Q01
メッセージ
すべてのテンプレートHealthcare & Clinical
Contactless Health Check Experience Survey
Captures how patients and employees experience contactless vital-sign screening — camera- or sensor-based checks for temperature, heart rate, or oxygen — covering ease of use, trust in accuracy, and privacy comfort. Built for clinics and workplaces piloting no-touch screening, with an AI follow-up that probes what drove doubt or confidence in the reading.
設問の例
テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。
全14問・約7分
Q02
選択式必須
Where did you use the contactless health check?
- Doctor's office or clinic waiting room
- Workplace or office lobby
- Pharmacy or retail health kiosk
- Airport or travel screening point
- At home with a personal device
Q03
選択式必須
Which of the following did the contactless check measure? Select all that apply.
- Body temperature
- Heart rate
- Blood oxygen level
- Respiratory rate
- Blood pressure
- Not sure
Q04
評価スケール必須
How easy was it to complete the contactless health check?
範囲: 1 – 5
最小:Very difficult最大:Very easy
Q05
オピニオンスケール必須
How much did you trust the accuracy of the results compared to a traditional in-person check (e.g., thermometer, blood pressure cuff)?
スケール: 0 – 10
最小:Not at all confident最大:Completely confident
Q06
マトリクス必須
How much do you agree with each statement about the contactless check?
5行 × 5列
- The check felt fast
- I felt my privacy was respected
- The instructions were clear
- I felt comfortable with no physical contact
- I understood what my results meant
列: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q07
選択式必須
Did you receive a clear explanation of your results?
- Yes, fully explained
- Mostly, but some questions remained
- Only a basic pass/fail result
- No explanation was given
Q08
AIインタビュー
Explore what specifically shaped this respondent's trust (or distrust) in the contactless reading — did they compare it to a past traditional check, notice inconsistent results, or feel rushed? If they said their results weren't clearly explained, ask what specific question went unanswered and what they did next (asked staff, looked it up, or ignored it).
Q09
ベスト・ワースト選択（MaxDiff）必須
When choosing between a contactless check and a traditional one, which of these matter most and least to you?
- Speed of the check
- Accuracy of the results
- Not being touched by equipment or staff
- Privacy of my health data
- How clearly results were explained
- Cost of the check
- Availability without an appointment
各セットで最も良いもの・最も悪いものを選択最も良い:Matters most最も悪い:Matters least
Q10
選択式必須
Next time you have the option, would you choose a contactless health check over a traditional one?
- Definitely contactless
- Probably contactless
- No preference
- Probably traditional
- Definitely traditional
Q11
自由回答（長文）
Is there anything about the contactless check that confused you, worried you, or that you'd change?
Q12
選択式
What is your age range?
- Under 18
- 18-24
- 25-34
- 35-44
- 45-54
- 55-64
- 65 or older
- Prefer not to say
Q13
選択式
How comfortable are you generally with health technology (apps, wearables, telehealth)?
- Very comfortable
- Somewhat comfortable
- Neutral
- Somewhat uncomfortable
- Very uncomfortable
- Prefer not to say
Q14
メッセージ
That's everything — thank you! Your responses will help us improve the accuracy, clarity, and comfort of contactless health checks for future users.
含まれる機能
AIによる深掘り
自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。
注意確認設問
急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。
AIが作成する設問文
文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。
自動レポート
回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。
他ツールとの比較
ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。
このテンプレートを選ぶ理由
- Includes an AI follow-up interview that explores what specifically drove a respondent's trust or distrust in the reading, going beyond a static trust-rating question
- Combines quantitative measures (rating, opinion scale, matrix, max-diff) with open-ended long-text and adaptive probing in one flow, so both patterns and reasons are captured
- Separates use-context (clinic vs. workplace), measurement type, and demographic/tech-comfort questions so results can be segmented without extra surveys
- Ends with a clear wrap-up message and produces an auto-generated report, so teams don't have to manually compile findings from a static form
QuestionPro
Contactless health check survey templateThis is the closest direct competitor, covering the same core topic of contactless vital-sign screening experience. It appears to be a standard fielding-ready template with fixed questions rather than an adaptive interview flow. No indication it offers voice-based or AI-probed follow-up on trust/accuracy perceptions.
優れている点
- Directly targets the same contactless health screening use case
- Likely offers quick deployment as a ready-made template within a broader survey platform
- Backed by an established survey platform with wide question-type support
物足りない点
- No adaptive AI follow-up to probe why a respondent trusted or doubted the reading — likely fixed questions only
- No indication of voice AI interview capability or screen-share guided tasks
- No published methodology for how question order or logic was designed, unlike transparent prompt design
よくあるご質問
「Contactless Health Check Experience Survey」テンプレートにはどのような設問が含まれていますか？
すぐに使える設問が14問含まれており、最初の設問は次のとおりです：「Thanks for trying our contactless health check! We'd like to hear about your experience — how easy it was, whether you t…」・「Where did you use the contactless health check?」・「Which of the following did the contactless check measure? Select all that apply.」。すべての設問は上でプレビューでき、自由に編集できます。
このアンケートの回答にはどのくらい時間がかかりますか？
回答者は通常、14問を約7分で回答し終えます。
テンプレートは編集できますか？
はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。
このテンプレートは無料で使えますか？
はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。
公開の準備はできましたか？
このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。
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