Medicare Advantage National Senior Survey 600 Senior Registered Voters in the Medicare Advantage Program February 24-28, 2015
|
|
- Walter Fitzgerald
- 8 years ago
- Views:
Transcription
1 Medicare Advantage National Senior Survey 600 Senior Registered Voters in the Medicare Advantage Program February 24-28, In what year were you born? 1. Before 1950 (CONTINUE TO QUESTION 2) After 1950 (TERMINATE) 0 3. Don't Know/Refused (DO NOT READ - TERMINATE) 0 2. Do you have health insurance coverage at the present time? 1. Yes (CONTINUE TO QUESTION 3) No (TERMINATE) 0 3. Don't Know/Refused (DO NOT READ - TERMINATE) 0 3. Is your health insurance provided to you through traditional Medicare, a Medicare Advantage plan administered by a private health insurance company, or something else? 1. Medicare (TERMINATE) 0 2. Medicare Advantage (CONTINUE) Something else (TERMINATE) 0 4. Other (DO NOT READ TERMINATE) 0 5. Don t Know/Refused (DO NOT READ TERMINATE) 0
2 4. Why did you join Medicare Advantage? (DO NOT READ ANSWER OPTIONS CODE AS FOLLOWS) 1. Benefits are better (vision, dental, etc.) Out of pocket costs 4 3. Cost The program is available in my local area Network of doctors and hospitals 3 6. Prescription drug coverage 3 7. Better patient outcomes/quality of care Part of retirement plan 8 9. General positive Something else (SPECIFY) Don t Know/Refused (DO NOT READ) How satisfied are you with your Medicare Advantage plan? (ROTATE TOP TO BOTTOM, BOTTOM TO TOP) 1. Very satisfied Somewhat satisfied Somewhat not satisfied 3 4. Not satisfied at all 2 5. Don t Know/Refused (DO NOT READ) 3 TOTAL SATISFIED 91 TOTAL NOT SATISFIED 5 6. How important is it for seniors to have the choice of a plan other than traditional Medicare, such as Medicare Advantage plan? (ROTATE TOP TO BOTTOM, BOTTOM TO TOP) 1. Very important Somewhat important Somewhat not important 1 4. Not important at all 1 5. Don t Know/Refused (DO NOT READ) 4
3 TOTAL IMPORTANT 93 TOTAL NOT IMPORTANT 3 On a scale of 1-9 with 1 being poor, 5 neutral and 9 excellent, how would you rate each of the following aspects of your Medicare Advantage plan: (ROTATE Q7-12) MEAN 7. Quality of care Out of pocket costs Value of the program Choice of doctors and providers Prescription drug coverage Access to innovative approaches to health care 7.27 I am going to read a series of benefits to the Medicare Advantage plan. For each, please tell me if your plan includes that benefit, and if you are satisfied or not satisfied with that benefit. (ROTATE Q13-23) 13. Coverage for prescription drugs 1. Included, satisfied Included, not satisfied Not included 6 4. Don t Know/Refused (DO NOT READ) Out of pocket costs 1. Included, satisfied Included, not satisfied Not included Don t Know/Refused (DO NOT READ) Help managing chronic conditions such as high blood pressure, high cholesterol and diabetes 1. Included, satisfied Included, not satisfied 2 3. Not included 4 4. Don t Know/Refused (DO NOT READ) 7
4 16. Vision benefits 1. Included, satisfied Included, not satisfied Not included Don t Know/Refused (DO NOT READ) Hearing benefits 1. Included, satisfied Included, not satisfied 6 3. Not included Don t Know/Refused (DO NOT READ) Dental benefits 1. Included, satisfied Included, not satisfied Not included Don t Know/Refused (DO NOT READ) Primary medical care provided by a licensed doctor or nurse in the home 1. Included, satisfied Included, not satisfied 3 3. Not included Don t Know/Refused (DO NOT READ) 22
5 20. Services to ensure that your health care is coordinated among your doctors and providers 1. Included, satisfied Included, not satisfied 3 3. Not included 6 4. Don t Know/Refused (DO NOT READ) Preventive care such as screenings and immunizations 1. Included, satisfied Included, not satisfied 3 3. Not included 4 4. Don t Know/Refused (DO NOT READ) Choice of doctors and hospitals 1. Included, satisfied Included, not satisfied 4 3. Not included 4 4. Don t Know/Refused (DO NOT READ) Fitness and exercise benefits 1. Included, satisfied Included, not satisfied 3 3. Not included Don t Know/Refused (DO NOT READ) 13
