2026 Community Needs Assessment Survey

1.Please select the county where you reside.

Other:

4.What is your ethnicity?

Hispanic or Latino or Spanish Origin

Not Hispanic or Latino or Spanish Origin

7.What do you consider your current health status to be?

Excellent

Good

Fair

Poor

8.Do you have a personal physician?

Yes

No

9.Where do you prefer to go for routine health care?

Other:

10.Have you had a physical examination by your physician in the past year?

Yes

No

I am not under the care of a physician

11.Do you routinely exercise?

Yes

No

12.If yes, how often do you exercise?

I do not exercise regularly

Once a week

2-3 times a week

4-5 times a week

14.Have you or are you currently suffering from depression?

Yes

No

15.Have you been diagnosed with a mental illness?

Yes

No

17.Are you following physician recommendations and treatment for your condition(s)?

Yes

No
Please explain why:

18.Have you been a patient in a hospital in the past year?

Yes

No

20.In the last year, was there a time when you needed medical care but were not able to receive it?

Yes

No

21.If you answered “yes” to the previous question, why weren’t you able to receive medical care? Choose all that apply.

I didn’t have health insurance

I couldn’t afford to pay my co-pay or deductible

I didn’t have transportation

The doctor or clinic refused to take my insurance or Medicaid

I didn’t know where to find a doctor

Fear or mistrust of the healthcare system

Too long to wait for appointment

Other:

24.Please share any additional information regarding these health issues and your reasons for ranking them this way.

Questions 25-31: On a scale of 1 (strongly disagree) through 5 (strongly agree), please rate the following statements concerning health care access in the area.

25.Residents in the area are able to access a primary care provider when needed. (Family Doctor, Pediatrician, General Practitioner, etc.)

26.Residents in the area are able to access a medical specialist when needed. (Cardiologist, Dermatologist, Neurologist, etc.)

27.Residents in the area are able to access a dentist when needed.

28.There is a sufficient number of providers accepting Medicaid and Medical Assistance in the area.

29.There is a sufficient number of bilingual providers in the area.

30.There is a sufficient number of mental/behavioral health providers in the area.

31.Transportation for medical appointments is available to area residents when needed.

34.Please share any additional information regarding barriers to healthcare in the community.

35.Are there specific populations in this community that you think are not being adequately served by local health services?

Yes

No

37.In general, where do you think MOST uninsured and underinsured living in the area go when they are in need of medical care? Select one response.

Other:

39.Of the following categories, which would you suggest BEST represents your community affiliation? Select one response.

Community Member

Health Care/Public Health Organization

Mental/Behavioral Health Organization

Non-Profit/Social Services/Aging Services

Faith-Based/Cultural Organization

Education/Youth Services

Government/Housing/Transportation Sector

Business Sector

Other:

40.What challenges do people in the community face in trying to maintain healthy lifestyles like exercising and eating healthy and/or trying to manage chronic conditions like diabetes or heart disease?

41.In your opinion, what is being done well in the community in terms of health and quality of life?

42.What recommendations or suggestions do you have to improve health and quality of life in the community?

Thank you for taking the survey! Please select "Done" to submit your anonymous response.