Health Care & Insurance Research Discussion

LKRM is currently seeking individuals who have experience navigating health insurance coverage while managing a serious medical condition or caring for a family member with significant healthcare needs.

Selected participants will take part in a confidential virtual interview lasting approximately 60–75 minutes and will receive $300 for their time. Some participants may be invited to a follow-up interview and have the opportunity to share their experiences to help inform healthcare policy and patient advocacy efforts.

If interested, please complete the form below and we will be in touch with more details.

Question Title

* 1. What is your gender?

Male

Female

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* 2. What is your age?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 3. How many people are currently living in your household ? (Write in)

Question Title

* 4. Do you currently have health insurance?

Yes

No

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* 5. Do you, or someone you care for, have a chronic health condition?

Yes

No

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* 6. Please choose which of the following best describes your annual household income?

Under $49,000

$50,000-$74,999

$75,000-$99,999

$100,000-$124,999

$125,000-$149,999

$150,000+

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* 7. Did anyone refer you to this research discussion?

Yes

No

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* 8. Please provide your contact info so we may reach you

NAME

EMAIL ADDRESS

PHONE #

STATE