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CHNA 2026

Community Health Needs Assessment 2026

All responses are CONFIDENTIAL and will be used for data purposes of the residents of Faulk County, SD and the surrounding communities.
1.Where do you live?(Required.)
2.Gender:(Required.)
3.Age:(Required.)
4.Marital Status:(Required.)
5.How many people live in your household? (including yourself)(Required.)
6.What is the age range of people in your household? (check all the apply)
7.Race/Ethnic Origin:(Required.)
8.Highest level of education completed:(Required.)
9.Are you the primary care giver for any of the following? (check all that apply)(Required.)
10.If you are a caregiver, how often do you feel overwhelmed or stressed in your caregiving role?
11.Does anyone in your household currently require home health services? (nursing, therapy, personal care, etc.)
12.If you answered yes to the previous question, what support is needed? (check all that apply)
13.If you answered the previous question, how is this need currently being met?
14.Does anyone in your household have a chronic health condition?
15.What is your current living situation?(Required.)
16.What is your household income?
17.Do you or anyone in your household experience housing instability? (difficulty paying rent/mortgage, unsafe conditions, frequent moves, ect.)
18.Are you worried about losing your housing in the next 6-12 months?
19.How easy or difficult is it for your household to find housing in Faulkton/Faulk County?
20.If you or your household have looked for housing recently, what type of housing is hardest to find? (check all that apply)
21.If your household is having trouble finding or affording housing, what type of support would be most helpful? (check all that apply)
22.Do you have health insurance?
23.What are the biggest health issues or concerns in your community?(Required.)
24.What do you think is the most pressing health care related need for you, your family or our community?(Required.)
25.What keeps people in our community from seeking medical attention?(Required.)
26.Where do you and your family get most of your health information?(Required.)
27.What health screenings or education services are needed in our community?(Required.)
28.In the past 12 months, have you had a(n): (check all that apply)(Required.)
29.In the past 12 months, have you or someone you know had difficulty getting needed healthcare?
30.If you answered yes to the previous question, why? (check all that apply)
31.How often do you or a household member experience behavioral health symptoms? (stress, anxiety, depression, mood changes, ect.)
32.How much do these symptoms interfere with daily activities? (work, school, household responsibilities, social activities, ect.)
33.What barriers, if any, prevent you from accessing behavioral health services? (check all that apply)
34.Are there unmet behavioral health needs in your household?
35.Did you ever skip meals or reduce portion sizes due to lack of food?
36.What type of food support would be most helpful for your household? (check all that apply)
37.In the past 12 months, have you ever worried that your household would not have enough food?
38.Have you been hospitalized in the last:(Required.)
39.In the past 12 months, have you or anyone in your household sought healthcare services outside of FAMC?
40.If you answered yes to the previous question, which types of healthcare services were sought outside of FAMC? (check all that apply)
41.What were the main reasons for seeking care outside of FAMC if any? (check all that apply)
42.Are there services you wish FAMC offered locally so you wouldn't have to go elsewhere?
43.In what ways do you think the hospital is serving the community well?(Required.)
44.In what ways could the hospital improve the way in which it serves the community?(Required.)
45.How well do you feel FAMC meets the health needs of your household?
46.What services do you feel are needed in our community that currently do not exist?(Required.)
47.Do you see other community members working together in collaboration to address community health needs?(Required.)
48.What is the number one thing the hospital could do to improve the health and quality of life of the community?(Required.)
49.Please select the top 3 most important needs in our community
50.What are the biggest challenges to staying healthy in Faulkton/ Faulk county?
51.Any other comments you think are important to address in this survey