This free survey is powered by
Create a Survey
Surveys
2015
June
A
Access to public health services in Belgium
Access to public health services in Belgium
0%
Exit Survey
Welcome to my questionnaire. This questionnaire is a part of my MSc thesis on "Access to public health services of Roma and Moroccan migrants in Belgium". With this questionnaire I would like to ask your help in collecting information about your own experience in Belgium regarding your access to public health services. I have tried to reduce the questions so that it does not consume much time. Your help is much appreciated. To start it, please click Continue.
*
What is your gender?
Male
Female
*
What is your nationality?
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Democratic People's Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia (Federated States of)
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United Republic of Tanzania
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Yemen
Yugoslavia
Zambia
Zimbabwe
*
What is your ethnicity?
Hispanic or Latino
American Indian or Alaska Native
Asian
African American
Native Hawaiian or Other Pacific Islander
White
Roma
Other
*
How old are you?
10-20
21-30
31-40
41-50
51-60
61-70
71-80
81-90
91-100
100+
*
How long have you been living in Belgium?
Less than 1 year
1-2 years
2-5 years
more than 5 years
*
What is your marital status?
Never married
Divorced
Widowed
Separated
Married
*
Do you have legal permanent or temporary residence in Belgium?
Yes
No
*
If you
do not
have a legal permanent or temporary residency permit in Belgium, have you ever had it? If so, when did you lose it? (Please reply by indicating 'yes + date' or 'no')
Yes, I used to have it and I lost it in ....
No
Other
Have you ever needed to use public health services in Belgium? If so, did you face any difficulties? If your answer is yes, please elaborate about the difficulties you have faced.
No
Yes, in details:
Loading...
close
Loading...
Close
qpweb1.questionpro.net