Healthcare IT Implementation Feedback Evaluation Form
Please provide your feedback on the recent Healthcare IT implementation.
Full Name
First Name
Last Name
Email Address
example@example.com
Department
Please Select
IT
Clinical
Administration
Support
Other
Overall Satisfaction with the IT Implementation
1
2
3
4
5
Ease of Use of the New System
1
2
3
4
5
Training and Support Provided
1
2
3
4
5
Impact on Work Efficiency
1
2
3
4
5
What features do you like most?
What improvements would you suggest?
Additional Comments
Submit
Should be Empty: