Healthcare Consumer Survey
We are taking some time to better understand your concerns with healthcare in the United States. All questions are optional.  
Sign in to Google to save your progress. Learn more
Thanks for participating in this anonymous survey and supporting indie publishing and research!  
What is your biggest health issue right now?
What is your biggest issue with the current healthcare system?
Where do you currently get your insurance from?
Clear selection
Do you consider your insurance affordable?
Clear selection
Do you consider your health providers to be of quality?
Clear selection
What does quality healthcare mean to you?
Do you believe that access to health care is a human right?
Clear selection
What are your biggest health fears?
Do you suffer from a chronic ailment that your parents or grandparents did not suffer from?
Clear selection
What do you want to see happen to our health system?
Clear selection
If you you follow a healthy lifestyle, what is that for you?
Clear selection
Do you take any courses online to enhance your knowledge in some area?
Clear selection
How interested are you in learning how the current U.S. healthcare system works and how it affects you?
Clear selection
Are you interested in mindfulness and/or meditation?
Clear selection
In what city/town do you live?
What is your profession?
What is your age?
What is your gender?
Clear selection
What is the highest level of education you completed?
Clear selection
What is your current relationship status?
Clear selection
What is the 1 thing you couldn't live without accomplishing?
If you could spare 5 more minutes, please take our well-being survey. Right click and open in a new page.   https://docs.google.com/forms/d/e/1FAIpQLSfg6fFoNnvb9fMOH7QuPr0POZio7N2LZwiQ6dsndaK7M_Kr5Q/viewform?usp=sf_link
If you could spare another 5 more minutes, please take our reader survey as well. Right click and open in a new page.      https://docs.google.com/forms/d/e/1FAIpQLSdUEnKw6dc6JhQAdGSiT3An2sLsl3uTVVAfgp6lzOmHlYGFAw/viewform?usp=sf_link     
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report