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Massac Memorial CHNA survey 2026
Community Health Needs Assessment
These questions help assess the community's health needs and available services. Your information and the opinions you provide are very important in helping us determine where resources and services are needed.
1.
What is the zip code of your residence?
62908 - Mermet
62910 - Brookport, Hamletsburg, New Liberty, Shady Grove, Unionville
62938 - Temple Hill, Golconda
62953 - Joppa
62956 - Karnak
62960 - Metropolis, Round Knob
62995 - Vienna
Other (please specify)
2.
Would you say your overall general health is
Excellent
Very good
Good
Fair
Poor
3.
Do you currently have any of the following types of healthcare coverage? Please make a selection for EACH row.
Yes
No
Do not know
Medicaid
Yes
No
Do not know
Medicare
Yes
No
Do not know
Private (employer based, self-insured)
Yes
No
Do not know
Public (Marketplace, Obamacare)
Yes
No
Do not know
Uninsured/self pay
Yes
No
Do not know
4.
How long has it been since you visited a healthcare provider (such as a doctor, nurse practitioner, etc.) Select only one.
Within the past 6 months
Within the past year
Within the past 2 years
Within the past 5 years
Don't know/Unsure
5.
Do you have a person you think of as your personal doctor or healthcare provider?
Yes
No
Do not know
6.
Within the past 12 months, have your received any of the following health-related services? Select one answer for EACH row.)
Yes
No
Do not know
Dental care
Yes
No
Do not know
Mental health care
Yes
No
Do not know
Drug or alcohol treatment
Yes
No
Do not know
Tobacco/smoking cessation
Yes
No
Do not know
Getting prescription medications
Yes
No
Do not know
Getting immunizations, such as a flu shot or others
Yes
No
Do not know
Care related to birth control
Yes
No
Do not know
Prenatal or well-baby care
Yes
No
Do not know
Women, Infants & Children (WIC) supported services
Yes
No
Do not know
Food Stamps or SNAP
Yes
No
Do not know
Chronic disease care, such as for diabetes or heart disease
Yes
No
Do not know
Acute care, such as for an ear infection, cough, injury or fall
Yes
No
Do not know
Annual routine physical examination
Yes
No
Do not know
7.
During the past 12 months, were there any times you needed prescription medicine but did not get it because you could not afford it?
Yes
No
Do not know
8.
Which of the following best describes your personal/family use of social services within the community in the past 12 months?
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Food pantry
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Homeless shelter
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Free or emergency childcare help
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Domestic abuse services
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Employment services
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Prenatal programs or breast feeding support
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Mental/behavioral health programs
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Rural transit or city bus services
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Walk in healthcare clinic
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Financial help with bills (utility bills, etc.)
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Financial help paying medical bills
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Legal help
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
STI/STD testing, treatment or prevention
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Help with my health insurance (regardless of how it is provided)
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
Substance abuse services
I did not feel the need for this type of service.
I felt I needed help in this area but did not look or ask for help.
I tried to find help in this area, but did not know who/where to ask or could not find help.
I sought and received this kind of service.
9.
Please consider the strengths of the hospital and clinics. What are the things we do well?
1.
2.
3.
4.
5.
10.
What opportunities/problems exist in the community (relating to health or a healthy lifestyle) that are not being adequately addressed?
1.
2.
3.
4.
5.
11.
What do you think are the FIVE most important health issues in your community?
Basic needs
: food, shelter, safety, transportation
Access to care:
medical/healthcare and health care coverage
Injuries
: gun related, car accidents, 4-wheeler accidents, falls
Substance abuse
: tobacco, alcohol, meth, heroin, prescription drugs
Child abuse/Safety
: child abuse or neglect
Chronic diseases:
diabetes, cancer, heart disease, stroke, high blood pressure, high cholesterol
Infectious diseases
: HIV, chlamydia or other STDs, Hepatitis, food poisoning
Well-baby:
prenatal care, after care for mother and newborns, teen pregnancy, unintended or unplanned pregnancy
Obesity:
eating unhealthy foods, lack of healthy foods
Lack of exercise
: physical inactivity, poor access to walking paths, sidewalks, parks, recreational activities
Mental/behavioral health:
depression, stress, anxiety
12.
What is your sex?
Male
Female
Prefer not to disclose
13.
What is your year of birth?
2000 or after
1990-1999
1980-1989
1970-1979
1960-1969
1950-1959
Before 1950