CHESS USER SATISFACTION SURVEY 1. Below is a list of possible reasons for not using CHESS. Please check all the reasons that apply to you:  I forgot CHESS was available to me  I forgot my codename and password  I got all the information I needed through other sources  I was not feeling well enough and did not have the energy  I had technical difficulty connecting to CHESS  I did not find CHESS helpful  I was too busy to use CHESS  I did not receive enough training to use CHESS  I did not have enough time to learn how to use CHESS  Other (Please explain) 2. How many persons are living in your household including you?           12. Which of the following best describes the area you live in? Urban Suburban Rural 4. Select which training methods you received prior to using CHESS. (Please all that apply) I was offered training but turned it down I was not offered any training In person full training (i.e., 30 minutes or more at home or in the hospital, doctor's office or clinic) Brief training (i.e., Less than 30 minutes at home or in the hospital, clinic or doctor's office; or by phone) First time user checklist or user manual Follow-up phone call Help Line assistance On-line beginners guide CHESS Video Family or Friends   5. Which of the following best describes your training experience? (Please all that apply) I received enough training to use all the CHESS services I needed a little more training to be able to use all of the CHESS services I needed a lot more training to be able to use all of the CHESS services Yes No or Not Sure 6 . Did you receive access to CHESS when you needed at most?   If you answered NO or NOT SURE, please explain.