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Surveys
2016
June
P
Primary Health Care Service - Survey
Primary Health Care Service - Survey
0%
Exit Survey
Do you have a medical aid?
Yes, I have a full medical aid
Yes, but is only a hospital plan with a day to day savings
No, only a hospital plan
No
Other
How often do you visit your GP ?
Don't Use
Daily
Weekly
Monthly
Quarterly
GP visit's for myself
GP visit's by my spous
GP visit's for my child / children
Will you pay R249 pm as main member for unlimited monthly GP consultations which includes non-chronic medication?
Definitively
Maybe
No
Other
Will you pay R489 pm as main member for unlimited monthly GP consultations which includes chronic medication?
Definitively
Maybe
No
Other
How long does it take before your medical aid savings are depleted in a year?
Never
By the end of the year
Half way through
Already by March
I do not have a savings option
Medical Aid Savings
Will you pay R189 monthly to add your domestic worker to also receive unlimted GP consultations including non-chronic medication?
Yes
No
Other
How high would you rate the need for such a Medical facility offering low cost primary health care in Pretoria East?
Very high
Somewhat needed
Neutral
Not really
No, thank you
How likely are you to join at aforesaid cost for such medical services?
Highly unlikely
Possibly
Where do I sign up?
Do you have any comments, inputs or request we should review / consider or incorporate?
What is your gender?
Male
Female
Prefer not to answer
What is your age?
Younger than 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or older
Prefer not to answer
Do you live in Pretoria East?
Yes
No
No, but we also need such a medical centre
Other
How many family members will you sign up?
Main member - R249 (Non - chronic)
Adult Dependent - R189
Dependent 1 - R159
Main member - R489 (Chronic)
Adult Dependent - R429
Dependent 1 - R399
Other
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