Your Provider

The questions in this survey will refer to the
provider named in Question 1 as “this provider.”
Please think of that person as you answer the
survey.

Question Title

* 1. Our records show that you got care from at Well Life Medicine in the last 6
months. If this is correct please select the provider you saw.

Question Title

* 2. Is this the provider you usually see if you
need a check-up, want advice about a health
problem, or get sick or hurt?

Question Title

* 3. How long have you been going to this
provider?

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