Complete and return the survey below to be entered into a drawing for a FREE massage or reflexology treatment from The Natural Healing Institute of Western Kentucky! We want to hear from you!

1. What service of Western Baptist Hospital’s 55Plus® program do you value most?
Free Health Screenings
Cafeteria and Gift Shop Discounts
Transportation
Monthly Brunch Bunch Seminars
Other___________________
2. What topics would you like to see presented at future Brunch Bunch seminars?
Exercise and Wellness
Cancer o Cardiac
Digestive Health
Skin Care
Other___________________
3. What changes do you feel could be made to improve Brunch Bunch? (Please check all that apply and explain in the space provided.)
Time o Location
Day of Week
Other___________________
4. In the space below, please list any activities you would like to see 55Plus® offer its members. _______________________________________
5. What health screenings are you most interested in receiving?
Cholesterol
Respiratory
Blood Pressure
Blood Sugar
Posture
o Other
6. Please indicate how strongly you agree or disagree with the statement below.
I prefer the new combined version of Western Baptist Hospital’s HealthSource.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
7. In the space below, please provide any comments or suggestions you have concerning the 55Plus® program at Western Baptist Hospital. ______________________________________________________

To be entered in the FREE drawing, complete the survey and mail to: Western Baptist Hospital, Attention: Marketing Department, 2501 Kentucky Avenue, Paducah, KY 42003.