Please take a few minutes to fill out this survey regarding access to Medicaid services. Your input is greatly appreciated, and thank you for your participation.

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* 1. What is your sex?

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* 2. What is your age?

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* 4. Where do you go when you need to see a medical professional about a non-emergency health problem or illness?

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* 5. On a scale of 1-5, how easy is it for you to get to the healthcare provider's location? (1 = Very Easy, 5 = Very Difficult)

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* 6. In the past 12 months, when you contacted your healthcare provider's office to get an appointment, how often did you get an appointment as soon as you requested it?

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* 7. In the past 12 months, when you contacted your healthcare provider's office during regular office hours, how often did you get an answer to your medical question that same day?

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* 8. If you have needed healthcare services in the past 12 months, how often have your healthcare providers been able to address your issues and/or concerns?

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* 9. In the past 12 months, when you had to visit a healthcare provider, have you been able to find: (Check All That Apply)

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* 10. In the past 12 months, have you faced language barriers/difficulties when trying to get appropriate healthcare?

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* 11. What is the biggest obstacle(s) you have faced regarding access to healthcare?

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* 12. Please provide any additional comments or concerns that you may have.

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