Health Data Sharing Trust & Privacy Preferences Survey
Measures patient comfort, consent preferences, and privacy concerns when sharing health data across providers, insurers, and digital health tools. Ideal for healthcare organizations, privacy teams, and compliance officers seeking to understand patient attitudes toward data sharing.
샘플 질문
템플릿에 포함된 내용을 미리 확인해 보세요. 모든 질문은 설문 공개 전에 자유롭게 수정할 수 있습니다.
In the last 12 months, have you visited any health professional (e.g., doctor, nurse, therapist)?
- Yes
- No
In the last 12 months, which of the following health or wellness tools have you used? Select all that apply.
- Fitness/activity tracker (e.g., Fitbit, Apple Watch)
- Nutrition or calorie app
- Symptom checker or health chatbot
- Medication reminder app
- Telemedicine/virtual care platform
- Patient portal (e.g., MyChart)
- Sleep tracking app/device
- Mental health app
- Other (please specify)
- None of the above
How comfortable or uncomfortable are you with sharing your health information with medical providers?
How comfortable or uncomfortable are you with sharing your health data with fitness or wearable apps (e.g., Fitbit, Apple Health)?
Please rank the following types of health data from most comfortable to least comfortable to share.
- Basic profile (age, sex)
- Step counts/activity minutes
- Heart rate or sleep data
- Medication list
- Lab results
- Mental health notes or assessments
- Genetic/ancestry data
Based on your responses throughout this survey, please share any additional thoughts or feelings about how your health data is shared. What concerns, if any, stand out most to you?
What is your age?
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65+
- Prefer not to say
Thank you for completing this survey! Your responses have been recorded and will be used in aggregate to improve health data sharing practices. If you have any questions about this research, please contact the research team.
During your most recent visit to a health professional, how did you share information with your provider? Select all that apply.
- Spoke in person
- Filled out paper forms
- Phone call
- Online portal
- Synced data from a wearable or app
- Other (please specify)
- I don't recall
How comfortable or uncomfortable are you with sharing your health data with patient portals (e.g., MyChart)?
How important or unimportant is it to you to control who can access your health data?
Which best describes your gender?
- Man
- Woman
- Non-binary
- Prefer to self-describe
- Prefer not to say
How comfortable or uncomfortable are you with sharing your health information with your health insurer?
How comfortable or uncomfortable are you with sharing your health data with telemedicine or virtual care platforms?
Which of the following would most increase your willingness to share health data with a new app or service? Select up to two.
- Clear explanation of how my data will be used
- Ability to delete my data at any time
- Knowing data is stored in my country
- Endorsement by my doctor or health system
- Independent security certification
- Option to share anonymized data only
- Other (please specify)
Do you currently have health insurance coverage?
- Yes
- No
- Prefer not to say
In the last 12 months, have you shared any health data directly with your health insurer?
- Yes — through claims only
- Yes — via a wellness program
- Yes — by connecting an app or device
- Not sure
- No
In which region do you currently live?
- Africa
- Asia
- Europe
- North America
- South America
- Oceania
- Prefer not to say
What is the highest level of education you have completed?
- Less than high school
- High school or equivalent
- Some college/Associate
- Bachelor's degree
- Graduate or professional degree
- Trade/Vocational
- Prefer not to say
What is your current employment status?
- Employed full time
- Employed part time
- Self-employed
- Student
- Homemaker
- Unemployed
- Retired
- Prefer not to say
포함된 기능
AI 후속 질문
정형화된 설문이 놓치는 세부 내용을, 주관식 답변에 맞춰 AI가 심층 질문으로 끌어냅니다.
주의력 확인 장치
성의 없는 답변과 저품질 응답자를 걸러내는 내장 안전장치입니다.
AI가 작성한 문안
문구, 질문 순서, 분기 로직까지 AI가 연구 목표에 맞춰 작성합니다.
자동 리포트
응답이 모이면 주요 주제, 인용문, 이해하기 쉬운 요약이 자동으로 작성됩니다.
다른 서비스와 비교
다른 설문 도구의 가장 유사한 템플릿을 검토했습니다. 그 도구들이 잘하는 점과, 이 템플릿이 한발 더 나아가는 지점을 정리했습니다.
이 템플릿을 선택하는 이유
- Uses a series of opinion-scale questions to quantify comfort sharing health data across distinct contexts (primary care providers, fitness/wellness apps, patient portals, telehealth), not just a single generic comfort rating.
- Includes a ranking question asking respondents to order health data types from most to least comfortable to share, surfacing relative sensitivity rather than isolated yes/no consent.
- Adds an AI follow-up interview at the end that adaptively probes respondents' own stated concerns and preferences, generating qualitative depth a static form cannot capture.
- Captures demographic and coverage variables (age, gender, insurance status, region, education, employment) so compliance and privacy teams can segment trust attitudes by population.
SurveySparrow
Patient Consent Form TemplateThis is a functional patient consent form for authorizing treatment or data use, not a survey designed to measure attitudes toward health data sharing. It's fielding-ready as a form, but it collects signatures/agreement rather than exploring comfort levels, concerns, or trade-offs. Relevant only as an adjacent healthcare-data document, not a comparable attitudes/preferences instrument.
잘하는 점
- Ready-to-use, healthcare-specific consent template within a broader form/survey builder
- Likely supports standard customization and mobile-friendly completion
- Part of a larger library of healthcare templates, easing adoption for clinics
아쉬운 점
- Captures binary consent/agreement rather than graded comfort levels, ranked preferences, or reasons behind privacy concerns
- No adaptive AI follow-up to explore why a patient is or isn't comfortable sharing specific data types
- No per-response quality scoring or transparent prompt methodology for the questions asked
설문을 공개할 준비가 되셨나요?
이 템플릿을 편집기에서 열어 보세요. 첫 응답자가 보기 전에 모든 부분을 원하는 대로 바꿀 수 있습니다.