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* 1. In the last 6 months, how often did customer service give you the information or help you needed?

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* 2. In the last 6 months, how often did customer service staff at your child’s health plan treat you with courtesy and respect?

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* 3. In the last 6 months, how often were the forms from your child’s health plan easy to fill out?

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* 4. Using any number from 0 to 10, where 0 is the worst possible health plan and 10 is the best health plan possible, what number would you use to rate your child’s health plan?

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* 5. A personal doctor is the one you/your child would see for a checkup, has a health problem or gets sick or hurt. Does you/your child have a personal doctor?

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* 6. Do you need help finding a personal doctor?

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* 7. Specialists are doctors like surgeons, heart doctors, allergy doctors, skin doctors, and other doctors who specialize in one area of health care. In the last 6 months, did you make any appointments for you/your child to see a specialist?

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* 8. Do you need help finding a specialists?

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* 9. In general, how would you rate your overall (physical and mental) health?

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* 10. Do you have a child/children that you care for on RightCare? (check all that apply)

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