Transitions Survey

Transitions Optical and Ragan Communications want to better understand who purchases vision insurance, who uses it and what barriers stand in their way.

Objectives:

· Uncover the barriers to accessing or receiving eye care amongst diverse populations.

· Uncover vision benefit utilization or under-utilization trends amongst diverse populations.

· Reveal the level of trust diverse patient populations have in their eyecare providers.

· Find out if/how diverse populations’ vision is affected at work.

· Emphasize the need for vision benefits plans to help address the lack of equal access to eyecare.

· Increase awareness of the importance of comprehensive eye exams to health and wellness, especially amongst diverse populations.

Please take the time to fill out this brief survey. Your results will be kept anonymous.

Question Title

1. Does your employer offer vision insurance? (Required.)

Yes.

No.

I don’t know.

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2. Have you purchased vision insurance through your employer? (Required.)

Yes.

I have vision insurance through my parent’s/spouse’s employer.

I do not have vision insurance.

I am not sure if I have vision insurance.

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3. How old are you? (Required.)

18-34

35-44

45-54

55-64

65+

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4. What is your gender? (Required.)

Male

Female

Non-binary

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5. Are you a member of the LGBTQ+ community? (Required.)

Yes

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6. What race or ethnic group are you a member of? (Required.)

Asian

African American or Black

White or Caucasian

Hispanic or Latino

Native American

Other

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7. How much was your total household income in the last year? (Required.)

Less than $35,000

$35,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000-$149,999

$150,000 or more

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8. What is your native language? (Required.)

English

Spanish

French

German

Chinese

Korean

Japanese

Vietnamese

Russian

Arabic

Portuguese

Other (please specify)

For the following question below, please be advised a premium vision plan typically offers more coverage and a lower co-pay for services and lens materials than a basic vision plan.

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9. If you have purchased vision insurance, is it a premium plan or a basic plan? (Required.)

Premium plan.

Basic plan.

I don’t know.

My employer only offered one vision plan option

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10. If you do not have vision insurance, what is the biggest reason?

It’s too expensive.

My employer does not offer vision insurance.

I don’t think it’s important.

My eyesight is fine.

Other (please specify)

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11. How important is it that your employer offers vision insurance? (Required.)

Extremely important

Very important

Neutral

Low importance

Not at all important

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12. Have you been to an optometrist, ophthalmologist or other eye medical professional in the last year? (Required.)

Yes.

No.

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13. How often do you think most people should go to the eye doctor? (Required.)

Every year

Every two years

Multiple times a year

Whatever my insurance allows

As needed, no specific schedule

I don’t know

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14. If you haven’t been to an eye doctor in the last year, why not? Please select all that apply. (Required.)

I don’t need to go.

My vision is fine/prescription hasn’t changed.

It’s too expensive.

It makes me anxious.

It’s inconvenient to go to appointments.

It’s inconvenient to schedule appointments.

I can’t find a nearby doctor who accepts my insurance.

I don’t have transportation to my appointments.

I have been to the eye doctor in the last year.

Other (please specify)

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15. How much do you trust your eye doctor? (Required.)

Extremely trusting

Trusting

Neutral

Do not trust at all

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16. I trust my eye doctor will do the following. Please select all that apply. (Required.)

Make the best recommendation for my eye health regardless of insurance .

Relate to me personally.

Provide the eye care I need.

Alert me of any eye health conditions I’m susceptible to.

Make the best recommendation for eye glass lens brands.

Make the best recommendation for specialty treatments for eye glass lenses.

Clearly communicate results of my exam in language I can understand.

I don’t know.

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17. How do you see yourself reflected in your eye care provider? (Required.)

They are active in my community.

Advertising reflects who I am.

Staff reflects who I am.

I don’t.

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18. Do you wear prescription glasses or contacts? (Required.)

I wear prescription glasses.

I wear contacts.

I wear prescription glasses and contacts.

I don’t wear prescription glasses or contacts.

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19. What are the most important things you think should be included in your vision plan’s coverage? Please rank in order of importance. (Required.)

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20. What are the most important parts of choosing vision insurance? Please rank in order of importance. (Required.)

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21. How important is it that your eye doctor is bilingual or provides eye health information in multiple languages? (Required.)

Extremely important

Very important

Neutral

Low importance

Not at all important

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22. To your knowledge, do you have any of these eye-related conditions? (Required.)

Diabetic retinopathy

Glaucoma

Cataract

Macular degeneration

Light sensitivity

Dry eye

Astigmatism

Myopia

Other (please specify)

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23. Do you know if any of these eye-related conditions are in your family history? (Required.)

Diabetic retinopathy

Glaucoma

Cataract

Macular degeneration

Light sensitivity

Dry eye

Astigmatism

Myopia

Other (please specify)

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24. Do you know if your ethnicity makes you more susceptible to any of these eye-related conditions? (Required.)

