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Wayne.Atwood
2022-10-14T09:37:05-04:00
Thank you for coming to the AMEN Free Clinic. Please share your feedback below.
Survey
What was the primary service you received today?
Dental
Vision
Medical
Did you receive the service you came for today?
Yes
No
What other services did you receive?
Foot Care - evaluation, nail clipping,
Flu Shot - immunization (50 available) for uninsured and insured
Covid Vaccine - all vaccines available for free vaccine card required
Clergy Wellness - counseling and prayer
Mental Health Wellenss - counselor referrals
Coat, hat, glove, scarf give away
Healthy Snacks
Wellness Brochures
Overall, how satisfied are you with your experience today?
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
What suggestions do you have to improve the free clinic experience?
If you are human, leave this field blank.
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