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* 1. What is your age?

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* 2. What is your gender?

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* 3. What type of healthcare coverage (insurance) do you have?

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* 4. Do you have a primary care physician at Fox Clinic?

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* 5. How often do you see your primary care physician?

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* 6. CRMC is viewed positively by the community and surrounding area.

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* 7. CRMC is my hospital of choice. I pick CRMC for my healthcare needs.

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* 8. CRMC meets the healthcare needs of Childress County.

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* 9. What potential services would you like to see offered by CRMC?

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* 10. What specialist physicians would you like to see at CRMC?

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* 11. Do you believe CRMC will continue to make more progress in the next 10 years?

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* 12. Tell us what you love about CRMC.

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