Have you had trouble accessing health care recently?
Hospitals, urgent cares, doctor's offices and all parts of the health care system are overwhelmed with COVID-19 patients. In recent weeks, have you waited a long time at an emergency room or urgent care, been unable to get a doctor's appointment in a timely manner, had a surgery or procedure canceled or otherwise had trouble accessing health care? We want to hear your story.
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Where did you struggle accessing health care? *
What happened? Please be specific. *
What is your first and last name?
Phone number: *
Email address:
What city, village or township do you live in?
What county do you live in? *
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