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* 1. If there were a Health and Wellness Center in close proximity to your workplace, how likely would you be to utilize the service (ex. Fitness center, track)?  (On a scale of 1 to 5, with 5 being the highest)

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* 2. If there were Primary Care Services in close proximity to your workplace, how likely would you be to utilize the service?  (On a scale of 1 to 5, with 5 being the highest)

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* 3. If there were an Urgent Care Facility in close proximity to your workplace, how likely would you be to utilize the service?  (On a scale of 1 to 5, with 5 being the highest)

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* 4. If Imaging services were available in close proximity to your workplace, how likely would you be to utilize the service (ex. X-rays, MRI, etc.)?  (On a scale of 1 to 5, with 5 being the highest)

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* 5. Where do you currently go for routine healthcare services?  (Check all that apply)

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* 6. How far would you be willing to travel from your workplace to utilize healthcare services?

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* 7. Are there any issues that prevent you from accessing care?  (Check all that apply)

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* 8. Do you have any other comments, questions, or concerns?

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