Share your Opinion on the Health Care System!

Is America's Health Care System Working for You?

Take the Survey

1. Hello, this is [Volunteer Name] from Team Action. We're conducting a survey to gather opinions on the health care system. Your input is valuable to us and will help shape our advocacy efforts. May I ask you a few questions?

2. How satisfied are you with the current health care system in your area?

Very satisfied

Somewhat satisfied

Neutral

Somewhat dissatisfied

Very dissatisfied

3. In your opinion, what is the most pressing issue in the health care system today?

Cost of health care

Accessibility of services

Quality of care

Insurance coverage

Other

4. Do you believe that health care should be a right for all, regardless of income?

Yes

Unsure

5. How likely are you to support reforms aimed at improving health care accessibility and affordability?

Very likely

Somewhat likely

Neutral

Somewhat unlikely

Very unlikely

6. Would you be interested in learning more about our organization's efforts to reform the health care system?

Yes

Maybe

7. Thank you for taking the time to share your thoughts with us. Your feedback is crucial in our fight for a better health care system. If you're interested in our work or would like to get involved, please visit our website or contact us directly. Have a great day!

First Name

Last Name

Landline Phone

Mobile Phone

Email Address

Zip Code

Yes, I want to Volunteer

Password (at least 8 characters)