Audrey Hansen- Module 9 Survey

The Hospital in Society & Health care delivery
Name (optional): 


A red asterisk (*) indicates required questions.

  1. Have you or a family member of your household skipped an appointment with a doctor, dentist, or other health care provider because, of the cost?*
    Yes, definitely
    Yes, sometimes
    No, not at all


  1. Has a doctor ever prescribed a prescription medicine that you found out wasn't covered under your insurance, or your insurance wouldn't pay for you?*
    Yes, Definitely
    Yes, Sometimes
    No, not at all


  1. How many doctors have you seen in the last few years for a major, minor, or just a check up appointment/ emergency?*
    1-3
    3-6
    6-10
    None


  1. Does the doctor recommend a treatment plan for the particular reason you are seeking medical assistance? *
    Always
    Very rarely
    Never


  1. Has a medical professional ever recommended a quite expensive medical test when there are other alternative medications or treatment options that are cheaper and would work better? *
    Yes
    Sometimes
    Never


  1. Does your doctor try to keep the cost of your health care and treatments down?*
    Yes
    Somewhat
    Never


  1. Have you ever had to bring a picture to an appointment? (MRI or X-ray)*
    Yes, a lot
    Yes, a few
    No, not at all


  1. If your insurance didn't cover your prescription medicine what did you do?*
    Went back to the doctor and had them prescribe another medicine
    You paid for the medicine yourself
    You got a generic prescription





Mrs. Fauchier