The following table lists the question types with single answers, describes their differences, and provides examples:
- Text box
- A field to enter free-form narrative.
Provide details from your last office visit.
- A field to enter the date.
Provide the date of your last annual physical.
- Date time
- Field to enter the date and time.
When did you attend your appointment?
- Long answer/comment
- A field to enter extended free-form narrative.
Is there anything else you would like to share at this time?
- A list to select one answer.
- Check box
- A check box to select.
Select the best answer for how you are feeling today.
- Radio buttons
- A list of options to select one answer.
Select the answer that best describes the impact of your disease or condition.
- File upload
- An interactive control to upload a file. For example, the patient might upload a log of blood sugars as requested by the care manager.
- Info text
- A box with tips for patients. For example, a patient might have two issues, such as high blood pressure and diabetes. The author adds information to the questionnaire that provides information to the patient.
- An interactive control to select a value from a range. For example, You can ask question about overall health or pain level by using numbers.
The following tables lists the question types with multiple answers and provides examples:
- Multiple answer boxes
Use the answer boxes to enter each of your medications.
- Multiple check boxes
Over the last two weeks, how often have you been bothered by feeling down, depressed, or hopeless?
- Radio button matrix
Over the last two weeks, how often have you been bothered by any of the following problems?