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?