*1.Which DHB are you employed with?(Required.)

AucklandBay of PlentyCanterburyCapital and CoastCounties ManukauHawke’s BayMidcentralNelson-MarlboroughNorthlandSouthernTairawhitiTaranakiWaikatoWairarapaWaitemataWest CoastWhanganuiLakesHutt ValleySouth Canterbury

2.What is your main roles in the DHB?

Clinician, Allied Health/Scientific ProfessionalClinician, DoctorClinician, MidwifeClinician, NurseClinician, ManagerDepartmental ManagerService ManagerExecutive ManagerProject ManagerInformation Services ManagerOther (please specify)

3.What is your current level of experience with Telehealth?

I use the phone to connect with patients frequently (more than 10 times a week)

I use the phone to connect with patients regularly (more than three times a week)

I use the phone to connect with patients occasionally (once to three times a week)

I use video to connect with patients frequently (more than 10 times a week)

I use video to connect with patients regularly (three to 10 times a week))

I use video to connect with patients occasionally (once to to three times a week)

I manage a service/directorate that uses phone to connect with patients

I manage a service/directorate that uses video to connect with patients

I do use Telehealth very infrequently

I do not use Telehealth at all

Other (please specify)

4.Has your experience of using Telehealth by phone or video changed over the past 12 months and if so please tell me how.

5.Would you like to be able to provide more or less Telehealth services?

I would like to provide more Telehealth servicesI am quite happy with the status quoI would like to provide less Telehealth servicesOther (please specify)

6.Please tell me what the biggest barrier is that prevents you from providing the volume of Telehealth services that would be your ideal.

7.In your opinion what is the one thing that would make a difference to your ability to provide a quality telehealth service if you wish to do so?

8.In your opinion what percentage of patients under your care/service would not be capable of having a telehealth consultation?

9.What would you change about the Telehealth service you currently offer if you could?

10.In your opinion what percentage of patients who are under your care/service would be suitable for a Telehealth appointment (i.e. not requiring a physical examination)