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"The Providers" Audience Survey
We hope you enjoyed streaming "The Providers". Your feedback will help us understand the impact of events and will help us shape future events to better serve you and your community. Your responses will remain confidential. Thank you for your time!
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What is your current age group?
Under 18
18-34
35-49
50-69
Over 70
Clear selection
What organization provided you with the link to watch The Providers documentary?
Your answer
What state do you live in?
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Choose
Alabama (AL)
Alaska (AK)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
District of Columbia (DC)
Florida (FL)
Georgia (GA)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
American Samoa (AS)
Guam (GU)
Northern Mariana Islands (MP)
Puerto Rico (PR)
Virgin Islands (VI)
Which gender do you identify with?
Female
Male
Other:
Clear selection
Do you work in the medical field?
Yes
No
Clear selection
Are you pursuing a degree in the medical field?
Yes
No
Clear selection
If you answered yes to either of the above questions, what role are you in? Or what career path are you on in the medical field? (ex. RN, MD, PA, Medica Educator, Etc)
Your answer
After Watching "The Providers," has your opinion on the issue of health care in rural America changed? If so, how?
Your answer
After Watching "The Providers," would you consider practicing in a rural setting? Please explain.
Your answer
After Watching "The Providers," do you plan to take another action on the issue? If so, what?
Your answer
Please share any other feedback you have on this event:
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