About You

 
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29. Are you of Hispanic or Latino origin or descent?(Optional)

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30. What is your race? Mark one or more (Optional)

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31. Did someone help you complete this survey?

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32. How did that person help you? Mark one or more.

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33. Please feel free to make comments on your overall experience with Kelsey-Seybold Clinic. If you wish to discuss your comments, please include your contact information.

Thank You

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