Enhancing Wellness: Prima Medicine Health Survey

Select the services you require from Prima Medicine:

Routine check-ups Chronic disease management Preventive care Nutritional guidance Mental health support

What support do you need?

Medication management Lifestyle modifications Pain management Coordination with specialists Holistic care approach

How often do you prefer follow-up visits?

Quarterly Bi-annually Annually As needed Not sure

In which areas do you seek guidance for health improvement?

Weight management Exercise routines Stress reduction techniques Sleep quality enhancement Chronic condition support

What is your preferred method of communication with your physician?

In-person visits Telemedicine appointments Phone consultations Secure messaging No preference

Which factor is most important to you in your healthcare provider?

Empathy and understanding Medical expertise Communication skills Holistic approach Availability and responsiveness

All set, how can we reach you?

Name

Phone

Yes, I have read and agree to the Terms and Conditions. (Details here)

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Your insights shape our commitment to your health!