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Transition Webpage: Youth and Young Adult
Youth and Young Adults Survey
Read each of the following and select one response that best answers the question to see how prepared you are to take charge of your health care journey and transition from pediatric care to adult health care.
OK
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1.
Do you see a doctor who sees only children, adult patients, children and adult patients or not sure?
(Required.)
Sees adult patients
Sees only children
Sees children and adults
Not sure
I do not regularly see a doctor
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2.
Do you know the phone number to your doctor's office?
(Required.)
Yes
No
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3.
Do you know if your doctor's office has an online portal? If so, do you know how to use it?
(Required.)
If your doctor's office has an online portal
How to use the online portal
Do you know
-- Select an option --
Yes
No
-- Select an option --
Yes
No
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4.
Do you know how to schedule an appointment?
(Required.)
Yes
No
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5.
Do you have a special health condition?
(Required.)
Yes
No
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6.
Do you know how your health care privacy changes at age 18?
(Required.)
Yes
No
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7.
Do you know what to do if your doctor gives you a prescription?
(Required.)
Yes
No
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8.
Are you prepared for a health emergency with your "Medical ID" information (your medical conditions, medications, allergies, and insurance information) stored in your phone, email or paper copy?
(Required.)
Yes
No
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9.
Do you have health insurance?
(Required.)
Yes
No
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10.
Do you know how to get health insurance?
(Required.)
Yes
No
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