Tour de Heart: Patient Experience Survey
The purpose of this survey is to collect input from people diagnosed with heart problems. Based on my lifelong journey with heart issues, I have found that traditional healthcare services don't help us to get our lives back once we leave the hospital. I would like to hear from other people dealing with heart issues and understand if there are more people like me.  
I hope that we can share information and improve outcomes as we reach our goals and do amazing things!

Sign in to Google to save your progress. Learn more
Email *
Have you been diagnosed with heart issues?
Clear selection
If you feel comfortable sharing, please provide an overview of your heart issue:
Have you had / or will you have a surgical heart procedure or other treatment?
If yes, do you feel like you were given enough information about the surgery/procedure/treatment?
Clear selection
What do you wish you had known before the procedure?
Do you ever feel scared or overwhelmed at times dealing with your heart issues?
Clear selection
What about your condition makes you feel scared / overwhelmed?
Do you use a wearable device, such as a FitBit or Garmin, that has a heart rate feature to help you track your heart?
Clear selection
Do you feel that you can do the same level of activity as before your diagnosis/procedure?
Clear selection
Do you feel like your doctor understands your goals and helps create a plan to achieve them?
Clear selection
What would you most like to change/improve about your experience that will help others?
If you would like to be added to the Tour de Heart community, please provide your name and email address:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Tour de Heart. Report Abuse
Google Forms