Healthcare Patient Portal End-User Survey
Basic Information
Full Name
Email Address
Age
Portal Usage
How often do you use the patient portal?
Daily
Weekly
Monthly
Rarely
Which of the following features do you use? (Select all that apply)
Appointment Scheduling
Accessing Medical Records
Prescription Refills
Messaging Providers
Billing/Payments
Other
User Experience
How easy is it to navigate the portal?
Very Easy
Easy
Neutral
Difficult
Very Difficult
How satisfied are you with the portal overall?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Feedback
What improvements would you like to see?
Additional Comments