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1. Please provide your email address for prize entry. You will be notified by email if you are a winner.

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2. In all of the following questions, please rate each hospital. Please rate your perception of the quality of medical care delivered at the Emergency Departments at each of the hospitals listed below.

 ExcellentGoodAveragePoorVery unfavorableN/A
University Hospitals Bedford Medical Center
Marymount Hospital
South Pointe Hospital
Hillcrest Hospital