Accelerate Patient Feedback Form
Please use this form to provide feedback on the ACCELERATE patient registration process and forms in the database. We would like your input from the patient perspective so we can make the system as user-friendly as possible!
Please select the number that best reflects your opinion on the statement: I thought the system was easy to use. *
Strongly Disagree
Strongly Agree
Please select the number that best reflects your opinion on the statement: I found the various functions in this system were well integrated. *
Strongly Disagree
Strongly Agree
Please select the number that best reflects your opinion on the statement: I thought there was too much inconsistency in this system. *
Strongly Disagree
Strongly Agree
Please select the number that best reflects your opinion on the statement: I would imagine that most people would learn to use this system very quickly. *
Strongly Disagree
Strongly Agree
Please select the number that best reflects your opinion on the statement: I felt very confident using the system *
Strongly Disagree
Strongly Agree
Please select the number that best reflects your opinion on the statement: I needed to learn a lot of things before I could get going with this system. *
Strongly Disagree
Strongly Agree
Please list any feedback you have associated with the general database. *
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If you would like us to reach out to you in order to clarify any of the information or links you are having difficulty with, please feel free to provide us with your email address below:
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