If you work in health insurance, the medical industry, or public policy, send out our online smoking survey to learn about people’s smoking habits or collect smoking statistics.
Launch this form as-is or customize it to your heart's content!Use This Form
Our smoking survey asks what definition people have of someone who smokes. Is it someone who smokes only socially, or is it someone who smokes every day? The survey also asks how many cigarettes someone smokes a day and how much someone spends on cigarettes in a typical month. Our form is quick to email out, or you can embed it into your website.
If you want to learn whether people have health insurance for statistical or research purposes, send out our Do You Have Health Insurance online survey so that you can find out people’s health insurance status.VIEW FORM TEMPLATE
If you work in the healthcare insurance industry, you know that the new healthcare law has caused some dramatic changes. Use our online healthcare expenses survey to find out more about people’s health insurance situation--so that you can offer them policies specific to their needs.VIEW FORM TEMPLATE
Do you work in health insurance? If so, evaluate how well your company is doing by sending out our online health insurance evaluation form to your customers. Find out where your company’s strengths are and where you can make improvements.VIEW FORM TEMPLATE