Alegent Creighton Health Questionnaires


My Cost

* Indicates required information

1. *
How did you learn about My Cost?

If Other, please specify:

2. *
How helpful was My Cost to you?
3. *
What service(s) were you looking for?
4. *
Were you able to locate the desired service(s)?
5. *
Was the information easy to find?
If no, please explain under "other".

If Other, please specify:

6. *
How likely are you to use My Cost in the future?
7. *
How likely are you to use the information to seek service(s) at an Alegent Health facility?
8. *
How likely are you to tell someone else about My Cost?
9. *
Please indicate suggestions for improving My Cost.