Skip to content
U.S. Government Support Programs Template
1.
Have you ever applied for Medicare benefits, or not?
Yes, I have
No, I have not
2.
Has anyone in your household ever applied for Medicare benefits, or not?
Yes, someone has
No, no one has
Not sure
3.
Do you currently receive Medicare benefits, or not?
Yes, I do
No, I do not
4.
Does anyone in your household currently receive Medicare benefits, or not?
Yes, someone does
No, no one does
5.
Do you currently receive food stamps, or not?
Yes, I do
No, I do not
6.
Does anyone in your household currently receive food stamps, or not?
Yes, someone does
No, no one does
Current Progress,
0 of 6 answered