Staff email addresses

Your details Please note: fields marked with a * are compulsory.
*Your email address
*Please select the state you live   in	---Select--- ACT NSW NT QLD SA TAS VIC Other If you do not live in Australia, please select other and tell us where you're from:
*Are you registered with the MS   Society of Queensland?	Yes No
*How would you describe   yourself?	---Select--- Person with MS Carer Friend/relative of person with MS Health professional Member of the public Other If you selected other, please specify:
*Age range	Less than 19 20-29 30-39 40-49 50-59 60-69 70+
*Gender	M F
Feedback on our website
General comments on the website (layout, usability, design)
What was your main reason for visiting our website?	---Select--- General interest Specific information
If you were looking for specific information what was it?
Did you find what your were looking for?	Yes No
How did you find our website?	---Select--- Search engine Link from another site Publication Word of mouth Other
How would you rate our website?	---Select--- Excellent Very good Good OK Needs improvement
Where you mainly use the internet?	---Select--- Home Work Library Other public terminal Other private location
Your comments
Your comments or questions. Please note: we are unable to provide individual medical advice to clients via our website.
Thank you for your feedback.