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Contact Information

Your Story Year of Birth: How many years have you lived in the U.S.? How many years have you worked in the U.S.? Do you have health insurance (either private or public)? Do any of your family members have health insurance? Is either yourself or any of your family members facing a health related difficulty? If you do not have health insurance, what do you do when you are ill? Have you been discriminated because of your race or language ability when receiving health care? Have you been unable to pay your hospital bills? If so, how did you handle it? Do you receive regular medical check-ups? How?



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All information will be solely used for KRC's health reform work. Your contact information will be kept confidential.

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