Survey Data Usage

Data Protection *

I consent to the processing of personal data by Geneva Macro Labs

Please find our privacy policy here.

1. What is your gender?

Male
Female
Neither
Prefer not to say

2. Where do you live? (Country)

3. What kind of personal data are you willing to share?

	Yes	Rather yes	No opinion	Rather not	Never
Health data (symptoms, vital signs, medical records, medications, procedures)	YesHealth data (symptoms, vital signs, medical records, medications, procedures) Yes	Rather yesHealth data (symptoms, vital signs, medical records, medications, procedures) Rather yes	No opinionHealth data (symptoms, vital signs, medical records, medications, procedures) No opinion	Rather notHealth data (symptoms, vital signs, medical records, medications, procedures) Rather not	NeverHealth data (symptoms, vital signs, medical records, medications, procedures) Never
Location data	YesLocation data Yes	Rather yesLocation data Rather yes	No opinionLocation data No opinion	Rather notLocation data Rather not	NeverLocation data Never
Data about my person (Age, birthday, status, work)	YesData about my person (Age, birthday, status, work) Yes	Rather yesData about my person (Age, birthday, status, work) Rather yes	No opinionData about my person (Age, birthday, status, work) No opinion	Rather notData about my person (Age, birthday, status, work) Rather not	NeverData about my person (Age, birthday, status, work) Never
Lifestyle Data (social-economic environment, fitness level, habits, behaviour during pandemic etc.)	YesLifestyle Data (social-economic environment, fitness level, habits, behaviour during pandemic etc.) Yes	Rather yesLifestyle Data (social-economic environment, fitness level, habits, behaviour during pandemic etc.) Rather yes	No opinionLifestyle Data (social-economic environment, fitness level, habits, behaviour during pandemic etc.) No opinion	Rather notLifestyle Data (social-economic environment, fitness level, habits, behaviour during pandemic etc.) Rather not	NeverLifestyle Data (social-economic environment, fitness level, habits, behaviour during pandemic etc.) Never

4. In case you would provide no such data, could you share 1-3 reasons why not?

5. If you would share data, under which circumstances would you do so? You can select as many options as you like.

Only if it is anonymised
For money
If I contribute to scientific research
To get better products and services
To get helpful input on how to improve my lifestyle
To get a discount with topic-related companies (e.g. health data - insurances)
Without the reward, but for a good cause

6. If you would donate your information to an organisation/a digital platform, how important would the following aspects be to you? *

	Very important	Important	Neutral	Not so important	I don't care.
That it is transparent and the data is anonymized to a high degree	Very importantThat it is transparent and the data is anonymized to a high degree Very important	ImportantThat it is transparent and the data is anonymized to a high degree Important	NeutralThat it is transparent and the data is anonymized to a high degree Neutral	Not so importantThat it is transparent and the data is anonymized to a high degree Not so important	I don't care.That it is transparent and the data is anonymized to a high degree I don't care.
That the objective is for the common good.	Very importantThat the objective is for the common good. Very important	ImportantThat the objective is for the common good. Important	NeutralThat the objective is for the common good. Neutral	Not so importantThat the objective is for the common good. Not so important	I don't care.That the objective is for the common good. I don't care.
That I get money in return.	Very importantThat I get money in return. Very important	ImportantThat I get money in return. Important	NeutralThat I get money in return. Neutral	Not so importantThat I get money in return. Not so important	I don't care.That I get money in return. I don't care.

7. If you are willing to donate data: Would you like to be informed how it is used?

8. If you would suffer from a chronical disease, would you share your health information for any return?

9. If your answer to question 8 is "Yes", what return would you expect?

Access to insights from other people with the same disease
Access to medical research or join medical studies
Become part of a program supporting research and financed by health care
Discover health programs providing financial support
Receive coaching to have a better lifestyle

10. If your answer to question 8 is "No", could you give a reason why not?

11. Would you share your data even if you have no health issues in one of the following cases?

Receive kick-back from health insurance
Specific research with access to research insights
Connection with pharma industry for lifestyle coaching
Medical expert contact

Additional comments or suggestions