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Illinois Poison Center - Web Satisfaction Survey
Please enter the following information for our recording purposes (all information will remain confidential):
City
Zip Code
1. Why haven't you called the IPC?
Have not had a reason to call
Did not know the IPC existed or what services it offered
Did not know the IPC phone number
More comfortable calling 911 or using the emergency room
2. How did you learn about the IPC Web site?
Search Engine
Media (radio/TV/newspaper)
Link from another site
IPC education materials
Other: please list source
3. What is your main reason for visiting the IPC Web site today?
Choose one of the following options:
For poison prevention information
For information about poisonings
For general information about the IPC
To contact information for the IPC
To poison prevention materials
Other: please list
4. Did you find what you were looking for on the site?
Yes
No
If no, what did you need/want?
5. What would you like to see added to or changed about the Web site?
© 2004 Illinois Poison Center, a program of the Metropolitan Chicago Healthcare Council