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* 1. In general how would you rate your overall health.

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* 2. Please select the top three health challenges you face.

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* 3. Where do you go to receive your routine healthcare?

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* 4. Do you believe you up to date on your recommended health care visits?

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* 5. Did you receive your COVID-19 Vaccine?

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* 6. Are there any issues that prevent you from accessing care? (Check all that apply)

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* 7. Does your health care provider meet your healthcare needs? Does it work for you?

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* 8. What services do you access or are interested in accessing at Bay Mills Health Center? (check all that apply)

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* 9. Do you have medical insurance? 

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* 10. Are you interested  in receiving health care using virtual or telehealth visits?

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* 11. Anything else you would like to add?

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* 12. Please provide your name and address to verify you completed the survey and want to be entered into the drawing for the $25 gift cards. 

0 of 12 answered
 

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