Virtual Naval Hospital: Comments

Virtual Naval Hospital Comment Form

In order to help us better serve you, please fill out this comment form and select the "Send Comments Now" button when finished. Thank you for your comments.

Please note: We are unable to answer your personal medical questions. Click here to see a list of other resources which may help to answer your questions.

A. Please tell us about yourself:

Note: Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.

1. E-mail address:

2. Name:

3. How would you describe yourself? (Click on one choice)
Military Health Care Provider (including Military Health Sciences students)
Civilian Health Care Provider (including Civilian Health Sciences students)
Patient (including patient's family members or friends)
Other:

4. What country are you from? (Briefly describe)

B. Please tell us about Virtual Naval Hospital:

5. What do you like about Virtual Naval Hospital? (Briefly describe)

6. What do you dislike about Virtual Naval Hospital? (Briefly describe)

7. How would you improve Virtual Naval Hospital? (Briefly describe)

8. To you, how valuable is Virtual Naval Hospital?(Click on one choice)
1 - Extremely valuable
2 - Very valuable
3 - Valuable
4 - Somewhat valuable
5 - Not at all valuable

9. Any other comments about Virtual Naval Hospital you would like to share? (Briefly describe)

Finally:

10. What other naval, military, and medical Web sites do you use, and why do you use them? (Briefly describe)

Please click on the "Send Comments Now" button to complete this form.

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