|
1. Age Group |
| 2. Marital Status |
| 3. Employment Status |
| 4. Do you currently have health
insurance? |
| 5. If you have health insurance,
is it job-based? |
| 6. If you have health insurance that is
job based, do you contribute any portion for yourself?Your dependents? |
| 7. If your insurance is not job
based, approximately how much does it cost you per month? |
| 8. If you don't have coverage on you or
any of your dependents, why Not? |
| 9. Has the rising cost of health care
affected you in any way?
How?
|
| 10. What do you see as the
problems facing society today as far as affordable health care?
|
| 11. Do you have any ideas about
possible solutions?
|