Valeo Online

Valeo Survey

Complete our short online survey and enter to win tickets for two to the Actor's Theatre performance of The Kite Runner -or- tickets for two to the Louisville Orchestra's Pops series performance with Randy Newman. Winners will also receive two $20 gift cards to Vincenzo's. Contest ends September 1, 2010.

Full Name:* Street Address:* City:* State:* select a state Alabama Alberta Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip Code:* Email:* Specialty:* Name of practice/business:* 1. Do you have a Facebook account? Yes No 2. Do you have a Twitter account? Yes No 3. Do you have a LinkedIn account? Yes No 4. Would you like to receive Valeo Magazine at your home? Yes No 5. Which of the following describes the way you read Valeo Magazine (you may pick more than one): I read it cover to cover I glance through it and read some of the articles I look forward to receiving the magazine and look at it as soon as I get it It may take me several weeks before I have a chance to look at the magazine My staff reads it We leave it in the waiting room for patients to read I take it home to read Members of my family also enjoy reading the magazine when I bring it home I rarely look at my Valeo Magazine 6. Which of the following describes the way you use Valeo Online (you may pick more than one): I visit the Interactive Articles section I visit the Photo Gallery I visit the Online Magazine section I only come to the website to fill out surveys This is my first time ever visiting the website 7. How did you find Valeo Online? I read about it in the magazine Someone told me about it I used a search engine 8. Do you have any suggestions as to how we can improve our website? 9. Have you ever attended a Valeo Social event? Yes No If not, why? * Required Fields If you enter anything into this text box, your message will be considered spam, and not sent! Please Ignore!