1. How did you learn of the AHPNH / Website?

Search Engine
CMS Website
Referral from a friend?
Referral from a Medciare Professional?
Link from another website
Other

2. Were you able to find what you were looking for?

Yes
No

3. How many times have you visited this website?

1st time
2-3 times
4-5 times
6-10 times
more than 10

4. Do you find the information found on the AHPNH website to be helpful?

Always
Usually
Occasionally
Rare
Never

5. How likely are you to return to the AHPNH website?

Likely
Undecided
Not Likely

6. Overall how satisfied are you with your visits to the AHPNH Medicare Website?

Satisfied
Neutral
Dissatisfied

7. What was your main reason for visiting the AHPNH Medicare website?

8. Please rate the website’s accessibility/Organization/navigation as one of the following:

Very well designed and very easy to use
Well designed and easy to use
needs to be improved, but site is usable
Poorly designed and difficult to use

9. Additional Comments (Please do not provide any Medicare service specific information.)