Cardiac Center Parent Survey

1. How many children in your family have been diagnosed with a heart problem?

How many children in your family have been diagnosed with a heart problem? One

Two

Three

More than three

2. What are the ages of your children (or child) diagnosed with a heart problem (or your age if you are the patient)?

What are the ages of your children (or child) diagnosed with a heart problem (or your age if you are the patient)? 0-3 years

4-7 years

8-11 years

12-15 years

16-19 years

20+ years

3. My child/children (or myself if I am the patient)with heart disease (check all that apply):

My child/children (or myself if I am the patient)with heart disease (check all that apply): Has never needed hospitalization or a procedure for treatment

Has had cardiac surgery

Has had a cardiac catheterization

Takes daily medication(s) for his/her heart condition

Sees other specialists in addition to the primary physician and cardiologist

4. Have you been or are you planning to be evaluated/treated at The Children's Hospital of Philadelphia Cardiac Center?

Have you been or are you planning to be evaluated/treated at The Children's Hospital of Philadelphia Cardiac Center? Yes

Maybe

5. Do you currently see other specialists or generalists at CHOP?

Do you currently see other specialists or generalists at CHOP? Yes

Planning to make an appointment

6. When originally diagnosed, where did you first turn to learn more about the condition and possible treatments? (Select all that apply)

When originally diagnosed, where did you first turn to learn more about the condition and possible treatments? (Select all that apply) The Children's Hospital of Philadelphia Web site (www.chop.edu)

The Children's Hospital of Philadelphia Cardiac Center Web site (http://heart.chop.edu)

Other children's hospital Web site(s)

Other health/medical Web site

A generic Internet search

Public library

Physician referral

Conversations with friends, family

Other (please specify)

7. If you turned to a non-CHOP Web site, which one(s) did you use?

If you turned to a non-CHOP Web site, which one(s) did you use?

8. What features, information or functions on other sites visited did you find helpful?

What features, information or functions on other sites visited did you find helpful?

9. If you did a keyword search in Google, Yahoo or another search engine, which term(s) did you use?

If you did a keyword search in Google, Yahoo or another search engine, which term(s) did you use?

10. Did the diagnosing physician refer you to specific Web sites to learn more about the condition?

Did the diagnosing physician refer you to specific Web sites to learn more about the condition? Yes

Don't remember

11. List the sites (if any) to which your physician referred you.

List the sites (if any) to which your physician referred you.

12. Have you visited The Children's Hospital of Philadelphia Cardiac Center Web site in the last year (http://heart.chop.edu)?

Have you visited The Children's Hospital of Philadelphia Cardiac Center Web site in the last year (http://heart.chop.edu)? Yes

Don't remember

13. How did you originally find The Children's Hospital of Philadelphia Cardiac Center Web site?

How did you originally find The Children's Hospital of Philadelphia Cardiac Center Web site? Generic Internet search (Google, AOL, Yahoo, etc.).

A link from another Web site.

Visited www.chop.edu and found it there.

Saw it in a news story or article.

Suggested by a health care professional.

Never visited the site.

Not sure.

Other (please specify)

14. Did you see the Children's Hospital Cardiac Center Web site prior to making a treatment decision?

Did you see the Children's Hospital Cardiac Center Web site prior to making a treatment decision? Yes

Don't remember

15. If you have used the Cardiac Center Web site, please tell us why (Select all that apply):

If you have used the Cardiac Center Web site, please tell us why (Select all that apply): To educate myself about the condition.

To make an appointment online.

To learn about current research.

To learn about what clinical trials were available at the hospital.

To find the number to make an appointment.

To learn about the hospital and what to expect.

To learn about other patients and their outcomes.

To learn more about the doctors.

Other (please specify)

16. What were the reasons you chose to make an appointment at The Children's Hospital of Philadelphia? (Select all that apply)

What were the reasons you chose to make an appointment at The Children's Hospital of Philadelphia? (Select all that apply) The Hospital's reputation.

The Hospital's ranking (US News & World Report, Child magazine, etc.).

Clinical trials being performed at the hospital.

