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Directory Results for Well-Care Questionnaire. Health questionnaire for adults 22 through 64. Print, fill out, and take to your well-care visit (preventive care) at a Group Health Medical Center location. - ghc to Well-Care Questionnaire. Health questionnaire for ages 10 through 12. Print, fill out, and take it to your well care visit (preventive care) at a Kaiser Permanente medical office. - member3 ghc