Patient Questionnaire: Telehealth

Question Title

* 1. Which service did you use Telehealth for?

Speech-Language Therapy

Dietitian

Physiotherapy

Occupational Therapy

Social Work

Allied Health Assistant

Other (please specify):

Question Title

* 2. How do you access Telehealth?

Telephone

Videoconferencing

Both

Question Title

* 3. Overall, how satisfied were you with your Telehealth appointment compared to your usual session with your therapist?

1 - Not satisfied

5 - Very satisfied

1 - Not satisfied

5 - Very satisfied

Comments:

Question Title

* 4. Did you have technical difficulties? (tick all that apply):

Poor internet connection

Screen froze

Unable to hear

Couldn’t get link to work

Other (please explain):

Question Title

* 5. Were the resources useful for getting access to your appointment?

1 - Not satisfied

5 - Very satisfied

1 - Not satisfied

5 - Very satisfied

Any comments?

Patient Questionnaire: Telehealth

Question Title

* 1. Which service did you use Telehealth for?

Question Title

* 2. How do you access Telehealth?

Question Title

* 3. Overall, how satisfied were you with your Telehealth appointment compared to your usual session with your therapist?

Question Title

* 4. Did you have technical difficulties? (tick all that apply):

Question Title

* 5. Were the resources useful for getting access to your appointment?

Question Title

* 6. Would you do anything differently?

Question Title

* 7. Would you recommend Telehealth to others?

Question Title

* 8. Would you use Telehealth again?