Alegent Creighton Health Questionnaires

How did you learn about My Cost?

If Other, please specify:

How helpful was My Cost to you?

 Very Helpful     Helpful     No Opinion     Not Helpful

What service(s) were you looking for?

Were you able to locate the desired service(s)?

  Yes
  No

Was the information easy to find?
If no, please explain under "other".

  Yes
  No
  Other

If Other, please specify:

How likely are you to use My Cost in the future?

 Very Likely     Likely     No Opinion     Not Likely     Very Unlikely

How likely are you to use the information to seek service(s) at an Alegent Health facility?

 Very Likely     Likely     No Opinion     Not Likely     Very Unlikely

How likely are you to tell someone else about My Cost?

 Very Likely     Likely     No Opinion     Not Likely     Very Unlikely

Please indicate suggestions for improving My Cost.