Thank you for taking just a few minutes to submit a review for CareSpotlight.com. Please note the following:

1. Even though we have only a landing page today, we've decided to begin collecting reviews so that we have quality feedback to share with others on day one of our official launch.

2. The process of submitting reviews, the questions and answers, overall functionality, and aesthetics will change upon launch.

3. We will contact you when the site is launching (if you include an email address at the end of this survey) and at that time, you may choose to either resubmit your review or keep it as is.

4. Your review will not be posted until the site is officially live.

5. For-profit and non-profit organizations are subject to reviews.

6. In the future, we will strive to make the review process as simple as possible, while also ensuring quality information about the experience is captured for both our site users and the care/service providers (so that they are aware of what their patients/clients/consumers are saying about them and have the opportunity to make improvements if warranted).

The information that you provide today to get a "jump start" on CareSpotlight.com's review bank will be extremely helpful to others and very appreciated!

Thank you!

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* 1. Please fill in the information below regarding the organization you would like to review:

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* 2. This organization provided care and/or service to (check all that apply):

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* 3. The organization provided the following type(s) of care and/or services (please check all that apply):

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* 4. Approximately when was this care provided or service rendered? Check all that apply.

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* 5. Please rate your overall experience with this care/service provider:

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* 6. Please share information that you feel would be helpful to others who might be considering using this care/service provider.

PLEASE NOTE FOR THE QUESTION BELOW: CareSpotlight will only be serving those in the CONTINENTAL U.S. If you are outside the Continental U.S. and complete this survey, the information will not be used. Thank you.

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* 7. Please complete the following: (NOTE: We will not share your information. ONLY complete if you live in the Continental U.S.)

We at CareSpotlight do not want to use "anonymous" reviews if possible. Please indicate below how you would like your name to be displayed with your review once the site is officially launched.
It can appear as:
Your first and last name together
Your first name with last name initial
Your last name with first name initial
Only your first name
All reviews will also include your city and state.
Thank you!

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* 8. Please write how you would like your name be displayed with your review once CareSpotlight.com is live (see above for guidelines):

Please note: We contact all providers who have been reviewed to make them aware that a review for their business has been posted. They will be able to respond to your review publicly once the official site has launched and you will be notified if they do.

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