Telehealth Survey

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Telehealth Survey

Our priority is to create the most efficient healthcare experience for our patients. We want to hear whether you are interested in pursuing Telehealth and what assistance you need. If you experienced a telehealth visit, how was it, and how can we improve your experience? Mahalo for taking the time to complete this short five-minute survey. Responses are anonymous.

1. Where do you receive care? (Select one)

a. Hāmākua-Kohala Health

b. Hawaiʻi Island Community Health Center

c. Hui Mālama Ola Nā ʻŌiwi

d. Other

Clear selection

2. What area do you reside? (Select one)

a. Hilo

b. Kona

c. Puna

d. Kaʻū

e. Kohala

f. Hāmākua

g. Waimea

h. Other

Clear selection

3. Age (Select one)

a. 18–25 years

b. 26–45 years

c. 46–59 years

d. 60–70 years

e. 71+ years

Clear selection

4. Sex (Select one)

a. Male

b. Female

c. Other

Clear selection

5. Race/Ethnicity (Select one)

a. African American

b. Asian

c. Hispanic or Latino

d. Native Hawaiian

e. Other Pacific Islander

f. White

g. Two or more races

Clear selection

6. What is your preferred language? (Select one)

a. English

b. Filipino

c. ʻŌlelo Hawaiʻi

d. Spanish

e. Other Pacific Islander

Clear selection

7. Highest Level of Education (Select one)

a. Some high school

b. High school diploma or equivalent

c. Some College

d. Associate Degree

e. Bachelors Degree

f. Master's Degree or more

Clear selection

8. Annual Income (Select one)

a. Less than $24,999

b. $25,000-$49,999

c. $50,000-$74,999

d. $75,000-$99,999

e. $100,000-$149,999

f. $150,000+

Clear selection

9. Do you have the equipment to make a telehealth appointment? (Select all that apply)

a. Smartphone, computer, or tablet with a camera

b. Strong cellular network signal

c. Wi-Fi

10. I can use applications/programs (like Zoom) on my cell phone, computer, or tablet

independently (Without asking for help from someone else)

a. Strongly disagree.

b. Disagree

c. Neutral

d. Agree

e. Strongly agree.

Clear selection

11. I can set up a virtual visit using my cell phone, computer, or tablet independently

(Without asking for help from someone else)

a. Strongly disagree.

b. Disagree

c. Neutral

d. Agree

e. Strongly agree.

Clear selection

12. I can solve or figure out how to solve basic technical issues independently (Without

asking for help from someone else)

a. Strongly disagree.

b. Disagree

c. Neutral

d. Agree

e. Strongly agree.

Clear selection

13. What were the primary reasons for using telehealth services? (Select all that apply)

a. Convenience

b. Lack of transportation

c. Accessibility to healthcare providers

d. Privacy concerns

Other:

14. What types of telehealth services have you used in the past? (Select all that apply)

a. Annual visit/well-child visit

b. Medication refill appointment

c. Chronic disease follow-up (Diabetes Mellitus, Hypertension, Asthma, etc.)

d. Acute visit (Urinary Tract Infection, Upper Respiratory Infection, Cold/Flu)

e. Behavioral Health/Addiction Medicine

f. Other

15. On a scale of 1 to 5, where 1 is very dissatisfied and 5 is very satisfied, how would

you rate your overall experience with telehealth services?

Clear selection

16. What were the advantages of using telehealth services? (Select all that apply)

a. Reduced travel time and costs

b. Easier appointment scheduling

c. Increased access to specialists

d. Avoidance of waiting rooms

e. Greater flexibility in appointment times

Other:

17. What were the disadvantages or challenges you encountered while using telehealth

services? (Select all that apply)

a. Technical difficulties

b. Limited physical examination possibilities

c. Lack of personal connection with healthcare providers

d. Concerns about data privacy and security

e. Difficulty in conveying symptoms or concerns

Other:

18. If you have not used telehealth services, what are the primary reasons for not using

telehealth services (Select all that apply)

a. No device

b. No internet service.

c. Do not know how to use it.

d. Lack of connection with a healthcare provider

19. How likely are you to use telehealth services in the future?

a. Very likely

b. Somewhat likely

c. Not likely

Clear selection

20. If a mobile telehealth vehicle came to your community or home to provide telehealth

access and education, how likely are you to use it?

a. Very likely

b. Unlikely

c. Uncertain

Clear selection

Mahalo!

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