My Health Record

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* 1. Have you heard of My Health Record

Yes

No

Unsure

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* 2. Have you used My Health Record

Yes (for myself)

Yes (for someone else)

No

Unsure

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* 3. On a scale of 1 to 5 how positively do you view My Health Record (5 being highest)

1

2

3

4

5

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* 4. How familiar are you with Medicare

Very

Moderately

Slightly

Not at all

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* 5. How do you rate the Medicare service out of 5 (5 being excellent)

1

2

3

4

5

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* 6. Do you rate your customer experience of the Medicare app as

Excellent

Good

Neither good nor bad

Bad

NA (Don't use the app)