IVUN member survey
Please answer question 2 before continuing.
Do you use a Smartphone, iPad or Tablet (not necessarily connected with your therapy)? Please check all that apply.
Smartphone
iPad
Tablet
Kindle
Other (please specify):
If you have one of these devices, how do you use it?
Play games
Social media
Get the news
Email
Surfing
Watch Movies/Videos/TV
Other (please specify):
If you had a means to access all of your vent therapy information through one of these devices, would it be helpful in managing your everyday therapy challenges?
Yes
No
Why (please specify):
For what disease state do you use vent therapy?
Neuromuscular disease
COPD
Obesity hypoventilation
Post-polio syndrome
Amyotrophic or primary lateral sclerosis
Progressive muscular atrophy
Progressive bulbar palsy
Spinal cord injury
Other (please specify):
Is your therapy invasive (tracheostomy tube) or noninvasive (mask)?
Invasive
Noninvasive
Do you depend on more than one clinical device for your daily therapy?
Oxygen
Secretion management
Wheelchair
Hospital Bed
Other
When you visit your healthcare provider, what do you take with you?
Prescriptions
Medical records/xrays
Clinical device(s)
Other (please specify):
Please answer question 8 before continuing.
Where do you live?
Home
With a relative
Assisted living
Acute care facility
Other (please specify):
Do you have access to a wireless internet connection at your place of residence?
Yes
No
Please answer question 10 before continuing.
What is your age?
15-25
26-35
36-45
46-55
56-65
66-75
76+
Thank you.
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