Survey of Louisiana Heart Gallery Services

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Please take a moment to fill out this short questionnaire to help us enhance the quality of the Louisiana Heart Gallery website and its services to families. All information is voluntary and confidential. We value your input and thank you for your time!

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How did you hear about this site? *

Internet Search Agency/DCFS Friend Other

If Other please specify: *

Were your questions or concerns addressed promptly and courteously? *

yes no

If no, please explain *

Was there other information that would have been helpful? *

yes no

If yes, please explain what else would have been helpful. *

Are you connected to a Faith Community Partner such as a church or support group? *

yes no

If yes, who? *

If no, would you like to be? *

yes no

Please make any other comments you would like to make. Thank you for taking your time to answer this survey. *

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