Submit a Review
Are you 13-24 years old? Have you recently visited a location for healthcare or other services? Use this form to submit your review.
Name and Address of Location Visited
Your Age at time of visit
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What did you think of the services and staff? Was it youth friendly? Did you run into any issues? Did you leave feeling better?
How well was your privacy respected?
Would you like to sign up for emails from the Illinois Caucus for Adolescent Health?
Cell Phone Number
Would you like to receive text messages about healthcare?
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