Resident Health Services Survey

Responses are Anonymous and are used only for research purposes

Question Title

* 1. What building do you currently live in?

Wilson Apartments

Twin Towers North

Hillcrest Apartments

Cottages

Family Units

Question Title

* 2. Who is your primary physician?

Question Title

* 3. Are you being treated for any of the following?

Diabetes

Heart Disease

COPD

High Blood Pressure

Mental Health

Wound Care

Kidney Disease

Other (please specify)

Question Title

* 4. What type of health insurance do you have? Check all that apply.

Medicaid

Medicare

Private Insurance through an employer

Medicare Supplement

I do not have health insurance

Other (please specify)

Question Title

* 5. What mode of transportation do you use to get to your primary care physician?

Personal Car

Caregiver Transports Me

Family Transports Me

Taxi Cab

SMTS/BATS Public Transportation

Ambulance

Other (please specify)

Question Title

* 6. How often do you see your primary physician?

Only when I'm not feeling well

Once a Month

Every other Month

Once every Three Months

Twice a year

Question Title

* 7. What health related services would you use most frequently?

Nutrition and Health Eating

Blood Pressure Checks

Blood Sugar Checks

On Site Mental Health Services

Urgent Care

Wound Care Clinics

Other (please specify)

Question Title

* 8. How many times in the last year have you used Emergency Room Services?

1-3 Times

3-6 Times

6 or more Times

I have not used Emergency Room Services in the last year

Question Title

* 9. Are you interested in telehealth or internet based healthcare?

Yes

Question Title

* 10. Would you use an onsite urgent care?

Yes