Best of Lake Erie West Health

Answers marked with a * are required.

1. Best of Lake Erie West- Health

(Note: We are requesting that each individual vote only once in the Best of Lake Erie West- Health program)
(All information will be kept CONFIDENTIAL and will not be shared.)
(For your vote to count, you must complete an entry for at least six (6) of the categories below.)
(Note: After you identify the name of a company below, indicate whether this company is a current or past Supplier. This could be a Supplier to your business, your organization, or you and your family personally.)

1. Your Name

2. Your Company Name

3. Your Email Address

4. Best Cardiology Practice

Name of Business
Supplier (Yes or No)

5. Best Chiropractic Practice

Name of Business
Supplier (Yes or No)

6. Best Cosmetic Surgery Practice

Name of Business
Supplier (Yes or No)

7. Best Dental Practice

Name of Business
Supplier (Yes or No)

8. Best Funeral Home

Name of Business
Supplier (Yes or No)

9. Best Health/Fitness Club

Name of Business
Supplier (Yes or No)

10. Best Hospital

Name of Business
Supplier (Yes or No)

11. Best Medical Imaging/Radiology Practice

Name of Business
Supplier (Yes or No)

12. Best Occupational Therapy Practice

Name of Business
Supplier (Yes or No)

13. Best Optical Goods Retailer

Name of Business
Supplier (Yes or No)

14. Best Optometry Practice

Name of Business
Supplier (Yes or No)

15. Best Retirement Community

Name of Business
Supplier (Yes or No)


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