Health Care Reform Survey

1.

Now that health care reform legislation has been signed into law, we are on the verge of experiencing groundbreaking changes to our health care system. More than one year of debating and negotiating health care reform has resulted in complex legislation that will years to implement.

From the beginning of the debate, NCLR’s priority was to represent the voice and needs of our Affiliates. As we enter the stage where this new law will be put to action, it is important for us to be able to relay the information that you believe is most important for you and/or the organizations that you represent.

Please take some time today to let us know how useful the information that we provided during the health care reform debate was.

1.Did you follow what was going on with the national health care reform discussion over the past year? (Required.)

2.Did you stay up-to-date on the health care reform discussion with information provided by NCLR?
(Required.)

Yes

3.If yes, what forms of communication did you follow? Check all that apply.

Action alerts/e-updates

National phone calls

NCLR website

Social media (Twitter, Facebook)

Other (please specify)

4.Did you find NCLR’s information to be helpful? (Required.)

Yes

5.If yes, what did you find most helpful about the information?

6.If no, how could NCLR improve future communications?

7.Did you share the information provided by NCLR about health care reform with others?(Required.)

Yes

8.Did you participate and engage in NCLR’s action network activities on health care reform?(Required.)

Yes

9.If yes, did you participate in activities that NCLR encouraged you to join (phone calls, email campaigns, and postcard campaign? Check all that apply).

Made phone calls to members of Congress

Signed the NCLR Petition for Health Care for All

Sent letters to Congress

Filled out a postcard or distributed postcards in your community

Shared your story with NCLR

Provided interviews with media

Met with your representative or senators

Other (please specify)

11.Are there other topics you want us to cover? Please write them in here. We appreciate any specifics!(Required.)

12.What would be the best way to give you this information? Choose two preferences.
-Email updates
-Newsletter
-Phone calls
-Webinars
(Required.)

Choice 1

Choice 2

13.Please provide any other feedback you would like us to take into consideration (examples include how NCLR communicated during the debate, whether you felt your priorities were considered, etc.). (Required.)

14.Please provide your first name, last name, email, and phone number (optional)

Name:

Email Address:

Phone Number:

15.How are you affiliated with NCLR?
(Required.)

Affiliate

Partner

Other (please specify)

16.If necessary, would you be willing to allow NCLR staff to contact you with follow-up questions? (Required.)

Yes