Medical Debt: Know Your Rights Post-Training Survey Question Title * 1. What are your initials? Question Title * 2. What county in Indiana are you from? Question Title * 3. How useful did you find this training? Extremely useful Very useful Somewhat useful Not so useful Not at all useful Question Title * 4. After this training, how confident do you feel in handling your medical bills or medical debt? Extremely confident Very confident Somewhat confident Not so confident Not at all confident Question Title * 5. How likely do you think you will use this information to address your medical bills? Very likely Likely Somewhat likely Unlikely Very unlikely Question Title * 6. Will you ask for financial assistance or a payment plan for your medical bills or debt? I plan to ask for financial assistance/charity care I plan to ask for a payment plan I have already asked for financial assistance/charity care I have already asked for a payment plan It is too late for me to ask for financial assistance or a payment plan (medical debt sent to collections) I do not plan to ask for these Question Title * 7. Do you think by using what you learned today, you will have an easier time paying for food? Yes No Question Title * 8. Do you think by using what you learned today, you will have an easier time paying for housing costs such as rent or your home mortgage? Yes No Question Title * 9. What was the most useful thing you learned today? Question Title * 10. What is one suggestion to improve our trainings for the future? Question Title * 11. Would you like to be added to our email list to be updated on future Institute workshops, and research or advocacy opportunities? Yes No Next