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Title: Health Benefits
Design
Settings
Distributions
Responses
Add or Edit questions
Question Type
Multi Choice Single Selection
Multi Choice Multi Selection
Matrix of Choices - Single Selection
Matrix of Choices - Multi Selection
Matrix of Choices - Dropdown Menus
Matrix of Choices - Text Boxes
Rating Scale
Address
Comment / Summary box (Text Area)
Single Text Box
Informative Text (No answer needed)
View Sample Questions
Question Text
To keep the amount coming out of your check the same or lower, would you be willing to enroll in a plan with higher copays and deductible?
Row Choice Header Text
(type each answer in a separate line)
Yes No
Place answer choices horizontally
When checked, answer choices will be placed in horizontally. Otherwise, will be placed vertically.
Mark as required question
When checked, a
'
*
'
mark will be placed to indicate that this question requires answer.
Add a comment field
When checked, a comment box will be shown at the end of above answers.
Label
Single line text field
Multi row comment filed
Treat this comment part of answer choice
This action is disabled for sample account.
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