NIH Clinical Center Patient Portal Survey for Workers
Please respond to these prompts as they apply to your experience with the FollowMyHealth® Patient Portal in use at the National Institutes of Health Clinical Center. This survey is anonymous.
NIH Clinical Center Privacy Policy - https://www.cc.nih.gov/disclaimers.html
OMB # 0925-0648, Expiration Date: 06/30/2024
Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this address.
1.How long have you used the NIH Clinical Center Patient Portal?
1 year or less
2 years
3 years
4 years or more
2.How many times have you used the NIH Clinical Patient Portal?
0
1 to 5
6 to 10
11 to 40
41 or more
3.Please indicate your level of agreement with the following statement. The process to create your FollowMyHealth® Patient Portal account was easy.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
4.Does the NIH Clinical Center put your lab results in the Patient Portal for you to see?
Yes
No
Don't know
5.In the last 12 months, did you look for your lab results in the NIH Clinical Center Patient Portal?
Yes
No
6.In the last 12 months, how often was it easy to find these lab results in the NIH Clinical Center Patient Portal?
Never
Sometimes
Usually
Always
7.In the last 12 months, how often were these lab results made available in the NIH Clinical Center Patient Portal as soon as you needed them?
Never
Sometimes
Usually
Always
8.In the last 12 months, how often were these lab results presented in a way that was easy to understand?
Never
Sometimes
Usually
Always
9.Does the NIH Clinical Center make your vaccination record available in the Patient Portal for you to see?
Yes
No
Don't know
10.In the last 12 months, did you look for your vaccination record in the NIH Clinical Center Patient Portal?
Yes
No
11.In the last 12 months, how often was it easy to find your vaccination record in the NIH Clinical Center Patient Portal?
Never
Sometimes
Usually
Always
12.In the last 12 months, was your vaccination record presented in a way that was easy to understand?
Yes
No
13.Does the NIH Clinical Center Patient Portal Service Center provide support via phone?
Yes
No
Don't know
14.In the last 12 months, did you call the NIH Clinical Center Patient Portal Service Center?
Yes
No
15.In the last 12 months, please rate your experience with calling the NIH Clinical Center Patient Portal Service Center.
|
|
|
|
|
|
|
|
|
|
|
Unsatisfactory
Satisfactory
16.What information do you feel is missing from the NIH Clinical Center Patient Portal? (If none, you may skip this question.)
17.What functionality do you feel is missing from the NIH Clinical Center Patient Portal? (If none, you may skip this question.)
18.Do you use the FollowMyHealth® Patient Portal for other healthcare facilities you visit?
Yes
No
19.Do you enter information from other medical providers into the FollowMyHealth® Patient Portal?
Yes
No
20.What is your age?
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 to 74
75 or older
21.Sex:
Male
Female
Unknown
22.What is the highest grade or level of school that you have completed?
8th grade or less
Some high school, but not graduate
High school graduate or GED
Some college or 2-year degree
4-year college graduate
More than 4-year college degree
23.Are you of Hispanic or Latino origin or descent?
Yes, Hispanic or Latino
No, not Hispanic or Latino
24.What is your race?
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Submit
Never give out your password.Report abuse
This content is created by the owner of the form. The data you submit will be sent to the form owner. Microsoft is not responsible for the privacy or security practices of its customers, including those of this form owner. Never give out your password.
Powered by Microsoft Forms
|
The owner of this form has not provided a privacy statement as to how they will use your response data. Do not provide personal or sensitive information.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |