Hôp'tiSoins : Launch of a garment for patients


Hôp'tiSoins

The information provided through this questionnaire will be very useful for the launch of a new line of adapted and functional clothing for the comfort and well-being of patients undergoing dialysis, chemotherapy or radiotherapy (heavy and trying treatments).

Answering this survey will not take you more than 5 minutes and your feedback will be precious to us. 1) How old are you?


20-30

30-50

50-70

More than 70


2) Are you?

Male

Female


2) Are you?

Caregiver / relative

Patient

PATIENT SECTION

What types of treatments do you have?

Radiotherapy

Chemotherapy

Dialysis



How many times a week do you go to the hospital for your treatment?


1

2

3

More than 3



How are you dressed during the sessions?


With your own clothes

With the hospital gown

Other:


Do you feel discomfort (cold/hot...) from your clothing during treatment?


All the time

Often

Sometimes

Never



What do you think of a range of clothing adapted to your treatment?


Very interesting

Somewhat interesting

Not very interesting

Not interesting at all



How much adapted clothing would you be willing to buy?


0

1

2

3

More than 3


How much would you be willing to pay for an item of clothing?

Your answer


Would you be willing to be contacted again to give us further advice on adaptive clothing?

Yes

No


If yes, could you please provide us with your email address and phone number in the box below?

Your answer Please note below your remarks and comments regarding this survey:




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