Healthcare Study
Hello and thank you for being a part of the Q-insights database!

We are currently recruiting for an online Healthcare study

The study will later this month  and you will be compensated $100 as a thank you for your time

If you are interested in participating please fill out the survey below. If you pre-qualify we will call you to ask some additional qualifying questions.

Within the survey and subsequent call, if any, we may collect your name, email address, telephone number, and certain demographic information from you for use in connection with the research study. By clicking “OK” you agree that as to personal data you supply in response to this questionnaire, if any, we may (i) use it ourselves in connection with our recruitment activity, (ii) share it with third parties assisting us with this project, who may use it solely in connection with this project, or (iii) share it with the client commissioning the research study, who may use it in connection with the study. Please refer to our Privacy Policy (https://q-insights.com/privacy-policy/) and our Your Data, Your Rights Portal for more details.

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What gender do you identify the most with? *
What is your age? *
What is your employment status? *
Are you currently the parent or legal guardian of a child / children ages 21 or younger? *
Which of the following statements, if any, best applies to you? *
Have you sought pediatric care for your child / children in the past 24 months? *
Which of the following types of pediatric care, if any, have you sought for your child / children in the past 24 months? *
Required
Which of the following, if any, have you taken your child / children to for pediatric care in the past 24 months? *
Required
Please tell me which statement best describes how you feel about each of the following hospitals? *
A hospital I hate
A hospital I dislike
A hospital I don’t have any strong feelings about
A hospital I like
A hospital I love
Children’s Hospital Los Angeles
Memorial Care Miller Children’s Hospital Long Beach
UCLA Santa Monica
St Jude’s Research Hospital
Cedars-Sinai
Children’s Hospital Orange County
Torrence Memorial
What kind of health insurance, if any, do you currently have for your child / children? *
What is your approximate annual household income? *
What was your last level of education that you have completed or are currently enrolled in? *
Do you consider yourself to be? Please select as many as applicable. *
Required
What is your full name *
What is your phone number? *
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