Patient and public survey ยท Page 33 of 33

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I understand this is product discovery/PPIE feedback, not medical advice or clinical care, and I should not enter identifiable health information.
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Are you aged 18 or over?
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Have you completed a health or care form online in the last 12 months?
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How confident do you usually feel completing health forms online?
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Which issues have made online health forms harder for you?
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Do you use any accessibility tools or adjustments when completing online forms?
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What makes you trust or distrust an online health form?
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How easy was Prototype A to use?
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How clear were the instructions and questions?
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How confident would you feel submitting real health information through this type of form?
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Did anything make you hesitate, feel uncertain, or want to stop?
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What worked well?
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What is Alex completing this form for?
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How has Alex been feeling this week?
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Does Alex need help completing forms?
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Is there anything Alex wants the team to know before the appointment?
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How easy was Prototype B to use?
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How clear were the instructions and questions?
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How confident would you feel submitting real health information through this type of form?
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Did anything make you hesitate, feel uncertain, or want to stop?
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What worked well?
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Which prototype would you prefer for a real health form?
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What mattered most in your choice?
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Which version felt more suitable for sensitive health information?
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Which version would you be more likely to complete without help?
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What would make either version better for you or someone you support?
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How important is it that health forms are designed specifically for health and care?
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Which age band are you in?
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Which UK nation or region do you live in?
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Is there anything else we should understand before designing health forms for patients and the public?
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Would you be willing to take part in a short follow-up conversation?
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