Patient Comfort with Remote Monitoring & Data Sharing
Measures patient experience with remote patient monitoring (RPM) devices, comfort with health data sharing across stakeholders, trust and consent preferences, and support needs for adoption.
What's Included
AI-Powered Questions
Intelligent follow-up questions based on responses
Automated Analysis
Real-time sentiment and insight detection
Smart Distribution
Target the right audience automatically
Detailed Reports
Comprehensive insights and recommendations
Template Overview
27
Questions
AI-Powered
Smart Analysis
Ready-to-Use
Launch in Minutes
This professionally designed survey template helps you gather valuable insights with intelligent question flow and automated analysis.
Sample Survey Items
Q1
Chat Message
Welcome to this survey about remote health monitoring devices and health data sharing.
This survey takes approximately 8–10 minutes. Your participation is voluntary and you may stop at any time. There are no right or wrong answers—we are interested in your honest opinions and experiences.
Your responses are confidential, will be anonymized, and reported only in aggregate. Results will be used to improve remote health monitoring programs and policies.
By continuing, you agree to participate.
Q2
Multiple Choice
In the last 6 months, have you used any remote health monitoring device (e.g., blood pressure cuff, glucose monitor, smartwatch)?
Yes
No
Not sure
Q3
Multiple Choice
Which of the following devices have you used in the last 6 months? Select all that apply.
Bluetooth blood pressure cuff
Continuous glucose monitor (CGM)
Finger pulse oximeter
Smartwatch or fitness tracker
Digital weight scale
ECG patch or monitor
Medication adherence device
Other (please specify)
Q4
Dropdown
Thinking about the device you used most often, how frequently did you use it in the last 30 days?
Daily
Several times per week
Once per week
2–3 times per month
Once
Not at all in the last 30 days
Q5
Multiple Choice
In the last 6 months, did you share data from any of these devices with a healthcare provider?
Yes
No
Not sure
Q6
Long Text
What, if anything, kept you from sharing your device data with a healthcare provider?
Max chars
Q7
Opinion Scale
Overall, how comfortable are you with using remote health monitoring devices?
Range: 1 – 7
Min: Not at all comfortableMid: NeutralMax: Extremely comfortable
Q8
Opinion Scale
To what extent do you agree or disagree: Using remote monitoring would help me manage my health.
How willing are you to use a remote monitoring device in the next 3 months?
Range: 1 – 7
Min: Not at all willingMid: NeutralMax: Extremely willing
Q10
Opinion Scale
How comfortable are you sharing remote monitoring data with your personal healthcare provider?
Range: 1 – 7
Min: Not at all comfortableMid: NeutralMax: Extremely comfortable
Q11
Opinion Scale
How comfortable are you sharing remote monitoring data with a hospital or health system?
Range: 1 – 7
Min: Not at all comfortableMid: NeutralMax: Extremely comfortable
Q12
Opinion Scale
How comfortable are you sharing remote monitoring data with your health insurer?
Range: 1 – 7
Min: Not at all comfortableMid: NeutralMax: Extremely comfortable
Q13
Opinion Scale
How comfortable are you sharing remote monitoring data with the device manufacturer or a technology company?
Range: 1 – 7
Min: Not at all comfortableMid: NeutralMax: Extremely comfortable
Q14
Opinion Scale
How important is it to you to control which health data are shared and with whom?
Range: 1 – 7
Min: Not at all importantMid: NeutralMax: Extremely important
Q15
Multiple Choice
Which of the following concerns, if any, do you have about sharing remote monitoring data? Select all that apply.
Privacy or confidentiality
Data misuse or secondary use
Security or hacking risk
Insurance or employment discrimination
Data accuracy or reliability
Internet or connectivity limitations
Out-of-pocket cost
Other (please specify)
None of the above
Q16
Ranking
Please rank the following from most trusted to least trusted to handle your health device data.
Drag to order (top = most important)
Your healthcare provider
Hospital or health system
Health insurer
Device manufacturer
Large technology company
Government health agency
Q17
Multiple Choice
Which consent approach would you prefer for sharing your device data?
One-time consent per provider or clinic
Granular consent by data type (e.g., steps, glucose)
Prompt me each time data are shared
Automatic sharing with the ability to revoke anytime
Not sure / no preference
Q18
Multiple Choice
Which of the following would help you use remote monitoring more comfortably? Select all that apply.
Help setting up the device or app
Written step-by-step guide
Phone or chat support when needed
Training from clinic staff
Clear explanation of how data are used
Ability to pause or stop data collection easily
Cost assistance or device provided at no cost
None of the above
Q19
AI Interview
Based on your responses in this survey, please share any additional thoughts or feelings about remote health monitoring or health data sharing.
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 5
Q20
Dropdown
What is your age group?
18–24
25–34
35–44
45–54
55–64
65–74
75+
Prefer not to say
Q21
Multiple Choice
How do you describe your gender?
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
Q22
Dropdown
What is the highest level of education you have completed?
Less than high school
High school or equivalent
Some college or associate degree
Bachelor's degree
Graduate or professional degree
Prefer not to say
Q23
Multiple Choice
What is your current employment status?
Employed full-time
Employed part-time
Self-employed
Unemployed and seeking work
Not working by choice (e.g., student, retired, caregiver)
Unable to work
Prefer not to say
Q24
Dropdown
Where do you live most of the year?
United States
Canada
United Kingdom
European Union
Australia / New Zealand
Other / Another region
Prefer not to say
Q25
Multiple Choice
How many times have you seen a healthcare professional in the last 12 months?
0
1–2
3–5
6–10
11 or more
Prefer not to say
Q26
Multiple Choice
Do you have a smartphone you use at least weekly?
Yes
No
Prefer not to say
Q27
Chat Message
Thank you for completing this survey. Your responses are confidential and will be used to improve remote health monitoring experiences. We appreciate your time.
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