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Assessing Potential Impact of Trump Administration's Birth Control Mandate Rollback
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I am a(n)...
Undergrad
Graduate student
Other:
Class year
2021
2020
2019
2018
Other:
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Gender
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Email
Your answer
Which of the following best describes your plans to enroll in a student health insurance plan through Georgetown University?
I have been enrolled in student health insurance in previous year(s) and plan to enroll again for the 2017-2018 year and/or future years.
I have not previously enrolled in student health insurance but plan to enroll for the 2017-2018 year and/or future years.
I have previously enrolled in student health insurance but do not plan to enroll for the 2017-2018 year or any future years.
I have not previously enrolled in student health insurance and do not plan to enroll in any future years.
Unsure
Other:
Clear selection
If you have enrolled in a student health insurance plan through Georgetown University in the past, have you used your coverage to obtain birth control?
Yes
No
I have not enrolled in a student health insurance plan through Georgetown University.
Other:
Clear selection
If you plan to enroll in a student health insurance plan through Georgetown University, would you use your coverage to obtain birth control?
Yes
No
Unsure
I do not plan to enroll in a student health insurance plan through Georgetown University.
Other:
Clear selection
If you are enrolled, or are planning to enroll, in a student health insurance plan through Georgetown University, which plan(s) do you (or will you) use?
Platinum Premier Plan
Study Abroad Plan
EFL Plan
Other:
Which of the following best describes your reasons for using student health insurance?
I do not have access to another health insurance plan (e.g., through a parent or employer) that meets Georgetown University's coverage requirements and therefore am required to enroll in student health insurance.
I could access another health insurance plan (e.g., through a parent or employer) but prefer to use student health insurance because it is more affordable.
I could access another health insurance plan (e.g., through a parent or employer) but prefer to use a student health insurance plan because I find its coverage and benefits superior.
I do not use student health insurance.
Other:
If you were not able to access birth control through your student health insurance plan, would you have another affordable way to access it?
Yes, I could access affordable birth control another way.
No, student health insurance is my only way to access affordable birth control.
Unsure
Other:
Clear selection
Additional comments
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Are you comfortable with your responses being anonymously shared as collective data?
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Yes, I am comfortable with my responses being anonymously shared as data.
No, I am not comfortable with my responses being shared in any way.
I might be comfortable with my responses being shared, but would prefer that H*yas for Choice reach out to me first explicitly explaining the format and purpose of the publication before giving my consent.
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