すべてのテンプレート
Healthcare & Clinical

Patient Comfort With AI Scribes And Visit Documentation

Measures how comfortable patients are with AI tools that listen, transcribe, and summarize clinical visits, and what would make them trust those tools more. Built for health systems and clinics piloting AI documentation. An AI follow-up interview digs into the specific moment or topic that made a patient hesitant, going beyond a simple comfort score.

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
Q01
メッセージ

Thanks for sharing your perspective! Some clinics now use AI tools to listen to or take notes during visits. Your responses are completely confidential and anonymized. This short survey asks how you feel about that — there are no right answers. It takes about 8 minutes.

Q02
選択式必須

Before today, had you heard of clinics using AI tools to listen to or write up notes during medical visits?

  • Yes, I knew a fair amount about it
  • I'd heard of it but didn't know much
  • No, this is new to me
  • Not sure
Q03
選択式必須

In the last 12 months, has a doctor or clinician used an AI listening or note-taking tool during one of your visits?

  • Yes, and I was told about it / asked for consent
  • Yes, but I don't recall being asked
  • Not that I know of
  • Not sure
Q04
オピニオンスケール必須

Overall, how comfortable are you with the idea of an AI tool listening to your conversation with your doctor to help write the visit notes?

スケール: 1 – 7
最小:Not at all comfortable最大:Extremely comfortable
Q05
マトリクス必須

How comfortable would you be with AI being used in each of these specific ways during your care?

5行 × 5列
  • AI transcribing your full conversation with the doctor
  • AI writing the summary note that goes into your medical record
  • AI suggesting billing or diagnosis codes based on the visit
  • AI flagging symptoms or history details for follow-up care
  • AI being used during a visit about a sensitive topic (e.g., mental health, substance use)
列: Very uncomfortable · Somewhat uncomfortable · Neutral · Somewhat comfortable · Very comfortable
Q06
選択式

What concerns you most, if anything, about AI-assisted documentation during your visits? Select all that apply.

  • Privacy of the recorded conversation
  • Accuracy of the AI-generated notes
  • My doctor being less attentive because they're focused on the AI
  • Not knowing who else can access the recording or notes
  • How long recordings or notes are stored
  • I don't have significant concerns
Q07
ベスト・ワースト選択(MaxDiff)必須

Which of these would do the most, and the least, to build your trust in AI-assisted documentation?

  • A clear explanation of why AI is being used before my visit starts
  • Being able to review and edit the AI-generated notes afterward
  • Knowing exactly who can access the recording or notes
  • My doctor being able to turn off the AI for sensitive parts of the visit
  • Clear information about how long recordings are kept and when they're deleted
  • Evidence that AI-assisted notes are more accurate than handwritten ones
  • A simple way to opt out without affecting my care
各セットで最も良いもの・最も悪いものを選択最も良い:Would build the most trust最も悪い:Would build the least trust
Q08
選択式必須

How would you prefer to give consent before an AI tool is used to listen to or document your visit?

  • Ask me verbally each time before recording starts
  • Have me sign a form once per provider covering future visits
  • Assume consent unless I say otherwise (opt-out)
  • Only use it if I actively opt in ahead of time
  • I don't have a strong preference
Q09
オピニオンスケール必須

How much do you trust your doctor to review and correct anything the AI documentation tool gets wrong?

スケール: 1 – 5
最小:Not at all最大:Completely
Q10
AIインタビュー

Probe the reasoning behind the patient's comfort ratings, especially any use case they rated low or the sensitive-topic scenario. Ask them to describe a specific visit or moment where they'd feel differently, what exactly worries them (the recording itself, who sees it, or how it's used), and what single change — consent, review access, or an off switch — would most change their mind. If they say they have no concerns, ask what would make them reconsider that.

Q11
メッセージ

Just a couple of quick background questions — both are optional.

Q12
選択式

Which age range do you fall into?

  • Under 25
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q13
選択式

How often do you typically see a doctor or other clinician?

  • Rarely, less than once a year
  • A few times a year
  • Monthly or more often
  • I have an ongoing condition requiring regular visits
  • Prefer not to say
Q14
メッセージ

Thank you for your honest answers! Your responses will help shape how — and whether — AI documentation tools are introduced into patient care, including consent and privacy safeguards.

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。

このテンプレートを選ぶ理由

このテンプレートの設計意図をご紹介します。ほかのアンケートツールには、直接比較できるテンプレートが見つかりませんでした。

ここが違う

  • Uses an AI follow-up interview to dig into the specific moment or topic that made a patient hesitant, rather than stopping at a single comfort score
  • Combines an overall comfort rating with a matrix question breaking down comfort across specific AI documentation use cases (listening, transcribing, summarizing)
  • Surfaces concrete trust-building levers via a max-diff exercise (what would most and least increase trust) alongside a consent-preference question
  • Pairs quantitative scales (comfort, trust-in-doctor-review) with qualitative reasoning captured through adaptive AI probing, then rolls everything into an automated report

よくあるご質問

「Patient Comfort With AI Scribes And Visit Documentation」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 sharing your perspective! Some clinics now use AI tools to listen to or take notes during visits. Your respon…」・「Before today, had you heard of clinics using AI tools to listen to or write up notes during medical visits?」・「In the last 12 months, has a doctor or clinician used an AI listening or note-taking tool during one of your visits?」。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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