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

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

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* 3. How did you access myClinicOnline?

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* 4. How often do you access the internet?

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

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

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

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* 8. Is the information you want on myClinicOnline?

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* 9. Is the information easy to understand?

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* 10. Is the information easy to find?

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* 11. Please provide any other feedback below:

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

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