The following questions will help the Saline Area Healthcare Taskforce better understand the health care needs of our community. All responses will be looked at in aggregate and will not be tied to any personal identifying information. We thank you in advance for your time on this important effort!

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* 1. Do you live in the city of Saline?

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* 2. In the past year, have you forgone medical care for any of the following reasons? Select all that apply:

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* 3. What are the health care facilities or providers that you would like to have close to you? Select all that apply.

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* 4. Do you currently have health insurance?

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* 5. If you have health insurance, who is your current health care insurer?

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* 6. What is your age group?

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* 7. Would you like to participate in a focus group?  If so, please submit your contact information.

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* 8. Do you have any questions or comments for the task force?

Privacy statement: All survey responses will be aggregated. Aggregate data may be used to inform decision making of the Healthcare Task Force, the Saline City Council, City of Saline staff, or our partners.  Presentation of data may also include filtering aggregate data by demographics or other common answer. Responses shall not be used in such a way as to identify any individual except those who indicate that they would specifically like to be contacted about participating in a focus group.

 Data retention: Data in its aggregate form and any resulting presentations prepared for or by the Healthcare Task Force may be retained permanently in compliance with Michigan Freedom of Information Act record retention requirements.

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