Website Usability Session
Thank you for your interest in our usability session. Please fill out the information below and we will contact you shortly.
Name (First and Last)
We will only use your number for scheduling purposes
What is your occupation?
All you need to do is mark how much you agree or disagree with each statement. There's no wrong answer. Just tell us what's true for you, not what you think will sound best to someone else. If a statement doesn't apply to you, mark N/A and move on.
Does Not Apply
I know how to prevent problems with my health
I am confident I can figure out solutions when new problems arise with my health
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