Short SURVEY “vINCI App” – ELDERLY

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* 1. Would you be interested in using the vINCI app in your daily life, to monitor your wellbeing, receive feedback and have your data shared with your doctor or caregiver?

Yes

No

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* 2. Do you think that an app like vINCI could be… (Select as many answers as apply!)

useful for maintaining physical and psychological capacities

an easy way to maintain in physical and psychological capacities

useful to be more motivated to exercise

useful to self-assess your health status

an easy way to inform close persons about your health status and needs

useful for monitoring personal health status and mood

useful for receiving professional advice

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* 3. Do you know about any app in the market doing something similar to vINCI?

Yes

No

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* 4. Do you think you would consider the possibility to use vINCI app if it is suggested to you by… (Select as many answers as apply!)

your family doctor

your pharmacist

a friend or neighbor

your daughter/ son/ spouse

other family members

your caregiver

someone you trust (Name it!)

Name it!

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* 5. Would you be interested to participate, for free, without any obligations, in a study that requires the use of the vINCI app in your daily life?

Yes

No

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* 6. If YES, please leave your contact details: name, surname, e-mail address, phone number.

Name

Email Address

Phone Number

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* 7. Would you consider paying money in order to use an app like vINCI in your daily life?

Yes

No