Research conducted at the hospital.

A specific physician's reputation.

My physician's recommendation.

Directed to CHOP by my insurance plan.

Recommendations from friends or family.

Information I read on the Cardiac Center Web site made me want to make an appointment.

Other (please specify)

17. How often did you visit The Children's Hospital of Philadelphia Cardiac Center Web site prior to your appointment/evaluation?

How often did you visit The Children's Hospital of Philadelphia Cardiac Center Web site prior to your appointment/evaluation? Never

1-2 times

3-5 times

6+ times

18. Please rate the importance of having the following content/features on the Cardiac Center Web site.

	1. Very important	2. Important	3. Somewhat important	4. Not very important	5. Not at all important
Physician publications	*Please rate the importance of having the following content/features on the Cardiac Center Web site. Physician publications 1. Very important	Physician publications 2. Important	Physician publications 3. Somewhat important	Physician publications 4. Not very important	Physician publications 5. Not at all important
Center news/events	Center news/events 1. Very important	Center news/events 2. Important	Center news/events 3. Somewhat important	Center news/events 4. Not very important	Center news/events 5. Not at all important
Information on CHOP locations	Information on CHOP locations 1. Very important	Information on CHOP locations 2. Important	Information on CHOP locations 3. Somewhat important	Information on CHOP locations 4. Not very important	Information on CHOP locations 5. Not at all important
Photos, videos	Photos, videos 1. Very important	Photos, videos 2. Important	Photos, videos 3. Somewhat important	Photos, videos 4. Not very important	Photos, videos 5. Not at all important
Parent resources	Parent resources 1. Very important	Parent resources 2. Important	Parent resources 3. Somewhat important	Parent resources 4. Not very important	Parent resources 5. Not at all important
Clinical trial information	Clinical trial information 1. Very important	Clinical trial information 2. Important	Clinical trial information 3. Somewhat important	Clinical trial information 4. Not very important	Clinical trial information 5. Not at all important
Condition/treatment descriptions	Condition/treatment descriptions 1. Very important	Condition/treatment descriptions 2. Important	Condition/treatment descriptions 3. Somewhat important	Condition/treatment descriptions 4. Not very important	Condition/treatment descriptions 5. Not at all important
Make an appointment online	Make an appointment online 1. Very important	Make an appointment online 2. Important	Make an appointment online 3. Somewhat important	Make an appointment online 4. Not very important	Make an appointment online 5. Not at all important
Program size	Program size 1. Very important	Program size 2. Important	Program size 3. Somewhat important	Program size 4. Not very important	Program size 5. Not at all important
Program/service descriptions	Program/service descriptions 1. Very important	Program/service descriptions 2. Important	Program/service descriptions 3. Somewhat important	Program/service descriptions 4. Not very important	Program/service descriptions 5. Not at all important
Patient stories	Patient stories 1. Very important	Patient stories 2. Important	Patient stories 3. Somewhat important	Patient stories 4. Not very important	Patient stories 5. Not at all important
Volumes of surgeries/procedures	Volumes of surgeries/procedures 1. Very important	Volumes of surgeries/procedures 2. Important	Volumes of surgeries/procedures 3. Somewhat important	Volumes of surgeries/procedures 4. Not very important	Volumes of surgeries/procedures 5. Not at all important
Research information	Research information 1. Very important	Research information 2. Important	Research information 3. Somewhat important	Research information 4. Not very important	Research information 5. Not at all important
Physician bios	Physician bios 1. Very important	Physician bios 2. Important	Physician bios 3. Somewhat important	Physician bios 4. Not very important	Physician bios 5. Not at all important

19. What additional information or functions on the Web site would have been helpful to you when selecting a hospital, when receiving treatment, or after treatment was completed?

What additional information or functions on the Web site would have been helpful to you when selecting a hospital, when receiving treatment, or after treatment was completed?

Cardiac Center Parent Survey
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1. Cardiac Center Parent Survey

Cardiac Center Parent SurveyExit this survey >>

1. Cardiac Center Parent Survey

Cardiac Center Parent Survey
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