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Questionnaire template

Health Data Sharing Attitudes

Measures patients' privacy concerns, understanding of health-data sharing, views on safeguards and willingness to share.

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Healthcare · Patient consent. All Healthcare templates

Questions in this template

Privacy Concerns

  1. Thank you for sharing your views. Your answers help us design better ways to share and protect patient health information.

  2. How concerned are you about the privacy of your health information?

    Choose one:

    • Extremely concerned
    • Very concerned
    • Moderately concerned
    • Slightly concerned
    • Not at all concerned

  3. How worried are you that your personal health information could be used in ways you did not agree to?

    Choose one:

    • 1 - Not at all worried
    • 2
    • 3
    • 4
    • 5 - Extremely worried

How Data Is Shared

  1. For which of these purposes do you think your health information might be shared? Select all that apply.

    Choose any that apply:

    • Research
    • Improving health services
    • Marketing
    • Planning care for the wider population
    • Not sure

  2. What does sharing patient data mean to you?

    Open answer

Safeguards and Consent

  1. Do you agree or disagree with each statement?

    • Removing names and other identifying details before sharing makes it safer.
    • Patients should be asked for permission before their data is shared.
    • Patient data is currently well protected.

    For each row: choose one:

    • Agree
    • Unsure
    • Disagree

  2. How could sharing of patient data be made safer or more transparent?

    Open answer

  3. Would you be willing for your health data, with identifying details removed, to be used for research?

    Choose one:

    • Yes
    • No
    • It depends on who would use it