Thank you for taking a few moments to complete this survey regarding AdvantAge 50. Our goal is to find ways to improve the program by providing its members with greater benefits. This survey is anonymous.

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* 1. Demographics

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* 2. Your city

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* 3. Age

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* 4. Is your primary care provider a Sarah Bush Lincoln doctor or mid-level provider?

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* 5. Do you use other Sarah Bush Lincoln services (i.e. surgery, orthopedics, cardiology, ENT, etc)

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* 6. If you answered Yes to question #5, please list which services.

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* 7. Based on your participation in the last five years, please check the boxes next to the service you have used. Select all that apply.

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* 8. How did you first hear about AdvantAge 50?

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* 9. Please rate your interest in each of the potential future class offerings:

  No interest Mild interest Medium interest High interest
Cooking classes featuring unusual foods or new techniques
Exercise Programs
Craft
Computer Classes (How to use the new Word program)
Social Media Classes (How to use Facebook, Pinterest, Instagram, etc)
Patient Portal classes
Cell phone classes (How to use your cell phone)
Card Club
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