Diabetic retinopathy

Glaucoma

Cataract

Macular degeneration

Light sensitivity

Dry eye

Astigmatism

Myopia

Other (please specify)

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25. Which of the following do you believe impacts your productivity and performance at work? Please select all that apply. (Required.)

Eyestrain / eye fatigue

Discomfort looking at bright screens

Blurry vision

Headaches

Difficulty focusing on distance objects upon looking up from the screen

None of these

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26. How often do you experience these issues? (Required.)

Multiple times a day

At least once a day

Multiple times a week

Once a week

A few times a month

Never

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27. How do these issues affect your work? Select all that apply. (Required.)

It prevents me from working

It slows me down

It means I have to take more breaks

It distracts me

It doesn’t affect my work

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28. Do you: (Required.)

Work from home

Work indoors, but not at home (office, store, clinic, etc.)

Work outside

Work sometimes at home and sometimes indoors at another location

Work sometimes at home and sometimes outside

Transitions Survey

Question Title

* 1. Does your employer offer vision insurance? (Required.)

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* 2. Have you purchased vision insurance through your employer? (Required.)

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* 3. How old are you? (Required.)

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* 4. What is your gender? (Required.)

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* 5. Are you a member of the LGBTQ+ community? (Required.)

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* 6. What race or ethnic group are you a member of? (Required.)

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* 7. How much was your total household income in the last year? (Required.)

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* 8. What is your native language? (Required.)

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* 9. If you have purchased vision insurance, is it a premium plan or a basic plan? (Required.)

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* 10. If you do not have vision insurance, what is the biggest reason?

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* 11. How important is it that your employer offers vision insurance? (Required.)

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* 12. Have you been to an optometrist, ophthalmologist or other eye medical professional in the last year? (Required.)

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* 13. How often do you think most people should go to the eye doctor? (Required.)

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* 14. If you haven’t been to an eye doctor in the last year, why not? Please select all that apply. (Required.)

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* 15. How much do you trust your eye doctor? (Required.)

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* 16. I trust my eye doctor will do the following. Please select all that apply. (Required.)

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* 17. How do you see yourself reflected in your eye care provider? (Required.)

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* 18. Do you wear prescription glasses or contacts? (Required.)

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* 19. What are the most important things you think should be included in your vision plan’s coverage? Please rank in order of importance. (Required.)

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* 20. What are the most important parts of choosing vision insurance? Please rank in order of importance. (Required.)

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* 21. How important is it that your eye doctor is bilingual or provides eye health information in multiple languages? (Required.)

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* 22. To your knowledge, do you have any of these eye-related conditions? (Required.)

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* 23. Do you know if any of these eye-related conditions are in your family history? (Required.)

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* 24. Do you know if your ethnicity makes you more susceptible to any of these eye-related conditions? (Required.)

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* 25. Which of the following do you believe impacts your productivity and performance at work? Please select all that apply. (Required.)

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* 26. How often do you experience these issues? (Required.)

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* 27. How do these issues affect your work? Select all that apply. (Required.)

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* 28. Do you: (Required.)

1. Does your employer offer vision insurance? (Required.)

2. Have you purchased vision insurance through your employer? (Required.)

3. How old are you? (Required.)

4. What is your gender? (Required.)

5. Are you a member of the LGBTQ+ community? (Required.)

6. What race or ethnic group are you a member of? (Required.)

7. How much was your total household income in the last year? (Required.)

8. What is your native language? (Required.)

9. If you have purchased vision insurance, is it a premium plan or a basic plan? (Required.)

10. If you do not have vision insurance, what is the biggest reason?

11. How important is it that your employer offers vision insurance? (Required.)

12. Have you been to an optometrist, ophthalmologist or other eye medical professional in the last year? (Required.)

13. How often do you think most people should go to the eye doctor? (Required.)

14. If you haven’t been to an eye doctor in the last year, why not? Please select all that apply. (Required.)

15. How much do you trust your eye doctor? (Required.)

16. I trust my eye doctor will do the following. Please select all that apply. (Required.)

17. How do you see yourself reflected in your eye care provider? (Required.)

18. Do you wear prescription glasses or contacts? (Required.)

19. What are the most important things you think should be included in your vision plan’s coverage? Please rank in order of importance. (Required.)

20. What are the most important parts of choosing vision insurance? Please rank in order of importance. (Required.)

21. How important is it that your eye doctor is bilingual or provides eye health information in multiple languages? (Required.)

22. To your knowledge, do you have any of these eye-related conditions? (Required.)

23. Do you know if any of these eye-related conditions are in your family history? (Required.)

24. Do you know if your ethnicity makes you more susceptible to any of these eye-related conditions? (Required.)

25. Which of the following do you believe impacts your productivity and performance at work? Please select all that apply. (Required.)

26. How often do you experience these issues? (Required.)

27. How do these issues affect your work? Select all that apply. (Required.)

28. Do you: (Required.)