Attend Anywhere Patient Survey

Thank you for attending your video consultation on the Attend Anywhere platform.

We would really value your feedback on your experience of attending a video consultation.

We hope you will take the time to complete our short, optional survey. All responses are anonymised.

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* 1. Which clinic was your video consultation for today?

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* 2. Was this your first time using video consultation?

Yes

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* 3. How did you find using the system with 1 being 'easy to use' and 10 being 'hard to use? (please select one)

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* 4. Did you feel you were able to communicate everything you wanted to the Consultant/Nurse during your video consultation? (please select one)

Yes

Don't know

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* 5. How would you rate your experience of your video consultation compared with your previous face to face consultation(s)? (please select one)

Significantly better

Better

The same

Poorer

Significantly poorer

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* 6. Did you experience any technical difficulties? (please select all that apply)

None

Problems with audio

Problems with video

Problems with internet connection

Problems with the browser

Other (please specify)

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* 7. What benefits did you experience? (please select all that apply)

Did not have to take time off work / school

More convenient

Because of my condition, it was safer / easier

Did not have to arrange childcare/care for a relative

Shorter time spent in the waiting room (than if I had attended in person)

More comfortable waiting experience

I did not have to allow extra time (parking, traffic, leaving work/school etc)

Less stressful

None

Other (please specify)

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* 8. What disadvantages did you experience? (please select all that apply)

I couldn’t find somewhere private for the consultation

I found it too complicated to use

Less convenient

Because of my condition, it was unsafe/harder to use

I prefer to see my clinician face to face

The consultation took more time

It used up too much of my data allowance

Longer time spent in the waiting room (than if I had attended in person)

Less comfortable waiting experience

More stressful

None

Other (please specify)

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* 9. For each of the factors listed below, please could you rate how good your experience was (please select one box for each)

	Very Good	Good	Poor	Very Poor	Don't know
The process of booking and joining your virtual consultation	The process of booking and joining your virtual consultation Very Good	The process of booking and joining your virtual consultation Good	The process of booking and joining your virtual consultation Poor	The process of booking and joining your virtual consultation Very Poor	The process of booking and joining your virtual consultation Don't know
Software compatibility with mobile phone or laptop	Software compatibility with mobile phone or laptop Very Good	Software compatibility with mobile phone or laptop Good	Software compatibility with mobile phone or laptop Poor	Software compatibility with mobile phone or laptop Very Poor	Software compatibility with mobile phone or laptop Don't know
The quality of the sound during the call	The quality of the sound during the call Very Good	The quality of the sound during the call Good	The quality of the sound during the call Poor	The quality of the sound during the call Very Poor	The quality of the sound during the call Don't know
The quality of the picture during the call	The quality of the picture during the call Very Good	The quality of the picture during the call Good	The quality of the picture during the call Poor	The quality of the picture during the call Very Poor	The quality of the picture during the call Don't know

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* 10. Do you have any other comments or thoughts about your experience of the video consultation that you would like to share?

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* 11. What age group are you?

under 18

18-24

25-34

35-44

45-54

55-64

65-74

75-84

85-94

95+

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* 12. Gender: How do you identify?

Male

Female

Prefer not to say

Other

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* 13. Is this the gender you were assigned at birth?

Yes

Prefer not to say

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* 14. Which of the following best describes your ethnic background?

White

English / Welsh / Scottish / Northern Irish / British

White other (Please specify in the space below)

Asian / Asian British

Black / Black British

Mixed / Multiple Ethnic group

Prefer not to say

Other

Other (please specify)

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* 15. Which of the following options best describes your sexual orientation?

Heterosexual / straight

Lesbian

Gay

Bisexual

Other

Prefer not to say

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* 16. Do you consider yourself to have a disability, impairment or a mental health condition? (Please tick all that apply)

No disability

Mobility impairment (Wheelchair user)

Mobility impairment, such as difficulty moving arms (Not a wheelchair user)

Visually impaired, partially sighted or blind

Hearing impaired, hard of hearing, or deaf

Mental health condition such as depression or schizophrenia

Dementia (including Alzheimer’s disease)

Long standing condition such as cancer, HIV, diabetes, chronic heart disease

Neurological impairment (including epilepsy and brain injury)

Learning difficulty or disability (such as Down's syndrome or dyslexia) or cognitive impairment

Autistic spectrum disorder

Prefer not to say

Other (please specify in the box below)

Other (please specify)