Tell Us About Yourself

Mercy Medical Center—Des Moines would like to thank you for taking the time to helps us in our journey toward excellence, every day in every way.

Your comments and suggestions will help us continuously improve to meet your needs.

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* 1. Please tell us a little bit about you. (Optional)

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* 2. I am responding as a:

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* 3. If you provided contact information above, may we contact you regarding your survey responses?

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* 4. What is your preferred method of contact?

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