics    Emotional Health    Fitness and Diet
Sexual Health    Substance Abuse    Safety
Hot Topics    What's My Risk    Discussion Groups    What Do I Know?

Comment on the overall appearance of the site:
Poor    Fair    Good    Very Good    Excellent

Was the site easy to get around (navigate)?
Strong No    Weak No    Weak Yes    Strong Yes

Did you learn anything new?
Nothing    A Little    A Lot

Was the information you found useful to you?
Strong No    Weak No    Weak Yes    Strong Yes

Is the language used in the site easy to understand?
Strong No    Weak No    Weak Yes    Strong Yes

Is it easy to find information?
Strong No    Weak No    Weak Yes    Strong Yes

How is the speed of the website?
Poor    Fair    Good    Very Good    Excellent

Would you visit this site again?
Definitely Not    I Doubt It    Maybe    Probably    Definitely

Would you recommend this site to a friend?
Definitely Not    I Doubt It    Maybe    Probably    Definitely

A Few Questions About Yourself:

Are you:
Male    Female

Are you (check all that apply):
Caucasian (White)    African American    Hispanic   
Native American    Asian    Other

Where do you live?
City   State  AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Are you using Ask Zen as part of a school project?
Yes    No

If Yes:
What school do you attend?  
What is the name of the class?  
What is your teacher's name?  

What kinds of grades do you get?
Mostly As    Mostly Bs    Mostly Cs    Mostly Ds    Mostly Fs


Do you have any suggestions for improving the ASK ZEN website?



Do you have any cool teen sites that have helpful medical information that would be good links to include in our site?



  

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