Get Early Access To A Paperless Medical Cabinet

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Get Early Access To A Paperless Medical Cabinet

Dear Enthusiast,

We are delighted to see you here! By signing up for early access, you are contributing not only to Basil, but also becoming a vital proponent to the Ayushman Bharat Digital Mission.

Please provide your email and help us better understand your needs by responding to a quick ~2-minute survey. Your inputs are of immense significance to us!

Your Email *

We solemnly swear we will never spam you!

Which of the following best describes you?

Self Care Samurai (I manage my health records diligently)

Responsible Record-Keeper (I manage my own and my entire family's medical records)

Casual Collector (I either use them or lose them)

Non-Notekeeper (I don't store any medical records)

Clear selection

How do you currently manage your health records? (Select all that apply)

Physically (Papers saved in files/folders)

Online (Drives/Dropbox/Email attachments)

Mobile Apps Or Software especially crafted for this purpose

I don't save any medical records

What are the primary challenges you face when managing your health records? (Select all that apply)

Difficulty organizing records

Finding specific health information

Concerns about data security and privacy

Keeping records up-to-date

Sharing records with healthcare providers

Other:

What features or tools would be most important to you in a digital health record management solution? (It should help me ....)

Would you be open to participating in beta testing or providing feedback for such a solution?
*

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms