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Smith Student Feedback Form

Smith Health Services would like your feedback on our web site. Take a moment to answer the questions below and submit by clicking the submit button. Five winners will be chosen at random to recieve (cool!) prizes.

Thank you.

Name: (Optional)  
Graduation year: (Optional)  
Email: (Required)  
How often do you visit the Health Services site?
 
First Visit       Once a semester      Once a month
Once a week       Once a day
Rate the site overall.
 
1         2         3         4        5
PoorspacerAveragespacerExcellent
Rate the site navigation. (Menu System)
 
1         2         3         4         5
PoorspacerAveragespacerExcellent
Rate the information found on the site.
 
1         2         3         4         5
PoorspacerAveragespacerExcellent
Will you visit the Health Service web site in the future?
 
1         2         3         4         5
 NospacerPossiblespacerYes
What areas of the site do you use?
 Check all that apply.
 Counseling Services
 General Information
 Women's Health
 Medical Services
 Health Education
 Resources
 Fact Sheets
 Question of the Month
 Eating Concerns
 Recommended Sites and Links
 Sexual Health
 Quiz of the Month
 Stress
 News Alerts
 Site Map
 
What information would you like to see included in the Health Services Site?
 

Provide comments or suggestions in the box below.
 
How did you find our site or hear about Health Services?

 Other
  

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What's new in health at Smith Collegesea flowerCounseling Servies at Smith Collegesea flowerGeneral Information related to health at Smith Collegesea flowerWomen's Health Issues and Information.sea flowerMedical Services at Smith Collegesea flowerHealth Educationsea flowerSite Map of the Smith Collge Health Servies.
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