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Local Health at CIUP

In the context of a project to implement a local health system, we would like to collect your health related needs and expectations.

Who are you?

mandatory answer

Question 1

How old are you?

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mandatory answer

Question 2

Are you...?

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mandatory answer

Question 3

What do you do?

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mandatory answer

Question 4

How long is your stay at CIUP ?

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Your relationship to health

mandatory answer

Question 5

How do you take care of your health?

mandatory answer

Question 6

Where do you go when you're sick? Please specify the name of the establishment or the location

mandatory answer

Question 7

Do you have a regular doctor?

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Question 8

If yes, where is he/she?

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Comments

mandatory answer

Question 9

How do you access the information?

Comments

mandatory answer

Question 10

Would you like the opportunity to monitor your health autonomously without medical assistance? (In order to know better your health status)

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Question 11

If yes, how often?

Question 12

Would you rather it to be a doctor's recommendation or on your own accord?

mandatory answer

Question 13

Have you heard of "telemedecine"?

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Question 14

Would you be interested in this kind of service?

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Comments

Question 15

Would you rather use it at CIUP or elsewhere? Please justify your answer.




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