Questioning patients is usually done with either paper or web questionnaires.

The data generated in this way is:


(Initial) response rates of paper and web questionnaires can be very low, so you need to chase the patients to complete the questionnaire.

Based on inaccurate memories

When one asks a patient to report the amount of suffered pain in a certain timespan, the answer may be highly influenced by inaccurate memories, giving over- and underreporting of pain.

Biased by time & context

The self-reported pain by patients is subject to daily and weekly fluctuations. Time, place and mood of the patient may influence the answers.


Patients are often asked to keep diaries, e.g. to monitor their sleeping or pain patterns. Many of these diaries are incomplete or filled in 10 minutes before the patient sees the doctor.

How do we solve this problem?
With the Q messaging platform, the patient answers questions on his smartphone in a non intrusive way, multiple times a day. That way, at the end of each day, the doctor has access to a complete questionnaire of the patient.

Our mobile app poses simple questions to the user, each time he unlocks the screen. Each question needs to be read and answered in 1.6 seconds, which according to a research paper from Stanford is the maximum amount of time users want to spend unlocking their phone. So, as you unlock your phone between 10 and 30 times/day, the doctor gets all the information he wanted from the patient. As we can ask multiple questions each day, we need to keep the patient engaged, by making the daily questionnaire as dynamic as possible. With the Q messaging platform:

You can ask questions at a specific time and on a specific day of the week or month (Frequency).

Questions can depend dynamically on previous answers.

You can ask questions in a specific context, or put answers in a specific context

Specific questions will be asked at the most appropriate time and unlock, based on all previous data due to the adaptive question engine.

The answered questions are synched multiple times per day to our servers, so the doctor can
monitor his patients in real time on the dashboard.

What are the benefits?

Better patient care

The patient answers questions throughout the day and has the feeling that the doctor is at her fingertips

Accurate data in real time

With this data, the doctor can greatly improve his aftercare by monitoring the patients even when they are back at home.

Reduced survey costs

No more reminding patients to fill in their PROMs

Decrease Health Care costs

The hospital also delivers better care when the patients go home and can detect problems sooner

ISO27001 Certification

ISO27001 certificate for Q1.6 Platform

In October 2017 we received our ISO27001 (Information Security Management) certificate for the software design, development and management, configuration and implementation (project management) of the Q1.6 Platform.

Use Cases
The Bergman Clinic

The Bergman Clinic in the Netherlands uses the Q messaging platform for all of their shoulder, knee and hip patients;

  • A patient installs the app from the Google play store or iTunes store before the surgery. If he hasn’t installed the app, the doctor will personally remind him right after the surgery that the Q1.6 app helps him to monitor the patient.
  • The day after the operation, the Q1.6 app asks multiple questions each day; “How much pain do you have?”,”Is the arm-elbow function working normally?”, “Are the stitches already removed?”. The number of questions varies between 6 and 12 per day, as some questions depend on others.
  • When the answers of the patient cross a certain threshold, e.g. a “pain score higher than 7 during 3 days”, the hospital receives an alert.
  • When the patient returns to the doctor for the post-operation consultation, the doctor uses the data generated by the patient during the consultation, so he doesn’t need to interview the patient extensively about the last six weeks.
Jeroen Bosch Hospital

The Q platform can also be used to improve the adherence of medication intake by patients. We have developed a questionnaire together with Dr. Bas Op de Coul of the Jeroen Bosch Hospital (Nl) that supports an immunotherapy for grass pollen. This medication has to be taken daily by the patient for 3 years.

  • Each day, the patient receives a question about his medication intake. This has two purposes; The doctor can look into this data and see wether or not the patient is compliant. And, because the Q1.6 app asks the patient if he has taken his medication, the patient is reminded each day.
  • During the pollen season, the patient also answers questions about his/her allergic complaints. This enables the doctor during the yearly consultation to determine wether or not the medication is effective and wether or not the patient should continue to take the medication