Patient: Educate, Empower, and Engage Survey

  • Educate, Empower, and Engage

  • You are invited to take part in a survey to better understand what people know about Medicare and Medicare Advantage plans. We also want to hear any questions, concerns, or challenges that you have about accessing medications and other treatments for COPD, bronchiectasis, and NTM lung disease. Eligible participants must be 18 years or older and have been diagnosed with COPD, bronchiectasis, and/or NTM lung disease.

    Your Voice Matters: What you share will help the COPD Foundation and Bronchiectasis and NTM Association develop better learning materials and tools for people with chronic lung conditions.

    Your responses are anonymous and are not linked to your COPD360social, BronchandNTM360social, PPRN, BRR, or Facebook/Instagram accounts. No personal information that could be used to identify you will be collected.

    By completing the survey, you acknowledge that the COPD Foundation and Bronchiectasis and NTM Association have your consent to analyze the anonymous responses (data) and for the study team to develop educational materials. Your participation in the survey is completely voluntary, and you are not required to share any information that could identify you.

    By clicking the "Next" button below you are giving your consent to participate in and enter this survey.

  • Please specify your age:*
  • Have you been diagnosed with COPD, bronchiectasis or NTM lung disease?*
  • If yes, which conditions. (Select all that apply)*
  • At what age were you diagnosed with a chronic lung condition?*
  • Which best describes your employment status?*
  • Do you receive disability benefits?*
  • What type of benefits do you receive?*
  • Is your disability related to your chronic lung condition?*
  • Do you currently have health insurance?*
  • What type of insurance do you have?*
  • Which statement below best reflects how your insurance covers your medical needs?*
  • What is the biggest challenge you currently face when using Medicare? (Select up to two)*
  • How confident do you feel navigating Medicare right now?*
  • What are the biggest problems you have when trying to get your medicines or treatments? (Select up to three)*
  • Which types of information would be most helpful to you in a Treatment Assistance Hub? (Select up to two)*
  • How do you prefer to receive health and treatment information?*
  • What features would help to make this Hub more useful to you?
  • Would you utilize materials in languages other than American English?*
  • What language would be most useful to you?*
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