The Mighty Survey

The Mighty is working on an article about what happens when doctors prevent patients from receiving the care they need – and how both medical professionals and patients can work together to keep this from happening. All survey responses will be used strictly for editorial purposes.

If you have more than one experience with this, please feel free to either fill out multiple surveys (one per doctor) or focus on the experience that sticks out to you the most. We appreciate your time and participation!

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* 1. Has a medical professional ever prevented you from receiving the medical care you need?

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* 2. If yes, were you seeking... (Check all that apply.)

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* 3. What condition were you seeking care for?

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* 4. What type of medical professional were you seeking care from?

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* 5. Why did the medical professional prevent you from receiving the care you were seeking? (Check all that apply.)

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* 6. If you're comfortable, tell us what happened when a doctor prevented you from receiving the care you needed.

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* 7. Do you have any advice for handling these types of situations? How do you advocate for yourself when a doctor is preventing you from getting the care you need?

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* 8. Please include your first and last name if you'd like your responses to #6 and #7 included in an article on The Mighty.

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* 9. If you'd like to be notified when the article is published, include your email address here. (We won't use your email for any additional purposes!)

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