In order to better serve you and our community please answer the following questions:

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* 1. What is your age group?

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* 2. What is your gender?

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* 3. Have you ever recieved Chiropractic treatment?

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* 4. Do you have Chiropractic Insurance?

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* 5. Would you consider recieving Chiropractic treatment for a health condtion?

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* 6. How many treatments of Chiropractic care would you be interested in a week?

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* 7. What insurance do you have?

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* 8. Have you ever recieved Acupuncture treatment?

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* 9. Do you ahve Acupuncure Insurance?

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* 10. Would you consider receiving Acupuncture treatment for a health condition?

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* 11. How many treatments of Acupuncture care would you be interested a week?

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* 12. What type of glasses do you wear?

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* 13. How much are you willing to spend on glasses?

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* 14. What brand or style of flasses/contacts do you hope to see on our Optical shop?

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* 15. If you have ever purchased glasses/contacts before, how long did it take to finalize your purchase?

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* 16. When thinking about purchasing glasses, what is the most important thing to you?

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* 17. Are you aware that Mountain Health is now offering Dental Care at its Campo location?

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* 18. What Dental Insurance would you like to see accepted?

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* 19. Mountain Health offers: Behavioral Health, Optometry, Dental, Clinic, Chiropractic, Acpuncture and Pharmacy services. Are there any additional services that you would like to see offered?

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* 20. Mountain Health is open from 8 a.m. to 5 p.m., what additional hours would you like to see offered?

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