1. Do you currently offer health insurance to your employees?

2. If you offer health insurance, do you plan to make any changes to employee cost sharing or the type of insurance plan offered in the next 2 years?

3.

If you don't offer health insurance, what is your primary reason for not offering coverage?

4.

If you offered health insurance in the past 10 years, did you make any changes to cost-sharing or plan type?

5.

How has the rising cost of health insurance affected your business over the past 10 years?

6.

What reforms would be helpful to you to help you lower costs and have more coverage options?

7.

You are the expert on the impact of policy decisions, rule-making, and proposed ballot measures. If opportunities arise, NFIB is here to prepare and support you if you consider any of the following media opportunities. Are you willing to:

8.

Our efforts are strong because they are supported by the real voices of small business owners like you! Are you willing to connect with NFIB on this issue?

9. I grant NFIB the permission to share my story with members of Congress, state legislators, the Administration, elected and/or appointed officials, and in other NFIB publications. Personal details and information will not be shared with third parties or the media unless permission has been explicitly requested by NFIB staff.