Telehealth Services

1. Full Name and Organization

2. Please indicate in the text box below if these terms are meaningful/non-meaningful

3. On a scale of 1 to 10 how familiar are you with the processes and requirements associated with

4. What are you currently offering (If a vendor), utilizing (If a provider), or reimbursing (If a payer) in the telehealth space?

5. What do you anticipate offering, utilizing, or reimbursing in the telehealth space in the next 5 years?

6. What disruptive technology initiatives so you foresee entering the telehealth space in the next 3 years?

7. What do you see as the greatest drivers of telehealth for the future?

8. What do you see as the most formidable obstacles to expanding telehealth services in the future?

9. What are the top 5 outcomes (and expected timeline) that you'd like to see from the meeting?

Thank you for completing this questionnaire.