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Community Survey

Mt. San Rafael Hospital is conducting a Community Health Needs Assessment and we need your help. Please answer the brief survey below by following the link or printing the PDF and returning the survey to the front desk of the hospital no later than July 3rd.

We would like to collect as many of the responses as possible electronically. Below are the links to distribute freely through your distribution lists. We appreciate your willingness to help with the process!

English: https://www.surveymonkey.com/s/MtSanRafael-English
     Download the PDF version

Spanish: https://www.surveymonkey.com/s/MtSanRafael-Spanish
     Download the PDF version