SURVEY ON CONSUMER PERCEPTION ON ONLINE CONSULTATION
Sign in to Google to save your progress. Learn more
Name *
Gender *
How old are you? *
What is your major occupation? *
What is your highest education level? *
Your place of residence *
Are you aware that you can consult doctor through online? *
Please specify how you first heard about online consultation *
Have you ever used online consultation? *
Do you think that it is easy to use? *
Are you confident in using this method of consultation? *
Would you recommend it to family / friends? *
Do you feel any discomfort in using online consultation? *
Do you think your information will be kept confidential? *
During any inconvenience in visiting doctor do you prefer consulting doctor through online? *
Do you think online consultation will be effective? *
Will online consultation save your time in consulting doctor? *
Will you be able to clearly explain about your problems to doctor through online consultation? *
Do you have any concerns / fears when you consult through online? *
Are you aware of any app / website that provides online consultation? *
Which is the most suitable device to do online consultation? (one or more options) *
Required
Do you think online consultation could be provided in remote areas? *
Do you think that the charges for direct consultation and online consultation differ? *
Will you accept that the doctors will answer your questions promptly with online consultation? *
Rate your acceptance of online consultation over typical consultation *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The TIPSGLOBAL Institute. Report Abuse