1. Which of the following best describes your involvement with CHIP? Select... I am a CHIP member I would like to become a CHIP member I am an individual looking for information to help someone apply/enroll I am not interested in CHIP membership; I am just browsing for information I am part of a community partner/agency looking for information to help someone apply/enroll Other If other, what?
2. How did you learn about CHIP? Select... Browsing the internet/search engine From a friend/family member/co-worker From my current health provider From county assistance office or community agency From a brochure/ad (TV or radio) Other If other, what?
3. What are your current perceptions of CHIP?
4. If you stated you would recommend CHIP to a friend or family member, please tell us what you would say to them?
5. What information/resources were you looking for on the CHIP website?
6. Please answer the following questions about your experience on the CHIP website:
7. How can CHIP improve this site to better meet your needs?
8. Please select the answer that best describes the language(s) you speak at home? Select... English Only Spanish Only Mostly Spanish - Some English Mostly English -Some Spanish Other If other, what?
