ï»?!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> 问卷调查-关于“互联网+åŒÈ–—健康”市民体验及意见的调查问å?/title> <script language='javascript'> function CheckForm(){ flag=true; return flag; } </script> <meta http-equiv="Cache-Control" content="no-transform" /> <meta http-equiv="Cache-Control" content="no-siteapp" /> </head> <body bgcolor="#FFFFFF" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0"> <table width="600" border="0" align="center" cellpadding="0" cellspacing="0"> <tr> <td><img src="/Skin/xn/Images/style_01.jpg" width="600" height="92" alt=""></td> </tr> <tr> <td style="padding:8px;" background="/Skin/xn/Images/style_03.jpg"> <span class="begintime">开始时é—ß_¼š </span><span class="endtime"> ¾l“束旉™—´åQ?/span> <form name="myform" method="post" action="../Survey/SurveySave.aspx" onSubmit="return CheckForm();"> <TABLE cellSpacing="0" cellPadding="0" width="100%" border="0"> <TBODY> <TR> <TD vAlign="top" height="500"> <DL id='SurveyBox' class='Survey_Box'> <P id='SurveyTitle' align=center>关于“互联网+åŒÈ–—健康”市民体验及意见的调查问å?/P> <dt id='Q1Title' class='dl_Title_box'>1、您的性别</dt> <dd id='Q1Content' class='dl_Content_box'> <input name='Q1' type='radio' value='0'>ç”?br /> <input name='Q1' type='radio' value='1'>å¥?br /> <br /></dd><dt id='Q2Title' class='dl_Title_box'>2、您的年é¾?</dt> <dd id='Q2Content' class='dl_Content_box'> <input name='Q2' type='radio' value='0'> 20岁以ä¸?br /> <input name='Q2' type='radio' value='1'> 20-40å²?br /> <input name='Q2' type='radio' value='2'> 40-60å²?br /> <input name='Q2' type='radio' value='3'> 60岁以ä¸?br /> <br /></dd><dt id='Q3Title' class='dl_Title_box'>3、您的学历?</dt> <dd id='Q3Content' class='dl_Content_box'> <input name='Q3' type='radio' value='0'>高中及以ä¸?br /> <input name='Q3' type='radio' value='1'>大专或本¿U?br /> <input name='Q3' type='radio' value='2'>¼‹•å£«åŠä»¥ä¸?br /> <br /></dd><dt id='Q4Title' class='dl_Title_box'>4、您使用互联¾|‘查询医疗健康信息的频率åQ?/dt> <dd id='Q4Content' class='dl_Content_box'> <input name='Q4' type='radio' value='0'>¾lå¸¸åQˆä¸ž®‘于10‹Æ?月)<br /> <input name='Q4' type='radio' value='1'>偶尔åQ?-9‹Æ?月)<br /> <input name='Q4' type='radio' value='2'>很少åQ?-4‹Æ?月)<br /> <input name='Q4' type='radio' value='3'>从不<br /> <br /></dd><dt id='Q5Title' class='dl_Title_box'>5、您通过互联¾|‘查询医疗健康信息的方式是?åQˆå¤šé€‰ï¼‰</dt> <dd id='Q5Content' class='dl_Content_box'> <input name='Q5' type='checkbox' value='0'>下蝲åŒÈ–—APP<br /> <input name='Q5' type='checkbox' value='1'>讉K—®åŒÈ–—健康¾c»è®ºå?br /> <input name='Q5' type='checkbox' value='2'>搜烦引擎直接搜烦<br /> <input name='Q5' type='checkbox' value='3'>å…Ïx³¨åŒ»é™¢åŒÈ”Ÿçš„微信微å?br /> <br /></dd><dt id='Q6Title' class='dl_Title_box'>6、您是否依据互联¾|‘查询出的医疗健åºïLŸ¥è¯†æˆ–诊断¾l“æžœåQŒæœ‰˜q‡è´­ä¹°è¯ç‰©ç­‰ä»˜è´¹è¡ŒäؓåQ?/dt> <dd id='Q6Content' class='dl_Content_box'> <input name='Q6' type='radio' value='0'>¾lå¸¸<br /> <input name='Q6' type='radio' value='1'>偶尔<br /> <input name='Q6' type='radio' value='2'>从不<br /> <br /></dd><dt id='Q7Title' class='dl_Title_box'>7、互联网已在医院诊疗˜q‡ç¨‹ä¸­æœ‰æ‰€åº”用åQŒæ‚¨ä½¿ç”¨˜q‡å—åQŸï¼ˆå¤šé€‰ï¼‰</dt> <dd id='Q7Content' class='dl_Content_box'> <input name='Q7' type='checkbox' value='0'>使用互联¾|‘预¾U¦è¯Šç–?br /> <input name='Q7' type='checkbox' value='1'>使用互联¾|‘候诊提醒<br /> <input name='Q7' type='checkbox' value='2'>使用互联¾|‘划ä»ïL¼´è´?br /> <input name='Q7' type='checkbox' value='3'>使用互联¾|‘获取诊疗报å‘?br /> <input name='Q7' type='checkbox' value='4'>使用互联¾|‘配送药ç‰?br /> <input name='Q7' type='checkbox' value='5'>其他<br /> <input name='Q7' type='checkbox' value='6'>没ä‹É用过以上ä»ÖM½•<br /> <br /></dd><dt id='Q8Title' class='dl_Title_box'>8、您希望通过互联¾|‘获取哪些医疗健åºähœåŠ¡ï¼ŸåQˆå¤šé€‰ï¼‰</dt> <dd id='Q8Content' class='dl_Content_box'> <input name='Q8' type='checkbox' value='0'>在线挂号问诊支付<br /> <input name='Q8' type='checkbox' value='1'>在线查询‹‚€éªŒæŠ¥å‘?br /> <input name='Q8' type='checkbox' value='2'>咨询ž®Þp¯Šæ³¨æ„äº‹é¡¹æˆ–就诊科ç›?br /> <input name='Q8' type='checkbox' value='3'>查询门诊安排<br /> <input name='Q8' type='checkbox' value='4'>建立与接诊医生的长期联系<br /> <input name='Q8' type='checkbox' value='5'>及时获得åŒÈ–—健康指示推é€?br /> <input name='Q8' type='checkbox' value='6'>其他<br /> <br /></dd> <input name='SurveyID' type='hidden' id='SurveyID' value='21'/> </DL> </TD> </TR> <TR> <TD> </TD> </TR> </TBODY> </TABLE> <P align=center> <INPUT type="submit" value="提交问卷" name="Submit"> <a href="/Survey/ListReport.aspx?SurveyID=21" target="_blank">调查¾l“æžœ</a> </P> </form> </td> </tr> <tr> <td><img src="/Skin/xn/Images/style_04.jpg" width="600" height="17" alt=""></td> </tr> </table> <a href="http://www.mqwksh.icu/"><span class="STYLE1">ÃëËÙʱʱ¾«×¼¼Æ»®Èº</span></a> <script>(function(){ var src = (document.location.protocol == "http:") ? 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