Nursing Facility Information Survey

Please complete this brief survey to help VHI serve you better.

Answer the questions below for a chance to win a $50 gift certificate
1 in 100 persons completing a survey will win!
Include your contact information at the end so we can notify the winners.
We won't sell or give anyone else your information.


1. Is this information helpful?
Yes
No

2. Did you find that the Nursing Facility information (pick all that apply):
Increased my knowledge about nursing facilities
Helps/helped my decision-making

3. What I would really like information on is:


4. For the purpose of today's visit to www.vhi.org I consider myself a (pick one):
General consumer
Health care provider
Health insurance representative
Health care researcher
Government employee

5. I learned about www.vhi.org from (pick all that apply):
Newspaper article
Advertisement
Employer
Family member
Friend
Professional Association
Search Engine
Other

6. I plan on using this information to (pick all that apply):
Learn more about nursing facilities
Assist in making contracting decisions
Help choose a nursing facility
Learn more about competing nursing facilities

7. Thank you for your help. To be eligible to win a gift certificate leave your name and email address below.
Include your contact information at the end so we can notify the winners.
We won't sell or give anyone else your information.



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