Hello! We have moved our study from Typeform.com to our site, JOANY.com. Please continue to take the study there.

 
About You

The information you provide will remain confidential and can not be used to identify you.
 
When is your birthday? *

 
What is your gender? *



 
What is your yearly income? *


 
What is your profession? *

 
What is your zip code? *

 
What is your current employment status? *


 
What is your first and last name? *

 
What is the best phone number to reach you? 555-555-5555 *

 
Which apps do you use the most? Choose up to 3.


 
Did you get your insurance through an employer? *

     
 
Where did you buy your health insurance? *


 
Had you heard of Joany before today? *



 
Who is covered under your plan? *


 
Where do most people shop for health insurance? *

Tell us as many places or brands/websites that you can think of.
 
How did you shop for your health insurance?
Tell us what steps you took to buy your health insurance. *

 
Pretend you are conducting a Google search to buy health insurance. What would you search for? *

 
What do you most and least like about buying health insurance? What feelings and thoughts come to mind? *

Please take your time in answering as thoughtfully as you can.
 
What is the main reason you purchased health insurance directly? *


 
Which of the following would influence your decision the most when buying health insurance? *





 
How important is it to keep your doctors when buying health insurance? *

 
How much time do you spend looking for doctors that are covered? *


 
How would you rate your current health insurance? *






 
Have you ever used a broker to buy health insurance? *

     
 
What are your feelings about health insurance brokers? *


 
Have you ever received "surprise" bills when using your health insurance? *

     
 
A healthcare concierge helps consumers with all things health insurance. It's a personal service to simplify buying and using health insurance.

 
Which of the following would influence your decision to sign up to a healthcare concierge service: *


 
Who would you choose to help you with your health insurance? *


 
How much time did you spend researching and buying health insurance? *


 
About your current health insurance

 
Did you buy your health insurance through an exchange or marketplace? *

     
 
What is the name of the health insurance you have? *

 
What is the name of the health insurance you have?

 
How much is your monthly premium? *

 
How would you like to validate your current health insurance? *

As part of our research study, we need to validate that you meet our requirements to participate. We will never share or sell your information to any third party entities.  We follow secured HIPAA compliance with all consumer information.

 
Upload a picture of your health insurance card for verification. Please be sure that all information is visible and clear. *

 
Text a picture of your health insurance card to us at (323) 284-7705. Please be sure the picture captures your entire card, with all information visible.

Once you've texted it, click continue.

Rest assured this is a secured line, and we follow all HIPAA compliance.
 
We'd love to pay you for your valuable input and time.

 
How would you prefer to be paid? *



 
Where should we mail the check to? *

 
We appreciate all of your input. In order for your survey to be included with our research study, please accept that the information you have provided is valid and true. *

Acceptance serves as electronic signature on your behalf.
Acceptance serves as electronic signature on your behalf.
     
 
Would you like to join our free healthcare concierge service by selecting JOANY, Inc. as your insurance agent? If so, click YES below. Clicking YES means you will have access to JOANY’s healthcare concierge services. It also means you are choosing JOANY as your insurance agent. This will not change your current insurance in any way. We will send a letter to your insurance company letting them know that you have hired us as your insurance agent and that you authorize us to communicate with them on your behalf. You are not required to choose JOANY to be your insurance agent. You can still be paid for completing the survey (if you meet the eligibility qualifications). You can still participate in our referral program. *

     
 
Would you like to join our advocate program? You get $25 for every qualified referral and each qualified candidate will also receive $25. There is no limit to how many referrals you can submit. *


 
We'd like to thank you for your interest in our health insurance research study. At this time, we are looking for participants who did not receive health insurance through their employer.

The bad news – unfortunately, you didn’t qualify for our research study.

The good news – you can still earn some money by joining our advocate program. You make $25 for every qualified referral and each qualified candidate will also receive $25. No limit to how many referrals you can submit.

Would you like to join? *


 
We'd like to thank you for your interest in our health insurance research study. At this time, we are looking for participants who did not receive health insurance through Medicare or Medicaid.

The bad news – unfortunately, you didn’t qualify for our research study.

The good news – you can still earn some money by joining our advocate program. You make $25 for every qualified referral and each qualified candidate will also receive $25. No limit to how many referrals you can submit.

Would you like to join? *


We'd like to thank you for taking the time to participate in our Research Study. Your honest feedback will help make Health Insurance more simple and transparent for everyone.

While our team is taking a look at your responses, we’d love to include you in our referral program! Share your unique link with friends and receive $25 for each person you refer that successfully completes our Research Study. There is no limit on referrals.

Keep an eye out! You will receive an email shortly with your unique link to share so you can start referring others to the Research Study.

Thank You!
Learn more
Thank You!
again
We'd like to thank you for taking the time to participate in our Research Study. As it turns out, we are not currently seeking input from those who receive insurance through their employer.

However, we’d love to include you in our referral program! Share your unique link with friends and receive $25 for each person you refer that successfully completes our Research Study. There is no limit on referrals.

Keep an eye out! You will receive an email shortly with your unique link to share so you can start referring others to the Research Study.
Learn more
We'd like to thank you for taking the time to participate in our Research Study. As it turns out, we are not currently seeking input from those who receive insurance through Medicare or Medicaid.

However, we’d love to include you in our referral program! Share your unique link with friends and receive $25 for each person you refer that successfully completes our Research Study. There is no limit on referrals.

Keep an eye out! You will receive an email shortly with your unique link to share so you can start referring others to the Research Study.
Learn more