6 I am going to read a series of statements related to Medicare Advantage. For each please tell me if you believe or do not believe the following statements: (ROTATE STATEMENTS Q24-27) 24. Coordinated care programs in Medicare Advantage promote information sharing across doctors and health care providers, which leads to better quality of care, especially for chronic disease. 1. Believe Do not believe Don t Know/Refused (DO NOT READ) Research has shown that patients in Medicare Advantage have fewer hospital readmissions than traditional Medicare patients. 1. Believe Do not believe Don t Know/Refused (DO NOT READ) Medicare Advantage members have lower out of pocket costs and greater savings, compared with what they would have paid in the traditional Medicare program. 1. Believe Do not believe Don t Know/Refused (DO NOT READ) Seniors in Medicare Advantage have better health outcomes than those in traditional Medicare. 1. Believe Do not believe Don t Know/Refused (DO NOT READ) 16
7 28. Do you agree or disagree with this statement: a cut to Medicare Advantage is a cut to Medicare. 1. Agree Disagree Don t Know/Refused (DO NOT READ) Did you switch from traditional Medicare into Medicare Advantage? 1. Yes (GO TO Q30) No (GO TO Q31) Don t Know/Refused (DO NOT READ GO TO Q31) Do you find that the Medicare Advantage program is (ROTATE) better, worse or about the same as traditional Medicare? 1. Better Worse 2 3. About the same Don t Know/Refused (DO NOT READ) 8 RESUME WITH ALL 31. The government pays private health insurance companies to manage Medicare benefits through the Medicare Advantage program. Do you think that the results of this program are worth it or not worth it? 1. Worth it Not worth it Don t Know/Refused (DO NOT READ) 14
8 Now just a few demographic questions for statistical purposes only 32. Generally speaking, do you consider yourself (ROTATE) a Republican, a Democrat, an Independent, or something else? 1. Republican Democrat Independent Other 7 5. Don't Know/Refused (DO NOT READ) If you had to classify yourself, would you say you are (ROTATE) liberal, moderate, or conservative in your political beliefs? 1. Liberal Moderate Conservative Don't Know/Refused (DO NOT READ) What is your current marital status? 1. Single, never married 7 2. Married Separated * 4. Divorced Widowed Don't Know/Refused (DO NOT READ) 5
9 35. What is the annual income of your household before taxes? Is it 1. Less than 15K K-30K K-50K K-75K K-100K 8 6. Over 100K 5 7. Don't Know/Refused (DO NOT READ) What is your race? 1. Hispanic 2 2. African-American Asian 1 4. White Other 2 6. Don't Know/Refused (DO NOT READ) 8 RESUME WITH ALL What type of area do you live in? (TAKEN FROM SAMPLE) 1. Urban Suburban Rural 27 Gender (by observation) 1. Male Female 64
10 Region (TAKEN FROM SAMPLE) 1. Northeast South Midwest Plains/Mountains West Coast 11
National Tracking Poll Senior s Poll
National Tracking Poll Senior s Poll Project: 150307 N Size: 3975 Seniors On Traditional Medicare Or A Medicare Advantage Plan Margin of Error: ± 1.6% Topline Report March 23-26, 2015 P3 Question Response
More informationHealth Insurance Survey
Toplines The Kaiser Family Foundation Health Insurance Survey October 2004 Methodology The Kaiser Family Foundation Health Insurance Survey was designed and analyzed by researchers at the Kaiser Family
More informationOpinion Poll. Millennials Identify Student Debt, Retirement Savings as Barriers to Entrepreneurship. January 27, 2016
Opinion Poll Millennials Identify Student Debt, Retirement Savings as Barriers to Entrepreneurship January 27, 2016 Small Business Majority 1101 14 th Street, NW, Suite 950 Washington, DC 20005 (202) 828-8357
More informationNational Tracking Poll
National Tracking Poll Project: 150908 N Size: 1543 Registered Voters Margin of Error: ± 2% Topline Report September 24-27, 2015 P1 Question Response Frequency Percentage Now, generally speaking, would
More informationSeniors Opinions About Medicare Prescription Drug Coverage 8 th Year Update
Seniors Opinions About Medicare Prescription Drug Coverage 8 th Year Update Prepared for September 2013 1 Table of Contents Page Method 3 Executive Summary 7 Detailed Findings 9 Satisfaction with Medicare
More informationHow To Answer A Test For A Welfare Check (For Seniors)
Start Making the Most of Your Money! Answer 23 simple questions and you will get a personal report with tips on money management and budgeting, staying healthy, and protecting your financial information.
More informationMAINE K-12 & SCHOOL CHOICE SURVEY What Do Voters Say About K-12 Education?
MAINE K-12 & SCHOOL CHOICE SURVEY What Do Voters Say About K-12 Education? Interview Dates: January 30 to February 6, 2013 Sample Frame: Registered Voters Sample Sizes: MAINE = 604 Split Sample Sizes:
More information2. [ONLY ASKED IF HAVE CHILDREN, NATL N=704, 18-30 N=130] How many children do you have?
