Ardmore SoonerRide Community Forum Survey

Question Title

* 1. Do you plan to attend the community forum in Ardmore on
Thursday, March 3?

Yes

No

Question Title

* 2. If yes, in what capacity are you attending?

State Agency

Provider

Community Organization

Tribal

Member

Other (please specify)

Question Title

* 3. If not attending, what are the reason(s):

Bad day/time

I already have the Oklahoma Health Care Authority (SoonerCare/Insure Oklahoma) information I need

Doesn’t apply to my job

Other (please specify)

Question Title

* 4. Do you have any specific concerns/questions that you would like answered during the forum?