Patients’ questionnaire for Telehealth

Our goal

This survey aims to understand your point of view on telehealth technologies and the patient-healthcare professional relationship. Your knowledge and input will be used to improve the way telehealth is provided to patients and caregivers in the future, better meeting your needs. We refer to telehealth as the use of electronic information and telecommunication technologies to support long-distance clinical health care, and patient and professional health-related education.

There are no right or wrong answers - we simply want to understand your personal opinions and perspective more accurately.

Your feedback is important to us to reach your needs and improve telehealth services. Thank you for taking your valuable time to complete this survey. We believe all patients deserve equitable access to quality care.

Lovexair Foundation

Time needed to complete the questionnaire: 5/10 minutes.

About you

The information you provide will helps us determine the level of support you may need to receive for appropriate social care support and understanding, in your telehealth sessions.

Are you a patient or caregiver? *

Patient
Caregiver/Family member

General Information

In this section, we ask to provide some general information about yourself.

Gender *

Female
Male
Other

Country *

Post Code *

How would you categorise your relationship with technology? *

None - I am not comfortable using devices like smartphones, computers
Beginner - I can perform basic tasks like sending messages, using apps, browsing the web
Medium - I may need occasional assistance with more complex issues
Expert - I am highly skilled and knowledgeable about various technologies

Questions on Telehealth

In this section, we ask you to give your opinion on any previous Telehealth experiences you have had and preferred communication channel.

Have you ever used telehealth services before? *

Yes
No

We refer to telehealth as the use of electronic information and telecommunication technologies to support long-distance clinical health care, and patient and professional health-related education.

Barriers and Benefits

In this section, you can express your personal opinion on possible barriers and benefits that Telehealth services may have.

In your opinion, how stressful can a telehealth appointment be? *

1 - Not at all	2	3	4	5 - Very stressful
1 - Not at allItem #1 1 - Not at all	2Item #1 2	3Item #1 3	4Item #1 4	5 - Very stressfulItem #1 5 - Very stressful

If you cannot select your answer, put your screen in horizontal mode.

In your opinion, what are the potential benefits of telehealth? *

You can select more than one option.

Information Sharing and Time

In this section, we ask you to provide your opinion on what kinds of information you would be willing to share with your health care provider and the time needed for an appointment.

What kind of information would you be willing to share with your healthcare professional, prior to or during a telehealth appointment? *

Reports of previous appointments
Prescription information
Clinical Tests/Images
Monitoring Information from my Health Care plan
Adverse Events/Hospitalization
Therapy reports e.g., oxygen therapy etc.
Information in my Electronic Health Records (EHRs)
Other

You can select more than one option.

If you were to have the choice, how long do you think an appointment should be? *

As much time as I need to communicate with my healthcare professional
As much time as my doctor has for me
As short as possible so as to go straight to the point e.g., if we both have information prepared in advance
It doesn’t matter
Other

Additional Support

In this section, we ask you to provide your opinion on possible additional support you might need from the health care system.

To better evaluate your progress towards recovery would you find it useful to have a regular follow-up session to provide you with care support? *

Yes
No

E.g., from nurse, physiotherapists etc.

Please provide a brief motivation for your choice *

Importance of Services

For each of these options, indicate from 1 (Not useful at all) to 5 (Very useful), your opinion on the importance of having the following services in order to improve your telehealth experience.

Saving/uploading my medical history so the healthcare professional has it on hand. *

1 - Not useful at all	2	3	4	5 - Very useful
1 - Not useful at all1 - Not useful at all	22	33	44	5 - Very useful5 - Very useful

Sharing results or health records before the visit. *

1 - Not useful at all	2	3	4	5 - Very useful
1 - Not useful at allItem #1 1 - Not useful at all	2Item #1 2	3Item #1 3	4Item #1 4	5 - Very usefulItem #1 5 - Very useful

Having access to images/diagrams as a summary of my overall health status and progress. *

1 - Not useful at all	2	3	4	5 - Very useful
1 - Not useful at allItem #1 1 - Not useful at all	2Item #1 2	3Item #1 3	4Item #1 4	5 - Very usefulItem #1 5 - Very useful

