Community Health Needs Assessment Health Professional & Community Leader Survey

The questions below are part of our triennial Community Health Needs Assessment. This survey is designed to provide information about the needs of individuals with physical disabilities who live in our community. Your feedback is very important to us and will go a long way in helping us continue to improve quality of life in the community we serve. Thank you for your time!

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* 1. Name of organization or agency:

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* 2. Which of the following services need to be more available and accessible for people with physical disabilities? (check all that apply):

Medical care

Medical devices (e.g., walker, cane, tub bench, etc.)

Medication

Dental care

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* 3. Are the above services not available or accessible due to lack of any of the following? (check all that apply):

Internet & computer technology

Financial resources

Transportation

Knowledge of available services & resources

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* 4. Which of the following services should be provided for people with physical disabilities? (check all that apply)

Medication education

Nutritional education & counseling

Chronic disease management (e.g., diabetes, COPD, high blood pressure, etc.)

Health & wellness

Weight management

Fitness training

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* 5. Which of the following are important to maintaining the health of people with physical disabilities? (check all that apply)

Peer support

Support groups

Recreational/physical activities

Individual counseling

Participation in the community

Support for caregivers

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* 6. 5. Would people with disabilities benefit from assistance in navigating the healthcare system in order to get their needs met (e.g., finding services, filling out forms, etc.)?

Yes

Community Health Needs Assessment Health Professional & Community Leader Survey

Question Title

* 1. Name of organization or agency:

Question Title

* 2. Which of the following services need to be more available and accessible for people with physical disabilities? (check all that apply):

Question Title

* 3. Are the above services not available or accessible due to lack of any of the following? (check all that apply):

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* 4. Which of the following services should be provided for people with physical disabilities? (check all that apply)

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* 5. Which of the following are important to maintaining the health of people with physical disabilities? (check all that apply)

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* 6. 5. Would people with disabilities benefit from assistance in navigating the healthcare system in order to get their needs met (e.g., finding services, filling out forms, etc.)?

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* 7. What is most needed for people with physical disabilities to maintain their health?

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* 8. What is the biggest barrier for people with physical disabilities in terms of staying healthy?