HHC Diabetes Wellness Center - Tell Us What You Think

Are you a patient at a New York City public hospital or clinic?

If yes, which facility?

Were all of your questions answered by your doctor during your last visit?

Were all of your questions answered by your nurse during your last visit?

Are you satisfied with the care you receive from your doctor?

Are you satisfied with the care you receive from your nurse?

How many times a year do you see your doctor?

Is the information on this diabetes Web site helpful to you, a family member or friend?

How likely are you to visit this site again?

What other information would you like to see on this site?

* Tell us how we can contact you, if you win the $25.00 Gift Check:

First Name:
Last Name:
Email:
Street Address:
City:
State:
ZIP:

Please enter the letters you see in the graphic below (required): (letters are not case-sensitive)
	Get new image What is this?

Please carefully review the information that you have entered before hitting the submit button. Please do not submit the same message more than once; doing so may delay processing.

THANK YOU!

* The drawing for the $25 Gift Check will be held on February 25, 2010 and the winner will be contacted within two weeks. Employees of the New York City Health and Hospitals Corporation are not eligible for this promotion.