Student Health Insurance Survey
Thank you for taking part in this survey! Our student-led team from the School of Public Health, in conjunction with Hall Health, is collecting information about student health care and health insurance at the University of Washington.

Please note that this survey and any information derived from it is not representative of the University of Washington administration. The University of Washington does not currently offer health insurance to domestic students, and has no known plans to begin offering it.

This survey is voluntary and you may stop at any time. Your answers will remain anonymous and confidential. If you have any questions or comments about this survey, please contact us at student.health2017@gmail.com.

At the end of the survey, you will have a chance to provide your email address to be entered to win from multiple drawings. We will be raffling off a $100 Amazon Gift Card (x1), $50 Amazon Gift Cards (x4), and $20 UW Bookstore Gift Cards (x2). Your email address and survey data will not be connected. Please follow the link at the end of the survey.

Next
Never submit passwords through Google Forms.
This form was created inside of UW. Report Abuse - Terms of Service - Additional Terms