Have you been treated at a Prime hospital?

Over the last several months, California Watch has reported on Prime Healthcare Services, a major hospital chain with locations throughout California. If you've been treated at a Prime hospital, we want to hear about your experience. Everything you share within the Public Insight Network is confidential unless you give us explicit permission to publish it.

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First Name *

Last Name *

Street Address

City *

State or Province *

Postal Code *

E-mail *

Phone

Have you been treated at a Prime hospital? Click here for a map of locations.

Yes
No

What is the name of the hospital?

Please describe your experience at the hospital.

How would you rate the care provided on a scale from 1 to 10 (10 being the best)?

Why did you rate the service that way?

Is there anything else we should know about this issue? Please explain.

The Public Insight Network plans to do extensive coverage of the 2012 elections by focusing on the voice of the voter. We'd like you to be part of this coverage. It would help us to determine how you identify yourself as a voter so we might direct relevant questions to you. What political party, if any, do you identify with most closely?

May we publish your comments and attribute them to you? *

Yes
No
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Your Information

By completing this form, you become part of American Public Media's Public Insight Network (PIN). Center for Investigative Reporting, American Public Media and any other PIN newsroom listed on this form may contact you for help with current and future news coverage.

This submission may be shared with journalists at Center for Investigative Reporting, American Public Media and other news organizations collaborating on reporting. It will not be used for marketing or fundraising purposes, and we will never quote you without first getting your explicit permission.

If you give us permission to publish your submission, we may edit before sharing it on-air, in print or online. We reserve the right to reuse or republish your submission, or to withhold your submission from publication. You must be 13 years or older to provide a submission.

About the Public Insight Network

Founded in 2003, American Public Media's Public Insight Network is a platform for connecting trusted journalists with knowledgeable sources and for fostering journalistic excellence, innovation and collaboration. Learn more »

Through American Public Media, you may have opportunities to also inform reporting for Marketplace, Marketplace Money, On Being, American RadioWorks and other partner newsrooms.