Health Insurance Choice Support Survey Template

This health insurance choice support survey asks adults where they get stuck when reviewing coverage options. Seven optional questions identify their decision stage, information gaps and preferred help so a support team can improve its explanations.

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This health insurance choice support survey asks adults where they get stuck when reviewing coverage options. Seven optional questions identify their decision stage, information gaps and preferred help so a support team can improve its explanations.

Someone can understand the monthly price and still struggle to compare coverage details. Ask about the part of the choice they are trying to make. Use SurveyLegend to prepare a feedback questionnaire about that process without collecting policy numbers, medical history or application documents.

When to Use This Template

Use it to plan informational support around an actual enrollment or review period. Include people who stopped comparing as well as those who made a choice. This differs from the patient and plan experiences covered by other healthcare templates : the decision here is which explanations and support to improve before a choice.

7 Health Insurance Choice Support Survey Questions

Think about your most recent attempt to review or compare health insurance in the past three months. You may answer even if you did not make a choice. All questions are optional. Do not include policy numbers, medical details or financial records. This is feedback about information support, not an insurance application or recommendation.

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A little feedback. A clearer picture.

Explore this 7-question example at your own pace. Every question is optional.

SurveyLegend demo Question 1 of 7

Health Insurance Choice Support Survey

01 Where are you in reviewing or comparing health insurance?

Choose one answer, or skip this question.

02 How easy was it to find information relevant to your situation?

Choose one answer, or skip this question.

03 Which part was hardest to compare?

Choose one answer, or skip this question.

04 What was your main source of help during that review?

Choose one answer, or skip this question.

05 What most limited your ability to continue comparing?

Choose one answer, or skip this question.

06 Which kind of support would be most useful next?

Choose one answer, or skip this question.

07 What question would you want an information service to explain more clearly?

Share your answer, or skip this question.

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How to Adapt the Questionnaire

Name the country, program and choice period. Replace the comparison categories with concepts that actually apply there, without steering people toward a provider or plan. Have the responsible information team check terminology and the limits of the service. Keep access to advice separate from this feedback form. Avoid asking respondents to attach plan documents or explain diagnoses.

When to Ask

Invite feedback during or shortly after the stated review period. Do not wait until enrollment is complete, because that misses people who could not progress. Keep the three-month recall window consistent across invitations, or replace it everywhere with the same locally useful period.

How to Use the Responses

Separate people who compared from those who did not have a choice or did not start. Among comparers, inspect the hardest feature alongside the main barrier and preferred support. A request for an explanation does not prove low literacy, and keeping an existing plan does not prove a poor decision. Use open comments to improve information, then test the revised material with intended readers before wider use.

What the Research Adds

Holst and colleagues (2023) studied 806 Dutch consumer-panel respondents. Their abstract calls for research on how people can be “better supported when choosing a health insurance policy.” The study found associations between insurance literacy and experiences of choosing; it did not establish that a brief support survey improves decisions. Read the health insurance choice study . SurveyLegend’s original questions identify information needs rather than assign literacy scores or recommend coverage.

Frequently asked questions

Is this an insurance literacy test?

No. It asks which parts of the comparison process need clearer information. It has no knowledge score or threshold.

Should people name their insurer or condition?

This version does not need either. Broad comparison categories are enough to plan better explanations.

Can it recommend a plan?

No. The answers help an information team identify support needs. Decisions about coverage require the actual plan information and appropriate advice for the person's situation.

Printable Health Insurance Choice Support Survey

Provide the seven optional fields on paper at an information session or support desk, with an unmarked space for the final question. State the actual return point and review purpose. Keep the questionnaire separate from enrollment applications and policy documents. Paper responses need separate review or manual entry; they are not automatically added to online results.

First page of the printable Health Insurance Choice Support Survey Template with questions and answer spaces
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AI Prompt: Health Insurance Choice Support Survey

Copy this health insurance choice support survey prompt into an AI assistant to prepare the questionnaire. Review the result, then build and customize it in SurveyLegend. It does not automatically create or transfer a survey.

Health Insurance Choice Support Survey Prompt

Copy the prompt into an AI assistant to draft the questions, then build your survey in SurveyLegend.

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