Health Plan Choice Survey
Form Template
The Health Plan Choice Survey aims to gather information about the health plan choices parents have made for their children and the parents' satisfaction with them.
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Apart from a ZIP code, there is no other personally identifiable information which is collected (e.g. name, address, name of company, etc.). The survey also collects information about the source of insurance coverage and reasons for choosing a particular plan. Although the main target of this survey is parents' who are still in the process of considering various health plan options for their children, this survey can also serve as an invaluable gauge of existing choices that parents have made.
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