COLE Connect User Survey Question Title * 1. How did you find out about COLE Connect, the secure online patient portal of Cole Memorial? Friend, relative Internet Cole Memorial Provider Cole Memorial Staff Cole Memorial Website Other (please specify) Question Title * 2. How easy was it to find the information you were looking for? Very easy Somewhat easy Easy Not very easy Not easy at all Comments: Question Title * 3. I have/plan on using the portal (check all that apply) Look at my own information Look at child's information Request appointments from Cole Memorial providers Request medication refills Send messages to my health care providers Send care documents to health care providers outside of the Cole Memorial network Review laboratory results Review radiology results Update information on file with Cole Memorial Question Title * 4. If you are not likely to use COLE Connect, why not? Question Title * 5. Overall, how satisfied are you with COLE Connect? Extremely satisfied Moderately satisfied Neither satisfied or dissatisfied Moderately dissatisfied Extremely dissatisfied Feel free to provide additional information: Question Title * 6. If you are willing to be contacted for follow-up questions please provide your contact information: Name: Email address: Phone number: Done
