Decision Power Healthy Baby: Your Health Net Survey

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1. Health Net Members: enter your subscriber ID#, found on the front of your Health Net ID card. Non-members: enter "not a member".

2. Health Net Members: enter your first name (as it appears on your ID card). Non-Members enter your first name.

3. Health Net Members: enter your last name (as it appears on your ID card). Non-Members enter your last name.

4. Health Net Members: enter the name of your employer group, or "other" if you have an individual or other health plan. Non-Members: enter "not a member".

5. Enter your email address.

6. Pregnancies of heavy smokers are more likely to experience miscarriage, premature birth, and low birth weight.

7. If you are ready to quit smoking, you can call Health Net for free unlimited suport from a Health Coach.

8. Did you learn new health information?

9. Please comment on your overall experience.