Health Assessments

Hello:

You are invited to participate in our survey Health Assessments. In this survey, people will be asked to complete a survey that asks questions about the recent health and hearing assessments. It will take approximately 5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary.It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential.

Thank you very much for your time and support.

Where did you complete your Health Assessment?

Where did you complete you Hearing Assessment?

CMC Main

CMC Northeast

Blueridge

Other

What if any were problems with the health assessment (scheduling, call back, the assessment itself?)

What is your feedback for the hearing exam?

Do you have suggestions to make the process better in the future?