Emerging Technology Health Awareness Survey Form
Share your views and experiences with emerging health-related technologies to help us understand public awareness and attitudes.
What is your age group?
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Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Which of the following best describes your current occupation?
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Please Select
Student
Healthcare professional
Technology professional
Other professional
Retired
Other
How familiar are you with emerging health-related technologies (such as wearable health devices, telemedicine, AI in diagnostics, or health apps)?
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1
2
3
4
5
Which emerging health-related technologies have you personally used or encountered? (Select all that apply)
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Wearable fitness or health trackers
Telemedicine/virtual doctor visits
Health monitoring mobile apps
Genetic testing kits
AI-powered health assistants
Other
How do you typically learn about new health-related technologies?
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Social media
News websites or magazines
Healthcare providers
Friends or family
Technology blogs or forums
Other
Please indicate your level of agreement with the following statements about emerging health-related technologies.
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Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
They can improve access to healthcare.
1
2
3
4
5
They make it easier to track personal health.
6
7
8
9
10
They raise concerns about data privacy.
11
12
13
14
15
They may not be affordable for everyone.
16
17
18
19
20
How would you rate your overall trust in the safety and accuracy of emerging health-related technologies?
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1
2
3
4
5
How likely are you to use a new health-related technology if recommended by a healthcare professional?
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Very unlikely
Unlikely
Neutral
Likely
Very likely
What is your biggest concern about using emerging health-related technologies?
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Data privacy
Cost
Accuracy or reliability
Complexity of use
Lack of trust
Other
What topics or questions would you like to see covered in future educational materials about emerging health-related technologies?
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