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* 1. Please check all of the services that you or your family members have received in the past year:

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* 2. Please let us know if you like our new building and location:

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* 3. What program or service would you like the Health Center to offer the community:

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* 4. Please rate the care and service you received at your last visit to HCHC:

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* 5. If you had any issues at your last visit with us please let us know what we can do to improve:

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