I need an ipad based survey application that will be used in a hospital setting to survey patients about their experiences with their healthcare providers. The data would eventually be sent via email to the individual providers that are being surveyed.
The structure of the app I am hoping for is as follows...
When opening the app, there is a place to enter the patients medical record number (data will be stored), and select the medical team the patient has been assigned to (Team 1, Team 2, Team 3, etc.). Once a team has been selected, the app will present a photograph of a provider on that team (say provider A), with a question next to photograph of the provider (multiple choice, true false, free text, etc.). The photograph of provider A will remain on the screen for a few questions, then the picture will change to provider B (another provider on the same team), and there will be a series of questions about that provider. There are generally 6ish providers on a team that the patient would be asked about. The data collected would be stored in a database that can be used to send the survey answers to the providers that are being surveyed.
I would need the ability to access and manipulate the data, update/add photographs of providers, add more teams/team members, change team names, and change/add questions.
Ideally this app could function offline.