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Home > About Us > Insurance Survey

Insurance Survey

Please fill out our Insurance Survey so we can better serve you.

Insurance Survey

1. Age?
2. Gender
- Male
- Female
3. Have you been able to utilize your health insurance?
- Yes
- No
4. Since you’ve had your policy, how many times have you been able to utilize the health care provided to you by your councilman and Tribal-Care Insurance?
- None
- 1
- 2
- 3
- 4
- 5 to 9
5. Have you tried to get information or help from Tribal-Care Insurance’s customer service?
- Yes
- No
6. How often did they give you the information or help that you needed?
- Never
- Sometimes
- Usually
- Always
7. Have you tried to get information or help from the health insurance provider’s customer service?
- Yes
- No
8. How often did they give you the information or help that you needed?
- Never
- Sometimes
- Usually
- Always
9. Do you feel the health-care provided has improved you and/or your family’s overall health?
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
10. Since being provided health insurance by your councilman, do you feel it has been financially beneficial to you and/or your family?
- Yes
- No
11. How well does the health insurance program meet your needs?
- Extremely well
- Very well
- Somewhat well
- Not so well
- Not at all well
12. Overall, how satisfied or dissatisfied with your insurance?
- Very satisfied
- Somewhat satisfied
- Neither satisfied nor dissatisfied
- Somewhat dissatisfied
- Very dissatisfied
13. Do you feel this health insurance program has benefited your tribe as a whole?
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree