EmergencyMedicine.in Feedback
2012 Feedback Form for EmergencyMedicine.in Website

(Privacy - Submitting this form does not provide us any personally identifying information about you. The data collected through this survey will be analyzed, used for internal improvement & marketing purposes, and aggregate statistics may be published for others to see. The actual contents of only one of the boxes below titled OPEN FEEDBACK, may be published for others to see.)

Time required to fill this form - About 15 minutes.
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ABOUT YOU
Tell us something about yourself
Who are you? *
What are your qualifications? *
Your answer
What is your primary qualification in emergency medicine? (Physicians only)
Trainees included.
How much experience do you have in the field of emergency medicine / emergency services? *
Number of years
Which country are you currently working in? *
Your answer
ABOUT US
Tell us something you know about us
How did you get to know about EmergencyMedicine.in ? *
How often do you visit www.emergencymedicine.in *
Why do you visit www.emergencymedicine.in ? *
Tick all that apply
Required
How do you rate the various components of our website ? *
Poor
Okay
Don't know
Good
Excellent
General News Items
News Items from Editor's Desk
Website Technical Announcements
Latest from our Noticeboard
Banner Advertisements
Favorites Panel
Connecting links to other websites
Readability on your computer/laptop
Readability on your mobile device
Website loading time
How do you rate our website as a whole ? *
Poor
Okay
Don't know
Good
Excellent
EmergencyMedicine.in
Do you trust the information on EmergencyMedicine.in ? *
Tell us, why do you LIKE EmergencyMedicine.in *
Write "NONE" if nothing to like
Your answer
Tell us, why do you HATE EmergencyMedicine.in *
Write "NONE" if nothing to hate
Your answer
What are your suggestions to improve EmergencyMedicine.in ? *
Write "NONE" if no suggestions
Your answer
Do you like the website maintenance updates coming from our technical team ? *
OPEN FEEDBACK - In a few sentences, describe what you feel about EmergencyMedicine.in *
The actual contents of this box may be published for our readers to see. If you wish, you may disclose your name, institute & country, which will also be visible to our readers.
Your answer
Any other confidential feedback / comments to our Administrator. *
Write "NONE" if no feedback
Your answer
ABOUT YOU AGAIN
Tell us about yourself again
Do you have any specific knowledge which could help the development of the emergency medicine specialty in India ? *
If given an opportunity, will you spread that knowledge so that others can improve ? *
THANK YOU FOR YOUR TIME !
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