aybolit | Locale

submissions login_form blurb
en	To prevent fraud, we require you to identify yourself to us. Please do so using one of the following:
submissions login_form privacy_note
en	Your info will only be used for indentification. We will not publish your full name, nor post on your social media accounts without your prior consent.
submissions main_form district_select_label
en	Select District
submissions main_form doctor_experience_label
en	Your experience with the doctor
submissions main_form doctor_label
en	Doctor's name
submissions main_form hospital_experience_label
en	Your experience with the hospital (optional)
submissions main_form hospital_label
en	Hospital
submissions main_form hospital_select_label
en	Select Hospital
submissions main_form oblast_select_label
en	Select Oblast
submissions main_form occurred_label
en	When was this? (optional)
submissions main_form submit_button
en	Move to last step
submissions prereq_form prereq1
en	I had a positive experience with my doctor.
submissions prereq_form prereq2
en	I did not pay a bribe.
submissions prereq_form submit_button
en	Get Started

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