1. Which of the following area health care providers have you used in the past five years? (Select all that apply)
a. Mercy Health System
b. Dean Health System/St. Mary’s (Janesville)
c. Dean Health System/St. Mary’s (Madison)
d. Beloit Hospital and Clinics
e. Meriter Health Services
f. University of Wisconsin Hospitals and Clinics
g. Group Health Cooperative
h. Other:

2. What health care organization do you use most frequently? (Select one)
a. Mercy Health System
b. Dean Health System/St. Mary’s (Janesville)
c. Dean Health System/St. Mary’s (Madison)
d. Beloit Hospital and Clinics
e. Meriter Health Services
f. University of Wisconsin Hospitals and Clinics
g. Group Health Cooperative
h. Other: