Annual health screening

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* 1. What is your age range?

<18

19-44

45-64

65-84

>84

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* 2. What is your gender identity?

Male

Female

Non-binary

Prefer not to say

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* 3. What is your race/ethnicity?

White

Black or African American

Hispanic or Latinx

Asian

Middle Eastern or North African

Native American or Alaskan Native

Native Hawaiian or Pacific Islander

Other

Multiple

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* 4. What is your annual household income in $?

Less than $40,000

$40,000-$66,000

66,000-109,000

>109,000

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* 5. Did you know that guidelines recommend that all adults undergo regular health screening for high blood pressure, high cholesterol and diabetes by a healthcare professional?

Yes

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* 6. Have you ever had an annual health screen done by a healthcare professional?

Yes, within the last year

Yes, but it's been more than a year

No, but I want to have one done

No, and I don't plan on having one

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* 7. How satisfied are you with your current options for medical check-up and annual health screening, such as screening for high blood pressure, high cholesterol or diabetes?

Very satisfied

Somewhat satisfied

Neutral

Somewhat dissatisfied

Very dissatisfied

I don't get annual health check ups

I didn't know that I should get checked yearly

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* 8. Have you ever skipped your annual health screen or routine health check-up due to accessibility or convenience issues? If so, what were the challenges you faced?

Lack of transportation

Difficulty finding time to schedule an appointment

My schedule makes it hard

Long wait times to get an appointment

Location of healthcare provider

Cost

Other (please specify)

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* 9. What 3 factors are most important to you when deciding to have an annual health screen/routine health check-up?

Affordability/cost

Travel time

My time / my schedule

Number of medical appointments needed

Quality of care

Reputation of provider

Option for virtual care

My ability to set the appointment date and time

Other (please specify)

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* 10. If you had an option and all options were equal, where would you feel most comfortable receiving your annual health screen/health check up (getting your blood pressure checked by a professional)?

Doctor's office (in-person)

Home (remotely)

Home (in-person)

Work/place of business (remotely)

Work/place of business (in-person)

Wherever I have privacy (remotely)

I don't have a preference

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* 11. Do you have any questions or comments?

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* 12. If you want to receive updates on preventive health services include you email here:

Want to find out more?

go to SMARTShealth.net