Introduction Section

Plaza Research Houston is conducting a discussion with 50-64 year old consumers on Healthcare. The discussion will take place on Tuesday, December 19th or  Thursday, December 21,  2017 throughout the day. If you qualify and participate, you will $150 for 2.25-hours of your time. 
 
Please answer the questions below. If you look like a match, we will contact you by telephone.  

**Due to the large response to our surveys, we are only able to contact those that look like a match. Please continue to answer future studies, as you may be a match to those.
Please provide us with the following information. We will be contacting you by telephone if you seem like a match. 

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* 1. Please provide us with the following information. We will be contacting you by telephone if you seem like a match. 

Alternate Contact number

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* 2. Alternate Contact number

What is your age? Whole number, no ranges or words

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* 3. What is your age? Whole number, no ranges or words

Who in your household is responsible for selecting the family doctor or specialists you and your family use?

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* 4. Who in your household is responsible for selecting the family doctor or specialists you and your family use?

How do you pay for Primary Care visits, hospital and other medical services?

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* 6. How do you pay for Primary Care visits, hospital and other medical services?

Which of the following area hospitals have you ever heard of?

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* 7. Which of the following area hospitals have you ever heard of?

Which of the following area hospitals would you consider visiting for your healthcare needs, if any?

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* 8. Which of the following area hospitals would you consider visiting for your healthcare needs, if any?

Have you or has your significant other had a partial or full joint replacement of the hip, knee, ankle, wrist, shoulder or elbow at a Houston area facility in the past two years?

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* 9. Have you or has your significant other had a partial or full joint replacement of the hip, knee, ankle, wrist, shoulder or elbow at a Houston area facility in the past two years?

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