MyChart and Your Health

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* 1. Do you currently have a MyChart account with Samaritan Health Services?

Yes

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* 2. If you have a MyChart account, have you used it to communicate with Samaritan ?

Yes

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* 3. If so, which features have you used? Please check all that apply.

Refill a prescription

E-visit

Send a message to your health care team

View notes from a recent visit

View your test results

Schedule an office visit

View your health summary

View your billing summary

Share your health care record

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* 4. How would you rate your experiences with MyChart?

Excellent

Very Good

Good

Fair

Poor

I have not used MyChart

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* 5. What features would you find helpful in MyChart that Samaritan doesn’t currently offer?

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* 6. We appreciate the opportunity to share the stories of our patients who have had great experiences with Samaritan. If you have had a good experience with Samaritan using MyChart, would you be willing to share your story and contact information with us?

Yes

If yes, please provide your name, email address and/or phone number here.

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* 7. If you don't have a MyChart account, would you be willing to tell us why?

I'm not comfortable with technology

I'm not interested in accessing my health information

I don't have a way to access MyChart - no computer or mobile device

I've never heard of MyChart/I've never been offered a MyChart account before

I'd prefer not to say

Other (please specify)

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* 8. If you haven't heard of MyChart before, would any of these features make you interested in signing up? Please check all that apply.
(And if you'd like to sign up today, visit samhealth.org/MyChart!)

Refill a prescription

Schedule an office visit

E-visit for non-urgent condition

Send a message to your health care team

View notes from a recent visit

View your health record

View test results

View your billing

Share your health care record

MyChart and Your Health

Question Title

* 1. Do you currently have a MyChart account with Samaritan Health Services?

Question Title

* 2. If you have a MyChart account, have you used it to communicate with Samaritan ?

Question Title

* 3. If so, which features have you used? Please check all that apply.

Question Title

* 4. How would you rate your experiences with MyChart?

Question Title

* 5. What features would you find helpful in MyChart that Samaritan doesn’t currently offer?

Question Title

* 6. We appreciate the opportunity to share the stories of our patients who have had great experiences with Samaritan. If you have had a good experience with Samaritan using MyChart, would you be willing to share your story and contact information with us?

Question Title

* 7. If you don't have a MyChart account, would you be willing to tell us why?

Question Title

* 8. If you haven't heard of MyChart before, would any of these features make you interested in signing up? Please check all that apply.(And if you'd like to sign up today, visit samhealth.org/MyChart!)

Question Title

* 9. If you currently don’t have a MyChart account, what features would you find helpful besides the features listed in the previous question?

* 8. If you haven't heard of MyChart before, would any of these features make you interested in signing up? Please check all that apply.
(And if you'd like to sign up today, visit samhealth.org/MyChart!)