Question Title

* 1. What is your first name (optional)

Question Title

* 2. What is your last name?

We strive to create surveys that are statistically representative of the community. We use email addresses as a part of that process. If you object, you may use a fake email address.  Please see http://www.madronavoices.com/why-email/ for a more detailed explanation of why we require an email address as a part of this process.

Question Title

* 3. What is your email address?

Question Title

* 4. Do you plan to vote in the April 24, 2018 special election?

Question Title

* 5. Are you registered to vote as a resident of Orcas Island?

The issue on the ballot will be about a Public Hospital District (PHD) on Orcas Island. If this is supported by the voters, it would create a tax district allowing a levy of up to $0.75/$1,000 valuation for the support of medically-related needs. A set of five elected commissioners would simultaneously be elected. These commissioners would have the authority to levy a tax, borrow money, and decide which clinics, practices, individuals, or other medically-related needs would be funded and to what amount they would be supported.  

Question Title

* 6. How do you plan to vote on this issue?

Question Title

* 7. Do you use the services of one of the doctors/PAs on island?

Question Title

* 8. If you use one of the on-island medical clinics, which one do you personally use for your medical needs?

Question Title

* 9. Do you regularly go off-island for treatment of an ongoing medical concern for yourself?

Question Title

* 10. If the public hospital district vote fails, are you more likely to move off island?

Question Title

* 11. Whether you support or oppose it, please rank your biggest concerns about a Public Hospital District. (Highest concern on top.) (First, mark those that are not a concern by checkmarking the box on the far right side. Then, you can drag and drop or use the arrows to rank the remaining options.)

Question Title

* 12. In what year were you born? (enter 4-digit birth year; for example, 1976)

Question Title

* 13. If the PHD passes, do you want the commissioners to support:

Question Title

* 14. Any additional comments on the Public Hospital District proposed for Orcas Island?

Question Title

* 15. How much time do you spend on the island?

Question Title

* 16. Do you own the home you live in?

Question Title

* 17. How much do you expect the Public Hospital District to cost you per year? [Potentially, $75/$100,000 in property valuation.]

Question Title

* 18. Do you have any suggested questions for another hospital district related survey closer to the vote in April?

T