In the past 12 months, have you needed prior authorization for care or medication?
- Yes, within the last 3 months
- Yes, 3–12 months ago
- Yes, more than 12 months ago
- I have never needed prior authorization
- Not sure
Which types of services required prior authorization? Select all that apply.
- Prescription medication
- Imaging (e.g., MRI, CT)
- Specialist visit
- Surgery or procedure
- Durable medical equipment
- Lab tests
- Not applicable
Who primarily handled the prior authorization request?
- Doctor or clinic staff
- Me (the patient)
- Health insurance plan
- Pharmacy
- Don’t know
- Not applicable
Which channels were used for the prior authorization process? Select all that apply.
- Phone calls
- Patient portal messages
- Paper forms
- Fax
- In person at the clinic
- Email
- Insurer website or app
- Pharmacy system or app
- Not applicable
What was the outcome of your most recent prior authorization?
- Approved without changes
- Approved with an alternative (e.g., different drug/test)
- Approved after appeal
- Denied
- Still pending
- Don’t know / Not sure
- Not applicable
How clear were the prior authorization requirements and steps?
Attention check: To confirm you are paying attention, please select "Yes".
If there was a delay, how long did it take from request to decision?
- No delay (same day)
- 1–3 days
- 4–14 days
- 15–30 days
- Over 30 days
- Still pending
- Not applicable
How much did the prior authorization process affect you in the following ways?
Rank the most frustrating parts of prior authorization from most to least frustrating.
What helped most during the process? Select all that apply.
- Clear instructions from my provider
- A staff member handled it for me
- Automatic status updates
- Support with appeals
- Financial assistance or copay card
- Dedicated phone line or team
- None of these
If you could change one thing about prior authorization, what would it be?
Max 600 chars
About how many total hours did you (or a caregiver) spend on your most recent prior authorization (calls, forms, follow-up)? Please enter a number.
How do you describe your gender?
- Woman
- Man
- Non-binary
- Another gender identity
- Prefer not to say
What is the highest level of education you have completed?
- Less than high school
- High school or equivalent
- Some college or trade school
- Associate degree
- Bachelor’s degree
- Postgraduate or professional degree
- Prefer not to say
What is your current employment status?
- Employed full-time
- Employed part-time
- Self-employed
- Unemployed and looking for work
- Student
- Retired
- Unable to work
- Caregiver
- Prefer not to say
Welcome! This survey should take only a few minutes. Please answer based on your own experience in the past year. Your responses are confidential.
Any other comments you would like to share about your prior authorization experience?
Max 600 chars
AI Interview: 2 Follow-up Questions on prior authorization experiences
Thank you for participating! Your feedback will help improve prior authorization processes.