HHS.gov Slider Survey – New Proposed Version

HHS.gov Slider Survey – New Proposed Version
Help us improve HHS.gov
This survey should take no more than 2 minutes to complete. We will use your answers to improve the
experience for millions of Americans who use HHS.gov.
This survey is conducted pursuant to Executive Order 12862. With the possible exception of email
address, the survey does not collect personal information. Fields that are required include an asterisk
(*).

Q1: Why did you visit HHS.gov today?
•
•
•
•
•
•
•
•

To learn about health insurance options
To learn about my health rights or the Health Insurance Portability and Accountability Act
(HIPAA).
To file a complaint about a violation of health rights or the Health Insurance Portability and
Accountability Act (HIPAA).
To learn about public health emergencies. For example, COVID-19 or opioid crisis.
To get assistance through human services or programs. For example, poverty guidelines or
locations for head start centers.
To access information related to research on human subjects.
To learn about the process of applying for a HHS grant.
Other

Q2: Feel free to leave a comment if you like:
___________________

Q3: If you provide your email, it will be used to contact you about ways to improve HHS.gov. It will then
be deleted. Your email will not be kept with or linked to the feedback you provide.
Would you like us to contact you for feedback on ways to improve HHS.gov?
•
•

Yes
No

Email Address: