Office of the Governor - Build a Better New Jersey/Healthy Families

Healthy Families/HIV/AIDS Survey

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1. Why did you visit this website? (Check all that apply)

Curious about HIV/AIDS
Interested in Public Health Issues
Want Information about HIV Testing
Worried about my own or someone else's health
Want to help stop the spread of HIV
Other (Please specify):

2. As a result of reviewing this website, did you learn anything about HIV/AIDS that you did not know already?

Yes. If Yes, what?
No

3. Is there more information on this website that you would like to see presented in more depth?

Yes. If Yes, what?
No

4. Is there any additional information that you would like to see presented on this website?

Yes. If Yes, what?
No

5. Is there anything about this website that you did not like?

Yes. If Yes, what?
No

6. Is the information on this site helpful?

Very helpful
Somewhat helpful
Could have been better
Not useful at all

7. What changes would you suggest could be made to this site to make it better or more useful?

The policy of the Governor's office is to reply to citizen concerns by US mail. If you would like the Governor to respond to your comment, please fill out your mailing information. Thank you.


Name
Prefix:	First Name: MI:
	Last Name:

Address
Street:	Suite/P.O.Box:
City:	County:
State:	Zip Code:	-
E-mail: (Optional):