Getting follow-up recommendations or prescriptions after the appointment. *

1 - Not useful at all	2	3	4	5 - Very useful
1 - Not useful at allItem #1 1 - Not useful at all	2Item #1 2	3Item #1 3	4Item #1 4	5 - Very usefulItem #1 5 - Very useful

Having a direct chat with the healthcare professional for further questions. *

1 - Not useful at all	2	3	4	5 - Very useful
1 - Not useful at allItem #1 1 - Not useful at all	2Item #1 2	3Item #1 3	4Item #1 4	5 - Very usefulItem #1 5 - Very useful

Having video or telephone assistance for follow-up of a treatment or care plan. *

1 - Not useful at all	2	3	4	5 - Very useful
1 - Not useful at allItem #1 1 - Not useful at all	2Item #1 2	3Item #1 3	4Item #1 4	5 - Very usefulItem #1 5 - Very useful

Having a health diary (paper or digitalized) to express my feelings on a personalised care plan between appointments to be shared with my healthcare professionals. *

1 - Not useful at all	2	3	4	5 - Very useful
1 - Not useful at allItem #1 1 - Not useful at all	2Item #1 2	3Item #1 3	4Item #1 4	5 - Very usefulItem #1 5 - Very useful

From face-to-face appointments to Telehealth

In this section, we ask you to provide your opinion on the transition that is occurring from face-to-face appointments to telehealth.

What aspects of an in-person care-professional visit would you miss the most during a telehealth appointment?  *

Not being able to express myself
Not being able to communicate my true feelings or concerns properly
Not portraying my real situation effectively to my healthcare professional
Not having a face-to-face conversation expressed with empathy
Other

You can select more than one option.

Considering the potential impact of telehealth on time, how often would you visit your healthcare professional in person in the future? Would you visit: *

More often
Less often
About the same

If more than one condition is involved, rate the following options. I would prefer: *

	1 - Not useful at all	2	3	4	5 - Very useful
Having more specialists communicating together in a single telehealth appointment.	1 - Not useful at allHaving more specialists communicating together in a single telehealth appointment. 1 - Not useful at all	2Having more specialists communicating together in a single telehealth appointment. 2	3Having more specialists communicating together in a single telehealth appointment. 3	4Having more specialists communicating together in a single telehealth appointment. 4	5 - Very usefulHaving more specialists communicating together in a single telehealth appointment. 5 - Very useful
Having one provider/support worker to manage all conditions.	1 - Not useful at allHaving one provider/support worker to manage all conditions. 1 - Not useful at all	2Having one provider/support worker to manage all conditions. 2	3Having one provider/support worker to manage all conditions. 3	4Having one provider/support worker to manage all conditions. 4	5 - Very usefulHaving one provider/support worker to manage all conditions. 5 - Very useful

Thank you for your time and help

Thank you for taking the time to complete this important survey. Your feedback and opinions will be fundamental in helping us understand how to improve telehealth systems. We greatly appreciate you sharing your personal perspective and experiences.

Your responses will provide insights to make meaningful changes. Please know that your contribution makes a real difference and is helping to shape the future of how healthcare is delivered.

Please provide any other feedback on how telehealth services could better meet your needs and preferences.

More information

If you would be willing to provide further details or collaborate to help beyond the completion of this questionnaire, please provide your contact information below. It will be kept confidential and used solely for the purpose of contacting you regarding this research initiative.

Name and Surname

Nombre

Apellidos

Phone

Email

This survey is anonymous and open to Italian, Spanish, English speaking citizens in this first phase and is in compliance with the regulations of the General Data Protection Regulation (GDPR) European legislation. The personal data you disclose in the questionnaire and if appropriate, when you give your consent, in a subsequent tele-conference call, will be processed by the Lovexair Foundation in order to investigate the benefits and barriers of tele-health from the perspective of patients/caregivers/family members and healthcare professionals. Your consent, is the legal precedent for processing your information. You have recognized your data protection rights, as explained in Lovexair's Privacy Policy where you can consult additional and detailed information on personal data-processing. In the event that you disclose any personal data on behalf of third parties, you are solely responsible for having obtained all the necessary consents and authorizations in this regard.

I additionally give permission to Lovexair Foundation, to call me at the telephone number supplied for further information regarding the survey