Survey for mandated health insurance for international students at CMU
Hi folks, this is a survey run for the international students only at Central Michigan University (CMU) to understand how they feel about the mandated health insurance policy. This is an anonymous survey, therefore, please complete it to help us understand your perspectives towards the mandated health insurance policy. This survey will serve as a basis from which we will write a petition letter to the Office of Global Engagement (OGE) and President Bob Davies regarding this matter.
Sign in to Google to save your progress. Learn more
1) Are you an international student? If yes, indicate whether you are an undergraduate or graduate student. 
 *

2) Before CMU mandated Geo Blue, did you have an existing health insurance policy? If yes, was it cheaper than Geo Blue ($1,532.16 per year)?  

 *
3) Are you a self-funded student at CMU or do you have any kind of assistantship from CMU? 
 *

 

4) If you answered B or C for question 3, answer this question and skip question 5. How much of your assistantship goes towards covering CMU’s health insurance plan cost per month? (Geo Blue premium price $1,532.1 per year, $127.67 monthly) 

Clear selection

5) If you answered A for question 3, answer this question and skip question 4. What percentage of your total monthly expenditure is spent on the CMU’s health insurance plan?  

Clear selection
6) Please provide your degree of belief with the following statement: The health insurance plan mandated by CMU represents (poses) a financial burden on me. 
 *
7) The cost of the health insurance plan is causing mental distress and/or affecting my progress toward my academic goals. 
 *

8) If given the option, would you be open to choosing a different health insurance provider with cheaper but similar policy coverage?  

 *
9) Any comments or questions?  
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms