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Compa Waitlist

Are you the patient or providing to care to the patient?

Select one.
A
B

Following a visit to the hospital, did you/loved one...?

Select all that apply.
A
B
C
D

What's the hardest part of managing care right now?

Please order from the hardest to the easiest.
Use the up and down arrow keys to change the rank.
1
1
1
1

What is the #1 thing you are hoping Compa can help you achieve? Knowing this helps us focus on what matters most.

Optional.