NORTHEASTERN UNIVERSITY - INNOVATION IN HIGHER EDUCATION SURVEY TOPLINES National Phone Sample of American Adultss Ages 18+ (N=1,001) Online Oversample of American Adults Ages 18-30 (N=250) (Margin of
More informationFinding Quality Doctors: How Americans Evaluate Provider Quality in the United States
Finding Quality Doctors: How Americans Evaluate Provider Quality in the United States Conducted by The Associated Press-NORC Center for Public Affairs Research with funding from the Robert Wood Johnson
More informationSummary of 2011 AARP Survey of Virginians 18+: State Health Insurance Exchange Prepared by Jennifer H. Sauer State Research, AARP.
Summary of 2011 AARP Survey of Virginians 18+: State Health Insurance Exchange Prepared by Jennifer H. Sauer State Research, AARP State health insurance exchanges are a provision of the new health law
More informationThe AP-Viacom Survey of Youth on Education March, 2011
The AP-Viacom Survey of Youth on Education March, 2011 By Stanford University Conducted by GfK Roper Public Affairs & Corporate Communications A telephone survey of the American young adult population
More informationPublic Views on SCHIP Reauthorization
Toplines NPR/Kaiser Family Foundation/Harvard School of Public Health Public Views on SCHIP Reauthorization October 2007 Methodology The NPR/Kaiser Family Foundation/Harvard School of Public Health Survey,
More informationNBC News/WSJ/Marist Poll Florida November 3, 2012 Presidential Election Questionnaire
Screener Are you 18 years of age or older? Do you consider your permanent home address to be in Florida? HH SELECTION LANDLINE FRAME ONLY GENDER GUESS NBC News/WSJ/Marist Poll
More informationMarquette Law School Poll September November 12-15, 2015 Results for Registered Voters
! Marquette Law School Poll September November 12-15, 2015 Results for Registered Voters (ages are rounded to whole numbers for reporting of results. Values ending in.5 here may round up or down if they
More informationTHE AP-GfK POLL October, 2013
Public Affairs & Corporate Communications THE AP-GfK POLL October, 2013 Conducted by GfK Public Affairs & Corporate Communications A survey of the American general population (ages 18+) Interview dates:
More informationFinal Questionnaire. Survey on Disparities in Quality of Health Care: Spring 2001
Final Questionnaire Survey on Disparities in Quality of Health Care: Spring 2001 Prepared by Princeton Survey Research Associates for the Commonwealth Fund 9.19.01 N= 8,290 Adults over 18 Aprox 1,000 Hispanic
More informationThe margin of error for 805 interviews is ± 3.5%
HART/McINTURFF Study #9669--page 1 1724 Connecticut Avenue, NW Interviews: 805 adults, including Washington, DC 20009 81 reached by cell phone (202) 234-5570 Date: August 15-17, 2009 FINAL Study #9669
More informationCREDIT CARD / DEBT STRESS STUDY. * = less than 1% - = question not asked/zero respondents Q6. DO YOU (AND YOUR SPOUSE/PARTNER) HAVE ANY CREDIT CARDS?
AP-AOL/ABT SRBI March 24 April 3 2008 Health Poll ; 778 adults with credit cards; 931 adults with debt Margin of error: +-3.1 for all adults; +-3.5 for adults with credit cards; +-3.2 for adults with debt
More informationOpinion Poll. Small Businesses Support Increasing Minimum Wage. April 24, 2013
Opinion Poll Small Businesses Support Increasing Minimum Wage April 24, 2013 Small Business Majority 1101 14 th Street, NW, Suite 1001 Washington, DC 20005 (202) 828-8357 www.smallbusinessmajority.org
More informationStop the HIT Coalition National Small Business Owner Survey Interview Schedule
Stop the HIT Coalition National Small Business Owner Survey Interview Schedule Project: 15492 N=251 Small Business Owners; Margin of Error: +6.2% A. Do you own or operate a business? 100% Yes B. And is
More informationNew Poll Shows Broad Bi Partisan Support for Improving Access to Alcohol and Drug Addiction Treatment
New Poll Shows Broad Bi Partisan Support for Improving Access to Alcohol and Drug Addiction Treatment September 23, 2009 A new survey released today shows that in a time of partisan debate over health
