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Healty Montana Kids

Outreach Survey

The Healthy Montana Kids (HMK) Plan is always looking for new ways to reach families who may qualify for HMK. Please help us improve our efforts by completing this short survey.

1)	Why did you apply for the Healthy Montana Kids (HMK) Plan?
	Children did not have health insurance Private/employer-offered health insurance too expensive Lost insurance due to change in employment or marital status Other
2)	How did you hear about HMK?
	Friend or family member Community event/health fair/HMK outreach staff Advertisement (TV, radio, newspaper) Office of Public Assistance Health care provider's office HMK Enrollment Partner School Employer Internet/HMK website Other
3)	Where did you get your HMK application?
	Requested application by calling 1-877-KidsNow Downloaded application from HMK website (www.hmk.mt.gov) Applied on-line at HMK website (www.hmk.mt.gov) Community event/health fair/HMK outreach staff Office of Public Assistance Enrollment Partner Health care provider office Employer Other
4)	Have you seen or heard any advertisements about HMK? (TV, radio, newspaper)
	Yes No
What else would you like to tell us? (suggestions, comments, etc.)


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