Year born Highest level of education of anyone in the household Month (e.g. 01 for January) What is your status as a Canadian resident? State (specify 2-digit abbreviation e.g. TX, VT) 9.How long did you expect to live in Canada (from the time you arrived)? Current total household income ($ Canadian) Why did you move to Canada? Do any members of your household work in health care or in a health care organization? If YES, you are a (check all that apply) In general, how would you describe your own state of health in the 2 years prior to moving to Canada? In general, how would you describe the state of health of your spouse/partner in the 2 years prior to moving to Canada? In general, how would you describe the state of health of other members of your household in the 2 years prior to moving to Canada? In general, how would you describe your own state of health in the past year? In general, how would you describe the state of health of your spouse/partner in the past year? In general, how would you describe the state of health of other members of your household in the past year? Since moving to Canada, has anyone in your household (including you) experienced the following while in Canada (check all that are applicable) visits to a family doctor visits to a hospital emergency ward overnight stays in a hospital prescription drugs (no. of prescriptions for separate drugs, excluding renewals) In the past 12 months, did you/anyone in your household receive any health care services in the US? If YES, was the purpose of the trip to get these services? What was your main American health insurance coverage immediately prior to moving to Canada? Was your main insurer? How satisfied were you with your American health insurance immediately prior to moving to Canada On average, just prior to coming to Canada, about how much money did your household spend each year out-of-pocket on health care (excluding dental care) - e.g., your household's share of health insurance premiums, prescription and non-presription drugs, co-payments or deductibles under your insurance plan, non-covered items ($ per year in U.S. dollars at the time - please specify numbers only, with no $ sign) On average, how much does your household spend each year on health care (excluding dental care), out-of-pocket, in Canada? If you live in Alberta, British Columbia or Ontario, please exclude the cost of provincial health premiums. ($ per year in Canadian dollars) Does your household have supplementary health insurance for services not covered by government Medicare through your employer in Canada? If YES, how is it paid for? Does your household have supplementary health insurance in Canada that is not purchased through your employer? When you were living in the US, did your household ever have to pay out-of-pocket health care costs that created significant financial hardships? Since coming to Canada, has your household ever had to pay out-of-pocket health care costs that created significant financial hardships? Did you have an opinion about the Canadian health care system compared to the US system at the time you were considering a move to Canada? If YES, did you think the health care system in Canada would be 37.Prior to moving to Canada, on what basis had you formed your opinion of the Canadian health care system:
Did your opinion of Canadian health care influence your decision to come to Canada? If YES, how did it affect your thinking about the move On the basis of your experience to date with Canadian health care, would you say it has been 42.Compared to your experiences in the US in the 2 years prior to moving to Canada, please rate the following aspects of the Canadian health care system. If you check "worse" it means you think the Canadian system is worse than the US system. Please leave blank if you don't know, or have no experience with the area in question 43.Overall, rate the following aspects of the Canadian health care system
44.Overall, rate the following aspects of the American health care system
45.In your opinion, if you or anyone in your household became seriously ill, would you prefer treatment from (check one response per row)
46.Taking everything into consideration, check the statement that best reflects your experience of both health care systems 47.Please give the main reason(s) for your response to #46. 52.Did you learn about this survey by reading a news story about it in the newspaper? If YES, please specify which newspaper (answer "not sure" if you can not remember the newspaper name) Did you hear about this survey by hearing a story on the radio? If YES, please specify which outlet (answer "not sure" if you can not remember) Did you learn about this survey by seeing a story about it on the TV? If YES, please specify the outlet (answer "not sure" if you can not remember) Did you learn about this survey by reading an advertisement in the newspaper? If YES, please specify which newspaper Did you learn about this survey through any of the following sources(hold the Ctrl key down to choose more than one reply)? |
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