Would you agree to undergo some medical examinations, knowing why and what risks you are trying to check? *
Will you be willing to pay for some medical exams if they aren't covered by your insurance? Assume that you will know the reasons for passing these tests. *
If some problems are discovered, would you be interested to receive information about new standards of treatment and disease prevention? *
Not interesting at all
Extremely interesting
If you're reading this statement, please choose option 3 *
Not interesting at all
Extremely interesting
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of healsens.com. Report Abuse