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. OK Question Title * 1. Which clinic was your video consultation for today? OK Question Title * 2. Was this your first time using video consultation? Yes No OK Question Title * 3. How did you find using the system with 1 being 'easy to use' and 10 being 'hard to use? (please select one) 1 2 3 4 5 6 7 8 9 10 OK Question Title * 4. Did you feel you were able to communicate everything you wanted to the Consultant/Nurse during your video consultation? (please select one) Yes No Don't know OK Question Title * 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 OK Question Title * 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) OK Question Title * 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) OK Question Title * 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) OK Question Title * 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 OK Question Title * 10. Do you have any other comments or thoughts about your experience of the video consultation that you would like to share? OK Question Title * 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+ OK Question Title * 12. Gender: How do you identify? Male Female Prefer not to say Other OK Question Title * 13. Is this the gender you were assigned at birth? Yes No Prefer not to say OK Question Title * 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) OK Question Title * 15. Which of the following options best describes your sexual orientation? Heterosexual / straight Lesbian Gay Bisexual Other Prefer not to say OK Question Title * 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) OK DONE
