EMR Feedback Survey Form
Please share your experience with our electronic medical records system. Your feedback helps us improve.
Overall, how satisfied are you with your EMR experience?
*
1
2
3
4
5
How easy is it to navigate the EMR system?
*
Very Difficult
1
2
3
4
Very Easy
5
1 is Very Difficult, 5 is Very Easy
How reliable is the EMR system (minimal downtime, few errors)?
*
Not Reliable
1
2
3
4
Very Reliable
5
1 is Not Reliable, 5 is Very Reliable
How would you rate the speed and performance of the EMR?
*
Very Slow
1
2
3
4
Very Fast
5
1 is Very Slow, 5 is Very Fast
How helpful is the support or help resources for the EMR?
*
Not Helpful
1
2
3
4
Very Helpful
5
1 is Not Helpful, 5 is Very Helpful
How visually appealing is the user interface of the EMR?
*
Not Appealing
1
2
3
4
Very Appealing
5
1 is Not Appealing, 5 is Very Appealing
How well do the features of the EMR meet your needs?
*
Not at all
1
2
3
4
Completely
5
1 is Not at all, 5 is Completely
Which best describes your primary use of the EMR?
*
Clinical documentation
Scheduling
Billing
Reporting/Analytics
Other
How likely are you to recommend this EMR to a colleague?
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Not Likely
1
2
3
4
5
6
7
8
9
Extremely Likely
10
1 is Not Likely, 10 is Extremely Likely
Additional comments or suggestions (optional)
Submit Feedback
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