HuliHealth | QuestionPro

What type of medical treatment are you seeking?

Dental

Other

Why have you delayed treatment?

High Cost

Long waiting period for a specific procedure

Lack of insurance coverage

Other

Would you consider medical treatment in another country?

Yes

No

Are you currently seeking medical treatment in another country?

Yes

No

What is your age?

As a business startup looking to offer you the best service, your feedback is essential! Would you be willing to help us out?

I am available for a phone interview (15 minutes)

I can give feedback on screenshot or demo previews

I can participate in online surveys or user testing

I can meet in person (Chicago only) for quick user testing

I will not be available to participate in any interviews or tests

We might have a quick follow up question. Are you available to chat with us further?

Yes

No

Email Address

Name

How did you hear about us?

Flyer

Online Advertisement

Word of Mouth

Other