Your Opinion Matters!

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* 1. Does your health insurance cover holistic methods?

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* 2. How much is your healthcare deductible? (The amount you have to pay before any services are covered?)

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* 3. How much are your copays?

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* 4. Do you privately pay for organic food currently?

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* 5. What holistic methods do you privately pay for the most now? (If they are not covered by your insurance?)

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* 6. Would you want full control of your healthcare dollars to spend it on your own health care choices?

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* 7. What holistic methods would you increase if you had control over your own healthcare costs? (instead of  you paying for insurance)

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* 8. Would you be interested in a discount program to save 20-30% on holistic methods that you currently private pay for?

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* 9. If there was a discount program where you could save 10% to 20% on yoga classes, health food store purchases, massage therapy, etc. What would you be willing to pay per month?

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* 10. How do you decide who to go to for holistic health?

  Strongly Disagree Disagree Agree Strongly Agree
Direct referral from someone who has been a client of that practitioner. Word of mouth is the best referral.
Direct referral from another provider or doctor that I trust.
I review star ratings online to see what other people have said about the provider.
I read testimonials about the provider to see if they are a good fit for me.
I follow them on blogs to learn more about them.
I trust practitioners when I read an article or book by them.
I go by the mainstream advertising, television, radio, ads in the news paper, etc.

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* 11. How do you educate yourself about holistic methods currently?

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* 12. Would you want a "one stop shop" where you could see your doctor working with holistic practitioners to promote your health?

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* 13. If there was  a "one stop shop" where your doctor and holistic providers worked together to promote your health, who else would you want in the same office as your doctor?

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* 14. What is your approximate average household income?

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* 15. How many years have you graced this Earth?

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* 16. In a typical month, which of the following social networking websites do you use most often?

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* 17. What changes would you like to see in our healthcare system?

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* 18. What is your gender?

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* 19. Do you have any children?

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* 20. In what country do you live?

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* 21. If you are in the United States of America, in what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 22. What email can we use to contact you in the future as we grow?

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