mHealth Privacy and Security Consumer Research
MAXIMUS Federal Services
IRB Study No. Pro00006539
mHealth Privacy and Security Consumer Research
Pre Focus Group Survey
This survey was prepared by the mHealth Privacy and Security Consumer Research team, MAXIMUS Federal Services, for the Office of the Chief Privacy Officer of the Office of the National Coordinator for Health Information Technology, of the U.S. Department of Health and Human Services.
Is your cell phone a smart phone, such as an iPhone, Blackberry or Android?
1 Yes
2 No
3 Do not know/not sure
Do you text on your cell phone or smart phone?
1 Yes (go to question 3)
2 No (skip to question 4)
3. On average, how often do you send or receive text messages?
1 Very often (every day)
2 Often (a few times a week)
3 Sometimes (a few times a month)
4 Never
4. What type of device/s do you use to go online (use the internet)?
Check all that apply.
1 Desktop computer
2 Laptop computer
3 Cell phone and/or a Blackberry, Android, iPhone or other device that is also a cell phone
4 Game console
5 Electronic book reader (such as Kindle or Nook)
6 Tablet such as an iPad
7 Other, please specify: ________________________________
5. Do you use a computer now, or have you used one in the past?
1 Yes
2 No
If No, skip to question 8
6. How long have you been using a computer?
1 Less than 6 months
2 Between 6 months and 1 year
3 More than 1 year, but less than 5 years
4 5 years or more
5 10 years or more
7. What percentage of your time online are you online with your computer?
_____________
8. What percentage of your time online are you online with your cell phone or other mobile device?
____________
9. How often do you use the Internet on a computer, smart phone or other mobile device?
1 Never
2 Once a week or less
3 A few times a week
4 About once a day
5 Several times a day
6 Most of the day
If Never, skip to question 13.
10. In the past month, roughly how often have you gone online to do any of the following? Please circle your answer.
|
Never used |
Used once |
Used occasionally |
Used frequently |
Do your banking or pay bills online |
1 |
2 |
3 |
4 |
1 |
2 |
3 |
4 |
|
Use social media such as Facebook, MySpace or Twitter |
1 |
2 |
3 |
4 |
Make video calls (with programs such as Skype) |
1 |
2 |
3 |
4 |
Use instant messaging |
1 |
2 |
3 |
4 |
Submit your resume or search for information about employment |
1 |
2 |
3 |
4 |
Read the news online |
1 |
2 |
3 |
4 |
Shop for clothes or other items, search for product information online |
1 |
2 |
3 |
4 |
Search for health information about an illness or condition |
1 |
2 |
3 |
4 |
Search for information about medications |
1 |
2 |
3 |
4 |
Search for information about your health benefits |
1 |
2 |
3 |
4 |
Access your personal health record (PHR) online |
1 |
2 |
3 |
4 |
Email your doctor/provider |
1 |
2 |
3 |
4 |
Track your health behavior - diet, amount of exercise, etc. |
1 |
2 |
3 |
4 |
Participate on a health blog or social networking site related to a particular health issue |
1 |
2 |
3 |
4 |
11. Have you ever used the Internet to search for general health information, such as illnesses, medications, health products or providers?
1 Yes
2 No
12. Have you ever used the Internet to contact your health care provider or view your personal medical information (for example, view your lab test results, request a medication refill or schedule a future medical appointment)?
1 Yes
2 No
3 Not Sure/Do not know
13. In general, how would you rate your overall health?
1 Excellent
2 Very good
3 Good
4 Fair
5 Poor
6 Do not know
14. Are you currently caring for or making health care decisions for a family member of close friend with a serious or chronic illness?
1 Yes
2 No
15. How concerned are you about privacy and security when sending or receiving messages on your mobile phone or mobile device?
1 Very concerned
2 Concerned
3 Somewhat concerned
4 A little concerned
5 Not concerned at all
6 No opinion
16. Do concerns about privacy and security cause you to limit the types of messages you send on your mobile phone or mobile device?
1 Yes
2 No
17. How familiar are you with the federal HIPAA guidelines to protect a patient’s personal health information?
1 Very familiar
2 Somewhat familiar
3 Not familiar
18. Do you have a way to send or receive secure messages on your smart phone through a security application, or an encrypted or HTTPS connection or other tool?
1 Yes
2 No
3 Not sure/Do not know
19. What is the make and model of the cell phone, smart phone and/or tablet that you may use to connect to the internet? (Include whatever information you can remember if you don’t have the phone or tablet with you.)
Cell phone _______________________
Smart phone _______________________
Tablet/iPad _______________________
Other mobile device _______________________
20. What types of mobile phone apps (applications) do you use?
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
21. Do you use an internet-based personal health record (PHR)?
1 Yes
2 No
22. Do you use any online tools to track a health condition, or to track your health behavior? Examples of these online tools include a mobile blood glucose meter that sends your results to your provider, an electronic exercise monitor, etc.
1 Yes
2 No
23. What is your gender?
1 Male
2 Female
24. What is your age?
2 18 – 33
3 34 – 46
4 47 – 56
5 57 – 68
6 69 – 74
25. Are you of Hispanic, Latino or Spanish origin?
1 Yes, of Hispanic, Latino or Spanish origin
2 No, not of Hispanic, Latino or Spanish origin
26. What is your race?
1 White
2 Black or African American
3 Asian
4 Native Hawaiian or Pacific Islander
5 American Indian or Alaskan Native
6 Some other race, please specify: ____________________________
7 Two or more races, please specify: ____________________________
27. What is the highest level of education you completed?
1 No formal education
2 Some high school but did not graduate
3 High school graduate/or GED
4 Vocational training
5 Some college/Associate’s degree
6 College degree (BA/BS)
7 Advanced degree
28. How difficult or easy is it for you to fill out medical forms, such as forms when you see a new doctor?
1 Very difficult
2 Difficult
3 Neither difficult nor easy
4 Easy
5 Very easy
29. Is English the primary language you use at home?
1 Yes
2 No
If No, what is the primary language you use at home? _______________________
30. Which category best describes your yearly household income?
(Do not give the dollar amount, just check the category.)
1 Less than $5,000 per year
2 $5,000 to less than $20,000 per year
3 $20,000 to less than $35,000 per year
4 $35,000 to less than $50,000 per year
5 $50,000 to less than $75,000 per year
6 $75,000 or more per year
7 Do not know for certain
8 Do not want to answer
31. How many people under the age of 21 live in your household? __________
Thank you very much for your time.
The focus group will begin soon.
Page
MAXIMUS Center for Health Literacy
Rev. 12/2011
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | mHealth Privacy and Security Consumer Research |
Author | jlazenby |
File Modified | 0000-00-00 |
File Created | 2021-01-30 |