Yes No
Friend or family member Internet Flyer Other If Other, please specify:
Yes, some of it No, none of it
Easy Average Difficult Very Difficult
Below Expectations
Meets Expectations
Exceeds Expectations
Informative
Easy to use
Visually pleasing
Very Likely Likely Unsure Unlikely Very Unlikely
Under 18 18 - 30 31 - 45 46 - 64 65 and over
Female Male Transgender
Mental health services Addiction services Both Neither
Medicaid or SAGA Medicare Other None I don't know
