GP Telehealth Readiness Survey

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* 1. Name of Person Completing Survey

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* 2. Name of GP Practice

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* 3. Your role in the practice

Nurse

Practice Manager

Other (please specify)

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* 4. Practice Manager Name

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* 5. Practice Manager email address

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* 6. Does your Practice have equipment that allows you to conduct Telehealth appointments eg: computer with camera and speakers etc?

Yes

If no, does your practice plan to purchase equipment to conduct Telehealth? If so what program?

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* 7. Do you have access to a secure and private platform such as Healthdirect Video Call to use for Telehealth?

Yes

If no, does your practice plan to purchase or access software to do Telehealth?

OR

If yes, what video conferencing platform to you use in your surgery?

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* 8. Do you conduct Telehealth calls from home?

Yes

If yes, what platform do you use ie: phone, video call (name platform ie Zoom)

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* 9. Do you currently provide support to your patients during a video consultation?

Yes

If no, would you be interested in supporting patients with Telehealth?

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* 10. Do you currently take part in video consultation with other healthcare providers ie: case conferences?

Yes

If no, would you be interested in taking part with other healthcare providers using video consultation?