Publications must regularly reflect on their performance to ensure that they remain relevant to their readership and are fulfilling their objectives. In 2000 the 'NSW Public Health Bulletin Discussion Paper 2000'was released, with recommendations regarding all aspects of the Bulletin content, distribution and editorial management. A copy was sent to 1200 people with a fax-back survey seeking general feedback on the Bulletin and the recommendations. There was a response rate of 11 per cent. The survey identified broad support for the Bulletin and the recommendations. Findings included strong support for encouraging electronic access but maintaining the distribution of the printed copy. Subsequent changes to production of the Bulletin have included expanding the number of reviewers of articles and making improvements to the website.