Preventive Screenings Participation Survey
Please help us understand your participation in preventive health screenings.
Age Group
*
Option 1
Option 2
Option 3
Gender
*
Option 1
Option 2
Option 3
Have you participated in any preventive screenings in the past year?
*
Option 1
Option 2
Option 3
Which screenings have you participated in? (Select all that apply)
If other, please specify
What motivates you to participate in preventive screenings?
What barriers prevent you from participating in preventive screenings?
Submit
Should be Empty: