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Health Insurance Survey Template

Health Insurance Survey Template offers questions and examples to evaluate coverage, premiums, and ease-of-use for customers. Researchers interested to conduct a health insurance survey can use this template or customize it to suit their purpose. Few questions like "How long have you been associated with your current insurance provider?", "Do you plan to purchase one more health insurance policy?", and "How satisfied are you with your current insurance provider?" are intended to understand the satisfaction level of the customer with his/her insurance provider and if they are planning to purchase a new policy or not.


1. How important do you consider health insurance to be?
2. Do you currently have health insurance coverage?
How long have you been associated with your current insurance provider?
What is your preferred option to get information on your health insurance? 
Do you plan to purchase one more health insurance policy? 
3. Who pays for your health insurance?
4. Which of these is covered in your health insurance plan?
5. How much is your monthly premium?
6. How easily can you access the network hospitals included in your coverage?
7. With your current coverage, how easy is it to file a claim?
How satisfied are you with your current insurance provider?
Very Satisfied Satisfied Adequately Satisfied Dissatisfied Very Dissatisfied 
Premium 
Satisfied 
Coverage 
Satisfied 
List of hospitals 
Satisfied 
Service 
Satisfied 
Processing 
Satisfied 
If you do not have a health insurance coverage, why are you not insured? 

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