JPR Survey: Your Health Care
The conversation begins with you on the Jefferson Exchange. Take the survey or leave your thoughts in a message for us to play on the air: 541-552-6331.
How accessible are health care services where you live? *
Inaccessible.
Very difficult to access.
Difficult, but doable.
Easily accessed.
I wouldn't know.
General medicine
Specialty care
Emergency care
Prescription medications
Tell us a story of your experiences with accessing health care.... Good, bad, or just unusual.
Your answer
How would you change things for the better?
Your answer
First name, City and State *
Your answer
Why Do We Ask?
Survey results will be shared on JPR's call-in program, the Jefferson Exchange during VENTSDay, Wed., Sept. 14 from 8:30-9. You can listen to the program online at http://ijpr.org/programs/jefferson-exchange#stream/2.
Submit
Never submit passwords through Google Forms.
This form was created inside of Southern Oregon University.