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1999 HEALTH CONFIDENCE SURVEY Wave II Copyright 1999 Mathew Greenwald & Associates, Inc., and Employee Benefit Research Institute MGA #: Elk JOB #: Respondents name: Date: Q #: State: Time start:

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How to fill out this questionnaire form?

1. Start by reading the instructions provided at the beginning of the questionnaire. This will give you an overview of what information is needed and how to proceed.
2. Begin by providing your personal information, such as your name, contact details, and any other relevant identifying information requested in the form. Make sure to write legibly and accurately.
3. Move on to answering the specific questions asked in the questionnaire. Take your time to carefully read and understand each question before providing your response. If any questions are unclear, seek clarification from the form administrator or contact person.
4. It is important to provide accurate and truthful information in your responses. Double-check your answers to ensure that you have not made any mistakes or omissions.
5. If there are any sections or questions that do not apply to you, indicate this clearly on the form. You can write "N/A" or "Not Applicable" to signify that the question is not relevant to your situation.
6. Pay attention to any additional instructions or sections that may be included in the form. These may require you to provide supporting documentation or to complete certain tasks in addition to answering the questions.
7. Review your completed questionnaire before submitting it. Make sure all required fields have been filled out and that your answers are clear and concise. If possible, have someone else review your responses for any errors or inconsistencies.

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What is this questionnaire form?

This questionnaire form is a document used to collect specific information from individuals or organizations.

Who is required to file this questionnaire form?

Anyone who meets the criteria outlined in the instructions for the form is required to file this questionnaire form.

How to fill out this questionnaire form?

To fill out this questionnaire form, you need to carefully read and follow the instructions provided with the form. Complete all required fields accurately.

What is the purpose of this questionnaire form?

The purpose of this questionnaire form is to gather important data for analysis, research, or compliance purposes.

What information must be reported on this questionnaire form?

The information required to be reported on this questionnaire form will vary depending on the specific questions asked.