Please think about your most recent clinic, hospital, or telehealth visit in the last 12 months as you answer. There are no right or wrong answers.
Which language do you prefer for health information?
- English
- Spanish
- Chinese
- Vietnamese
- Arabic
Which materials would you like available in your preferred language? (Select all that apply)
- Appointment reminders
- Consent forms
- Visit instructions
- Bills and statements
- Lab/test results
- Medication labels
How confident are you filling out medical forms by yourself today?
Thinking about the last 12 months, how easy or hard were these to understand?
Please list any medical words, phrases, or sections that were confusing in the last 12 months.
Max 600 chars
In the last 6 months, did you use a patient portal or app to view your health information?
If yes above: How clear was the information on the patient portal/app?
In the last 12 months, did you have any telehealth (video or phone) visits?
If yes above: During telehealth visits, how often did you fully understand what to do next?
Which of these do you currently have access to? (Select all that apply)
- Smartphone
- Computer or tablet
- Home internet/Wi‑Fi
- Screen reader or text-to-speech
Do you have any of the following accessibility needs? (Select all that apply)
- I have trouble reading small text
- I prefer large print
- I prefer audio or captions
- None of these
Quality check: To confirm you are paying attention, please select “I am paying attention” below.
- I am paying attention
- I am not paying attention
How would you prefer to receive important instructions or results? (Select up to 3)
- Printed handout
- Text/SMS
- Patient portal/app
- Email
- Phone call/voicemail
- Short video
- In‑person demonstration
Rank these from most to least preferred for important instructions.
Which formats help you understand best? (Select all that apply)
- Bullet lists
- Step‑by‑step checklists
- Pictures or diagrams
- Simple examples
- Medical term plus plain‑language definition
- Translated materials
- Large print
If we could simplify only a few areas, how would you divide 100 points among them?
How do you describe your gender?
- Woman
- Man
- Non‑binary
- Prefer not to say
What is the highest level of education you have completed?
What is your current employment status?
Anything else that would make health information easier for you to understand?
Max 600 chars
AI Interview: 2 Follow-up Questions on Health Information Clarity
Thank you for participating. Your feedback helps us make health information clearer and easier to use.