Stop the HIT Coalition National Small Business Owner Survey Interview Schedule

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1 Stop the HIT Coalition National Small Business Owner Survey Interview Schedule Project: N=251 Small Business Owners; Margin of Error: +6.2% A. Do you own or operate a business? 100% Yes B. And is your business % A privately held company C. And, how many total full time personnel are currently employed by your business? 53% % % % %

2 Stop the HIT Small Business Survey Page 2 of 6 E. In what year where you born? 19% 18 to 34 23% 35 to 44 23% 45 to 54 26% 55 to 64 9% 65 and over F. What is your gender? 62% Male 38% Female G. Other than being an American, what is your main ethnic or racial heritage? 85% White 5% Hispanic or Latino American 5% African American or Black 3% Asian American 2% Other Now, thinking about your small business What are the two or three most significant challenges to the future growth and survival of your business? 44% Economic uncertainty 37% State and local taxes 28% Federal taxes 28% Cost of health insurance benefits 20% Regulatory burdens 19% Cost of employee salaries 15% Cost of employee benefits, not including health insurance 8% Cost of training workers 6% Other 11% No major challenges

3 Stop the HIT Small Business Survey Page 3 of 6 Now, thinking now just about health insurance As you may know, the Affordable Care Act imposed new taxes on health insurance companies from whom nearly all small businesses and the self employed purchase their health care coverage. Do you think these new taxes placed on certain health insurance plans will cause your business's insurance costs and premiums to... 53% Increase 5% Decrease 27% Stay About the Same 14% Not Sure 3. And, how concerned are you about these Affordable Care Act taxes impacting your business? Are you... 35% Very Concerned 28% Somewhat Concerned 14% Not Too Concerned 20% Not at All Concerned 3% Not Sure 63% TOTAL CONCERNED 34% TOTAL NOT CONCERNED 4. Now, please select which of the below statements comes closest to your opinion... 35% The U.S. Congress should work to repeal The Affordable Care Act in its entirety 27% The U.S. Congress should work to repeal just the health insurance tax and other taxes included in the Affordable Care Act 27% The U.S. Congress should not act and keep the Affordable Care Act the way it is now 11% Not Sure

4 Stop the HIT Small Business Survey Page 4 of 6 5. And, if you learned a candidate for U.S. Congress supported repealing and eliminating Affordable Care Act taxes like the health insurance tax, would you be more likely or less likely to support that candidate, or would it make no difference to your vote? 57% More Likely to Support 24% Less Likely to Support 12% Would Make No Difference 7% Not Sure 6. Many small businesses are finding different ways to deal with rising health insurance costs. How about you? When faced with increased health insurance costs, do you... 32% Reduce health insurance offerings 31% Delay other business investments 31% Stop hiring new employees 27% Delay pay raises 12% Lay off employees 5% Other 23% Are you able to absorb these increases?

5 Stop the HIT Small Business Survey Page 5 of 6 Finally, below are a couple of statements about the potential impact of these new health insurance taxes. Please indicate how concerned you are with each statement. Are you very concerned, somewhat concerned, not too concerned, or not at all concerned? (ROTATE) Total Total Not Very Somewhat Not Too Not at All Not Concerned Concerned Concerned Concerned Concerned Concerned Sure Ranked by % Very Concerned 8. Due to the new health insurance tax, it is estimated that more than 146,000 private sector jobs will be lost, with nearly 60% of these losses coming from small businesses across the country. 74% 23% 51% 23% 12% 10% 3% 7. The health insurance tax will impact 1.7 million small businesses, including 34 million Americans with health insurance. Small businesses will be saddled with these costs in the form of higher premiums, costing an additional $2,700 per individual employee and over $6,800 for an employee family plan over ten years. 76% 21% 49% 28% 13% 8% 3% And, finally a few more questions for statistical purposes only... D1. How many years has your business been in operation? 3% Less than 1 year 18% 1 3 years 19% 4 6 years 17% 7 10 years 13% years 30% 16 years or more

6 Stop the HIT Small Business Survey Page 6 of 6 D2. And, what were your gross sales or revenues for your most recent fiscal year? 34% Less than $100,000 22% $100,000 to less than $500,000 19% $500,000 to less than $1,000,000 15% $1,000,000 to less than $5,000,000 10% $5,000,000 or more D3. And, in politics today, do you consider yourself to be a Republican, a Democrat, or something else? 31% Republican 40% Democrat 25% Something Else 4% Not Sure

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