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Community Health Clinic Survey

  1. Community Health Clinic Survey

  2. In our continuous effort to improve and enhance the Clinic, we are asking for your help. Please take a moment to complete this survey as honestly as you can. This is a tool to help us better meet your healthcare needs in Daggett County.

  3. If needed from previous question.

  4. Do the clinic hours meet your needs. *

    Chose one.

  5. Thank you for taking the time to complete this survey. All survey's are confidential.

  6. Leave This Blank:

  7. This field is not part of the form submission.