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Please take a brief moment to complete this survey in order to make future events and programs more useful for you. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
What is the range of your age?
 
 
 
How often do you visit the office of Dr. Cilip in Horseheads?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
Which device is found in your home? (choose all that apply)
 
Apple/ IPhone
 
Android/Tablet
 
PC/Desktop
 
None of the above
 
 
 
How familiar are you with video chatting technology?
 
Extremely
 
Very
 
Moderately
 
Slightly
 
Not at all
 
 
 
Which are you most likely to use/ most familiar with?
 
Facetime
 
Skype
 
Other
 
 
 
 
Would you be interested in scheduling appointments with the doctor via video chat?
 
Very
 
Slightly
 
Not at all
 
If you are interested in hearing more information or getting set up to video chat with the doctor from home, please leave your full name on the survey. Thank you for taking the time to compete our survey. Your feedback is very important to us.
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