Sliding Scale Discount Survey Question Title * 1. How did you hear about our sliding scale program? IFHS Front Desk receptionist Friends or family IFHS Website Social media platform Other (please specify) Question Title * 2. How long have you been a participant of this program? Less than 1 year 1 - 4 years More than 4 years Question Title * 3. How satisfied are you with the process of applying for the sliding scale program? Very Dissatisfied Neutral Very Satisfied Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 4. Before participating in the Sliding Scale program, were you able to access healthcare services as needed? Yes, regularly Yes, but with difficulty No, it was a significant challenge Not applicable Question Title * 5. Since participating in the Sliding Scale program, has the ability to access healthcare services changed? It is much easier to access healthcare services It is somewhat easier to access healthcare services There has been no significant change It is somewhat more difficult to access healthcare services It is much more difficult to access healthcare services Question Title * 6. Did the Sliding Scale program help you overcome any financial barriers that previously prevented you from seeking necessary medical care? Yes, significantly Yes, somewhat No, not significantly Not applicable Question Title * 7. Do you feel that the Sliding Scale discount you were assigned was fair and appropriate for your income level? Yes, completely fair Mostly fair Neutral Mostly unfair Completely unfair Question Title * 8. How would you describe your overall experience with our sliding scale program? Very Negative Negative Neutral Positive Very Positive Very Negative Negative Neutral Positive Very Positive Question Title * 9. Please provide any suggestions or comments you have for improving our Sliding Scale program. Done
