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Quick Survey #3: mHealth Attitudes
Demographics
*
1.
Are you a cystic fibrosis
patient
or
caregiver
?
(Required.)
Patient
Caregiver
Other
*
2.
Which of the following best describes your
age range or the age ranges of your child/children if you are a caregiver?
(Required.)
Under 6
7-12
13-17
18-24
25-34
35-44
45-54
55-64
65+
Caregivers: Enter the ages if you care for more than one person with CF
*
3.
What is your gender if you have CF or the gender/s of your children if you are the caregiver?
(Required.)
Male
Female
If you are caring for more than one person, please tell us their genders.
*
4.
What country do you live in?
(Required.)
United States
Canada
Mexico
United Kingdom
France
Germany
Spain
Italy
Australia
New Zealand
South Africa
Israel
Other (please specify)
5.
If you live in the USA, what state do you live in?
*
6.
Which of the following do you currently own? (select all that apply)
(Required.)
Smartphone (Apple iPhone, Samsung, LG, etc)
Smartwatch (Fitbit, Garmin, Apple Watch, Samsung Gear, etc.)
Tablet Computer (Apple iPad, Samsung Galaxy Tab, Kindle Fire, etc.)
Laptop Computer (Apple MacBook, Sony Vaio, Lenovo, Asus, etc.)
Desktop Computer
Other (please specify)
*
7.
Which ONE of the following BEST represents your thoughts on sharing health data?
(Required.)
Patients own their health data and should be compensated for it.
Anonymous health data should be shared freely for the greater good.
Some health data is too private to share under any circumstances.
Health data is only valuable if it is collected from a clinical trial.
Other
