Project Cherry (Health Study)

Topic: Health
Incentive: $125
Dates: September 17th - 22nd. More dates might be added if needed
Type of study: remote video interview
Length of study: 1 hour
Location: Nationwide
NOTE: Payment would be mailed to you as a check. We estimate that checks would be mailed out about 5 weeks after the last interviews for this study have been completed.

Before you get started -- some stuff you should know:

The world has Swiss Banks. We have our Online Community. Both are highly confidential and secure -- only with us, you don't have to worry about retina scans and fingerprints. Any information you share with watchLAB will never be given to any clients or third parties without your explicit permission as part of a paid market research study.

Ready to start the survey?

Note: After you fill out the survey, we will review your responses. If you appear to be a possible match to our client's research criteria we will call you to verify your responses and ask you some additional questions to determine if you fully qualify. Please note that simply filling out the survey does not automatically qualify you for the study. Also, due to a potential high volume of responses, we may only be able to respond to those who appear to be a possible match.

Contact & Basic Info

First Name

Last Name

Mobile Phone

Email

Gender

City

State

Zip Code

Metro Area

Birthdate (mm/dd/yyyy)

Age

Ethnicity

What is your...

Highest level of education attained

Marital Status

Household Income

Which of the following best describes your responsibility in selecting health insurance for yourself and your household? Would you say that you?

Are the primary decision maker Share the decision-making responsibility equally with another person Have some input, but someone else is primarily responsible for the decisionOr are you not very involved in the decision-making process

Do you currently have health insurance?

Yes No Don’t know

What type of health insurance plan do you have?

What type of Medicare plan are you using?

Original Medicare through the governmentOriginal Medicare plus Medicare Supplement, also known as Medigap Medicare Advantage, hospital, medical and drug coverage offered by a private insurer also known as an HMO or PPO 3None of these/Don’t know

How likely are you to stay with current health insurer when you transition to Medicare or enroll in Medicare?

Who is your current health insurer?

Which of the following mobile devices – if any – do you have and use?

A basic phone – a mobile phone that is used to make calls and text A smartphone – a mobile phone that has a touchscreen interface, Wi-Fi connectivity, and an operating system capable of running downloaded applicationsA tablet – a mobile computer with a touchscreen display, circuitry and battery in a single deviceNone of these/Don’t know

Which of the following statements most accurately reflects how much you use technology? By technology I mean computers, the Internet, or smartphones. Would you say you…

Hardly ever use technology Use technology occasionally and look to others to trouble-shoot issues Use technology frequently, although you may rely on others to help you solve tech issuesUse technology frequently and trouble-shoot tech issues on your ownNone of these/Don’t know

I’d like to ask how you feel about the following activities. For each activity I mention, please tell me if you feel the following:

§ Very confident

§ Somewhat confident

§ Neutral

§ Somewhat unsure

§ Very unsure

How do you feel when…?

	Very Confident	Somewhat confident	Completely neutral	Somewhat Unsure	Very Unsure
A. Finding and downloading Apps
B. Updating your smartphone operating system
C. Updating account information in settings
D. Connecting to an email account
E. Connecting to an online calendar
F. Sharing photos through the cloud such as iCloud or Google Photos

How many doctors appointments or visits have you had in the last year?

Zero (0)1 appointment / visit2 appointments / visits3 or more appointments / visits

How many prescriptions have you had to fill for yourself in the last year?

Zero (0)1 prescription2 prescriptions3 or more prescriptions

Final questions

Do you have access to a computer and excellent internet as well as phone connectivity for this discussion?

YesNo

Are you comfortable with a video call, via Zoom, in which there would be one moderator but potentially a few observers?

YesNo