2018 Bath County Community Health Needs Assessment

Thank you for your participation in our 2018 Community Health Needs Assessment community survey.  This purpose of this survey is to help us improve the delivery of healthcare to our community.  This survey should take approximately 10 minutes to complete.  Your survey answers will be confidential and reported only in aggregate.  If you have questions about this survey please contact Amy Phillips, Manager of Development and Communications at Bath Community Hospital at 540-839-7179.  Thank you very much for your time and support in making our community a healthier place to live. 

Please select your gender

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* 1. Please select your gender

Please select your age group

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* 2. Please select your age group

What category best describes your annual household income?

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* 3. What category best describes your annual household income?

Please enter your zip code

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* 4. Please enter your zip code

How would you rate your overall health? Would you say it is ..........?

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* 5. How would you rate your overall health? Would you say it is ..........?

Which of the following have you utilized in the past 12 months for your basic healthcare needs? 

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* 6. Which of the following have you utilized in the past 12 months for your basic healthcare needs? 

Was there a time in the past 12 months when you needed to see a provider but could not?

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* 7. Was there a time in the past 12 months when you needed to see a provider but could not?

What are some of the reasons why you could not see a doctor?

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* 8. What are some of the reasons why you could not see a doctor?

Have you traveled outside the area to see a specialist?

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* 9. Have you traveled outside the area to see a specialist?

What are the top 2 or 3 issues in our community that impact people's health?

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* 10. What are the top 2 or 3 issues in our community that impact people's health?

What do you think the community can do to provide a positive impact on the communities health?

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* 11. What do you think the community can do to provide a positive impact on the communities health?

Do you have any suggestions on potential partnerships that are available to Bath Community Hospital, such as wellness, parks & rec, etc?

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* 12. Do you have any suggestions on potential partnerships that are available to Bath Community Hospital, such as wellness, parks & rec, etc?

In terms of serving people in our area, which of the following hospital comes to your mind?

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* 13. In terms of serving people in our area, which of the following hospital comes to your mind?

Which facility offers the best overall care?

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* 14. Which facility offers the best overall care?

Which facility offers the best quality of care?

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* 15. Which facility offers the best quality of care?

How familiar are you with Bath Community Hospital?

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* 16. How familiar are you with Bath Community Hospital?

Which of the following statements best describes how much you would trust "Bath Community Hospital" with your healthcare?

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* 17. Which of the following statements best describes how much you would trust "Bath Community Hospital" with your healthcare?

To what extent do you agree or disagree with the following statement?  

I would choose Bath Community Hospital or Bath Community Physicians Group the next time I have a healthcare need.

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* 18. To what extent do you agree or disagree with the following statement?  

I would choose Bath Community Hospital or Bath Community Physicians Group the next time I have a healthcare need.

To what extent do you agree or disagree with the following statement?  

I would recommend Bath Community Hospital or Bath Community Physicians Group to my friends/family.

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* 19. To what extent do you agree or disagree with the following statement?  

I would recommend Bath Community Hospital or Bath Community Physicians Group to my friends/family.

Are there any healthcare services you would like to see offered at Bath Community Hospital?

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* 20. Are there any healthcare services you would like to see offered at Bath Community Hospital?

Do you have any additional questions or comments you would like to make in reference to the 2018 Community Health Needs Assessment?

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* 21. Do you have any additional questions or comments you would like to make in reference to the 2018 Community Health Needs Assessment?

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