Additional Questions

Help us understand your needs better

1. What specific health concern prompted you to join our waitlist today? (Select up to three)

2. If seeking a specialist referral, which area interests you most?

3. How long have you been considering seeking preventative healthcare?

4. What's your biggest concern about starting preventative healthcare?

6. What is your preferred appointment time?

7. What is your preferred appointment day?

8. What don't you like about your current healthcare provider? (Select all that apply)

9. What is your age?

10. What else should we know to provide you with better healthcare? (Optional)

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