Skip to content
Medical Debt: Know Your Rights Pre-Training Survey
*
1.
What are your initials?
(Required.)
*
2.
What county in Indiana are you from?
(Required.)
*
3.
Do you have health insurance?
(Required.)
Yes
No
*
4.
Do you have:
(Required.)
Medical Debt/Medical Bills
Concerns about medical bills becoming medical debt
Worries about high healthcare costs
A friend or family member with medical debt/medical bills
A service provider with clients that have medical debt/medical bills
Other (please specify)
*
5.
How confident do you feel in handling your medical bills or medical debt?
(Required.)
Extremely confident
Very confident
Somewhat confident
Not so confident
Not at all confident
*
6.
What are you most interested in learning about during this training?
(Required.)
Protections I have related to medical debt or medical bills and debt collection
Steps that can help me lower my healthcare costs
Guidance on what to do when I get a medial bill
How to check my medical bills for any errors or issues
Basic insurance terms
Scripts for talking with healthcare facilities and billing departments
Tools to help me track my medical bills
Steps I can take to try and ensure my medical payment costs are what I can afford or within my financial means
Other (please specify)