The Virtual Hospital

Virtual Hospital Comment Form


In order to help us better serve you, please fill out this comment form and select the "Send" button when finished. Thank you for your comments.

1. E-mail address:

2. Name:

3. Where do you live? (enter US zip code or name of country)

4. How would you describe yourself?
Physician
Allied Health Care Professional
Patient
Family Member or Friend of Patient
Student
Librarian
Other

5. What was your question or what were you looking for? (briefly describe)

6. How old is the person this question concerns?

7. What is the gender of the person this question concerns?
Female
Male

8. Did you find the answer to your question in the Virtual Hospital?
Yes
No
Found some information, but not all

9. Where did you find your answer in the Virtual Hospital? (briefly describe)

10. Why did you look for an answer to this question?
For my own learning
To answer someone else's question
For taking care of a patient
Curiosity
Other

11. What problems did you have using the Virtual Hospital? (briefly describe)

12. Was the Virtual Hospital valuable to you?
Yes
No
Somewhat valuable

13. Any additional comments?



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All contents copyright © 1992-1997 the Author(s) and the University of Iowa. All rights reserved.
Last Modified: March 05, 1997