PHCQA Feedback Survey
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1. Default Section
1
. How easy was it to understand the information on the PHCQA website?
How easy was it to understand the information on the PHCQA website?
Very easy
Fairly easy
Fairly difficult
Very difficult
2
. How easy was the PHCQA website to use and navigate?
How easy was the PHCQA website to use and navigate?
Very easy
Fairly easy
Fairly difficult
Very difficult
3
. How useful do you think the information on the PHCQA website will be to you?
How useful do you think the information on the PHCQA website will be to you?
Very useful
Useful
Somewhat useful
Not useful
4
. How do you think you will use the information on the PHCQA website? (Check all that apply)
How do you think you will use the information on the PHCQA website? (Check all that apply)
To better understand the issue of health care quality
To evaluate hospital performance
To see how my hospital is doing
To talk with my doctor
To tell my family and friends about it
Probably won’t use it
Other
5
. Which part of the PHCQA website did you find particularly useful? (Check all that apply)
Which part of the PHCQA website did you find particularly useful? (Check all that apply)
The data in the reports
Supporting information about the measures
The historical data (like to see improvement)
Regional comparisons
Seeing measures by topic
6
. Was the information on the PHCQA website what you were expecting to find?
Was the information on the PHCQA website what you were expecting to find?
Definitely
To some extent
Slightly
Not at all
7
. How did you find out about the PHCQA website?
How did you find out about the PHCQA website?
My employer
A friend or relative
A physician
A hospital
A link on another website or a web search
Insurance company
Other
8
. Would you recommend the PHCQA website to others?
Would you recommend the PHCQA website to others?
Definitely
Maybe
Doubtful
Not at all
9
. How would you categorize yourself?
How would you categorize yourself?
Consumer
Employer
Provider
Insurer
Government
Media
10
. Please provide your city/town and state.
Please provide your city/town and state.
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
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