Survey Instructions

 
 4% of survey complete.
This survey is being conducted on behalf of Bothwell Regional Health Center to assess health needs in our community. Responses will remain confidential.

If you would like to be entered for a chance to win a $100 Visa gift card, please provide your email address at the end of the survey.

Question Title

1. How often do you use seat belts when you drive or ride in a car?

Question Title

2. During the past 12 months, have you received a flu shot?

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