Guided medical exams with a healthcare provider - TYTO Sept 2019
Testing Opportunity for guided medical exams with a healthcare provider
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Email Address
(Required.)
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4.
City
(Required.)
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5.
State/Province
(Required.)
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6.
Country
(Required.)
USA
Canada
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7.
What kind of smartphone do you use?
(Required.)
iPhone
Samsung
Huawei
Google Pixel
LG
Other, please specify
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8.
Which of the following versions of software does your smartphone operate?
If you are unsure as to the version, please go to settings on your smartphone and check under "About". It will indicate software version there.
(Required.)
iOS 12.4.1 or higher
iOS 12.3
Android 7
Android 9
Other (please specify)
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9.
Which of the following devices do you have in your home?
(Required.)
Smartphone
Tablet
Laptop
iPod
Other (please specify)
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10.
Have you ever used a Telehealth program for yourself or your family?
(Required.)
Yes
No
I have never heard of Telehealth
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11.
Are you interested in testing a product that that lets you perform guided medical exams with a healthcare provider, anytime, anywhere?
(Required.)
Very Interested
Somewhat Interested
Not interested
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12.
How often do you visit your doctor?
(Required.)
Weekly
Twice a month
Monthly
Every 6 months
Annually
Only when illness occurs
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13.
Do you or your children often suffer from any of the following?
(Required.)
Ear infections
Sore throats
Fever
Cold and Flu
Allergies
Pink Eye
Nausea
Asthma
Bronchitis or upper respiratory infections
Dermatitis, rash, and diaper rash
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14.
Please tell us why you feel that you and your family would benefit from this type of product in your home.
(Required.)
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15.
I have updated my profile information on www.ptpa.com
(Required.)
Yes
No
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16.
I understand that in order to qualify for this testing opportunity, my profile must be 100% complete on www.ptpa.com
(Required.)
Yes
No
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17.
Would you like to be notified of future testing opportunities?
(Required.)
Yes
No
