MinnesotaHelp.info PDA Version Feedback Form

Section I: Your Feedback

1. What type of handheld computer do you use?

Palm

Windows Mobile (Packet PC, Windows CE)

Other:

2. Was the overall software (handheld document viewer and documents) installation process easy?

Yes

No, the type of problem encounter:

3. How do you intend to use the information provided from the PDA version of MinnesotaHelp.info?

to make immediate referrals for my clients

to assist me in finding services to put together care management plans

to find phone numbers to contact services directly

Other:

Section II: Tell Us About Yourself

4. Tell us about your profession.  I am a:
   
   health care professional (physician, nurse, etc.)
   social services
   clergy
   attorney
   administrator
   educator
   policy Maker
   Other:
    
5. How did you hear about the PDA version of MinnesotaHelp.info?
    
   Colleague
   Website
   Presentation
   Radio
   Directory
   Newsletter
   Other:
    
6. Do you have any suggestions for changes to the the PDA version of MinnesotaHelp.info?

          Enter your comments in the space provided below:

7. Would you like us to contact you once we have resolved this issue?

            Yes
            No

Name
E-mail
Tel
FAX

Please contact me as soon as possible regarding this matter.