More informationTransforming Health Care: American Attitudes On Shared Stewardship
Transforming Health Care: American Attitudes On Shared Stewardship An Aspen Institute- Survey Submitted by zogby international may 2008 2008 Report Overview A new Aspen Institute/Zogby interactive survey
More informationDiabetes Self-Management Questionnaire
Diabetes Self-Management Questionnaire Name: Date: Date of Birth: / / Gender: F M Address: Street City State Zip Phone: Home ( ) Work: ( ) Mobile: ( ) Ethnic Background: White/Caucasian Black/A-A Hispanic
More informationPoll Report: Small Business Owners Views on Retirement Security
Poll Report: Small Business Owners Views on Retirement Security Based on a scientific phone survey of small business owners nationwide June 2013 Main Street Alliance www.mainstreetalliance.org American
More informationHART RESEARCH ASSOCIATES/PUBLIC OPINION STRATEGIES Study #15564 -- page 1
HART RESEARCH ASSOCIATES/PUBLIC OPINION STRATEGIES Study #5564 -- page Interviews:,000 Adults, including 350 respondents with a cell phone only and Date: December 6-9, 205 32 respondents reached on a cell
More informationInnovation Imperative: Enhancing Higher Education Outcomes
Innovation Imperative: Enhancing Higher Education Outcomes Public Opinion Survey Results NORTHEASTERN UNIVERSITY 2 nd Annual Innovation Poll September 17, 2013 Methodology Survey fielded between August
More informationTHE ASSOCIATED PRESS POLL CONDUCTED BY IPSOS PUBLIC AFFAIRS RELEASE DATE: DECEMEBER 16, 2005 PROJECT #81-5139-71 REGISTERED VOTERS/ PARTY AFFILIATION
1101 Connecticut Avenue NW, Suite 200 Washington, DC 20036 (202) 463-7300 Interview dates: December 13-15, 2005 Interviews 1,006 adults, 813 registered voters Margin of error: +3.1 for all adults, +3.5
More informationNYC Plan B Policy Survey (9/29/2012 Version 3 FINAL) Methods:
NYC Plan B Policy Survey (9/29/2012 Version 3 FINAL) Methods: Field Dates: October 2-3, 2012 Sample Size: 600 completed interviews in NYC Oversample/Quota 400 under age 55 200 over age 55 Sampling Error:
More informationExperiment on Web based recruitment of Cell Phone Only respondents
Experiment on Web based recruitment of Cell Phone Only respondents 2008 AAPOR Annual Conference, New Orleans By: Chintan Turakhia, Abt SRBI Inc. Mark A. Schulman, Abt SRBI Inc. Seth Brohinsky, Abt SRBI
More informationMcLAUGHLIN & ASSOCIATES COLLABORATIVE FOR STUDENT SUCCESS - COMMON CORE APRIL 14, 2014
McLAUGHLIN & ASSOCIATES COLLABORATIVE FOR STUDENT SUCCESS - COMMON CORE APRIL 14, 2014 1. IN THE 2014 NOVEMBER GENERAL ELECTION FOR STATEWIDE OFFICES OR CONGRESS, HOW LIKELY WOULD YOU SAY YOU ARE TO VOTE?
More information- - Each Split Sample = ± 5.6 percentage points
- - Interview Dates: February 11 to 21, 2012 Sample Frame: Registered Voters Sample Size: TENNESSEE = 606 Split Sample Sizes: Split A = 303; Split B = 303 Margin of Error: TENNESSEE = ± 4.0 percentage
More information2014 AARP Caregiving Survey: Opinions and Experiences of Alabama Registered Voters Age 45 and Older
2014 AARP Caregiving Survey: Opinions and Experiences of Alabama Registered Voters Age 45 and Older Alabama registered voters want to live independently at home for as long as possible with the help of
More informationwere weighted to correct for variance in the likelihood of selection for a given case and to balance the sample to
The following data come from two surveys. The first dataset comes from a representative survey of 656 human resources professionals (employers) from the Philadelphia, Los Angeles, Detroit and El Paso-Las
More information2010 SURVEY OF 18+ REGISTERED VOTERS IN WASHINGTON ABOUT STATE SERVICES AND THE STATE BUDGET SURVEY-IN-BRIEF
2010 SURVEY OF 18+ REGISTERED VOTERS IN WASHINGTON ABOUT STATE SERVICES AND THE STATE BUDGET AARP s Washington State Office commissioned this survey to explore the views of its 18+ registered voters about
More informationHPU POLL MEMO RELEASE 10/13/2014. Likely Voters in North Carolina, Colorado, and New Hampshire
