Community Health Survey-2015 Question Title * 1. North Country Hospital is seeking feedback to learn more about the healthcare needs that impact people who live in Orleans County and northern Essex County. From your viewpoint, how important is each of the following issues? 1. Vision needs Most Important Very Important Important Not Important Don’t Know Question Title * 2. Dental needs Most Important Very Important Important Not Important Don’t Know Question Title * 3. Infections like pneumonia, flu and/or hepatitis that can be prevented by immunizations Most Important Very Important Important Not Important Don’t Know Question Title * 4. Infant or childhood diseases that can be prevented by immunizations Most Important Very Important Important Not Important Don’t Know Question Title * 5. Child abuse or neglect Most Important Very Important Important Not Important Don’t Know Question Title * 6. Violence in the home Most Important Very Important Important Not Important Don’t Know Question Title * 7. Rape and/or sexual assault Most Important Very Important Important Not Important Don’t Know Question Title * 8. Homelessness Most Important Very Important Important Not Important Don’t Know Question Title * 9. Alcohol abuse among adults Most Important Very Important Important Not Important Don’t Know Question Title * 10. Alcohol use among youth under 21 years old Most Important Very Important Important Not Important Don’t Know Question Title * 11. Tobacco use among youth under 18 years old Most Important Very Important Important Not Important Don’t Know Question Title * 12. Tobacco use among adults age 18 and older Most Important Very Important Important Not Important Don’t Know Question Title * 13. Abuse of prescription medications among adults 18 years and older Most Important Very Important Important Not Important Don’t Know Question Title * 14. Abuse of prescription medications among youth under 18 years old Most Important Very Important Important Not Important Don’t Know Question Title * 15. Use of street drugs such as heroin, cocaine, etc. among adults 18 years and older Most Important Very Important Important Not Important Don’t Know Question Title * 16. Use of street drugs such as heroin, cocaine, etc. among youth under 18 years old Most Important Very Important Important Not Important Don’t Know Question Title * 17. Abuse of prescription medications among youth under 18 years old Most Important Very Important Important Not Important Don’t Know Question Title * 18. Mental health problems such as anxiety and depression Most Important Very Important Important Not Important Don’t Know Question Title * 19. Suicide or attempted suicide Most Important Very Important Important Not Important Don’t Know Question Title * 20. Being overweight – adults age 18 years and older Most Important Very Important Important Not Important Don’t Know Question Title * 21. Being overweight – youth under 18 Most Important Very Important Important Not Important Don’t Know Question Title * 22. Physical activity/exercise (at least 150 minutes per week) Most Important Very Important Important Not Important Don’t Know Question Title * 23. Healthy eating habits such as eating fruits & vegetables daily Most Important Very Important Important Not Important Don’t Know Question Title * 24. Lack of affordable healthy food choices Most Important Very Important Important Not Important Don’t Know Question Title * 25. Listed below are healthcare services and/or community resources. From your viewpoint, how do they meet the needs in our community? For each item, please select the choice that best describes your opinion. 25. Elderly care services: Housing Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 26. Elderly care services: Meal programs Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 27. Elderly care services: Home Care Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 28. Elderly care services: Nursing Homes Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 29. Elderly care services: Adult day care Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 30. Elderly care services: Other, such as help with completing forms Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 31. Cancer Care: Screening/testing Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 32. Cancer Care: Treatment Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 33. Cancer Care: Prevention Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 34. Dental Care Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 35. Services specializing in eye care Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 36. Services for women who are pregnant Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 37. Services for new moms/dads and babies Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 38. Support services for people who need end of life care (hospice) Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 39. Services for people of any age to remain in their home Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 40. Services for people who have heart and/or breathing problems and/or diabetes Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 41. Services to quit tobacco use Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 42. Childcare Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 43. Services for people experiencing violence in the home or sexual assault Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 44. Addiction support services Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 45. Mental health care when you need it Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 46. Alcohol treatment when you need it Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 47. Drug treatment when you need it Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 48. Medical care when you need it without going to the Emergency Department Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 49. Services for adults wanting a high school education Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 50. Services that encourage healthy eating, such as farmers markets, community gardens, etc. Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 51. Affordable exercise/fitness programs Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 52. Access to bicycles for adults Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 53. Access to bicycles for children Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 54. Recreation activities, such as swimming, hiking Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 55. Transportation for medical appointments Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 56. Transportation for other reasons Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 57. Safe walking and/or biking paths and sidewalks Available & Adequate Available but not enough Available but not when I need it or I can’t get there Not Available Not Sure Question Title * 58. Use this space to write in services that you believe are not available but are needed: Question Title * 59. In the last 18 months have you had a visit with any of the following?An eye doctor Yes No No need to Question Title * 60. A dental provider Yes No No need to Question Title * 61. A doctor/medical provider Yes No No need to Question Title * 62. A mental health provider Yes No No need to Question Title * 63. A substance abuse provider Yes No No need to Question Title * 64. What is your gender? Female Male Question Title * 65. What is your age? 18 years or younger 19-64 years old 65 years or older Question Title * 66. Please select the town you live in: Albany 05820 Barton 05822 Bloomfield 03590 Brownington 05860 Brunswick 05905 Canaan 05903 Charleston 05872 Coventry 05825 Craftsbury 05826 Derby 05829 Derby Line 05830 Glover 05839 Greensboro 05841 Holland 05830 Irasburg 05845 Island Pond/Brighton 05846 Jay 05859 Lemington 05903 Lowell 05847 Morgan 05853 Newport 05855 Newport Town 05857 Norton 05907 North Stratford 03590 North Troy 05859 Orleans 05860 Troy 05868 Westfield 05874 Westmore 05860 Other Question Title * 67. My household yearly income is: Less than $25,000 $26,000--$50,000 More than $50,000 I'd rather not say This Community Health Survey was designed with help from representatives of local organizations including, The Vermont Department of Health, Orleans Essex VNA & Hospice, Northeast Kingdom Learning Services, Newport City Elementary School, North Country Hospital and Northeast Kingdom Human Services.Thank you for your participation! Done