Project Coldfront (Insurance)

watchLAB welcomes you to the online survey for Project Coldfront!

Topic: Insurance
Incentive: $250
Genders: All Genders
Ages: 24-64
Type of study: Panel Discussion
Length of study: 2.5 Hours
Dates: Tuesday, Jan. 28th
Location: Portland, OR

Before you get started -- some stuff you should know:

The world has Swiss Banks. We have our Online Community. Both are highly confidential and secure -- only with us, you don't have to worry about retina scans and fingerprints. Any information you share with watchLAB will never be given to any clients or third parties without your explicit permission as part of a paid market research study.

Ready to start the survey?

Contact & Basic Info

First Name

Last Name

Email

Mobile Phone

Gender

City

State

Zip Code

Metro Area

Birthdate (mm/dd/yyyy)

Ethnicity

What is your...?

Highest level of education attained

Employment Status

In which industry are you employed?

What is your job title and occupation?

Martial Status

Household Income

Do you have any children or stepchildren age 18 and under living with you?

LETS GET STARTED!

As part of this panel, you will be required to be on stage, talking about your health care experience, speak in front of 100+ health care leaders. For this panel we are looking for people who can comfortably talk about recent healthcare events in their lives. This includes challenges you've faced, actions you've taken, and reactions you've had to your doctors and your health insurance company. On a scale of 1 to 10, where 1 means "Very Uncomfortable" and 10 means "Very Comfortable", how comfortable do you feel participating in this research?

Which of the following best describes your responsibility in selecting insurance for yourself and your household?

I am the primary decision makerShare the decision-making responsibility equally with another personHave some input, but someone else is primarily responsible for the decisionNot very involved in the decision-making process

Do you currently have health insurance?

YesNoI don't know

What type of health insurance plan do you have?

Insurance through your work or unionInsurance through someone else's work or unionMedicare, Medicaid, or the MilitaryNone of these/I don't know

Who is your current health issuer?

How many people are in your immediate household? This could include yourself, a spouse, a domestic partner, dependent children, elderly parents, or anyone else who lives with you.

Who in your household it personally responsible for managing and making decisions for any healthcare received by some or all of your household?

MyselfI share the decision making with someone elseMy spouse, partner, or some other person

Next, I’m going to read you a list of health-related activities and I’d like to know which you would

consider to be your primary responsibilities and which you either share equally or rely on another

person in your household to do?

	Self	Share Equally	Someone Else
Managing/Tracking Medications
Finding Doctors
Scheduling Appointments
Getting to appointments
Making Medical Decisions
Navigating Insurance Benefits
Logging or tracking health information
Maintaining Medical Records
Coordinating and Communicating with doctors

Insurance

Have you scheduled or visited a healthcare provider for yourself in the past 3 months?

YesNo

Have you scheduled or visited a healthcare provider for a family member in the past 3 months?

YesNo

What type of doctor or healthcare provider did you visit?

When is the last time you or a member of your immediate family had an acute healthcare event?

By healthcare event I mean a non-routine situation that required care from a provider and

coverage from insurance. Some examples might be an ear or sinus infection, a broken arm or

leg, having an MRI or CT scan due to a health issue or giving birth to a child. Was your event...?

I’d like to ask your personal opinion of four topics. For each topic I mention, please tell me

whether your opinion of that topic is...

	Completely Favorable	Somewhat Favorable	Completely Neutral	Somewhat Unfavorable	Completely Unfavorable
Health Insurance as an Industry
Regence Blue Cross Blue Shield
Doctors Overall
Your primary doctor