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Digital Access for All Telehealth & Teletherapy Survey
The Patterson Foundation Digital Access for All Initiative is exploring the
landscape of the distribution of healthcare and behavioral health-related services
and information via electronic information and telecommunication technologies
in the suncoast region. This survey is intended to begin that exploration.
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* Indicates required question
1. In what county do you reside?
*
Sarasota
Manatee
Charlotte
Desoto
Other:
2. Are you in an urban, rural, or suburban area?
Urban
Rural
Suburban
Other:
Clear selection
3. What is your primary language?
*
Your answer
4. Do you have internet access?
*
Yes
No
5. If you do have internet access, who is your service provider? (Please enter N/A if you do not have internet access)
*
Your answer
6. Do you have a device on which you can access the internet?
Yes
No
Clear selection
7. If you answered yes to question #6, on what device do you access the internet?
Desktop computer
Laptop
Tablet
Smartphone
To better help understand the following questions here is a brief description of these services. Telehealth provides medical services from medical professionals through the use of technology. Teletherapy refers to mental health counseling services offered via technology or by phone.
8. Are you familiar with what telehealth and teletherapy services are?
Yes
No
Other:
Clear selection
9. Which service, either telehealth or teletherapy, have you used?
Telehealth
Teletherapy
Both
Neither
10. If you have used one of the services above, share the name of the service, provider, or company. (Please enter N/A if you have not used telehealth or teletherapy)
Your answer
11. If you have used telehealth and/or teletherapy services, did you prefer the experience over being in a doctor’s office?
Yes
No
Indifferent
Clear selection
12. If you used a telehealth or teletherapy provider, what was the cost?
Free
$0-$50
$50-$150
$150-$250
$250+
Clear selection
13. If you have used a telehealth or teletherapy provider, how was it paid for?
Insurance through employer
Private insurance (self-paid)
Via federal aid program (Medicare, MedicAid, etc.)
Via nonprofit aid (Samaritan Counseling, Spectum Health, Women's Resource Center, etc.)
Out of pocket
Clear selection
14. Does cost prevent you from using telehealth and teletherapy services?
*
Yes
No
15. If telehealth and/or teletherapy services fit into your budget would you be more apt to use them?
*
Yes
No
Not applicable
16. What are some reasons why you would use telehealth or teletherapy services?
Cannot drive
Doctor(s) office is too far away
I am still avoiding certain public places due to COVID19
I have a mental health condition that makes it hard to leave the house
I have a disability
I am not a permanent resident
I travel a lot
I do not have time for in office visits
I don't speak English
Other:
17. Do you feel telehealth and/or teletherapy services would enhance your life and well-being?
*
Yes
No
Maybe
18. If you would like to have further conversations about this topic with us or are seeking resources , please provide your first and last name.
Your answer
19. Please provide your email address.
Your answer
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