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At Quartz, we are deeply concerned about racial and ethnic disparities in health outcomes. It’s important we do everything we can to promote equitable health care for all. Thank you for helping us do better by providing the below information.

Please note:

  • Please complete this survey for each individual covered under your Quartz plan
  • We value your feedback and respect your rights.
  • Your answers are confidential and protected by law.
  • Your participation is voluntary.
  • Subscribers whom have provided a response of “declines to answer,” your receipt to request this information is for others on your Quartz plan.

    * indicates required information

    Preferred Language: Spoken and written.
    Race: Defined as a person's identification with one or more social groups.
    Ethnicity: Refers to shared cultural characteristics such as language, ancestry, practices, and beliefs.