* 1. Is this the first time you have visited myClinicOnline?

* 2. What is your primary device to access internet?

* 3. How did you access myClinicOnline?

* 4. How often do you access the internet?

* 5. Is the process for logging into myClinicOnline clear?

* 6. Does the menu of items on the home page give you the option you need?

* 7. What features of myClinicOnline do you utilize (check all that apply)?

* 8. Is the information you want on myClinicOnline?

* 9. Is the information easy to understand?

* 10. Is the information easy to find?

* 11. Please provide any other feedback below:

* 12. Is it ok for a staff member to call and discuss this feedback with you?

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