HPU POLL MEMO RELEASE 10/1/2014 ELEMENTS Populations represented Sample sizes Mode of data collection Type of sample (probability/nonprobability) DETAILS Likely Voters in North Carolina, Colorado, and
More informationApplication for Medical Assistance for Families with Children
Application for Medical Assistance for Families with Children Who can use this application? Use this application to see what choices you have Apply faster online This application is for families, children,
More informationAppendix C: Online Health Care Poll
Appendix C: Online Health Care Poll Internet Poll through May 14, 2006 (10,512 responses) 1. How much do you agree or disagree with the following statement about health insurance coverage and public policy
More informationTask 7: Study of the Uninsured and Underinsured
75 Washington Avenue, Suite 206 Portland, Maine04101 Phone: 207-767-6440 Email: research@marketdecisions.com www.marketdecisions.com Task 7: Study of the Uninsured and Underinsured Vermont Office of Health
More informationTHE PUBLIC POLICY RESEARCH LAB
THE PUBLIC POLICY RESEARCH LAB Dr. Kirby Goidel Dr. Belinda C. Davis Michael Climek Lina Brou Sponsored by the Reilly Center for Media & Public Affairs Manship School of Mass Communication Louisiana State
More informationMMI Omnibus Survey. Debt Survey. Top-Line Results and Suggested Story Lines
MMI Omnibus Survey Debt Survey Top-Line Results and Suggested Story Lines Methodology: Cynapsus and MMI developed seven questions that were included in a nationwide, Web-based omnibus study. The survey
More informationONE-STOP SHOPPING CONSUMER PREFERENCES
ONE-STOP SHOPPING CONSUMER PREFERENCES TRENDED SURVEY RESEARCH AMONG RECENT AND FUTURE HOME BUYERS October 6, CONTENTS Background & Objectives 3 Methodology...4 Executive Summary.6 Conclusions...12 Detailed
More informationAHIP National Medigap Satisfaction Survey
Summary of Findings Prepared by Gary A. Ferguson, Senior Vice President June 2012 Introduction AHIP commissioned American Viewpoint, Inc., to conduct a national survey of Medicare supplement (Medigap)
More informationMedicare for Women and Men
Allsup Medicare Advisor Report Medicare for Women and Men October 2013 Concerns in retirement 2-3 Primary source of income in retirement 4 Financial planner and Medicare discussion 5 Health insurance coverage
More informationOpinion Poll. Minnesota Small Business Owners Support Reforming U.S. Elections. October 30, 2014
Opinion Poll Minnesota Small Business Owners Support Reforming U.S. Elections October 30, 2014 Small Business Majority 1101 14 th Street, NW, Suite 1001 Washington, DC 20005 (202) 828-8357 www.smallbusinessmajority.org
More informationTHE AP-GfK POLL December, 2014
Public Affairs & Corporate Communications THE AP-GfK POLL December, 2014 Conducted by GfK Public Affairs & Corporate Communications A survey of the American general population (ages 18+) Interview dates:
More informationMedicare Supplemental Coverage in Minnesota
Medicare Supplemental Coverage in Minnesota December 2002 h ealth e conomics p rogram Health Policy and Systems Compliance Division Minnesota Department of Health Medicare Supplemental Coverage in Minnesota
More informationThe Health Insurance Marketplace in Iowa: The consumer perspective
The Health Insurance in Iowa: The consumer perspective Final report to the Iowa Dept. of Public Health Peter Damiano* Suzanne Bentler* Daniel Shane* University of Iowa Public Policy Center* and College
More informationPLEASE COMPLETE AND RETURN
PLEASE COMPLETE AND RETURN Voluntary Care Network Application Name of Client (Last) (First) (Middle Initial) Street Address Telephone (home) City State Zip Telephone (alternate) Date of Birth US Citizen
More informationPRESCRIPTION PAINKILLER ABUSE:
PRESCRIPTION PAINKILLER ABUSE: Attitudes among Adults in and the United States The Boston Globe Harvard T.H. Chan School of Public Health 2 May 2015 Prescription Painkiller Abuse: Attitudes among Adults
More informationTHE FIELD POLL FOR ADVANCE PUBLICATION BY SUBSCRIBERS ONLY.
