Speak Your Mind! Summer 2007 Reader Survey

(and Win Free Stuff)

Real Health Readers: We want to know about your relationship with doctors and the health care system. We are giving away ten DVD copies of Dancing Off the Inches: Sizzling Salsa with Stella Sandoval (a $14.95 value) from Starz Home Entertainment, which offers fun, dance-inspired fitness routines. For more information, visit www.starzhomeent.com. To enter our drawing, take a reader survey at www.realhealthmag.com/survey or fill out the following survey and mail it to: Real Health c/o Smart + Strong, 500 Fifth Avenue, Suite 320, New York, NY 10110; or fax it to 212.675.8505. For the official contest rules, visit www.realhealthmag.com/survey/rules.
 
1. Name
 
2. Organization (if you represent one)
 
3. Street address:
 
4. City
 
5. State
 
6. ZIP code
 
7. E-mail
 
8. Phone
 
9. Do you have health insurance?
Yes, through private health insurance/employer
Yes, through medicaid, public/government health insurance
No
 
10. How often do you seek medical care?
More than once a year
Annually
Every two years
It's been a while
 
11. Do you have a regular doctor, primary care physician and/or consistent health practitioner?
Yes
No
 
12. Are you seeing any specialists? (Check all that apply.)
Cardiologist (heart)
Dermatologist (skin)
Endocrinologist (hormones, glands and diabetes)
Hematologist (blood)
HIV specialist
OB/gyn (pregnancy/gynecology)
Opthalmologist (vision, eyes)
Neurologist (brain, nervous system)
None
Other: 
 
13. How much face-to-face time on average do you spend with your doctor(s) per visit?
Less than ten minutes
Between 11 and 20 minutes
Between 21 and 30 minutes
More than 30 minutes
 
14. Do you feel you spend enough time with your doctor(s)?
Yes
No
I don't know
 
15. How well does your doctor explain your health issues?
Very well
Well enough
Not well enough
 
16. How responsive is your doctor when you discuss challenges in managing your health and taking meds?
Very responsive
Somewhat responsive
Not responsive
 
17. How well does your doctor explain the reasons for prescribing drugs, as well as possible side effects?
Very well
Well enough
Not well enough
 
18. How comfortable are you asking your doctor questions?
Very comfortable
Somewhat comfortable
Not comfortable
 
19. How comfortable are you talking to your doctor about complementary and/or alternative health therapies you use?
Very comfortable
Somewhat comfortable
Not comfortable
I don't use complementary and/or alternative therapies
 
20. Do you feel that any of the following helps the doctor-patient relationship? (Check all that apply.)
When the doctor is the same race as me
When the doctor is the same gender as me
When the doctor is the same sexual orientation as me
 
21. What challenges do you experience with your medical care? (Check all that apply.)
It takes too long to get an appointment.
The waiting room wait is too long.
I don't get much time with my doctor(s).
I don't like my doctor's attitude.
I feel like my doctor is pushing drugs on me.
My copays are too expensive.
My deductibles are too high.
It takes too long to get lab results.
I'm billed incorrectly.
I don't have insurance.
Other: 
 
22. What year were you born?
 
23. Gender
Female
Male
Transgender
Other: 
 
24. What is your household income?
 
25. Marital status
Single, never married
Single, divorced or separated
Married
In a relationship, not living together
In a relationship, living together
Widowed