Exit this survey Christie Clinic 2012 Online Focus Group Survey Question Title * 1. Identify your relationship with Christie Clinic. Patient Past Patient Physician Referring Physician Christie Clinic Team Member Other (please specify) Question Title * 2. When was the last time you visited Christie Clinic as a patient? This month Last month 2-6 months ago 6-12 months ago 1-3 years ago 3+ years ago Never Question Title * 3. Approximately how often do you see your physician? Weekly Monthy Bimonthly Twice a Year Annually Question Title * 4. Have you visited the Christie Clinic website in the past month? Yes No Question Title * 5. What sort of information were you seeking when you visited the site? Location Contact information Doctor profiles Medical encyclopedia Event information Support group News Other (please specify) Question Title * 6. What websites do you visit on a regular (daily or weekly) basis? Google Yahoo Comcast.net News-Gazette Illinoishomepage.net Facebook Twitter Linked-In Other (please specify) Question Title * 7. Before you visit your physician, what following activities do you perform? Call to make an appointment Make an appointment online (IC-My Health Record) Visit the Christie Clinic website Google symptoms Talk to friends or family about condition Call insurance company Other (please specify) Question Title * 8. Where do you get your health and wellness information? Magazines Social Media (Facebook posts) Physician Radio Newspaper TV Family and Friends Internet Other (please specify) Question Title * 9. How would you rate your recent impression of Christie Clinic in the following areas: not satisfied -1 2 3 satisfied - 4 Ability to schedule appt. Ability to schedule appt. not satisfied -1 Ability to schedule appt. 2 Ability to schedule appt. 3 Ability to schedule appt. satisfied - 4 Quality of physicians Quality of physicians not satisfied -1 Quality of physicians 2 Quality of physicians 3 Quality of physicians satisfied - 4 Community involvement Community involvement not satisfied -1 Community involvement 2 Community involvement 3 Community involvement satisfied - 4 Friendliness of office staff Friendliness of office staff not satisfied -1 Friendliness of office staff 2 Friendliness of office staff 3 Friendliness of office staff satisfied - 4 Appt. wait times Appt. wait times not satisfied -1 Appt. wait times 2 Appt. wait times 3 Appt. wait times satisfied - 4 Cleanliness of facilities Cleanliness of facilities not satisfied -1 Cleanliness of facilities 2 Cleanliness of facilities 3 Cleanliness of facilities satisfied - 4 Modern facilities Modern facilities not satisfied -1 Modern facilities 2 Modern facilities 3 Modern facilities satisfied - 4 Technology/equipment Technology/equipment not satisfied -1 Technology/equipment 2 Technology/equipment 3 Technology/equipment satisfied - 4 Question Title * 10. Rate the factors you consider when choosing a physician by order of importance. 1-Least Important 2 3 4 5 6 7 8 9 10 11-Most Important Physician's Education Physician's Education 1-Least Important Physician's Education 2 Physician's Education 3 Physician's Education 4 Physician's Education 5 Physician's Education 6 Physician's Education 7 Physician's Education 8 Physician's Education 9 Physician's Education 10 Physician's Education 11-Most Important Referral by Another Physician Referral by Another Physician 1-Least Important Referral by Another Physician 2 Referral by Another Physician 3 Referral by Another Physician 4 Referral by Another Physician 5 Referral by Another Physician 6 Referral by Another Physician 7 Referral by Another Physician 8 Referral by Another Physician 9 Referral by Another Physician 10 Referral by Another Physician 11-Most Important Physician Group Physician Group 1-Least Important Physician Group 2 Physician Group 3 Physician Group 4 Physician Group 5 Physician Group 6 Physician Group 7 Physician Group 8 Physician Group 9 Physician Group 10 Physician Group 11-Most Important Referral by Friend or Family Referral by Friend or Family 1-Least Important Referral by Friend or Family 2 Referral by Friend or Family 3 Referral by Friend or Family 4 Referral by Friend or Family 5 Referral by Friend or Family 6 Referral by Friend or Family 7 Referral by Friend or Family 8 Referral by Friend or Family 9 Referral by Friend or Family 10 Referral by Friend or Family 11-Most Important Hospital Affiliation Hospital Affiliation 1-Least Important Hospital Affiliation 2 Hospital Affiliation 3 Hospital Affiliation 4 Hospital Affiliation 5 Hospital Affiliation 6 Hospital Affiliation 7 Hospital Affiliation 8 Hospital Affiliation 9 Hospital Affiliation 10 Hospital Affiliation 11-Most Important Office Times Office Times 1-Least Important Office Times 2 Office Times 3 Office Times 4 Office Times 5 Office Times 6 Office Times 7 Office Times 8 Office Times 9 Office Times 10 Office Times 11-Most Important Physician's Demographics Physician's Demographics 1-Least Important Physician's Demographics 2 Physician's Demographics 3 Physician's Demographics 4 Physician's Demographics 5 Physician's Demographics 6 Physician's Demographics 7 Physician's Demographics 8 Physician's Demographics 9 Physician's Demographics 10 Physician's Demographics 11-Most Important Office Location Office Location 1-Least Important Office Location 2 Office Location 3 Office Location 4 Office Location 5 Office Location 6 Office Location 7 Office Location 8 Office Location 9 Office Location 10 Office Location 11-Most Important Previous Wait Times Previous Wait Times 1-Least Important Previous Wait Times 2 Previous Wait Times 3 Previous Wait Times 4 Previous Wait Times 5 Previous Wait Times 6 Previous Wait Times 7 Previous Wait Times 8 Previous Wait Times 9 Previous Wait Times 10 Previous Wait Times 11-Most Important Familiarity With Physician Familiarity With Physician 1-Least Important Familiarity With Physician 2 Familiarity With Physician 3 Familiarity With Physician 4 Familiarity With Physician 5 Familiarity With Physician 6 Familiarity With Physician 7 Familiarity With Physician 8 Familiarity With Physician 9 Familiarity With Physician 10 Familiarity With Physician 11-Most Important Physician's Specialties Physician's Specialties 1-Least Important Physician's Specialties 2 Physician's Specialties 3 Physician's Specialties 4 Physician's Specialties 5 Physician's Specialties 6 Physician's Specialties 7 Physician's Specialties 8 Physician's Specialties 9 Physician's Specialties 10 Physician's Specialties 11-Most Important Question Title * 11. Would you refer a family member or friend to Christie Clinic? Yes No Question Title * 12. If you could recommend one area of improvement for Christie Clinic, what would it be? Question Title * 13. If you would be interested in participating in a live focus group, please provide your name, phone number or email in the below box. Thank you! (Christie Clinic and Provena Covenant Medical Center employees should not apply.) Done