The following data is being collected by VGM to strengthen evidence presented to policy makers about the difference in cost of delivering care to various geographic areas.

Upon completion of this survey, providers will have the opportunity to submit multiple surveys based on locations serving different regions, if they choose.

Please identify which state(s) this location serves.
This location serves (check all that apply):

Estimate the reason (by percentage) for all trips to patient homes/institutions. This should add to 100%

Estimate the following:

Your contact information will not be shared outside of VGM.

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