2026 Community Health Needs Assessment Survey

Houston Methodist is conducting a Community Health Needs Assessment for its community service area. The information collected in this survey will allow organizations across our region to better understand the health needs in our community. The knowledge gained will be used to implement programs that will benefit everyone in the community. We can better understand needs by gathering the voices of community members like you to tell us about the issues that you feel are the most important. Please take a moment to complete the following questionnaire.

The responses that you provide will remain anonymous and your participation in this survey is voluntary.

For questions about this questionnaire, email chna@houstonmethodist.org

3.Ethnicity: Which ethnicity do you most identify with?

Other (please specify)

6.Household Income: Please select the range that includes the income of all persons living within your household

7.Health Coverage: If any, please indicate the type of health insurance you have:

County sponsored (Gold Card/Harris Health Financial Assistance Program, etc.)

Medicaid (Traditional Medicaid, STAR Health, etc.)

Medicare (Part A, Part B, Medigap, etc.)

Private Health Insurance (United Healthcare, Aetna, etc.)

I do not have health insurance

8.Residing Zip Code:

I am currently homeless or I do not have a permanent residence

Prefer not to answer

The zip code I most reside in is

Tell Us About Your Health

10.Diet and Nutrition: On a scale of 1 to 5, how would you rate your eating habits or diet?

5 – Very Healthy (e.g. rare consumption of fast food, low amounts of sugar and/or salt, daily consumption of vegetables, daily recommended amount of water intake, little to no red meat, etc.)

1 – Very Unhealthy (e.g. daily intake of fast food, high amounts of sugar and/or salt, low consumption of vegetables, little to no water consumption, high levels of red meat, etc.)

11.What are the top THREE biggest barriers that prevent you from eating healthy foods? (Select top 3)

Lack of access to grocery stores or markets with healthy foods

I do not know how to prepare healthy foods

I need to learn more about what food is best for my health

High costs of healthy foods

Taste preferences

Lack of time

It is hard to change my eating habits

I feel my diet is already healthy

There are no barriers

14.Do you have a primary care physician?

Yes

15.When is the last time you visited your primary care physician?

Within the last 12 months

Within the last 2 years

More than 2 years ago

Not applicable

16.Have you ever been referred to see a Specialist? (Example: Cardiology, Oncology, Endocrinology, Neurology, etc.)

Yes

Don't Know

17.If yes, did you follow through and see the specialist?

Yes

Not applicable

19.What kind of place do you usually go if you are sick and need healthcare?

A doctor’s office or health center (private medical office, charity clinic)

County Clinic (Harris Health)

Urgent Care center

Hospital Emergency Room

A VA Medical Center or VA outpatient clinic

Other (please specify)

20.During the past 12 months, how many times have you gone to a hospital emergency room about your health? (This includes visits that resulted in hospital admission)

0 times

1-3

4-6

More than 6 times

During the past 12 months, were any of the following true for you?

21.You DELAYED OR SKIPPED filling a prescription to save money.

Yes

22.During the past 12 months, was there any time when you needed prescription medication, but DID NOT GET IT because of the cost?

Yes

Tell Us About Your Community and Social Experiences

26.During the past 12 months, have you and/or your immediate family DELAYED getting medical care because of the cost?

Yes

27.During the past 12 months, was there any time you and/or your immediate family needed medical care, but DID NOT GET IT because of the cost?

Yes

28.How true is the following statement for your household in the last 12 months?: “I worried whether our food would run out before we got money to buy more.”

Often True

Sometimes True

Never True

Prefer Not to Answer

29.How true is the following statement for your household in the last 12 months?: “The food you bought just didn’t last and you didn’t have money to get more.”

Often true

Sometimes true

Never true

Prefer not to answer

30.How true is the following statement for your household in the last 12 months?:
“You could not afford to eat healthy meals.”

Often true

Sometimes true

Never true

Prefer not to answer

31.How true is the following statement for your household in the last 12 months?: "I have you been worried or concerned about not being able to afford to pay my rent/mortgage?"

Often True

Sometimes True

Never True

Prefer Not to Answer

Tell Us About Your Transportation

32.Within the last year, have you ever missed an appointment or been unable to obtain needed healthcare because of problems with your transportation?

Yes

33.If yes, what was the reason(s) you could not get to the clinic? (Select all that apply)

Tell Us How You Feel

35.Have you ever been diagnosed with a mental health disorder before e.g. bipolar disorder, anxiety, depression, PTSD, etc.?

Yes

36.During the past 12 months, was there any time when you felt you would benefit from mental health care or counseling support?

Yes

37.During the past 12 months, was there anytime when you needed counseling or therapy from a mental health professional, but DID NOT GET IT because of the cost?

Yes

Current Progress,

0 of 38 answered