What you tell us here will be used to improve your experiences when visiting us. Every response will be read and is appreciated.

This survey should make it easier to tell us specifics about your time spent on this site. If you have any problems completing the survey, please consider the other ways to communicate with us (Email Feedback, 800-443-7272, facsimile 989-892-5802).

Why do we go to all of this trouble to hear from you? Because even the best planning is not enough to discover mistakes, bad links, or browser problems.

Thank you.

PS If you are concerned about sharing information, visit our Privacy Policy Page to read our assurances of privacy.

Testing Background Questionnaire: thePApage.com

Privacy Information
Please note that this questionnaire is completely confidential and anonymous. The information gathered herein will only be used by our team of researchers and never sold, rented, or otherwise distributed to parties outside our company.

At the present time we do not have the capability to receive a form directly from this site. Instead, we ask that you click this link: jkircherpa@aol.com, which will open a blank email. If you then left click and hold over the questions below, they will be highlighted. Right clicking or using Edit from the browser menu above, and choosing Copy will put the questions into you computer. Go again to the blank email you opened, left click in the blank message space, and right click, then choosing Paste.

We realize how cumbersome this can be. An alternative would be to just answer the questions in an email to us by number, switching back and forth between this page and the open email. Or, just send us a short note, sharing your experiences and frustrations that occurred while visiting with us. The point here is that we want and need your comments to constantly improve our visitor's experiences. Any information you provide is appreciated.

1. Your Job Title:_________________________ Date:

2. Age Range: 18-24 25-34 35-44 45-54 55+

3. Gender: M F

4. Years of computer experience _______

5. Education Level: High School Some college Undergraduate degree
Graduate Degree Postdoc

6. If you graduated from college, please indicate your major area of study.______________________

7. How do you learn best?
Trial and Error By Example Reading Documentation
Other: _____________________________________________

8. How long have you been using computers?
Less than 1 year 2 – 3 years 3 - 5 years 5+ years

9. How would you rate your comfort level with the Internet/Web?
None Beginner Intermediate Expert

10. Which operating systems do you use regularly at home? (Check all that apply)
Windows 95 Windows 98 Windows NT Macintosh
UNIX (including Linux) Other:______________ Not Applicable

11. Which operating systems do you use regularly at work? (Check all that apply)
Windows 95 Windows 98 Windows NT Macintosh
UNIX (including Linux) Other:_____________ Not Applicable

12. Which web browser do you regularly use?
Netscape Navigator Microsoft Internet Explorer AOL
Other: _____________ Don't know ________

13. Which web browser do you PREFER?
Netscape Navigator Microsoft Internet Explorer AOL
Other:____________ No Preference __________

14. What kind of computer do you use at home? (Please be specific: include processor type and speed,
like Pentium II 266 MHz, and anything else you remember about your home machine, such as hard drive
space.) Don't Know __

15. What kind of computer do you use at work? (Again, please be as specific as you can.) Don't Know__

16. What speed Internet connection do you have at home? (Please circle answer)
28.8K or slower 33.6K 56K 128K (ISDN) DSL
Cable Modem T1 or T2 Don't Know

17. What speed Internet connection do you have at work? (Please circle answer)
28.8K or slower 33.6K 56K 128K (ISDN) DSL
Cable Modem T1 or T2
Not sure, but it seems: Fast Medium Slow

18. Are you familiar with our web site, thePApage.com? (Please circle answer)
Very familiar Somewhat familiar Slightly familiar Never seen it

19. Have you ever visited a web site for PAs?

20. If yes, what do you remember about it?

21. Do you know the name of the site?

22. How often have you visited this PA site in the last year?

23. What would you want to see in a PA Web Site? Write in anything that comes to mind. Please also check any that apply in the list below:

A. __ Clinical Pearls
B. __ Medical Books
C. __ Medical Journal Subscriptions
D. __ PA Journal Subscriptions
E. __ NCCPA Information
F. __ PA Job Descriptions
G. __ Drug Recalls / Warnings
H. __ Free CME
I. __ Online CME
J. __ National Practitioner Data Base
K. __ NCCPA
L. __ PA Salary Surveys
M.__ Articles on Professional Issues
N. __ Articles on the Job Search
O. __ Becoming a PA
P. __ Medicare Coding Rules
Q. __ Coding Hints and Help
R. __ The PA as Practice Owner
S. __ New Drug Information
T. __ Online Medical Dictionary
U. __ Hospital Privilege Information
V. __ Sample Hospital Privilege Rules
W.__ Part Time Job Opportunities
X. __ Full Time Job Opportunities
Y. __ Free Email Notification of Significant Articles/Papers about your specialty.
Z. __ PA National and State News about Commercial Insurance Issues and Coverage of PA Services
AA. __ PA Program Contact Information (Phone Numbers, Address, Program Directors)
BB. __ A PA Forum on Professional Issues, E.g., "Physician Assistant Vs Physician Associate"
CC. __ Professional Policy Papers (AAPA, APAP, NCCPA, for example, "Licensure Recommendations")
DD. __ PA National and State News from Pa Organizations

24. __ Please check here if you would consider writing a section for this site (clinical, experiences, opinions) ____

25. Thank you. Any last minute advice, guidance, or pet peeves?___________________________________________________