$125 PAID MEDICARE PART D DRUG BENEFIT PLAN RESEARCH - VIA TELEPHONE 90 Mins.
This is a very easy study. We need men and women that have a Medicare D Drug Plan. This is a telephone study. There are no sales involved. If interested fill out the questionnaire and submit it. We will contact you for scheduling

Elite Market Research Team Nationwide
www.elitemarketresearchteamnationwide.net
Charlene Berkhalter, Scheduler - 419-754-1194

Email address *
IN WHAT TIME ZONE DO YOU LIVE? *
We need BOTH city & state that you live it *
Your answer
What is the best phone number for us to call you between 9am and 9pm in your time zone for scheduling? *
Your answer
Please tell us your FIRST & LAST NAME *
BOTH ARE REQUIRED
Your answer
What is your ethnicity or race? *
1. What is your gender? *
2. What is your age? *
Your answer
3. Are you enrolled in Medicare? *
4. Do you receive Medicare Extra Help? *
5. & 6. Were you automatically enrolled with a Part D drug benefit plan, sometimes referred to as PDP, OR did you elect to enroll with a Part D drug benefit plan on our own? *
7. What is the name of your Part D drug benefit plan? *
You will need to know the name of the Part D Drug Benefit Plan to participate.
Your answer
8. From the list below name your Part D drug benefit plan if you see it? *
You will need to know the name of the Part D Drug Benefit Plan to participate.
9. What type of plan do you have? Is it? *
10. Approximately how many prescription medications are you currently taking? *
Your answer
11. Please tell me which one BEST describes you. *
12. IN DETAIL DESCRIBE YOUR PERFECT SPRING DAY AND WHAT YOU WOULD BE DOING AND WHERE? Please answer this in 5 OR MORE COMPLETE SENTENCES. 5 SENTENCES ARE REQUIRED. *
Your answer
13. When choosing your Part D Drug Benefit plan, how important were each of the following when making your decision? *
5 Extremely Important
4
6
2
1 Not at all important
The convenience in getting your prescription drugs
The plan offered helpful customer service
The total cost of the past was cheapest
My prescription drugs were covered
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