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PATIENT INFORMATION Full legal name DOB: Preferred name Marital status Home address City State Zip Employer Occupation Person to contact in an emergency Phone Persons with whom we may discuss your

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How to fill out how did you hear

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Start by identifying the options provided in the 'How Did You Hear About Us?' section.

02

Choose the option that accurately represents how you came to know about the product, service, or company.

03

If none of the provided options match your situation, select the 'Other' option or write a brief note explaining how you heard about it.

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Anyone who wants to provide feedback or information regarding how they discovered the product, service, or company.

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What is how did you hear?

How did you hear is a question asking about the source or method through which an individual learned about something.

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Individuals or organizations conducting surveys or collecting feedback may be required to ask the question 'how did you hear'.

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The information reported on 'how did you hear' typically includes the specific source or method through which an individual was introduced to a product, service, or event.

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