Quick Clinician Questionnaire

Section 1: Your clinic & client management

There are 10 questions in this section. Questions in this section focus on the day-to-day logistics of your clinic and your client management process.

1. What is your occupation? *

For example, physiotherapist, dietician, nutritionist, health coach, wellness coach, mental health therapist, psychologist, sleep therapist, weight loss therapist, life coach, etc.)

2. How long is your typical therapy program in total? *

Up to 5 sessions
5 to 10 sessions
10-15 sessions
More than 15 sessions

3. How often would a typical client see you? *

Once every few months
Once a month
3-5 times a month
More than 5 times a month

4. Are sessions face to face, online or both? *

Face to face
Online
A combination of the two (both)

Which platform do you use for online meetings? *

For example publicly available tools (Zoom, Google Meet, etc.) or clinic management software with a teleconsultation service. If the latter, please specify the software you use.

5. How long is each session in minutes? *

6. How much do clients pay per session? *

Please choose currency *

7. Please describe what happens during a typical session, from the moment you see the client to the moment you finish the session. *

For example, do you ask clients lots of questions and they answer them, do you mostly listen, do you do physical exams, do you ask clients to demonstrate things for you, do you go over materials (documents, video, etc.) together, or something else?

8. Do you “prescribe” pre- or post-consultation homework? *

Yes
No

For example, clients are emailed a PDF of a mood diary to complete or asked to keep a diet record, etc.

Can you please give us a few examples of what homework you prescribe? *

For example, clients are emailed a PDF of a mood diary to complete, or asked to keep a diet record, etc.

How do you ensure your clients have done their homework? *

Do you ask them to upload a file? Do you ask them to log in a diary? Do you use any technology or software to capture this? If so, which software?

What percent of clients don't complete their homework? *

For example, X out of 100 clients you have assigned homework to don't complete them.

9. Is there any ad-hoc contact between sessions? *

Yes
No

For example, check-in via text message after the first consultation and occasionally answer questions via text and WhatsApp, or use a custom messaging app/service to communicate with clients regularly.

How often is it? *

How is this contact made? *

WhatsApp / text message (SMS)
Direct phone call / voicemail
Email
Third party app or other software

Please select all that apply.

Please specify what app or software you use to make this contact. *

10. What percent of clients quit the program before achieving their goal? *

X out of 100 clients who start the program quit before completing it.

Section 2: About you

We would love to know more about you. These details are kept in strict confidence, in accordance with GDPR regulations and are only used for the purposes of data analysis. These are neither shared nor used for any other purpose.

Title *

Please specify title *

Name *

First

Last

Email *

Website / URL

We would love to e-mail you updates about our product development and invite you to participate in early access releases. Can we please add you to our early adopter mailing list? (no spam and easy 1 click removal) *

Yes
No