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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. Please rate your perception of the quality of medical care delivered at the Emergency Departments at each of the hospitals listed below.

 ExcellentGoodAveragePoorVery Unfavorable
University Hospitals Geauga Medical Center
Lake Health Tripoint Medical Center
Robinson Memorial Hospital
Hillcrest Hospital