The Health Care Rights and Access Survey is an outreach tool designed for engaging in people in conversations about healthcare experiences. The results of the statewide survey will be used to develop a report for New York State legislators during the 2019 legislative session. Below are the tools and materials you will need to use the Health Care Rights and Access Survey in outreach in your community.

Complete Health Care Rights and Access Survey online
Complete el Cuestionario 
Remplir le sondage

The data and testimonials from this project will be used to create a Health Care Access report for the NYS State legislature in 2019 in order to make the case for the urgent need for healthcare system that guarantees care as a right. See the Health Care Stories Brochure to read why New Yorkers are fighting for healthcare for all.  

The materials below are designed to engage community in discussions about the healthcare system. The questionnaire can be done anonymously or respondents can agree to share their story publicly.

Would your organization like to partner on the Health Care Rights and Access Survey? Please email [email protected] 

Sign up to use the Health Rights and Access Survey in your community. 

English Language Materials:
Health Care Rights and Access Survey (You will need several copies!)
Sample Outreach Script
Petition
Flyer - printable half page 

Spanish Materials:
Script Guión de encuesta para campaña de puerta a puerta (script)
Questionnaire - Encuesta para el acceso y los derechos del seguro médico
Flyer - Volantes

Arabic
Questionnaire
Flyer

Chinese (Mandarin/Cantonese) 
Questionnaire
Flyer

French
Questionnaire
Flyer

Korean
Questionnaire
Flyer

Swahili
Questionnaire
Flyer

Vietnamese
Questionnaire
Flyer

Somali
Questionnaire

Urdu
Flyer

Multi-lingual volunteers are needed to help translate and proofread outreach materials. Sign up here: http://bit.ly/CNYHTranslations

As soon as you have collected surveys, please enter your results here. 

We are continuously updating this page. Email [email protected] with questions or feedback. We would love your help improving these resources. Thank you to members of DSA, Metro Justice, and the Southern Maine Workers' Center for support developing materials.