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 Yes   No 

 0 - 4   5 - 9   10 - 14   15 or more 



Please answer items 3 through 7 about today’s visit, or your most recent visit to the web site.

 Yes   No 


 Yes   No 

 Yes   No 

 None   1 - 4   5 - 9   10 - 14   15 or more 

 None   1 - 4   5 - 9   10 - more 

 None   Little   Familiar   Considerable 



Items 9 through 11 are statements about the web site. Please indicate the degree to which you agree or disagree with the statements.

 Strongly Disagree
 Disagree
 No Opinion
 Agree
 Strongly Agree

 Strongly Disagree
 Disagree
 No Opinion
 Agree
 Strongly Agree

 Strongly Disagree
 Disagree
 No Opinion
 Agree
 Strongly Agree

 Strongly Disagree
 Disagree
 No Opinion
 Agree
 Strongly Agree

 Strongly Disagree
 Disagree
 No Opinion
 Agree
 Strongly Agree


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