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What is your Age?
 
18 to 24
 
25 to 34
 
35 to 44
 
45 to 54
 
55 to 64
 
65 to 74
 
75 or older
 
 
What is your gender?
 
Female
 
Male
 
 
 
What is your Marital Status?
 
Single
 
Married
 
 
 
What is the highest level of education you have completed?
 
Did not attend school
 
High School Graduate
 
Undergraduate
 
Postgraduate
 
 
 
What is your level of Computer Literacy?
 
Basic (Able to open computer and use keyboard and mouse)
 
Intermediate (Able to use internet, check emails, install and run softwares)
 
Advanced (Programming Skills, expert knowledge in computer domain)
 
 
 
Do you agree, visiting a clinic or hospital sometimes can be a waste of time and money, in case you have common illnesses (flu, fever, cold, allergy etc.) and these can be treated by general medicines available at home and stores?
 
Agree
 
Disagree
 
 
 
Would you like to use internet to get medical prescription, schedule an appointment for clinical/hospital visit or ask a doctor about a particular health problem?
 
Yes
 
No
 
 
 
Do you prefer an online healthcare system over clinical/hospital visit?
 
Yes
 
No
 
 
 
Have you ever prescribed medicine to your friend or relative (only in case of common illnesses such as flu,fever, cold and allergy etc.?)
 
Yes
 
No
 
 
 
Have you ever prescribed medicine to your friend or relative (only in case of common illnesses such as flu,fever, cold and allergy etc.?)
 
Yes
 
No