Aleasa Armstrong Ch 14-15 survey
Name (optional): 


  1. Are you male or female?
    Female
    Male


  1. What age group do you fall into?
    18-29
    30-39
    40-49
    50-59
    60+


  1. Have you ever been admitted to a hospital or visited an ER?
    Yes
    No


  1. Did you feel like the staff treated you like a person?
    Yes, Always
    Yes, Sometimes
    No, not often
    No, not at all


  1. Did the staff involve you in your own care?
    Yes, Always
    Yes, Sometimes
    No, Never


  1. What type of hospital was it?
    Government
    Non-profit
    For-profit


  1. What type of insurance do you have?
    No insurance
    Private insurance (ppo, hmo)
    Medicare
    Medicaid


  1. Overall how satisfied were you with the care you received?
    1 2 3 4 5


  1. What are you thoughts on Obama care? Do you feel like this is going to help people or hurt people?
Mrs. Fauchier