Patient Feedback on Interactive Bedside Device Question Title * 1. In your own words, describe the things that you like most about this bedside patient device? Question Title * 2. What other entertainment features would you like this bedside patient device to offer you during your stay? Most important Nice to have Least important Radio Radio Most important Radio Nice to have Radio Least important Relaxation Relaxation Most important Relaxation Nice to have Relaxation Least important Movies Movies Most important Movies Nice to have Movies Least important e-Books e-Books Most important e-Books Nice to have e-Books Least important Skype Skype Most important Skype Nice to have Skype Least important Other (please specify) Question Title * 3. What other facility services would you like this bedside patient device to offer you during your stay? Most important Nice to have Least important Housekeeping requests Housekeeping requests Most important Housekeeping requests Nice to have Housekeeping requests Least important Learn about my care providers Learn about my care providers Most important Learn about my care providers Nice to have Learn about my care providers Least important Meal ordering Meal ordering Most important Meal ordering Nice to have Meal ordering Least important Order Rx Order Rx Most important Order Rx Nice to have Order Rx Least important Video conference with doctors Video conference with doctors Most important Video conference with doctors Nice to have Video conference with doctors Least important Control HVAC Control HVAC Most important Control HVAC Nice to have Control HVAC Least important Call a nurse Call a nurse Most important Call a nurse Nice to have Call a nurse Least important Other (please specify) Question Title * 4. What other personal health information would you like this bedside patient device to offer you during your stay? Most important Nice to have Least important Review medication Rx info Review medication Rx info Most important Review medication Rx info Nice to have Review medication Rx info Least important Review and pay medical bills Review and pay medical bills Most important Review and pay medical bills Nice to have Review and pay medical bills Least important Video conference with doctors Video conference with doctors Most important Video conference with doctors Nice to have Video conference with doctors Least important View discharge instructions View discharge instructions Most important View discharge instructions Nice to have View discharge instructions Least important Access my medical chart records Access my medical chart records Most important Access my medical chart records Nice to have Access my medical chart records Least important Watch patient education Watch patient education Most important Watch patient education Nice to have Watch patient education Least important View my daily patient schedule View my daily patient schedule Most important View my daily patient schedule Nice to have View my daily patient schedule Least important Other (please specify) Question Title * 5. In your own words, what are the things that you would most like to improve in this new product? Question Title * 6. How likely is it that you would recommend this product to a friend or colleague? Not at all likely Extremely likely 0 1 2 3 4 5 6 7 8 9 10 0 1 2 3 4 5 6 7 8 9 10 Question Title * 7. What age group applies to the patient? Under 10 10 to 24 25 to 44 45 to 64 65 to 74 75 or older Done
