Your Opinion Matters

Western Connecticut Health Network is the region’s premier patient-centered system of care dedicated to improving health and well-being in western Connecticut and adjacent areas of New York.

1) Are you currently a patient at Danbury Hospital or New Milford Hospital?

Yes
No

2) How many times a year do you visit Danbury Hospital and New Milford Hospital?

Less than 1
1-3
5-10
10 or more

3) When preparing for a hospital visit, how do you interact with the hospital staff pre-visit? (Check all that apply)

Phone
Email
In person
No Interaction

4) Would you like to be able to download and submit necessary forms through the hospital website prior to your appointment?

Yes
No

5) When scheduling hospital appointments, would it be helpful to receive reminders through (Check all that apply):

6) If the hospital offered a free secure website that allowed you to manage and track appointments, download important guidelines and forms, or manage you and your family’s information, would you be interested in using it?

Yes
No

8) Are there additional functions you would like to see on a secure patient website that would make your hospital experience easier?

9) Would you be interested in participating in a focus group discussion with Danbury Hospital to help make a better hospital website?

Yes
No

10) If you answered Yes to the previous question, please provide us with your email address or telephone number so we can contact you.

11) Gender

Male
Female

13) Primary Language

English
Spanish
Portuguese
Other (please specify)

If you selected other, please specify:

14) Are you the primary caregiver to a child/children or elderly relative(s)?

Yes, I am a primary caregiver to a child/children
Yes, I am a primary caregiver to elderly relative(s)
No

Thank you for taking the time to take our survey. We will use your feedback to make a better website focused on YOU!

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