CHEC Questionnaire

Please take a few minutes to complete this questionnaire. Your answers will help us to provide better service. Thank you!
1. Who are you?(Please select all that apply)
Patient Family/friend of hospitalized patient Family/friend of outpatient Faculty	Student VCUHS health professional VCUHS/VCU employee Other
2. Why are you looking for health information? (Please check all that apply)
Personal reasons For myself For a family member/friend	Work-related For a patient For clincal/patient care	School-related (for assignments, projects or/and research)
3. Which best describes your current health information need? (Please check only one)
Urgent or immediate concern Ongoing/chronic problem	Maintaining good health New health issue Other
4. How did you first learn about CHEC? (Please check only one)
From my doctor/nurse/pharmacist From staff in my doctor's office From hospital staff From family or friend From sign in hall when walking by	From the Internet From TV/newspaper From the library From a poster or brochure
5. After you receive health care, do you wish that you had more information?
Yes No Sometimes
6. Did you come to CHEC because you wished you had more information?
Yes	No
7. Did you find the information you wanted?
Yes	No
8. How likely are you to use CHEC again?
Very Likely Not Likely
9. Would you suggest that someone else use CHEC?
Yes	No
10. If you visited CHEC in person, did you find the staff...
...helpful and pleasant?	Yes	No
...able to provide good information?	Yes	No
...efficient and knowledgeable?	Yes	No
	I only visted CHEC online.
11. How satisfied are with the information you most recently found in CHEC?
Very Somewhat Not At All
12. How did you use the information found in CHEC? (Please check all that apply)
Basic understanding of health or wellness issue Added to what I already know or improved my understanding Gave it to a patient or family member Discussed, or will discuss, with my doctor and/or nurse Discussed, or will discuss, with family or friends Made a difference in my decision about treatment options Changed, or considered changing, my exercise or eating habits Considered or requested a change in medications Looked for, or will consider looking for, more health information
If you are VCU/VCUHS faculty, staff or student, please specify where you are from.
VCUHS Department:
VCU School/Department:
If you are willing to particiapte in our annual survey, please give us your email address:
Email address:
Sex: Female Male
Age:
Ethnic Group:
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