Website Feedback

Please use this form to send us your feedback on design and usefulness of this website - We value the views of our users and want our website to be easy to use and informative. Let us know if any improvements can be made as we strive to provide the best possible service. The information will be tabulated and made available to the Society’s Board of Directors to share with our collaborating organizations and sponsors.

Your Name (REQUIRED):	Your Phone Number (REQUIRED):	Your Email (REQUIRED):
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How did you learn about or find our website?
	Society Member	Co-Worker	Teacher
	Classmate	Society Promotional Material or Exhibit	Publication (Newsletter, Journal, etc.)

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What were you looking for?
	Nothing, just browsing	General information on Physician Assistants
	General information on History and Legacy of the PA Profession

Other (please specify):

Information on a specific problem/issue related to the development of the PA Profession (please specify):

Did you find what you were looking for?
Yes	No	N/A - Just Browsing

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What can we do to improve this site?

Which best describes your status as a user?
	Physician Assistant - clinically active	Physician Assistant - Other	Faculty - PA Education Program	Faculty - Other
	Student - PA Program	Student - Other	Researcher - Medical History, Sociology, Anthropology	Researcher - Other
	Career Guidance Counselor - College	Career Guidance Counselor - Other	Health Care Administration	Health Care Legal, Legislative or Policy Making

Health Care Corporation or Industry

General Public/Consumer

Other:

Are you a current or past member of the Society for the Preservation of PA History?

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What is your age range?
	less than 12		13-24		25-36		37-48		49-60		greater than 61

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