Describe your current health care status ? --- HMO Personal Doctor Employer supported Medicare Other No health Care Do you feel you pay too much ? --- Yes No Not sure Do you feel benefits are good ? --- Yes No Have visited a doctor in the last 3 months ? --- Yes No Do you know someone without health care ? --- Yes No Do you like your current doctor ? --- Yes No Do you have dental coverage ? --- Yes No Do you have eye care coverage ? --- Yes No Should health care be reformed ? --- Yes No How involved should the government be ? --- Very involved A little involved Should stay out Not sure