DealthBlockers

I really need this product because nothing else can solve this problem.

This is a minor improvement over what I currently use.

Looks okay but is about the same as what I'm using now.

My current product would serve me better.

I am not at all interested in this product.

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The Experience Journal


You are invited to participate in our survey about DeathBlockers, Inc. In this survey, approximately 30 people will be asked to complete a survey that asks questions about DeathBlockers new services. It will take approximately 10-15 minutes to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions. Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Jennifer Roskin by email at [email protected]. Thank you very much for your time and support. This survey is about Deathblockers new services that are described as follows: Deathblockers, Incorporated, is the preeminent guardian of personal medical information. The Deathblockers are a dedicated, talented team of information management specialists, medical ethicists, researchers, and health care reimbursement specialists who provide a full range of services. Deathblockers does just what the name says it helps you block or delay death from natural causes. Central to this service is your personal medical information your DNAs genetic sequence and your lifestyle choices that make you unique. Deathblockers collects and guards this information for you, then constantly monitors medical research around the world for advances in prevention and treatment of disease. Deathblockers alerts you to medical breakthroughs that apply to your specific genetic composition. At the same time, we remind you of routine preventive and diagnostic events, based on the most up to date medical practices. Working with your managed care or individual medical providers, we recommend the safest, most cost-effective treatment for your particular condition. Our efficiency in pairing medical care to the people who need it most saves you time and money, and allows health care professionals to be more efficient in their practice, which benefits everyone. Your genetic information and lifestyle information is your business, not ours. Deathblockers aggregates genetic and lifestyle information to assist in research and for use in our consulting work to managed care organizations and pharmaceutical companies. Your information stays yours we NEVER provide information in a format that will compromise your individual identity or health risk factors. We believe each human has an intrinsic right to privacy, and we ensure your privacy is maintained. Are you: Male Female What is your date of birth? (mm/dd/yy) Where do you live(City, State)? What ethnicity do you consider yourself? African-American Caucasion Asian Hispanic Other Do you smoke cigarettes? No Yes, If so how much? Do you drink alchohol? No Yes, if so how often? Please select which of the following describes your current health insurance situation. I am covered by an HMO plan. I am covered by a PPO plan. I currently have no health insurance. I am covered by a plan not listed, please specify. What is the name of your provider? What is the approximate monthly cost? What is your copay for your primary care physician? I am currently a member of a health/fitness club? No Yes, is so how often do you go? Do you have any chronic health conditions? If YES, please describe below. Do you have any family history of abnormal health (ie. hear attacks under age 50, colon cancer under age 45, breast cancer, etc.)? If YES, please list the conditions below. How would you best describe your familiarity with a product/service like that described above? I was not aware of such a product/service Only generally aware Have investigated or researched such products Have demo'd a product like this Have purchased or regularly use a product like this What membership duration would you select if you could sign up for a service that gave you preemptive information about potential diseases or illnesses? One time examination Annual membership Life time membership Briefly describe why you chose your answer? Would you want a membership for all members of your household? Yes, all members of the household No, just myself Other Have you ever accessed WebMD or a similar website/service to research your health concerns? Yes No If Yes, what service other than WebMD do you access? How often could you find a use for this service? Once a week or more often 2-3 times a month Once a month Every 2-3 months 2-3 times a year Once a year Would not use a service like this Based on the description, how interested would you be in buying this new service if priced within your budget? Not at all interested Not very interested Not sure Somewhat interested Very interested What is it that interests you most about this service? What do you like least about the service? Which of the following best describes your need for this product? I really need this product because nothing else can solve this problem. This is a minor improvement over what I currently use. Looks okay but is about the same as what I'm using now. My current product would serve me better. I am not at all interested in this product. About what would you expect to pay for a monthly preventative care alert system like the one described annualy (per year)? (Nearest dollar) At what price would the product begin to look too expensive? Select one. More than $900 $801-$900 $701-$800 $601-$700 $501-$600 $401-$500 $301-$400 $201-$300 Less than $200 If you knew that the average price of monthly preventative care alert system was $500 annualy, would you expect to pay more or less to buy the described service? (20-30%) more (5-10%) more No more, no less (5-10%) less (20-30%) less Other At what price would this new product begin to look inexpensive or cheap? Select one. More than $900 $801-$900 $701-$800 $601-$700 $501-$600 $401-$500 $301-$400 $201-$300 Less than $200 At what price would the product begin to look so expensive that you would never consider buying it? More than $900 $801-$900 $701-$800 $601-$700 $501-$600 $401-$500 $301-$400 $201-$300 Less than $200 Other Do you think it would be beneficial to have an age and lifestyle based health noification service? Yes No Would you be willing to conduct a confidential lifestyles interview (sexual history, at-risk behaviors, etc.) to ensure better notification of recommended health services? Yes No Would you be willing to share this information with an HMO/PPO if Deathblockers was able to negotiate more favorable cost rates for your medical coverage? Yes No Do you think it would be beneficial to have your DNA sequenced for notification purposes (if new genetic marker/problem is discovered). Yes No Would you be willing to pay for such a service (DNA research alert)? Yes No Please select how you would prefer to get this service. Through your HMO/PPO provider bundled with your heath insurance Through a separate company like Deathblockers that your HMO/PPO was unaware of Other If your DNA sequencing was being held by a third party, like the service described, would you trust the third party (ie. Deathblockers) to keep your information private? Yes No Would you allow Deathblockers to share your information (MINUS attributable data) for research purposes? Yes No Would you allow Deathblockers to share your information (WITH attributable data) if Deathblockers were able to negotiate a significant discount rate on your medical coverage with your provider? Yes No Would you be willing to pay a higher fee to ensure your information is NEVER shared with anyone outside Dealthblockers (basically for DNA notification purposes only)? Yes No How would you prefer to be notified for a service like this? Email Phone Snail mail Beeper Through your medical service provider Blackberry/PDA Other