THE FIELD POLL THE INDEPENDENT AND NON-PARTISAN SURVEY OF PUBLIC OPINION ESTABLISHED IN 1947 AS THE CALIFORNIA POLL BY MERVIN FIELD Field Research Corporation 222 Sutter Street, Suite 700 San Francisco,
More informationEDUCATION POST 2015 Parent Attitudes Survey
EDUCATION POST 2015 Parent Attitudes Survey About the Survey The following analysis contains the results of the 2015 Parent Attitudes Survey, conducted on behalf of Education Post, via an online survey
More informationImpact of Breast Cancer Genetic Testing on Insurance Issues
Impact of Breast Cancer Genetic Testing on Insurance Issues Prepared by the Health Research Unit September 1999 Introduction The discoveries of BRCA1 and BRCA2, two cancer-susceptibility genes, raise serious
More informationAppendix 1. CAHPS Health Plan Survey 5.0H Adult Questionnaire (Commercial)
Appendix 1 CAHPS Health Plan Survey 5.0H Adult Questionnaire (Commercial) 1-2 Appendix 1 CAHPS 5.0H Adult Questionnaire (Commercial) 1-3 CAHPS 5.0H Adult Questionnaire (Commercial) SURVEY INSTRUCTIONS
More informationQuestionnaire: Use of placebo-medication for treating depression. 1. Explanation about the Placebo Treatment for Depression
Questionnaire: Use of placebo-medication for treating depression We are conducting a research study aimed at examining the position of the subjects towards different treatment options for depression. In
More informationHART RESEARCH ASSOCIATES Study #11843--page 1
HART RESEARCH ASSOCIATES Study #11843--page 1 1724 Connecticut Avenue, NW Interviews: 1200 adults Washington, DC 20009 Dates: April 28-May 10, 2016 (202) 234-5570 FINAL Study #11843 April May 2016 48 Male
More informationAPPLICATION FOR HEALTH CARE COVERAGE FOR UNINSURED CHILDREN AND ADULTS
Capital Advantage Insurance Company Commonwealth of Pennsylvania Edward G. Rendell, Governor APPLICATION FOR HEALTH CARE COVERAGE FOR UNINSURED CHILDREN AND ADULTS Application Information The information
More informationHOME STRETCH WORKSHOP REGISTRATION
HOME STRETCH WORKSHOP REGISTRATION Organization: Workshop location: Workshop (s): Instructions: Please fill out as completely as possible. If you need additional space, please feel free to use the back
More informationWhere there is a will
Where there is a will Legal Documents Among The 50+ Population: Findings From an AARP Survey Prepared for AARP Program Development and Services by AARP Research Group Released April 2000 LEGAL DOCUMENTS
More information1. NAME 2. SOCIAL SECURITY NUMBER # 4. PRESENT OCCUPATION 5. PLANT 6. ADDRESS 8. TELEPHONE NUMBER 9. INTERVIEWER
ASBESTOS INITIAL MEDICAL QUESTIONNAIRE 1. NAME 2. SOCIAL SECURITY NUMBER # 3. CLOCK NUMBER 4. PRESENT OCCUPATION 5. PLANT 6. ADDRESS 7. (Zip Code) 8. TELEPHONE NUMBER 9. INTERVIEWER 10. DATE 11. Date of
More informationApplication for Free Home Repairs
Application for Free Home Repairs Name of Homeowner: Date of Birth: Gender Male Female Is this a female headed household? Is this a grandparent headed household? Street Address: City: County: Zip Marital
More informationehealth, Inc. National Consumer Survey of Individuals Looking for Private Health Insurance at ehealthinsurance Services
ehealth, Inc. National Consumer Survey of Individuals Looking for Private Health Insurance at ehealthinsurance Services Methodology: ehealth, Inc. is the parent company of ehealthinsurance Services Inc.,
More informationHART RESEARCH ASSOCIATES Study #11843--page 1. 1724 Connecticut Avenue, NW Interviews: 1200 adults nationally, and 303 adults in the City of
HART RESEARCH ASSOCIATES Study #11843--page 1 1724 Connecticut Avenue, NW Interviews: 1200 adults nationally, and 303 adults in the City of Washington, DC 20009 and 300 adults in the suburbs (202) 234-5570
More informationNear-Elderly Adults, Ages 55-64: Health Insurance Coverage, Cost, and Access
Near-Elderly Adults, Ages 55-64: Health Insurance Coverage, Cost, and Access Estimates From the Medical Expenditure Panel Survey, Center for Financing, Access, and Cost Trends, Agency for Healthcare Research
More informationHealth Care Grants For California - Field Poll
California Voter Voter Opinions About About the the Health Care Care System A Review Review of of Recent Recent Field Field Polls Polls -Presented -Presented byby- Mark Mark DiCamillo DiCamillo Senior
More informationOpinion Poll. Michigan Small Businesses Hiring, but Struggle to Find Qualified Workers. November 13, 2014
Opinion Poll Michigan Small Businesses Hiring, but Struggle to Find Qualified Workers November 13, 2014 Small Business Majority 1101 14 th Street, NW, Suite 950 Washington, DC 20005 (202) 828-8357 www.smallbusinessmajority.org
More informationSurvey of Online Fundraisers, Sponsors, and Donors Summary of Responses
