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.

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

Not at all

Very little

Somewhat

Very much

All the time

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

Yes

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* 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)

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* 4. Did you find NCLR’s information to be helpful?

Yes

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

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

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

Yes

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

Yes

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* 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)

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* 10. Please consider the topics for which you would find it most helpful to receive information from NCLR as reform moves forward.

	Very helpful				Helpful					Not helpful
New health insurance pathways or options (such as the exchange or new marketplace)	New health insurance pathways or options (such as the exchange or new marketplace) Very helpful	New health insurance pathways or options (such as the exchange or new marketplace)	New health insurance pathways or options (such as the exchange or new marketplace)	New health insurance pathways or options (such as the exchange or new marketplace)	New health insurance pathways or options (such as the exchange or new marketplace) Helpful	New health insurance pathways or options (such as the exchange or new marketplace)	New health insurance pathways or options (such as the exchange or new marketplace)	New health insurance pathways or options (such as the exchange or new marketplace)	New health insurance pathways or options (such as the exchange or new marketplace)	New health insurance pathways or options (such as the exchange or new marketplace) Not helpful
Health insurance eligibility for immigrants	Health insurance eligibility for immigrants Very helpful	Health insurance eligibility for immigrants	Health insurance eligibility for immigrants	Health insurance eligibility for immigrants	Health insurance eligibility for immigrants Helpful	Health insurance eligibility for immigrants	Health insurance eligibility for immigrants	Health insurance eligibility for immigrants	Health insurance eligibility for immigrants	Health insurance eligibility for immigrants Not helpful
Health insurance options for the very sick	Health insurance options for the very sick Very helpful	Health insurance options for the very sick	Health insurance options for the very sick	Health insurance options for the very sick	Health insurance options for the very sick Helpful	Health insurance options for the very sick	Health insurance options for the very sick	Health insurance options for the very sick	Health insurance options for the very sick	Health insurance options for the very sick Not helpful
Costs of health care	Costs of health care Very helpful	Costs of health care	Costs of health care	Costs of health care	Costs of health care Helpful	Costs of health care	Costs of health care	Costs of health care	Costs of health care	Costs of health care Not helpful
New options for small business and their employees	New options for small business and their employees Very helpful	New options for small business and their employees	New options for small business and their employees	New options for small business and their employees	New options for small business and their employees Helpful	New options for small business and their employees	New options for small business and their employees	New options for small business and their employees	New options for small business and their employees	New options for small business and their employees Not helpful
Funding for community health centers	Funding for community health centers Very helpful	Funding for community health centers	Funding for community health centers	Funding for community health centers	Funding for community health centers Helpful	Funding for community health centers	Funding for community health centers	Funding for community health centers	Funding for community health centers	Funding for community health centers Not helpful
Enrollment and outreach programs	Enrollment and outreach programs Very helpful	Enrollment and outreach programs	Enrollment and outreach programs	Enrollment and outreach programs	Enrollment and outreach programs Helpful	Enrollment and outreach programs	Enrollment and outreach programs	Enrollment and outreach programs	Enrollment and outreach programs	Enrollment and outreach programs Not helpful
Public health insurance programs	Public health insurance programs Very helpful	Public health insurance programs	Public health insurance programs	Public health insurance programs	Public health insurance programs Helpful	Public health insurance programs	Public health insurance programs	Public health insurance programs	Public health insurance programs	Public health insurance programs Not helpful
Health care options for the uninsured	Health care options for the uninsured Very helpful	Health care options for the uninsured	Health care options for the uninsured	Health care options for the uninsured	Health care options for the uninsured Helpful	Health care options for the uninsured	Health care options for the uninsured	Health care options for the uninsured	Health care options for the uninsured	Health care options for the uninsured Not helpful
New programs to address health disparities	New programs to address health disparities Very helpful	New programs to address health disparities	New programs to address health disparities	New programs to address health disparities	New programs to address health disparities Helpful	New programs to address health disparities	New programs to address health disparities	New programs to address health disparities	New programs to address health disparities	New programs to address health disparities Not helpful

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

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

Choice 1

Choice 2

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* 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.).

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

Name:

Email Address:

Phone Number:

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* 15. How are you affiliated with NCLR?

Affiliate

Partner

Other (please specify)

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

Yes

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

Question Title

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

Question Title

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

Question Title

* 4. Did you find NCLR’s information to be helpful?

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

* 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).

Question Title

* 10. Please consider the topics for which you would find it most helpful to receive information from NCLR as reform moves forward.

Question Title

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

Question Title

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

Question Title

* 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.).

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

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* 15. How are you affiliated with NCLR?

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

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