The document contains an insurance survey that asks staff members at Willard R-2 Schools questions about their satisfaction with current insurance benefits, willingness to change doctors and hospitals for savings, willingness to pay a portion of insurance premiums, number of doctor visits and prescriptions filled annually for themselves and family members, and whether any expensive Tier 4 prescriptions were filled in the last 6 months.

1. Insurance Survey Results Certified and Non-certified staff members, 2008

2. How satisfied are you with current insurance benefits as a package (includes office visits, urgent care, hospital care, Prescription cost) Please mark using this scale: 1 = Unsatisfactory, 3 = Average, 5 = Very Satisfied.

3. If Willard R-2 Schools offered a similar benefit package which resulted in a savings of $500 redirected to your salary, would you be willing to change doctors and hospitals?

4. With the cost of health care benefits rising, would you be willing to pay a portion of your medical insurance premium in order to keep the same level of coverage?

5. If you answered yes to Question 3, would you be willing to pay up to $50 per month fo your personal medical coverage?

6. On an average, how many doctor visits do you personally have per year?

7. On an average, how many doctor visits does your family have per year?

8. How many permanent* prescriptions do you fill per year for yourself? (*HBP, Diabetes, Cholesterol, etc)

9. How many permanent* prescriptions do you fill for family members? (*HBP, Diabetes, Cholesterol, etc)

10. Have you had any Tier 4 prescriptions in the last 6 months? (If you do not know what this is answer no)

11. How many one time *prescriptions do you average per year for you or your family? (*antibiotics, cough medicine, etc.)