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Health Care Cost
Hi,
Welcome and thanks very much for honouring my request to fill this form.
The purpose of the survey is to help me reseach current cost of healthcare and affordability thereof.
The questions are short.
We won't share your data with anybody.
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* Indicates required question
How many times have you been to a hospital in the past year?
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Your answer
How many times have you visited a pharmacy in the past year?
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Your answer
How much have you spent on healthcare in the past year?
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Your answer
Are you familiar with health insurance?
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Yes
No
What stops you from using health insurance?
*
Your answer
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