Survey of Online Fundraisers, Sponsors, and Donors Summary of Responses JustGiving teamed up with researchers at Bristol University (UK), Warwick University (UK), and McMaster University (Canada) to conduct
More informationMEDICAL ASSISTANCE (MA)/MCHP APPLICATION FOR FAMILIES, PREGNANT WOMEN, AND CHILDREN
Si necesita ayuda para llenar el formulario favor de llamar al 1-800-456-8900 Please PRINT in blue or black ink. MEDICAL ASSISTANCE (MA)/MCHP APPLICATION FOR FAMILIES, PREGNANT WOMEN, AND CHILDREN Date
More informationFINDINGS FROM THE 2014 MASSACHUSETTS HEALTH INSURANCE SURVEY
CENTER FOR HEALTH INFORMATION AND ANALYSIS FINDINGS FROM THE MASSACHUSETTS HEALTH INSURANCE SURVEY MAY 2015 Prepared by: Laura Skopec and Sharon K. Long, Urban Institute Susan Sherr, David Dutwin, and
More informationOSHA INITIAL ASBESTOS MEDICAL QUESTIONNAIRE
OSHA INITIAL ASBESTOS MEDICAL QUESTIONNAIRE 1. NAME 2. SOCIAL SECURITY NUMBER # 3. CLOCK NUMBER FULL TIME PART TIME 4. PRESENT OCCUPATION 5. PLANT / Department 6. ADDRESS (City, ST Zip) 8. TELEPHONE NUMBER
More informationMarkle Survey: Demographics of Public and Doctors Surveyed
Markle Survey: Demographics of Public and Doctors Surveyed January 2011 Markle Survey on Health In a Networked Life General Comparisons Between the Public and Doctors Surveyed Age : Doctors 90% 80% 70%
More informationPublic Religion Research Institute
Public Religion Research Institute AFRICAN AMERICAN & HISPANIC REPRODUCTIVE ISSUES SURVEY PUBLIC RELIGION RESEARCH INSTITUTE JUNE 14 JUNE 23, 2012 N=810 American adults N=813 American adults ASK ALL: Q.1
More informationSMALL BUSINESS INTERNET SURVEY Interview Schedule
SMALL BUSINESS INTERNET SURVEY Project # 06207 Mar 3-6, 2006 Public Opinion Strategies N= 300 Small Business Owners Alexandria, Virginia Margin of Error = ± 5.7% 1. Do you own or operate your own small
More informationAwareness of New Jersey s Family Leave Insurance Program Is Low, Even As Public Support Remains High and Need Persists
NEW JERSEY S FAMILY LEAVE INSURANCE PROGRAM A CENTER FOR WOMEN AND WORK ISSUE BRIEF OCTOBER 2012 Awareness of New Jersey s Family Leave Insurance Program Is Low, Even As Public Support Remains High and
More informationMarquette Law School Poll June 9-12, 2016. Vote results among Likely Voters
Marquette Law School Poll June 9-12, 2016 (ages are rounded to whole numbers for reporting of results. Values ending in.5 here may round up or down if they are slightly above.5 or slightly below. Frequencies
More informationFINAL WEIGHTED FREQUENCIES
California FINAL WEIGHTED FREQUENCIES N=800 GEVs ACLU of Northern California March 21-24, 2011 Drug Policy Alliance Ella Baker Center for Human Rights GENDER OF RESPONDENT Male...48 Female...52 REGION
More informationNational Conference on Public Employee Retirement Systems Findings from a Survey of 505 Small Business Owners in California
National Conference on Public Employee Retirement Systems Findings from a Survey of 505 Small Business Owners in California David Mermin and Jeff Klinger Washington, DC Berkeley, CA New York, NY LakeResearch.com
More informationU.S. ATTITUDES TOWARD HEALTH INSURANCE AND HEALTHCARE REFORM. A report by Valence Health August 2015
U.S. ATTITUDES TOWARD HEALTH INSURANCE AND HEALTHCARE REFORM A report by Valence Health August 2015 U.S. ATTITUDES TOWARD HEALTH INSURANCE AND HEALTHCARE REFORM Executive Summary With the Affordable Care
More informationLONG-TERM CARE IN CALIFORNIA
LONG-TERM CARE IN CALIFORNIA Conducted by The Associated Press-NORC Center for Public Affairs Research Funded by The SCAN Foundation Interview dates: March 13, 2014 April 23, 2014; Interviews: Dual frame
More informationFrederick County Department of Aging Meals on Wheels and Home Delivered Meal Service Application
Frederick County Department of Aging Meals on Wheels and Home Delivered Meal Service Application Name Address Apt. # Apartment Complex or neighborhood City/State/Zip Primary Phone Date of Birth Secondary
More informationMarquette Law School Poll March 24-28, 2016. Vote results among Likely Voters
Marquette Law School Poll March 24-28, 2016 (ages are rounded to whole numbers for reporting of results. Values ending in.5 here may round up or down if they are slightly above.5 or slightly below. Frequencies
More informationLee County Central Point of Coordination Application Return Application Requested By: HIPPA Yes NO. Date of Application: / / Phone: #( )- -
Lee County Central Point of Coordination Application Return Application Requested By:_ HIPPA Yes NO Date of Application: / /Phone: #()-- Name of Applicant: Last First M.I. Current Address: City State Zip
More informationMontana Senate Poll. Conducted: April 27-28, 2013 Respondents: 771 Margin of Error: +/- 3.53% Results:
Montana Senate Poll Conducted: April 27-28, 2013 Respondents: 771 Margin of Error: +/- 3.53% Results: Q: In an election for United States Senator, who would you prefer to vote for: the Republican candidate
