Site Survey


Please take a few moments to answer the survey questions on this page. If you are researching information for another person, please be sure to answer these questions from your perspective.
Is this your first visit to the Department of Health Nursing Care Facility Site?
Yes  No
How helpful was was the site regarding your nursing care facility research?
Very Helpful Somewhat Helpful Not Helpful No Opinion
What is your opinion of the Locator Page?
Very Easy to Use  Somewhat Easy To Use Somewhat Difficult to Use Very Difficult to Use No Opinion
Was the deficiency comparison helpful?
Yes No
Will you visit this site again?
Yes No
AGE RACE SEX HOME COUNTY
Declined entry
Under 20
20-29
30-39
40-49
50-59
60-69
70-79
Over 80
Declined Entry
Asian/Pacific Islander
Black
Native American
Other
Unknown
White

Declined Entry
Male
Female

Additional Comments (maximum 500 characters):