COVID-19-Questionaire-Urban Family Practice

Contact Tracing Questionnaire - Urban Family Practice

The information from this survey will be used to understand the spread and impacts of the infection. Your participation in this project is voluntary. If you prefer not to answer a question, you may skip that question. If you prefer not to complete the survey, you can disregard the survey. This research is being conducted by G-Health Enterprises and Affiliates.  All personal information will be kept strictly confidential. If you have any questions regarding this research project, please contact: This email address is being protected from spambots. You need JavaScript enabled to view it. or call 716-604-0504
Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input

Invalid Input