Columbus Behavioral Health

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5071 Forest Drive, Ste B, Columbus, OH 43054, 614.360.2600
Telehealth Survey-All responses are anonymous

How long have you been receiving services from Columbus Behavioral Health? *

I have never been a patient of Columbus Behavioral Health

1 year or less (have only had telehealth)

1-2 years (have had both telehealth and in-person)

More than 2 years

I am a former patient (not currently receiving services)

What insurance do you have? *

Anthem/Blue Cross Blue Shield

Aetna

United Healthcare/United Behavioral Health

Cigna

Optima

Humana

Ohio Healthy

MedBen

Medical Mutual

Meritain

OSU Primecare

Trustmark

Medicare

Other:

If other, which one do you have?

If it weren't for teletherapy, I would not be able to receive therapy services. *

Strongly Disagree

Strongly Agree

I find teletherapy just as helpful as in-person therapy. *

Strongly Disagree

Strongly Agree

I would attend therapy less frequently if I were required to attend in-person. *

Strongly Disagree

Strongly Agree

I am more likely to go to therapy if teletherapy is offered. *

Strongly Disagree

Strongly Agree

Are you vaccinated against COVID-19? *

Yes, I am fully vaccinated.

No, and I do not plan to get vaccinated.

I plan to get vaccinated but have not been able to schedule a shot yet.

I am partially vaccinated and will soon receive my second shot.

Prefer not to answer

It is important to me that insurance covers teletherapy in the future, even after the pandemic is over. *

Strongly Disagree

Strongly Agree

If my insurance does not cover teletherapy in the future, I am likely to change insurance providers. *

Strongly Disagree

Strongly Agree

If my insurance requires me to pay more for teletherapy coverage in the future, I am likely to change insurance providers. *

Strongly Disagree

Strongly Agree

If my insurance requires me to use a 3rd party site, (e.g., Teladoc, Evernote, MDLive, Livehealth, etc.) and my preferred therapist is not on that site, I am likely to change insurance providers so I can continue to see my preferred therapist. *

Strongly Disagree

Strongly Agree

If my insurance requires me to pay a higher co-pay to continue teletherapy, I am likely to: *

Continue with teletherapy with my current therapist

Try to see my therapist in person

Find a different provider who is in-person

Change insurance providers

I have medical conditions that make going to in-person therapy difficult. *

Strongly Disagree

Strongly Agree

How do your medical conditions make it more challenging for you to attend in-person appointments?

Due to transportation issues, it is easier for me to attend teletherapy than in-person appointments. *

Strongly Disagree

Strongly Agree

What transportation issues prohibit you from coming to in-person therapy appointments.

I dislike sitting in traffic.

I don't have time to commute to and from in-person therapy appointments.

It causes me anxiety to drive.

I share a vehicle with someone.

I have to get a ride from someone else.

My car is unreliable.

My therapists office is too far away from my home for me to commute.

It costs money to pay for gas that I do not have to spend.

Due to childcare issues, it is easier for me to attend teletherapy sessions than in-person sessions. *

Strongly Disagree

Strongly Agree

Due to my work schedule, it is easier for me to attend teletherapy sessions than in-person sessions. *

Strongly Disagree

Strongly Agree

Does your employer provide sick time or time off to attend therapy appointments? *

Yes

Due to my anxiety, I prefer teletherapy to in-person sessions. *

Strongly Disagree

Strongly Agree

My symptoms have improved as a result of my access to teletherapy sessions. *

Strongly Disagree

Strongly Agree

It was difficult for me to find a therapist in my area who was accepting new patients. *

Strongly Disagree

Strongly Agree

Over the span of time that I have attended teletherapy sessions, I have missed fewer days of work than usual. *

Strongly Disagree

Strongly Agree

Over the span of time that I have attended teletherapy sessions, I have gone to see my medical doctor fewer times than usual. *

Strongly Disagree

Strongly Agree

How do you feel about having to wear a mask for an hour for in-person therapy session? *

I would be comfortable wearing a mask and would wear one

I would be uncomfortable wearing a mask but would wear one

I would be uncomfortable wearing a mask and would refuse to wear one

I would choose not to attend in-person therapy sessions if I had to wear a mask

How has access to telehealth been helpful for you?

What has not worked well for you with teletherapy?

Do you think having to return to in-person sessions would negatively impact your mental health symptoms? Why or why not?

Oops! Did we miss something? Please share anything else about your experience that you would like us to know.

Please check all that apply *

I have had symptoms of or tested positive for COVID-19

Someone special to me has had symptoms of or tested positive for COVID-19

A family member/friend/person close to me has died from COVID-19

I am a front line worker

None apply to me

I prefer not to answer

Required

What impact has COVID-19 had on your mental and physical health? (check all that apply) *

New or increased anxiety

New or increased feelings of fear or worry

Changes in eating patterns

Changes in sleeping patterns

Increased use of alcohol, tobacco or other drugs

Unexplained headaches, stomach issues or other physical issues (not of the illness itself)

Worsening chronic health issues

New or worsening irritability

New or worsening difficulty concentrating

New or worsening feelings of guilt, hopelessness or helplessness

Mental trauma as a front line worker

None of the above

I prefer not to answer

Other:

Required

Compared to before coming to Columbus Behavioral Health, *

NA/not area of concern for me

No improvement at all ☹️

A bit of improvement 🙂

Significant improvement 😀

I am better able to control/manage my anxiety, worry or fear?

I am less sad, depressed, down, or hopeless

I get along better with those close to me

I have more interest in or receive more pleasure from things I value

My symptoms interfere less with my daily activities/work

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