Website Visitors Survey

To help us better serve you, we ask that you help us by answering the following twenty-one question survey.

  1. How did you find the ACHE website?
    Search engine Link from another website ACHE newsletter Other  
  2. How often do you visit the ACHE website?
    Less than once a week Once a week Several times a week Several times a month Several times a year 
  3. How would you rate the ease of use of the ACHE website? (1=difficult, 5=easy)
    1 2 3 4 5 
  4. Did you find the information you were seeking?
    Yes No (If not, what was it?)  
  5. Have you used the discussion forums?
    Yes No
    If yes, what was your opinion of them (1=poor, 5=excellent)
    1 2 3 4 5 
  6. Have you used the “Find A Physician” search feature?
    Yes No 
  7. Was it helpful to you? (1=not helpful, 5=very helpful)
    1 2 3 4 5 
  8. Would you participate in a peer support chat?
    Yes No 
  9. Would you participate in a doctor-moderated chat?
    Yes No 
  10. What other websites do you use for medical information?
     
  11. What else would you like to see offered on the ACHE website?
     
  12. Your age (or age of the person you are filling this out for):
    under 12 13-19 20-25 26-30 31-35 36-40 41-54 55-64 over 65 
  13. Gender:
    Male Female 
  14. How many years have you suffered from headaches?
    0-3 4-9 10-15 16+ 
  15. Are you currently being treated by a physician for your headaches?
    Yes No 
  16. What type of headache do you suffer from? (Check all that apply)
    Migraine Rebound Sinus Cluster Tension-type Chronic Daily Headache Don’t Know Other  
  17. Have you been diagnosed by a physician?
    Yes No
    If yes, what type of physician diagnosed you?
    Primary Care (internist, family practitioner, pediatrician) Neurologist Other  
  18. How many physicians did you see before receiving a diagnosis?
    1 2-3 4-5 6+ 
  19. How many years did you suffer before receiving a diagnosis?
    1 2-3 4-5 6+ 
  20. What type of acute medication(s) are you taking for your headaches? (check all that apply)
    Non-prescription pain-reliever Prescription pain-reliver Triptan DHE Ergotamine Herbal/vitamin/other supplement Other  
  21. How satisfied are you with your acute headache treatment? (1=not at all, 5=very satisfied)
    1 2 3 4 5