1. Josie King Foundation Patient Journal iPhone App Survey

* 1. I feel that the Patient Journal iPhone App:

  Strongly Agree Agree Disagree Strongly Disagree N/A
is a useful tool.

* 2. I feel that the Patient Journal iPhone App:

  Strongly Agree Agree Disagree Strongly Disagree N/A
is easy to use.

* 3. I feel that the Patient Journal iPhone app:

  Strongly Agree Agree Disagree Strongly Disagree N/A
helped me to feel more knowledgeable about the care at the hospital.

* 4. I feel that the Patient Journal iPhone app:

  Strongly Agree Agree Disagree Strongly Disagree N/A
helped me to feel more empowered to ask questions of the medical team.

* 5. I feel that the Patient Journal iPhone App:

  Strongly Agree Agree Disagree Strongly Disagree N/A
improved the overall hospital stay.

* 6. I feel that the Patient Journal iPhone app:

  Strongly Agree Agree Disagree Strongly Disagree N/A
improved communication between the medical team and me.

* 7. I feel that the Patient Journal iPhone App:

  Strongly Agree Agree Disagree Strongly Disagree N/A
prevented a medical error from occurring.

* 8. I would:

  Strongly Agree Agree Disagree Strongly Disagree N/A
use this app for future hospitalizations.

* 9. I would:

  Strongly Agree Agree Disagree Strongly Disagree N/A
recommend this app to others facing hospitalization.

* 10. When you used the Patient Journal, were you the patient or did you use the app on behalf of a patient in the hospital?

* 11. How many times have you used the Patient Journal app?

* 12. Please tell us anything you would like about the Patient Journal app (including questions, suggestions, compliments, etc.).

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