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. 2022 Mar 29;26(1):44–48. doi: 10.5114/wo.2022.115047
1. Gender
  • Male

  • Female

2. Age
  • 18–24 years old

  • 25–34 years old

  • 35–44 years old

  • 45–54 years old

  • 55–64 years old

  • 65–74 years old

  • 74+ years old

3. Post-code
4. Please rate any barriers to using telehealth relevant to you
  • Familiarity with technology

  • Internet connection

  • Availability of technology or equipment

  • Preference for face-to-face

  • Other

5. Please compare telehealth to a face-to-face appointment, is it:
  • Better

  • The same

  • Worse

6. Would you choose telehealth again?
  • Yes

  • No

7. Please describe any benefits that you experienced using telehealth
8. If you had to attend Chris O’Brien Lifehouse in person, how would you have gotten here?
  • Car

  • Public transport

  • Other ...................

9. If you had to attend Chris O’Brien Lifehouse, would you have brought someone to your appointment?
  • Yes

  • No

10. If you had to attend Chris O’Brien Lifehouse, would you have required to stay in accommodation near the hospital?
  • Yes

  • No

11. If you had to attend Chris O’Brien Lifehouse, would you have had to miss a day of work?
  • Yes

  • No