Knee Replacement Cost Estimator Feedback Survey

Thank you for taking the time to tell us about your experience using Healthline's Cost Estimator for Knee Replacement. Your feedback is very important to us.

1. Which best describes your interest in Knee Replacement Surgery?

Which best describes your interest in Knee Replacement Surgery? You or someone close to you is CONSIDERING this surgery

You or someone close to you has already decided on this surgery and is PREPARING for it

You or someone close to you has already had this surgery

Other (please specify below)

If applicable, please describe (a) how long you have been considering surgery, (b) when you plan to have surgery, or (c) how long ago you had the surgery. Feel free to add any other information to describe your interest.

2. Which best describes why you explored Healthline's Cost Estimator for Knee Replacement?

Which best describes why you explored Healthline's Cost Estimator for Knee Replacement? You are concerned about costs

You are NOT concerned about costs, but you thought the information would be interesting

Other (please specify below)

3. How valuable do you rate the following Cost Estimator features and information? (The timeline refers to phases "Pre-Surgical", "Hospital Stay & Procedure", and "Recovery & Rehabilitation".)

	Extremely Valuable	Very Valuable	Somewhat Valuable	Not at all Valuable	N/A
Ability to customize the estimate	*How valuable do you rate the following Cost Estimator features and information? (The timeline refers to phases "Pre-Surgical", "Hospital Stay & Procedure", and "Recovery & Rehabilitation".) Ability to customize the estimate Extremely Valuable	Ability to customize the estimate Very Valuable	Ability to customize the estimate Somewhat Valuable	Ability to customize the estimate Not at all Valuable	Ability to customize the estimate N/A
Ability to view local averages	Ability to view local averages Extremely Valuable	Ability to view local averages Very Valuable	Ability to view local averages Somewhat Valuable	Ability to view local averages Not at all Valuable	Ability to view local averages N/A
Ability to view state averages	Ability to view state averages Extremely Valuable	Ability to view state averages Very Valuable	Ability to view state averages Somewhat Valuable	Ability to view state averages Not at all Valuable	Ability to view state averages N/A
Ability to view national averages	Ability to view national averages Extremely Valuable	Ability to view national averages Very Valuable	Ability to view national averages Somewhat Valuable	Ability to view national averages Not at all Valuable	Ability to view national averages N/A
Timeline presentation and ordering of the estimated costs	Timeline presentation and ordering of the estimated costs Extremely Valuable	Timeline presentation and ordering of the estimated costs Very Valuable	Timeline presentation and ordering of the estimated costs Somewhat Valuable	Timeline presentation and ordering of the estimated costs Not at all Valuable	Timeline presentation and ordering of the estimated costs N/A
Itemized breakdown of the estimated costs in each phase	Itemized breakdown of the estimated costs in each phase Extremely Valuable	Itemized breakdown of the estimated costs in each phase Very Valuable	Itemized breakdown of the estimated costs in each phase Somewhat Valuable	Itemized breakdown of the estimated costs in each phase Not at all Valuable	Itemized breakdown of the estimated costs in each phase N/A
Estimated length of stay in the hospital	Estimated length of stay in the hospital Extremely Valuable	Estimated length of stay in the hospital Very Valuable	Estimated length of stay in the hospital Somewhat Valuable	Estimated length of stay in the hospital Not at all Valuable	Estimated length of stay in the hospital N/A
Estimated number of visits, appointments, and sessions	Estimated number of visits, appointments, and sessions Extremely Valuable	Estimated number of visits, appointments, and sessions Very Valuable	Estimated number of visits, appointments, and sessions Somewhat Valuable	Estimated number of visits, appointments, and sessions Not at all Valuable	Estimated number of visits, appointments, and sessions N/A

Please explain your ratings or make additional comments (optional)

4. Did the Cost Estimator help to address your questions or concerns?

Did the Cost Estimator help to address your questions or concerns? Yes	No	N/A
Please explain your answer (optional)

5. Are there any features or information you would like to see added or changed?

Are there any features or information you would like to see added or changed?

6. How likely are you to recommend the Cost Estimator tool to someone else (0=Not at all likely, and 10=Very Likely)?

How likely are you to recommend the Cost Estimator tool to someone else (0=Not at all likely, and 10=Very Likely)? Not at all likely (0)	(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	Very Likely (10)
Please explain your rating (optional)

7. Please provide us with any additional comments or feedback:

Please provide us with any additional comments or feedback: