모든 템플릿

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.

샘플 질문

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질문 14개 · 약 7분
Q01
메시지

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
객관식필수

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
객관식필수

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
의견 척도필수

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?

척도: 17
최소:Not at all comfortable최대:Extremely comfortable
Q05
매트릭스필수

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

5개 행 × 5개 열
  • 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)
: Very uncomfortable · Somewhat uncomfortable · Neutral · Somewhat comfortable · Very comfortable
Q06
객관식

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
최선·최악 선택형(MaxDiff)필수

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
세트별 최선·최악 선택최선:Would build the most trust최악:Would build the least trust
Q08
객관식필수

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
의견 척도필수

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

척도: 15
최소:Not at all최대:Completely
Q10
AI 인터뷰

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
메시지

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

Q12
객관식

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
객관식

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
메시지

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.

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.

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이 템플릿의 설계 목적을 소개합니다. 다른 설문 도구에서는 직접 비교할 만한 템플릿을 찾지 못했습니다.

차별화 포인트

  • 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

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