West Ascension Parish Hospital wants to know what you think are the priority healthcare needs today in the Ascension Parish West Bank community. Your answers will help the Hospital design and develop a new hospital and medical center in Donaldsonville.

This survey takes less than five minutes to complete. Thank you for sharing your voice!

Section 1: Your Thoughts on the Hospital Today

1.How would you rate West Ascension Parish Hospital (formerly Prevost Memorial Hospital) today?

Not Sure

Poor

Okay

Good

Very Good

Not Sure

Poor

Okay

Good

Very Good

2.About two and a half years ago, new leaders began to oversee and manage West Ascension Parish Hospital (formerly Prevost Memorial Hospital). Have you noticed any positive changes since then?

No

Yes (Please specify what positive changes have you noticed.)

Section 2: Planning the New Hospital and Medical Center

The West Bank community deserves a new, modern medical facility that better serves our community.

*3.Which services are most important to you and your family? (Check your top five priorities)(Required.)

Emergency Care

Pharmacy

Transportation Service

Having a Baby / Maternity Care

Children's Health Care

Mental Health / Counseling

Women’s Health / Gynecology

Prostate Care / Urology

Sickle Cell Anemia Care

Heart Health

Diabetes Care

Infusion Therapy for Lupus, Rheumatoid Arthritis, etc.

Heart Health / Cardiology

Physical Therapy

Food Pantry

Community Room Available for Rental

Meals for Sale

Education Programs for Healthcare Jobs

Summer Youth Job Shadowing Program

Dental Care

Other (Please specify.)

4.What is your zip code?

Section 3: Additional Input for the Hospital

5.Is there anything else you would like to share with hospital leadership?

Thank you! Your voice helps make our hospital better for everyone.