• Arizona Durable Medical Equipment (DME) and Medical Supplies Access Survey

    Arizona Durable Medical Equipment (DME) and Medical Supplies Access Survey

  • Arizona Statewide Independent Living Council (AZSILC) is working to better understand what is happening across Arizona when people try to get durable medical equipment (DME) and medical supplies.

    Your responses will help identify barriers, delays, and system gaps and will inform advocacy efforts with policymakers, providers, insurers, and state agencies.

    This survey is voluntary. You may skip any question. Responses may be anonymous.

  • Section 1 - Demographics

  • Section 2 - Access and Delays

  • Section 3 - Systemic

  • Section 4 - Your Story & Solutions

    Optional
  • Section 5 - Building a Coalition

  • If you are interested or may be interested in being part of a DME coalition, please share your contact information below. 

  • Format: (000) 000-0000.
  • Should be Empty: