A pilot study of patient satisfaction with a self-completed tablet-based digital questionnaire for collecting the patient’s medical history in an emergency department

Table 1 Items of the basic epidemiological questionnaire I

Variable	No.	Question	Response options
Age	1	How old are you?	Natural numbers without zero [Numerical input]
Gender	2	Gender?	male, female, not specified [Single Choice]
Mother tongue	3	Mother tongue?	Free text input field
Digital device usage	4	Which devices do you regularly use privately?	Mobile phone, smartphone, laptop, stationary computer, none of these [Multiple Choice]
Computer skills	5	I consider my computer skills as very good	4-point Likert (Strongly agree – strongly disagree) [Single Choice]
Visual impairment	6	Do you need a visual aid (e.g. glasses, contact lenses)?	Yes/No [Single Choice]
Visual impairment	7	Are you suffering from any of the listed eye diseases?	Selection of vision-limiting eye diseases (Colour blindness, Macular degeneration, Glaucoma, Cataract, Diabetic retinopathy, None) [Multiple Choice]
Motor limitations	8	Do you have any of the listed motor limitations?	Selection of fine motor skills impairing diseases (o Parkinson syndrome, Disease of the rheumatic form, Amputations of fingers, Numbness of the fingers, Other, None) [Multiple Choice]

ISSN: 1472-6963