Did you access the page from a website or from an app?
Website
App
Did you find the content on the site relevant?
Yes
No
What was the most helpful feature of the website?
What makes this Doctor stand out from our competition?
Were you able to search for the content you needed?
Yes
No
Was there anything missing from the page you would like to have seen?
Yes
No
If so, what would you like to see on the website?
Did the website take long to load?
Yes
No
Did saving your data take too long?
Yes
No
On a scale of 1-10, how would you rate the performance of the website?
On a scale of 1-10, how would you rate the clarity of content?
Does your Doctor’s office accept insurance?
Yes
No
Did the website provide a means of recording your insurance information?
Yes
No
Did the website accept common credit cards?
Yes
No
On a scale of 1-10, how would you rate the overall payment experience?
What do you like most about the website?
How often do you visit the website?
Less than once every six months
More than once every six months
What would you like to change about the website?
Did you face any challenges while using the website?
Yes
No
What other suggestions or comments do you have?
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