Medical Web Use Survey for Patients Patient survey of web usage for medical related questions. This web survey includes items on self-diagnosis and communication with physician. We have put this resource online because we know how hard it is to get started. You are free to use these ideas for your own survey project, but please read this disclaimer, which applies to all of our free web resources: Templates include suggested questions on a given topic. The survey templates have not been tested for validity and reliability. They are presented as survey design samples only. The questions are provided as possible examples of the type of questions you might want to include, without warranty for reliability or validity. This is a SurveyShare medical web survey template. It is an example of a web survey that was constructed from a web survey template about Medical Web Use. It took me less than two minutes to create this survey using the surveyshare web survey software. Make your own customized medical web use survey with SurveyShare's Web survey template library. You can get your survey on the Internet in less time than you might think.         1) Do you have a primary care or regular physician? -- Select Here -- Yes No (go to question 4) 2) How long have you been seeing your primary care or regular physician? -- Select Here -- Less than 6 months 6 months to less than 1 year 1-2 years 3-4 years 5-6 years 7-8 years 9-10 years 11-12 years 13-14 years 15 or more years 3) What is your regular physician's area of practice? General/Family Practice Medical Specialty Other: 4) Has your physician ever recommended any medical websites to you? -- Select Here -- Yes No (go to question 6) 5) What medical websites has your physician recommended to you? 6) How often have you used the Internet to obtain medical information? Often Sometimes Rarely Never (go to question 11) 7) What websites do you usually visit for medical information? 8) How often have you discussed medical information you have obtained from a website with your physician? -- Select Here -- Often Sometimes Rarely Never (go to question 10) 9) How has your physician reacted when you have discussed medical information you obtained from the Internet? Welcomed and openly discussed the information Dismissed the information with little discussion Became irritated and recommended not using the internet for medical information Other: 10) In what ways has obtaining medical information from the internet helped your relationship with your physician regarding your health care? (Check all that apply) Feel like more of a partner in my health care Helps me to better communicate with my doctor Feel more informed about my health care and treatment options Gives me more control over my health care Other: 11) How often have you diagnosed and treated your symptoms using medical information from the internet instead of seeing your physician? -- Select Here -- Often Sometimes Rarely Never 12) Are you male or female? -- Select Here -- Male Female 13) What is your age? -- Select Here -- 18-21 22-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61-65 66 and over       Medical Laboratory Satisfaction Web Survey Template Web Survey Templates on Course Evaluation These web surveys are from the Academic - Higher Ed category Google search for medical web survey Search the Web for medical satisfaction web survey