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Old 09-19-2007, 04:14 AM
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Default $75 Health Insurance Study - San Francisco, CA area

Reply to: lewissamuels@hotmail.com

We are looking for participants for a health insurance study.

WHEN:
Friday September 21st
Monday September 24th

WHERE:
Downtown San Francisco, near Embarcadero BART station

HOW LONG:
Approximately 45 min

WHY:
You will receive $75 by check for your participation.


To participate in this study, you MUST be currently insured by a healthcare company other than Kaiser.

If you’re interested in participating, please answer ALL of the following questions and return by e-mail.
__________________________________________

NAME:
AGE:
PROFESSION:

INSTRUCTIONS: Type an "X" next to your answer.

1. When are you available to meet with us? (Check all that apply.)

Friday September 21st
___ 9:30 AM
___ 10:15 AM
___ 11:00 AM
___ 1:00 PM
___ 1:45 PM
___ 2:30 PM
___ 3:15 PM

Monday September 24th
___ 9:30 AM
___ 10:15 AM
___ 11:00 AM
___ 1:00 PM
___ 1:45 PM
___ 2:30 PM
___ 3:15 PM

2. What healthcare company are you currently insured by?
insured by: _____ since:_____


3. Have you used your health insurance benefits within the last 6 months?
___ Yes
___ No


4. What kind of health plan do you have?
___ HMO
___ PPO
___ Other:

5. Have you visited the website of your health insurance company in the last six months?
___ Yes
___ No

6. If yes, what did you visit the website of your health insurance company for?


7. Who is on your health plan with you?
___ You only
___ You and spouse
___ You and spouse, dependents
___ You and dependents
___ Other:

8. How would you rate your ability to use websites?
___ high
___ medium
___ low


9. Have you participated in a Focus Group or Usability Study in the last six months?
___ Yes
___ No

10. Do you work for Blue Shield of California, Blue
Cross, Kaiser, Pacific Care, Healthnet, or a Health
Insurance Broker?
___ Yes
___ No

11. May I call to ask you a few questions to see if
you have the characteristics we’re looking for?

___ Yes, my telephone number is: _______________
___ No

(I will not disclose your telephone number to anyone, ever. And the information you share with us will be kept strictly confidential).
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