More informationCaregivers of Younger Adults: A Focused Look at Those Caring for Someone Age 18 to 49
Photo used with Permission: Muscular Dystrophy Association Caregivers of Younger Adults: A Focused Look at Those Caring for Someone Age 18 to 49 National Alliance for Caregiving in collaboration with AARP
More informationWomen, Retirement and Advisors. Concerned About Meeting Retirement Expectations, Female Boomers Seek Expert Advice
Women, Retirement and Advisors Concerned About Meeting Retirement Expectations, Female Boomers Seek Expert Advice September 2011 About the Insured Retirement Institute: The Insured Retirement Institute
More informationMedigap (Medicare Supplement Insurance)
Medigap (Medicare Supplement Insurance) Lessons Original Medicare Coverage (gaps) Medigap Basics Buying a Medigap Policy 2010 What is New Medigap Plans Medigap Rights and Protections Information Sources
More informationMixed views of the state s health care system; concerns about the future
THE FIELD POLL THE INDEPENDENT AND NON-PARTISAN SURVEY OF PUBLIC OPINION ESTABLISHED IN 1947 AS THE CALIFORNIA POLL BY MERVIN FIELD Field Research Corporation 222 Sutter Street, Suite 700 San Francisco,
More informationAPPLICATION FOR HEALTH CARE COVERAGE FOR UNINSURED CHILDREN AND ADULTS
APPLICATION FOR HEALTH CARE COVERAGE FOR UNINSURED CHILDREN AND ADULTS 1. Please read the enclosed brochure for important information. 2. You may use this application to apply for Special Care for adults
More informationGENETICS AND GENOMICS IN NURSING PRACTICE SURVEY
GENETICS AND GENOMICS IN NURSING PRACTICE SURVEY Dear Registered Nurse: You are invited to take a survey that will evaluate primary issues in genetics and genomics. As the front line of care, nurses have
More informationHART RESEARCH ASSOCIATES / FERGUSON RESEARCH Study #11248d--page 1. 1724 Connecticut Avenue, NW Interviews: 905 public school parents, including
HART RESEARCH ASSOCIATES / FERGUSON RESEARCH Study #11248d--page 1 1724 Connecticut Avenue, NW Interviews: 905 public school parents, including Washington, DC 20009 an oversample of 104 Latino parents
More informationKIDNEY/PANCREAS REFERRAL PACKET Please attach the following information with each application.
KIDNEY/PANCREAS REFERRAL PACKET Please attach the following information with each application. 1. Patient s history and physical (less than one year old). 2. Recent labs, current medication list and radiology
More informationTHE ASSOCIATED PRESS-CNBC INVESTORS SURVEY CONDUCTED BY KNOWLEDGE NETWORKS
1350 Willow Rd, Suite 102 Menlo Park, CA 94025 www.knowledgenetworks.com Interview dates: August 26 September 08, 2010 Interviews: 1,035 adults who own stocks, bonds or mutual funds Sampling margin of
More informationCalifornia Statewide Survey Results
California Statewide Survey Results Q1 Q2 I am going to read you a description of civil asset forfeiture laws. Civil asset forfeiture laws allow law enforcement keep a person's cash and property if they
More informationIn 2013, U.S. residents age 12 or older experienced
U.S. Department of Justice Office of Justice Programs Bureau of Justice Statistics Revised 9/19/2014 Criminal Victimization, 2013 Jennifer L. Truman, Ph.D., and Lynn Langton, Ph.D., BJS Statisticians In
More informationMedicare Basics: Frequently Asked Questions
TIP SHEET Information Partners Can Use on: Medicare Basics: Frequently Asked Questions As of October 2006 What is Medicare? Medicare is health insurance for people age 65 or older, under age 65 with certain
More informationWealthy Consumers and Real Estate
Wealthy Consumers and Real Estate Custom Research for Coldwell Banker Previews International Table of Contents Topic Slide # Research Notes and Methodology 3 Key Findings 7 Survey Results Real Estate Profile
More informationThe Effects of Demographics on Consumer Perceptions of Identity Theft in Rural and Urban Settings
The Effects of Demographics on Consumer Perceptions of Identity Theft in Rural and Urban Settings Axton Betz, Ph.D. Student, Iowa State University 1 Identity theft is a serious crime in which an individual
More informationLast Name First Name Date of Birth (yyyy-mon-dd)
Public Health Dental Income Assessment If you live in the Calgary area, please complete this form to apply for funded services. If you have any questions, or don t know where to send this form, please
More informationAltarum Institute Survey of Consumer Health Care Opinions. Fall 2013. Wendy Lynch, PhD Kristen Perosino, MPH Michael Slover, MS
Altarum Institute Survey of Consumer Health Care Opinions Fall 2013 Wendy Lynch, PhD Kristen Perosino, MPH Michael Slover, MS Released on January 8, 2014 Table of Contents I. Introduction... 1 II. Topics...
More information