COVID-19 Crisis Osteoporosis Management & Treatment Survey for Patients

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* 1. Please tell us which of the following applies to you (Please check all that apply):

I have been diagnosed with osteoporosis

I have been diagnosed with low bone mass/osteopenia

I am a caregiver for someone with osteoporosis or low bone mass

None of the above (Thank you for your time. The rest of this survey applies only to those who have osteoporosis or low bone mass or are a caregiver for someone with osteoporosis or low bone mass.)

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* 2. Which type of healthcare provider do you primarily see to treat your osteoporosis, low bone mass or to manage your overall bone health?

Primary Care/Internal Medicine

Rheumatologist

Endocrinologist

Gynecologist

Geriatrician

Other (please specify)

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* 3. Is your primary osteoporosis healthcare provider’s office currently open?

Yes

Only for emergency appointments

I don't know/I'm not sure

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* 4. If it is open, have you attended any medical appointments in-person since the beginning of March 2020?

Yes

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* 5. If your osteoporosis healthcare provider’s office is open, have you cancelled or changed any scheduled appointment since the beginning of March 2020?

Yes

No (please skip to question #7)

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* 6. If you answered yes to the question above, please explain why you cancelled or changed your appointment (Please check all that apply):

Medical office is on hospital premises

Fear of crowded waiting room/lack of social distancing

Fear of your own vulnerability to COVID-19 virus

Appointment not urgent/can be postponed easily

Other (please specify)

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* 7. Have you participated in any telemedicine appointments (a phone call or videoconference with your healthcare provider) since the beginning of March 2020?

Yes

No (please skip to question #9)

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* 8. If you answered yes to question #7, have you been satisfied with your telemedicine appointments?

Yes

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* 9. If you answered yes to question #8, please explain in the text box below:

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* 10. If you answered no to question #8, please explain in the text box below:

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* 11. Have you experienced any challenges in communicating with your healthcare provider during the COVID-19 pandemic?

Yes

No (please skip to question #13)

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* 12. If you answered yes to the question above, please explain what challenges you experienced in the comment box below.

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* 13. Have you experienced any challenges in obtaining your prescription medication during the COVID-19 crisis?

Yes

No (please skip to question #15)

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* 14. If you answered yes to the question above, please explain the challenges you’ve experienced and which medication you are prescribed in the comment box below.

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* 15. Have you cancelled or changed any appointment you had scheduled for a bone density text (DXA) or for blood work since March 2020?

Yes

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* 16. If your osteoporosis healthcare provider requested that you get a bone density test (DXA) or go to a lab for bloodwork during the coronavirus pandemic, would you be likely to go?

Yes

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* 17. How worried are you about your personal health and wellbeing during this coronavirus pandemic?

1 - Not At All Worried

5 - Neutral

10 - Extremely Worried

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 18. What is your age range?

Below 25

25-35

36-45

46-55

56-64

65-80

Over 80

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* 19. Please tell us what city/state you reside in:

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* 20. Please tell us if you live in the following:

Home/apartment

Independent senior living community

Assisted Living or Nursing Care Facility

Other (please specify)

COVID-19 Crisis Osteoporosis Management & Treatment Survey for Patients

Question Title

* 1. Please tell us which of the following applies to you (Please check all that apply):

Question Title

* 2. Which type of healthcare provider do you primarily see to treat your osteoporosis, low bone mass or to manage your overall bone health?

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* 3. Is your primary osteoporosis healthcare provider’s office currently open?

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* 4. If it is open, have you attended any medical appointments in-person since the beginning of March 2020?

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* 5. If your osteoporosis healthcare provider’s office is open, have you cancelled or changed any scheduled appointment since the beginning of March 2020?

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* 6. If you answered yes to the question above, please explain why you cancelled or changed your appointment (Please check all that apply):

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* 7. Have you participated in any telemedicine appointments (a phone call or videoconference with your healthcare provider) since the beginning of March 2020?

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* 8. If you answered yes to question #7, have you been satisfied with your telemedicine appointments?

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* 9. If you answered yes to question #8, please explain in the text box below:

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* 10. If you answered no to question #8, please explain in the text box below:

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* 11. Have you experienced any challenges in communicating with your healthcare provider during the COVID-19 pandemic?

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* 12. If you answered yes to the question above, please explain what challenges you experienced in the comment box below.

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* 13. Have you experienced any challenges in obtaining your prescription medication during the COVID-19 crisis?

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* 14. If you answered yes to the question above, please explain the challenges you’ve experienced and which medication you are prescribed in the comment box below.

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* 15. Have you cancelled or changed any appointment you had scheduled for a bone density text (DXA) or for blood work since March 2020?

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* 16. If your osteoporosis healthcare provider requested that you get a bone density test (DXA) or go to a lab for bloodwork during the coronavirus pandemic, would you be likely to go?

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* 17. How worried are you about your personal health and wellbeing during this coronavirus pandemic?

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* 18. What is your age range?

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* 19. Please tell us what city/state you reside in:

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* 20. Please tell us if you live in the following:

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* 21. If you have any other feedback or comments you’d like to share with NOF, please feel free to include them below: