Insurance Study- NY 2019

Hello,

Thank you for being a part of the Q-Insights Database.

We are currently recruiting for a telephone study on the topic of Insurance.

This will be a 20-minute phone call taking place between October 16th-October 28th. As a thank you for your time you will receive a $50 Visa e-gift card that will be e-mailed to you approximately 2 weeks after the study.

If you are interested in participating, please fill out the survey below.

By clicking “OK” you agree that as to personal data you supply in response to this questionnaire, if any, we may (i) use it ourselves in connection with our recruitment activity, (ii) share it with third parties assisting us with this project, who may use it solely in connection with this project, or (iii) share it with the client commissioning the research study, who may use it in connection with the study. Please refer to our Privacy Policy for more details.

If you pre-qualify we will call you to ask some additional qualifying questions. And if you know someone interested in participating for this study please forward this e-mail so they can fill out the survey. We are not taking call ins.

Thank you, Q-Insights

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* 1. What is your gender?

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* 2. How old are you?

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* 3. What is your race/ethnicity?

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* 4. Which of the following best describes your current employment status?

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* 5. What type of healthcare insurance do you currently have?

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* 6. What type of healthcare insurance do you have?

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* 7. What metal-level plan do you have?

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* 8. What healthcare provider do you currently have metal-level coverage with?

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* 9. Have you had healthcare coverage with any other healthcare insurance plan in the past 12 months?

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* 10. Who was your healthcare insurance provider prior to having coverage with your current provider?

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* 11. Do you currently receive a subsidy to help pay for your healthcare insurance?

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* 12. Including yourself, how many individuals currently live in your household?

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* 13. In 2018, what was your total household income?

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* 14. What is your level of involvement in decisions regarding healthcare insurance selection?

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* 15. Contact Information

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