Visitor Survey

1. Please provide your location:

   City:
   County:
   State:	AL - Alabama AK - Alaska AZ - Arizona AR - Arkansas CA - California CO - Colorado CT - Connecticut DE - Delaware FL - Florida GA - Georgia HI - Hawaii ID - Idaho IL - Illinois IN - Indiana IA - Iowa KS - Kansas KY - Kentucky LA - Louisiana ME - Maine MD - Maryland MA - Massachusetts MI - Michigan MN - Minnesota MS - Mississippi MO - Missouri MT - Montana NE - Nebraska NV - Nevada NH - New Hampshire NJ - New Jersey NM - New Mexico NY - New York NC - North Carolina ND - North Dakota OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania PR - Puerto Rico RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VT - Vermont VI - Virgin Islands VA - Virginia WA - Washington DC - Washington D.C. WV - West Virginia WI - Wisconsin WY - Wyoming
   Country:

Please Check all the responses that are appropriate:

2. Which group best describes you? (Please select one)
   General Public
   Teacher
   Student
   Researcher/scientist
   Industry
   Government employee
   Health Care Professional
   Public Health Professional
   Other - please describe:
   
   
3. How did you first learn about the TEACH Web site? (Please select one)
   Heard about it through word of mouth
   Found it while browsing/searching the Internet
   Found it through Office of Children's Health Protection (OCHP) Web site
   Read about it in Environmental Health Perspectives literature
   Other - please describe:
   
   
4. How often do you visit the Office of Children's Health Protection (OCHP) Web site?

   This is my first visit
   Daily
   Weekly
   Monthly

   
   
   
5. Please indicate the type of information you look for on the TEACH web site. (Please check all that apply.)

   General environmental-health information
   Information to prepare briefing on contaminated site
   Information about personal exposure
   Environmental information specific to your town, state, region
   Specific environmental-health topic (for example, lead, fish consumption, auto emissions)
   Other - please describe:

6. Please rate your level of satisfaction with the following aspects of our site:

   Please rate your level of agreement, on scale from 1 (least agreement) to 7 (strongest agreement), with the following statements about aspects of our site:

   I was able to navigate around Web site.

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   Time required to download information is acceptable.

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   Information is up to date.

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   I was able to search for and find the information I needed.

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   The information on the site is useful.

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   Information assists in making health and safety decisions for me and my family.

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7. What other type of information would you like to see on the TEACH Web site?
   
   
   
   
8. Please enter any reference that you would like to see added to the TEACH database:
   
   
   
9. What one thing would you change about this Web site?
   PLEASE DO NOT LEAVE ANY PERSONAL INFORMATION. You will have the opportunity to contact us after you click on the "Send your responses" button.
   
   
   

Thanks again for completing this survey. Please click the button below to send us your responses.

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Burden Statement: Public reporting burden for this collection of information is estimated to average ten (10) minutes per survey, including the time for reviewing instructions, gathering information, and completing and reviewing the collection of information. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggestions for reducing the burden, including the use of other automated collection techniques to the Director, OEI Collections Services Division, United States Environmental Protection Agency (Mail Code 2823), 1200 Pennsylvania Avenue, Washington, DC 20460; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, 725 17th Street NW, Washington, DC 20503, Attention: Desk Officer for EPA. Include the EPA ICR number (1711.04) and the OMB control number (2090-0019) in any correspondence.