Print    Email
Decrease (-) Restore Default Increase (+)

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
Which video did you view?
Was the video informative/useful?
The length of the video was
What types of services would you like to see added to the website (for example pre-registration, appointment scheduling)?
Additional comments or suggestions:
10. *
How did you hear about the website?

If Other, please specify:

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

Authentication *
If the challenge words are too difficult to read, click here to refresh.
A Member of Trinity Health
© 2015 Trinity Health

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