Emerson Hospital Web Survey

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1. In which of the following roles were you visiting the Emerson Hospital site?
(Please choose the one that best applies)

In which of the following roles were you visiting the Emerson Hospital site? (Please choose the one that best applies) Current or past patient

Current Corporator

Current Auxiliary Member

Considering Emerson Hospital for care

Friend or relative of a past or current patient

Current Emerson Hospital employee - clinical professional

Current Emerson Hospital employee - non-clinical professional

Physician or other health care professional currently affiliated w/Emerson

Physician or other health care professional not currently affiliated w/Emerson

Emerson Volunteer

Member of the press

Job seeker

Other (please specify)

2. How often do you visit the site?

How often do you visit the site? Daily

Weekly

Monthly

A few times per year

Rarely

3. How did you get to the site today?

How did you get to the site today? Search engine

Physician or health care professional referral

Family or friend referral

Came directly to the site (typed in site address)

Used a bookmark or saved link

Came through a link to another site

Other (please specify)

4. How would you rate the following site aspects:

	Excellent	Good	Fair	Poor
Navigation	How would you rate the following site aspects: Navigation Excellent	Good	Fair	Poor
Visual Design	Visual Design Excellent	Good	Fair	Poor
Had the information I was looking for	Had the information I was looking for Excellent	Good	Fair	Poor

5. Please indicate the tasks you attempt to accomplish on the website:

Please indicate the tasks you attempt to accomplish on the website: Find information on quality of Emerson's care

Research info about physician(s)

Apply for a job online

Research general disease information

Find general info. (location, map, directions)

Find a support program

Find information on clinical trials

Set up an appointment

Pay a bill

Find community events

Send a card or gift to a patient

Send an email to a patient

Find information about a procedure that you (or someone close to you) may be having

Research information about a hospital dept. or service

Make a donation to Emerson Hospital

Find patient contact information

Refer a patient

Find corporate information about the hospital (Administration, facts, statistics)

Find continuing education program information

Find health care professional events

Other tasks (please specify)

6. How important would you consider each of the various website features:

7. What other features would you want available on the website?

What other features would you want available on the website? Feature:
Feature:
Feature:
Feature:

8. How often do you go online for health-related information?

How often do you go online for health-related information? Daily

Weekly

Monthly

A few times per year

Never

9. Are you:

Are you: Male

Female

10. Are you:

Are you: Under 18 years old

18-24

25-34

35-44

45-54

55-64

65 or older

11. What other thoughts or suggestions do you have for the website project?

What other thoughts or suggestions do you have for the website project?

	Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Calendar of community events	How important would you consider each of the various website features: Calendar of community events Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Online appointment scheduling	Online appointment scheduling Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Online bill payment	Online bill payment Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Information in languages other than English	Information in languages other than English Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Detailed disease information	Detailed disease information Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Alternative treatment options	Alternative treatment options Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Video clips of procedures with physician commentary	Video clips of procedures with physician commentary Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Quality data - comparing Emerson's quality of care to other hospitals	Quality data - comparing Emerson's quality of care to other hospitals Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Hospital orientation materials	Hospital orientation materials Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Email an Emerson Hospital physician	Email an Emerson Hospital physician Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Email an Emerson Hospital patient	Email an Emerson Hospital patient Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Online registration (inpatient or outpatient)	Online registration (inpatient or outpatient) Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Blogs by physicians or other staff members at Emerson Hospital	Blogs by physicians or other staff members at Emerson Hospital Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Online discussion group / online support group	Online discussion group / online support group Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Online donations	Online donations Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Purchase a gift to send to a patient	Purchase a gift to send to a patient Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Refer a patient	Refer a patient Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Online Continuing Medical Education opportunities	Online Continuing Medical Education opportunities Very Important	Somewhat Important	Somewhat Unimportant	Not Important
iPhone or web-enabled version of the website	iPhone or web-enabled version of the website Very Important	Somewhat Important	Somewhat Unimportant	Not Important
Virtual tours of hospital facilities	Virtual tours of hospital facilities Very Important	Somewhat Important	Somewhat Unimportant	Not Important

1. Default Section

1. In which of the following roles were you visiting the Emerson Hospital site?(Please choose the one that best applies)