PACEMAKER magazine survey 2008

Dear reader: Your impressions of PACEMAKER magazine can help us improve the publication. This survey will take only a few minutes. Your identity will remain confidential (all answers will be used in group-based analyses only). Thank you!

1) My INTEREST in the types of information published in PACEMAKER is:

Very high   High   Moderate   Low   None

Additional comments:

2) After reading a PACEMAKER story, my understanding of the topic usually improves:

Greatly   Quite a bit   Somewhat   Not much   Not at all

Additional comments:

3) PACEMAKER is my PRIMARY source of information about health care at UI Hospitals and Clinics:

Always

Occasionally

Infrequently

Never

No opinion

4) Has a PACEMAKER story influenced me or my family's decision to:

	Definitely	Probably	Unlikely	Definitely not	No opinion
Discuss health care at UI Hospitals and Clinics with someone else (physician, family, friend)?
Seek health care at UI Hospitals and Clinics?
Refer a patient to UI Hospitals and Clinics (answer only if relevant to your profession)?

Additional comments:

5) I share my copy of PACEMAKER with others:

Always   Sometimes   Never

Additional comments:

6) My gender is:

Male   Female

7) My age is:

Under 20   20 to 29   30 to 49   50 to 69   70 or over

8) My Zip Code is:

9) Additional comments/suggestions about PACEMAKER magazine?