Please fill out each question to the best of  your abilities. Type N/A in any comment boxes that don't apply to your story.
 
Please note: By filling out this survey, you are giving your consent to Christian Healthcare Ministries (CHM) to use the information you provide (including your name, your image, and/or any interview statements) now or in the future in CHM’s publications, social media, print media, electronic media, advertising, or other media or promotional activities. This consent is given in perpetuity, and does not require prior approval from you.

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* 1. How long have you been practicing medicine?
What drew you to become a doctor?

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* 2. Where do you work?

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* 3. What area of medicine do you specialize?

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* 4. Do you have any specialized medical advice for our members?

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* 5. As a provider, what advantages do you see when working with members of a health cost sharing ministry?

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* 6. What has your experience with CHM been?

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* 7. How does CHM’s model of sharing medical bills stand out from other provision programs?

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* 8. What tips would you offer to members when explaining CHM to their providers (i.e. what are the types of things providers want to know and hear)?

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* 9. How can members better develop their relationship with their providers—particularly providers who might not be familiar with health cost sharing?

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* 10. Would you be willing to share your story in a video format?

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