Module 9 (Jenny Morlang)
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Name (optional): 


A red asterisk (*) indicates required questions.

  1. Do you have health insurance?
    Yes
    No


  1. If yes, Who carries the healthcare insurance?*
    Yourself
    Your spouse
    Your parents


  1. Which type of healthcare insurance do you carry?*
    Premium
    Super
    Regular


  1. Does your place of employment offer healthcare insurance?
    Yes
    No


  1. How often do you/have you met your deductible?*
    Never
    1 time
    More than once
    Yearly


  1. You feel that healthcare insurance is:*
    A must
    A right
    A privilege
    Not necessary


  1. Do you feel that seeing a 'specialist' should cost more than seeing a 'general practitioner?'*
    No
    Yes


  1. You know ________ about the proposition for healthcare reform.*
    a lot
    a little
    nothing


  1. Do you feel that the care you receive is based on your ability to pay?*
    Yes
    No


  1. Healthcare insurance is:
    (select all that apply)*
    expensive
    affordable
    necessary
    corrupt
    justified
    readily available





Mrs. Fauchier