Telehealth Survey We want to know what you think about telehealth. Telehealth means talking to your doctor by video or phone instead of going to the clinic. Question Title * 1. Have you ever talked to your doctor by video or phone? Yes No Question Title * 2. Would you like to use telehealth in the future? Yes No Question Title * 3. If you use telehealth, which way would you prefer? Video call Phone Call No preference Question Title * 4. What device would you use for telehealth? (Check all that apply) Smartphone Tablet Computer Other (please specify) Question Title * 5. How comfortable are you with using technology like smartphones, computers, or apps? Not comfortable Somewhat comfortable Very comfortable Question Title * 6. Why would you want to use telehealth? (Check all that apply) It saves me time Easier for my schedule I don’t want to be around sick people I can see the doctor faster Other (please specify) Question Title * 7. Why would you not want to use telehealth? (Check all that apply) I like going to the clinic I don’t have a computer or internet It does not feel personal I worry about privacy Other (please specify) Question Title * 8. Is there anything else you want to tell us about telehealth? Done
