A new healthcare product

If you take medications on a daily basis or take care of/know someone who does, this is the survey for you! We are assessing interest in a new type of pillbox with some technological features. This short survey will help us understand if such a product could be useful, for whom, and in what price range. There are no right or wrong answers: we are interested in hearing your opinion. The survey is anonymous and takes approximately 5-7 minutes. Thank you for your time.

Sign in to Google to save your progress. Learn more
Please write your country *
Are you filling out the survey for yourself or do you take care of/know someone who takes multiple therapies? *
Please indicate the age range of the person for whom you're completing the questionnaire: *
How many different pills should the person you are filling out the questionnaire for take daily?
Clear selection
Does the person you're filling out the questionnaire for use any products to help them remember to take their medications? *
Does the person you are completing the questionnaire for manage their medication intake autonomously? *
Does the person you are filling out the questionnaire for find a product useful for organizing and remembering medication intake? *
Not at all helpful
Very helpful
Would the person you are filling out this questionnaire for buy a product to help them organize and remember to take their medications? *
This pillbox:
- Needs to be filled once a week
- Pills are divided by day and time of day
- Does not provide reminders, so you must remember on your own
- is portable.

How much do you think the product in the photo costs?

Would you buy it?

Example answer: __€ - Yes
*
Captionless Image
This pillbox:
- Needs to be filled once a month
- Automatically dispenses the correct pills at the right time and sends reminders
- It also notifies whoever you want when the medication has been taken
- Is designed to remain at home.

In your opinion, how much does the product in the photo cost?

Would you buy it?
Example answer: __€ - Yes
*
Captionless Image
This pillbox:
- Needs to be filled once a week
- Tells you when it's time to take your pills, opens the right compartment, and shows you on the screen how many pills to take
- Also notifies whoever you want to report that they've taken them
- is portable.

How much do you think the product in the photo costs?

Would you buy it?
Example answer: __€ - Yes
*
Captionless Image
Last question :-)
Regarding the pillbox in the previous question, we’re considering adding a device that helps with loading the pills.

This device snaps into the pillbox and automatically counts the pills as you insert them, helping reduce the risk of errors.

Do you think this device would be useful?

*
If you have any additional comments or notes, please write them here *
SURVEY CIRCLE POINTS
Redeem Survey Code with one click: https://www.surveycircle.com/9T3G-X244-GRDF-E2V4/
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Palladio Group Spa.

Does this form look suspicious? Report