Feedback
Please take time to fill out the website feedback survey.  This will help us determine how to 
improve our website.
General Information

Email:



Gender: Male
Female

Location: Local (Iowa)
United States (Outside of Iowa)
Other (Outside the United States)

Which options describe your situation?
(Check all that apply)
A Family Member has Cancer
My Husband/Wife -or- Boyfriend/Girlfriend has Cancer
My Friend has Cancer
I have Cancer
General Interest
Other:

Ratings

Content Rating: Outstanding
Good
Satisfactory
Needs Improvement
Needs Additional Information

Design Rating: Outstanding
Good
Satisfactory
Needs Improvement

Usability Rating: Outstanding
Good
Satisfactory
Needs Improvement

How to Deal Rating: Outstanding
Good
Satisfactory
Needs Improvement
Needs Additional Information

What is your favorite section of our website? How to Deal
Breakthroughs
Play List
Forum
Chatting with a Professional
The Wall
Shopping
Links

What is your least favorite section of our website? How to Deal
Breakthroughs
Play List
Forum
Chatting with a Professional
The Wall
Shopping
Links

Overall Website Rating: Outstanding
Good
Satisfactory
Needs Improvement

About Your Visit

How many times have you visited our website? Many Times
Several Times
First Time

Where did you hear about our website?
(Check all that apply)
Parents
Family/Relatives
Friend
Doctor/Family Doctor
Poster/Flier
Television
Newspaper (The Gazette)
Newspaper (Other)
Radio
Magazine
Search Engine
Website Link
Other:

Will you be back to our website? Yes
No

Will you recommend our website to someone you know? Yes
No

Suggestions/Comments

Suggestions:

Comments:


Kendall, 18

My uncle was diagnosed with multiple myeloma three years ago. My mom spent a lot of time traveling back and forth to Chicago, where my uncle lives. I felt guilty wishing she were at home with me when my uncle needed her more.


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gems of hope inc.

This is a Gems of Hope Inc. program designed and developed by teenagers.