Alberta Children's Hospital - Day Surgery website survey
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Pre-Op Telehealth Project
Website User Survey: Your Feedback is Important to Us!
Thank you for volunteering to complete this confidential survey.  Your feedback will be collected by project evaluation staff and will help us evaluate and improve this website. Your level of care will not be impacted by your choice to complete or not complete this survey nor will it be impacted by your responses.

If you have any questions and/or concerns regarding this survey, please contact Evelyn Valge, Southern Alberta Child & Youth Health Network Evaluation Coordinator, at 403-955-7051 or evelyn.valge@calgaryhealthregion.ca.


After completing the following survey, please click "send" at the bottom of the form:
 


SURVEY SUBMISSION FORM
1. How did you learn about this website? (check all that apply)
Attending the Orientation Program & Tour
Pre-op Information Package from surgeon’s office or clinic
Phone call with pre-admission clinic 
Phone call with surgical booking office
From other parents
Other. Please describe:
 

2. Where do you access the internet? (check all that apply)
Home computer
Friend’s /Family member’s computer
Library computer
Hospital/Clinic computer
Internet Cafe
Other location. Please describe:
 

3. When did you use this website? (check one)
Before my child had surgery
After my child had surgery
Both before and after my child had surgery

4. Did you know about this website early enough that you could find the information you needed before your child went for surgery?
Yes
No. Please elaborate:
 

5. Do you trust the information on this website?
Yes
No. Please describe what would help make the information more trustworthy:

6. Did this website provide you with all the information you were looking for?
Yes
No. Please describe what other information you would like to see:

7. Was the information on this website easy to understand?
Yes
No. Please provide examples of what was unclear or difficult to understand:

8. Overall, rate how useful the information on this website was to you. (check one)
Not useful Somewhat useful Useful Very useful Don't know

If USEFUL in some way, what was of most value to you?

If NOT USEFUL, what would have made it more valuable for you?

9. Overall, rate how much more informed you feel after visiting this website. (check one)
Not at all more informed Somewhat more informed Informed Much more informed Don't know

10. After visiting this website, rate how much more prepared you are for your child’s surgery. (check one)
Not at all more prepared Somewhat more prepared Prepared Much more prepared Don't know

If you are feeling “not at all more prepared,” what would help you feel more prepared for surgery? Please elaborate.

11. After visiting this website, rate how much more prepared are you to care for your child at home. (check one)
Not at all more prepared Somewhat more prepared Prepared Much more prepared Don't know

If you are feeling “not at all more prepared,” what would help you feel more prepared to care for your child at home? Please elaborate.

12. Please rate your overall satisfaction with this website. (check one)
Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied

 

13. Please indicate your age range.
 

14. We welcome your additional comments!

Thank you for completing this survey.

 

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