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.
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
21
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 research survey on health data sharing preferences.
This survey takes approximately 5–7 minutes to complete. Your participation is entirely voluntary, and you may stop at any time. There are no right or wrong answers — we are simply interested in your honest opinions.
All responses are confidential, will be anonymized, and reported only in aggregate for internal research purposes. By continuing, you acknowledge that you have read and understood this information.
Q2
Multiple Choice
In the last 12 months, have you visited any health professional (e.g., doctor, nurse, therapist)?
Yes
No
Q3
Multiple Choice
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
Q4
Opinion Scale
How comfortable or uncomfortable are you with sharing your health information with medical providers?
Range: 1 – 7
Min: Very uncomfortableMid: NeutralMax: Very comfortable
Q5
Multiple Choice
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
Email
Online portal
Synced data from a wearable or app
Other (please specify)
I don't recall
Q6
Opinion Scale
How comfortable or uncomfortable are you with sharing your health information with your health insurer?
Range: 1 – 7
Min: Very uncomfortableMid: NeutralMax: Very comfortable
Q7
Multiple Choice
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
Q8
Opinion Scale
How comfortable or uncomfortable are you with sharing your health data with fitness or wearable apps (e.g., Fitbit, Apple Health)?
Range: 1 – 7
Min: Very uncomfortableMid: NeutralMax: Very comfortable
Q9
Opinion Scale
How comfortable or uncomfortable are you with sharing your health data with patient portals (e.g., MyChart)?
Range: 1 – 7
Min: Very uncomfortableMid: NeutralMax: Very comfortable
Q10
Opinion Scale
How comfortable or uncomfortable are you with sharing your health data with telemedicine or virtual care platforms?
Range: 1 – 7
Min: Very uncomfortableMid: NeutralMax: Very comfortable
Q11
Ranking
Please rank the following types of health data from most comfortable to least comfortable to share.
Drag to order (top = most important)
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
Q12
Opinion Scale
How important or unimportant is it to you to control who can access your health data?
Range: 1 – 7
Min: Very unimportantMid: NeutralMax: Very important
Q13
Multiple Choice
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)
Q14
AI Interview
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?
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 6
Q15
Dropdown
What is your age?
18–24
25–34
35–44
45–54
55–64
65+
Prefer not to say
Q16
Multiple Choice
Which best describes your gender?
Man
Woman
Non-binary
Prefer to self-describe
Prefer not to say
Q17
Multiple Choice
Do you currently have health insurance coverage?
Yes
No
Prefer not to say
Q18
Dropdown
In which region do you currently live?
Africa
Asia
Europe
North America
South America
Oceania
Prefer not to say
Q19
Dropdown
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
Q20
Multiple Choice
What is your current employment status?
Employed full time
Employed part time
Self-employed
Student
Homemaker
Unemployed
Retired
Prefer not to say
Q21
Chat Message
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.
Frequently Asked Questions
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