<p>As part of one of my classes, I need to survey a range of people on the health care system. If you could please fill out this short survey just as a reply I would really appeciate it.</p>
<p>SURVEY</p>
<p>Age: 14-20 21-35 36-55 over 55</p>
<p>Gender: ____________</p>
<p>Religion: ____________</p>
<p>Ethnicity: ____________</p>
<p>Are you satisfied with the current health care system?</p>
<p>YES NO</p>
<p>Do the following variables affect your opinion on health care reform?</p>
<p>Personal Financial Burden: YES NO</p>
<p>Political Party Affiliation: YES NO</p>
<p>Parental Opinion: YES NO</p>
<p>Satisfaction with Current
Medical Insurance Plan: YES NO</p>
<p>Family Medical Problems: YES NO</p>
<p>Morals/Religion YES NO</p>
<p>Rate the following variables in order of their importance to your opinion
(1-10, one being the most important):</p>
<p>Financial Burden</p>
<hr>
<p>Political Party Affiliation</p>
<hr>
<p>Parental Opinion</p>
<hr>
<p>Satisfaction with Current
Medical Insurance Plan</p>
<hr>
<p>Family Medical Problems</p>
<hr>
<p>Morals/Religion</p>
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<p>Do you believe in universal healthcare for everyone? That is, should the government provide universal healthcare?</p>
<p>YES NO</p>
<p>IF NO: Do you believe in providing healthcare for children ages 0 to 18?</p>
<p>YES NO</p>