Medical Web Use Web Based Survey:
These survey questions focus on medical web use. It is intended for doctors to answer this web survey. It is meant as an example of a physician survey of web usage by themselves and their patients for medical related questions. If you have a few minutes, You can create Web survey like this Medical Web Use survey by visiting this partly free survey resource known as
SurveyShare, the survey tool for the Web!
1) Does your office provide a website for patients?
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Yes
No (go to question 3)
2) Which of the following does your website provide for patients? (Check all that apply)
Physician Directory
Patient Education
Medical Website Links
Frequently Asked Questions
Billing Procedures
Physician E-mail
Contact Information
Scheduling Information
Other:
3) Do you recommend medical websites to your patients?
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Yes
No (go to question 5)
4) Please list below the medical websites you have recommended to your patients. Include web addresses (URLs) if possible.
5) Do you recommend specific medical discussion forums to your patients?
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Yes
No
6) Do you use the Internet to access medical care or treatment information?
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Yes
No (go to question 8)
7) What websites do you access for medical care or treatment information?
8) Do you use web-based case studies for continuing education credits?
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Yes
No
9) How often do patients discuss with you medical information they have obtained from the Internet?
Often
Sometimes
Rarely
Never
10) In what ways has medical information your patients received from the Internet been helpful in treating your patients? (Check all that apply)
Not helpful at all
Patient is more informed
Patient has more partnership in his/her health care
Patient is more comfortable speaking with doctor
Promotes cooperation between patient and doctor
Other:
11) In what ways has medical information your patients received over the Internet been harmful or impeded patient care? (Check all that apply)
Not harmful at all
Promotes self-diagnosis and treatment
Takes away degree of control from physician
Creates patient mistrust of physician's decisions
Patient misunderstanding of information
Inaccurate information
Other:
12) Please tell us of any medical websites that you feel are particularly harmful for patients to obtain information from.
13) Are you male or female?
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Male
Female
14) What is your age?
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20-25
26-30
31-35
36-40
41-45
46-50
51-55
56-60
61-65
Over 65
15) How long have you been in practice?
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Less than 1 year
1-3 years
4-6 years
7-9 years
10-12 years
13-15 years
16-18 years
19-20 years
More than 20 years
16) Do you work in private practice, clinic or medical group, or in a hospital?
Private Practice
Clinic or Medical Group
Hospital
Other:
Insurance Web Survey
Web survey about medical laboratory services
Search Google for free benefits satisfaction poll
Search the Internet for
hospital Internet survey template
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Free Survey Sites
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