Lupus Companion mhealth App: Patient Survey
RequiredRequired Question(s)
1.
Please enter the information indicated below.

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
City:
State/Province
(US/Canada):

2.

Please provide the name of the doctor who walked you through the app. Please disregard this question if you downloaded the app on your own iPhone or iPad.

 

50 characters left.
Required 3.

What did you like best about the app?

Provider log
Symptom tracker
Medication tracker
Appointment tracker
Required 4.

What did you like least about the app?

Provider log
Symptom tracker
Medication tracker
Appointment tracker
Required 5.

Were the screens easy to read (i.e. text is large enough and graphics are clear)? If no, what needs improving?

Yes
No
  • Comment:

  • 500 characters left.
Required 6.

Was it easy or hard to add and save a provider's information to the provider log?

Very hard to do
Hard to do
Easy to do
Very easy to do
Did not use this function
Required 7.

How useful is the provider log?

Very useful
Somewhat useful
Not useful
Did not use this function
Required 8.

Was it easy or hard to add and save information in the symptom tracker?

Very hard to do
Hard to do
Easy to do
Very easy to do
Did not use this function
Required 9.

How useful is the symptom tracker?

Very useful
Somewhat useful
Not useful
Did not use this function
Required 10.

Was it easy or hard to add and save current and past medication information to the medication tracker?

Very hard to do
Hard to do
Easy to do
Very easy to do
Did not use this function
Required 11.

How useful is the medication tracker?

Very useful
Somewhat useful
Not useful
Did not use this function
Required 12.

Was it easy or hard to add and save a new appointment to the appointment tracker?

Very hard to do
Hard to do
Easy to do
Very easy to do
Did not use this function
Required 13.

How useful is the appointment tracker?

Very useful
Somewhat useful
Not useful
Did not use this function
Required 14.

Are there features or functions that you would like to see in the future? If yes, please explain.

Yes
No
  • Comment:

  • 500 characters left.
Required 15.

Would you recommend this app to other lupus patients?  Why or why not?

Yes
No
  • Comment:

  • 500 characters left.
Required 16.

Do you have any additional comments about the app? If yes, please provide.

Yes
No
  • Comment:

  • 500 characters left.