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  1. Surveys
  2. 2012
  3. December
  4. P
  5. Patient Education to Improve Compliance
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Hello:
You are invited to participate in our survey on patient health education with a goal to improve patient compliance. In this survey, approximately 10 people will be asked to complete a survey that asks questions about their health-seeking behavior and their level of compliance. It will take approximately 2-5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Melanie T. Cockfield at 404.290.4035 or by email at [email protected].

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
 
Please select your gender
 
 
 
Have you visited your healthcare provider in the last 12 months?
 
Yes
 
No
 
 
 
Has your healthcare provider instructed you to increase your physical activity?
 
Yes
 
No
 
 
 
Has your healthcare provider instructed you to alter your dietary habits / food intake?
 
Yes
 
No
 
 
 
Has your healthcare provider prescribed medication for you?
 
Yes
 
No
 
 
Please indicate how these statements best represent your opinion:
Strongly Disagree Disagree Agree Strongly Agree N/A
My healthcare provider offers detailed information when suggesting new health regimens.
My healthcare provider offers health information that is easy to follow.
I am consistently compliant with dietary requirements as instructed by my healthcare provider.
I am consistently compliant with physical activity requirements as instructed by my healthcare provider.
I am consistently compliant with medication requirements as instructed by my healthcare provider.
 
 
How often to you check your electronic messages?
Weekly Daily 2-3 Times per Day Hourly N/A
Email
Text Messages
Facebook Messages
Other
 
 
I would be more compliant with instructions from my healthcare provider if:
Strongly Disagree Disagree Agree Strongly Agree N/A
I received text message reminders
I received email message reminders
Information provided was easier to follow
My provider offered practical examples for convenient dietary improvement
My provider offered practical examples to conveniently increase physical activity
My provider offered information about medication side effects
My provider offered information about alternatives to medication
 
 
 
Comments/Suggestions for improving patient education:
   
 
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Melanie T. Cockfield at 404.290.4035 or by email at [email protected].
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