How would you like to use the Internet for your medical/ health needs? (Select all that apply)

• E-mail your doctor

• Have online video-consults with your doctor

• Have access to your electronic medical record

• Schedule appointments

• View instructional/educational videos about your health

• Interact with other patients

• Receive automatic pill reminder messages

• Refill prescriptions

• I am not interested in using internet for my medical/ health needs