Testing The Value of HEALTHiCONS™© Help Us Assess the Value of HEALTHiCONS™© Do You Want To Help Fix Health Care? Is Your Health and Health Care Worthy of a Bit of Your Time? Please Fill Out This Simple Survey The link above will bring you to an active version of the survey. The content of the survey is below. We are exploring ways to shorten and optimize surveys so they can be taken inside our website. Thanks for your help. Dr. Mike Michael F. Mascia, MD, MPH Founder and President Care Simply Care Simply = Simple Care™©This is a survey to examine the potential value of using universal health icons (HEALTHiCONS™©) to facilitate diagnosis and treatment.Contact mfmascia@VeritasHC.org for questions or comments. Step 1 of 3 33% Address* Please enter your City Please enter your State Please enter your Postal Code/Zip code Please enter your Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Are you a patient, or a caregiver, or both?*PatientCaregiverBothAre you reading and answering the questions, or is it being done through an interpreter, health worker, scribe?*By MyselfThrough an InterpreterThrough Health WorkerThrough ScribeWhat languages do you speak?*If more than one language, please ad comma between each language i.e: lang1,lang2Do you work for a*Health Care ProviderNGOUniversity or SchoolGovernmentNot workingWhat type of work do you perform?*if you don't work, please put none.Do you have experience working in the health care system of a developing country?*YesNo Solution Help us build a system of symbols that can represent the way you feel. We want to know how you would represent your symptoms of health and disease, those of your family and those you care for. The goal of this solution is to offer medical support to people living in need. The solution provides a document containing images with unique numbers that represent different symptoms. It was designed to serve as a tool to help patients and care providers. The patient or health care provider will access the tool with a cell phone or computer with an SMS or social media service available. Scenario: Role: Patient Designated provider (Community) Responsible Physician/Nurse Patient or the designated provider indicates symptoms using the document with the images (e.g: image of someone holding his head in pain, representing headache number 1, or a picture of tarry stool number 2). The patient or designated provider sends the symptoms via SMS to our system (e.g: SMS message:1,2). The system verifies the symptoms, try to find the list of possible illnesses that might be related to the received symptoms. The system notifies (via SMS) the doctor or nurse responsible for that community with the list of the possible illnesses identified, so that they can take action. The responsible physician / nurse will determine urgency, triage and plan of care required. The responsible physician / nurse will give feedback to the patient and the designated provider to execute the plan of care. The system records the symptoms, so the data can be used for statistical analysis (e.g: detection of certain patterns of sickness in certain areas or early detections of outbreaks of certain diseases) and to help allocate resources according to need(surge) when necessary. Solution diagram: For Example, is it Malaria, Ebola, Influenza, Enterovirus, Streptococcal Disease, Food Poisoning or The Common Cold? Have you seen a similar solution or idea being applied? If yes please explain*If you haven't, just answer NODo you think there is a need for this type of solution?*YesNoNot sureDo you anticipate any culture challenges with such solution? If yes please explain*If you don't, just answer NODo you anticipate any technical challenges with the use of such solution? If yes please explain*If you don't, just answer NOList the illness that you think this tool should address?*Think about the most common illness present in developing countriesWhat additional features or improvement do you think this solution should include?*If you cannot think of any, just answer NONE This iframe contains the logic required to handle Ajax powered Gravity Forms.