1. What factors do you consider in choosing a health care provider? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________

2. In assessing the effectiveness of medical treatment, do you consider patient privacy (for example, limiting access to medical records) to be: (please check one)

A big concern ______ Somewhat of a concern ______ Not a concern _______

3. What aspects of privacy, if any, concern you regarding access to medical records? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________

4. Do you agree that mental health services ("mental health parity") should be covered by insurance in the same way that treatments for physical illness are? Please check one:

Yes _________ No __________

5. Do you think that it is cost effective to provide mental health treatment to patients who need it?

Yes _________ No __________

6. Do you think that it is cost effective to provide treatment for alcohol and other substance addictions?

Yes _________ No __________

7. Do you have direct, personal experience of receiving health care through a national system that provides access to health care for everyone, regardless of an individualÕs ability to pay (for example, Canada, the U.K., Australia)? Please check one:

Yes _________ No __________

8. If yes, how does that experience compare with your experience with the U.S. healthcare system? ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________

9. How important is it to you that the U.S. (or NH) adopts a system that provides quality, effective health care services to everyone, regardless of an individualÕs ability to pay? Please check one:

A top priority _______ Somewhat important _______ Not important _______

10. In previous focus groups with health care recipients and providers, the following factors were raised as important to quality of care. How would you rank the importance of the following? (1=Highest importance; 10=Lowest importance):

_____ Caring health care provider; provider treats health care recipient as an individual
_____ Smooth coordination of services with other health care providers
_____ Medical competence of health care provider
_____ Efficiently run office
_____ Focus on preventive health care
_____ Holistic care; attention to mind, body and spirit
_____ Provider educates health care recipients regarding health care issues
_____ Opportunity to see the same provider at each visit
_____ Easy access to care (close to home, prompt appointments)
_____ All staff members treat health care recipient as an individual

Name_______________________________________________________________________________________ Address_____________________________________________________________________________________ Phone___________________E-mail_____________________
Where do you receive primary care?
____________________________________________________________