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Surveys & Forms

Website Survey

Saint Joseph Mercy Health System values your feedback to help us enhance our website. Your input is strictly confidential.

* Indicates required information

Please provide the following information to help us best serve you.

First Name
Last Name
Email *

1. - 4 *
  poor = 1 2 3 4 5 = excellent
Overall site design
Ease of navigation
Ability to find information
Usefulness of search results
5.
Which video did you view?
6.
Was the video informative/useful?
           
7.
The length of the video was
        
8.
What types of services would you like to see added to the website (for example pre-registration, appointment scheduling)?
9.
Additional comments or suggestions:
10. *
How did you hear about the website?

If Other, please specify:

11.
Would you like to receive our eHealth Newsletter? If yes, click here.
           

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St. Joseph Mercy Ann Arbor | 5301 McAuley Drive, Ypsilanti, MI 48197 | 734-712-3456