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* 1. Where have you seen or heard information about Panhandle Health District?

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* 2. How familiar are you with the services that Panhandle Health District offers?

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* 3. What comes to mind when you hear Public Health?

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* 4. Which of the following services are you aware of Panhandle Health District offering? (check all that apply)

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* 5. Are there services mentioned above that you have utilized at Panhandle Health District?

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* 6. Are there services Panhandle Health District offers that you are interested in utilizing?

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* 7. Do you currently have a primary care provider?

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* 8. Have you ever been referred to Panhandle Health District by another healthcare facility?

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* 9. How likely would you be to use any of our services mentioned above?

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* 10. Please rank the following on how frequently you use each source for healthcare information, with 1 being most frequent.

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* 11. If you would like to be entered into a drawing for completing this survey, please provide your email address.

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