Overlay

Heart Failure Answers Survey

What do you think about this Web site? Please take a moment to answer these five questions.

Answers to all questions are required.

Do not show me this survey again.

1.	Which of the following best describes your role in coming to Heart Failure Answers today?

Patient recently diagnosed with heart failure
Patient who is preparing for a procedure
Patient who is in the process of recovering from a procedure
Patient living with a CRT-D or CRT-P (6 months or more post-surgery)
Caregiver, relative or friend of a patient
Medical professional
Other

2.	How did you find or hear about this website?

Brochure
Caregiver
Friend or relative
Doctor
Doctor’s office
Link from another Web site
Search engine (for example, Google or Yahoo)

3.	Does the information on this Web site support you having an informed conversation with your doctor and health care team?

Yes
No
Not applicable to me

4.	What enhancements can we make to the Heart Failure Answers Web site to keep you coming back? Select up to three.

Latest news about treating and living with heart failure
Patient stories and videos that give me insight into others’ experiences
Downloadable Personal Health Journal that allows me to record information such as symptoms, medications, and diet, so I can track information that helps me manage my condition with my doctor
Videos and pictures of what products are available and what to expect with the procedure
I don’t plan on returning to the site
Other (please specify)

5.	Based on your experience within the Web site, how satisfied are you with the information?

Completely satisfied
Somewhat satisfied
Neutral
Somewhat unsatisfied
Completely unsatisfied

Submit

Cancel