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User Survey

Please give us your feedback about the ADRC website. Mahalo!
On a scale from one to five, how helpful did you find this website? Required




On a scale from one to five, how difficult was it for you to navigate this website? Required




On a scale from one to five, how useful was the information you obtained? Required




How did you locate this website? Required




Overall, how would you rate your satisfaction with the ADRC Hawaii website? Required




Would you recommend this website to a friend or member of your family? Required

(Optional) Did you contact this website for yourself? Or are you a family caregiver or professional service provider?



(Optional) What is your gender?

(Optional) What is your age?





(Optional) What is your ethnicity?






(Optional) Do you or someone you are caring for have a disability which requires assistance with one or more of the following activities: walking, dressing, bathing, toileting, feeding and transferring from sitting to standing?

For Help Call:
Statewide 643-ADRC(2372)
Maui 808-270-7774
Molokai 808-553-5241
Lanai 808-565-6818