Mobile Health 360^®

Your Name

Your Speciality

Do you own a Smartphone or the iPad?
 Yes No

What brand of Smartphone do you use?

Do you use health care apps on your smartphone or iPad?
 Yes No

If you do not use health care apps, why?
 Too complicated
 Content not relevant
 Other (please write below)

How would you rate the usefulness of current Smartphone and iPad physician apps?

(1 being the least useful)
---12345678910

Rate the usefulness of some potential features for apps.

(1 being the least useful)

1. The ability to provide patient follow up information ---12345678910
2. The ability to facilitate informed consent ---12345678910
3. The ability to interact with the patients outside of the clinic ---12345678910
4. The ability to use reimbursement information ---12345678910
5. The ability to research best practices ---12345678910
6. The ability to access educational materials ---12345678910
7. The ability to streamline daily patient care ---12345678910
8. The ability to connect with referring physicians ---12345678910