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Thank you for taking a few minutes to provide your feedback about your recent experience with telehealth services.

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* 1. Where were you first evaluated by your physician?

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* 2. Where were you first evaluated by your therapist, speech-language pathologist or audiologist?

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* 3. How have you received speech therapy or audiology services?

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* 4. If you received audiology services, please skip to question #7.

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* 5. Did you complete your home program as prescribed?

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* 6. If your response to question #5 was no, why didn't you complete your home program as prescribed?

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* 7. Do you believe telehealth services should be covered by your insurance during and after the COVID-19 pandemic?

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* 8. Which of the following environments do you prefer for receiving speech therapy or audiology services?

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* 9. Telehealth therapy/services improved the following for me (please mark all that apply)

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* 10. Did you feel you could navigate the computer effectively at home to sign in and navigate during the sessions?

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* 11. If you received audiology services, please skip to question #13.

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* 12. Did you have someone present in your home during telehealth sessions to assist you with computer navigation and sign in during teletherapy?

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* 13. How has your condition changed since receiving telehealth services?

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* 14. How do you feel telehealth services compare to face-to-face (a rating of 5=comparable)?

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* 15. Comments about your overall experience in receiving telehealth services.

Thank you for completing this survey. Your feedback will assist in continuing to enhance speech-language-hearing services for Nebraskans.
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