Mapping the Maze Survey

Please answer the following questions about the Mapping the Maze booklet. We need your feedback to make our materials as helpful as possible.

1. Who reads the information in Mapping the Maze? (Check all that apply)

Who reads the information in Mapping the Maze? (Check all that apply) Patient

Caregiver

Family

Friends

No one

2. Will you save Mapping the Maze to read again?

Will you save Mapping the Maze to read again? Yes

3. Does the information in Mapping the Maze address your transplant financial concerns?

Does the information in Mapping the Maze address your transplant financial concerns? Yes

Somewhat

Not sure

N/A

4. After reading Mapping the Maze, do you have a better understanding of:

	Very much	Somewhat	Not at all	Did not read
Organizing your health care records	*After reading Mapping the Maze, do you have a better understanding of: Organizing your health care records Very much	Organizing your health care records Somewhat	Organizing your health care records Not at all	Organizing your health care records Did not read
Organizing your financial records	Organizing your financial records Very much	Organizing your financial records Somewhat	Organizing your financial records Not at all	Organizing your financial records Did not read
How to assess your health insurance	How to assess your health insurance Very much	How to assess your health insurance Somewhat	How to assess your health insurance Not at all	How to assess your health insurance Did not read
How to assess your financial position	How to assess your financial position Very much	How to assess your financial position Somewhat	How to assess your financial position Not at all	How to assess your financial position Did not read
How to develop a financial plan	How to develop a financial plan Very much	How to develop a financial plan Somewhat	How to develop a financial plan Not at all	How to develop a financial plan Did not read
What to do if denied coverage	What to do if denied coverage Very much	What to do if denied coverage Somewhat	What to do if denied coverage Not at all	What to do if denied coverage Did not read
How to get legal help if you need it	How to get legal help if you need it Very much	How to get legal help if you need it Somewhat	How to get legal help if you need it Not at all	How to get legal help if you need it Did not read
Fundraising	Fundraising Very much	Fundraising Somewhat	Fundraising Not at all	Fundraising Did not read
How to access other patient resources	How to access other patient resources Very much	How to access other patient resources Somewhat	How to access other patient resources Not at all	How to access other patient resources Did not read
Health care terms (Glossary)	Health care terms (Glossary) Very much	Health care terms (Glossary) Somewhat	Health care terms (Glossary) Not at all	Health care terms (Glossary) Did not read

5. I found the financial worksheet in Mapping the Maze helpful in my current situation.

I found the financial worksheet in Mapping the Maze helpful in my current situation. Yes

Somewhat

Not sure

N/A

6. After reading Mapping the Maze, did you do any of the following? (Check all that apply)

After reading Mapping the Maze, did you do any of the following? (Check all that apply) Did not read Mapping the Maze

Call the Office of Patient Advocacy (OPA) at 1(888) 999-6743 (toll-free)

E-mail OPA at patientinfo@nmdp.org

Visit our website at www.marrow.org

Contact another organization listed in the Resources section

Other (please specify)

7. Overall, how would you rate Mapping the Maze?

Overall, how would you rate Mapping the Maze? Very Good

Good

Fair

Poor

Very Poor

Please explain:

8. Would you recommend Mapping the Maze to others in your situation?

Would you recommend Mapping the Maze to others in your situation? Yes

Maybe

Don't know

Please explain:

9. Would you recommend the Office of Patient Advocacy to others in your situation?

Would you recommend the Office of Patient Advocacy to others in your situation? Yes

Maybe

Don’t know

I'm not aware of the Office of Patient Advocacy

Please explain:

For the following questions, please tell us about yourself. The information provided helps us understand your needs. All answers are confidential.

10. Patient is:

Patient is: Male

Female

11. Patient’s age:

Patient’s age: 0-10 years

11-17 years

18-30 years

31-40 years

41-50 years

51-64 years

65 years and above

12. Patient’s ethnicity:

Patient’s ethnicity: Hispanic or Latino

Not Hispanic or Latino

Decline to answer

13. Patient’s race (Check all that apply):

Patient’s race (Check all that apply): American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Don't know

Decline to answer

14. Patient’s highest level of education:

Patient’s highest level of education: High School diploma

Associate degree

Undergraduate or Bachelor degree

Graduate or Doctoral degree

Mapping the Maze
Exit this survey

1. Please take a moment to give us your feedback

Mapping the Maze Exit this survey

1. Please take a moment to give us your feedback

Mapping the Maze
Exit this survey