Eye consultation survey - willingness to pay_DI

* 1. How is your vision?

Correct, never used glasses

Not correct, use glasses or lens

Corrected in the past, by surgery or treatment

I do not want to reveal

Any other issue

* 2. Do you or a close relative of yours suffer from an eye problem that needs attention?

Yes

No

* 3. How many times do you visit an eye specialist in a year?

None

1-3

4-6

More than 6

* 4. Do you check online sources for your eye problems before consultation?

Almost always, >80% of cases

Often, 50%-80% of cases

Sometimes, 10%-50% of cases

Seldom, <10% of cases

Other

* 5. Do you check online sources after consultation for a second opinion?

Almost always, >80% of cases

Often, 50%-80% of cases

Sometimes, 10%-50% of cases

Seldom, <10% of cases

Other

* 6. If there was a reliable (approved by renowned eye specialty hospitals) online source available for eye related problems, would you be interested in referring it as a second opinion for yourself or a close relative? Check all that applies

Yes, for second opinion on diagnosis and treatment

Yes, for best known treatment to the problem

Yes, for future vision related changes and consequences

No, I have all that I need available online

No, I trust doctors more than online sources

* 7. How much would you pay at maximum for an online consultation specific to your problems? Enter amount in INR

* 8. How many times in a year do you accompany your relative visiting an eye hospital?

Almost never

1-2

3-4

More than 4

* 9. If there is a kiosk based eye checker (link) available in hospitals where you can enter details of eye test results and get consultation regarding diagnosis, treatment and outcomes, would you be interested in going for a second opinion?

Yes

No

* 10. How much would you pay for it at maximum ? Enter amount in INR