2024 Community Health Needs Assessment Community Survey

Thank you for taking the time to share your input on community health needs through the Cleveland Area Hospital Community Health Needs Assessment Survey. Your submissions are confidential. Only our consultants (Eide Bailly LLP) see individual responses and then share summarized information with us. No personal identifiers are required.

The survey takes less than 5 minutes to complete.

Question Title

* What is your home zip code?

Question Title

* What is your age?

25 or under

26 - 39

40 - 54

55 - 64

65 or over

Question Title

* Are you a guardian, parent, or caretaker for another individual?

Yes

Question Title

* How do you prefer to receive information about healthcare services? Check all that apply.

Primary Care provider

Mail

Healthcare provider's website

Newspaper ads

Google

Social media (Facebook, Instagram, Twitter, YouTube, TikTok, Snapchat)

Radio

TV cable or local channels

TV/internet streamed services

Flyers in common community areas

Other (please specify)

Question Title

* What prevents you, if anything, from receiving healthcare services? (check all that apply). If nothing is preventing you from receiving healthcare services, please leave blank.

Unsure which healthcare decisions are right for me/my family

Me/my family don’t typically seek out healthcare services

Language barriers

Don’t know how to find healthcare providers

Don’t understand the need to see healthcare providers

Fear (e.g. not ready to face/discuss health issue)

Lack of availability of doctors/services

Unpleasant past healthcare experience

No insurance

Insured but unable to pay for care/copays/deductibles

Insured but the service I need is not covered by my insurance

Transportation (cost, lack of, not convenient or conducive to appointment availability, etc.)

Lack of diverse providers who I feel comfortable seeing

Cultural/religious beliefs

Other (please specify)

Question Title

* How do you view the following health care topics in your community?

	Needs Improvement	Average	Above Average	I Don't Know
Quality of hospital/clinic care	Quality of hospital/clinic care Needs Improvement	Quality of hospital/clinic care Average	Quality of hospital/clinic care Above Average	Quality of hospital/clinic care I Don't Know
Quality of physician/provider care	Quality of physician/provider care Needs Improvement	Quality of physician/provider care Average	Quality of physician/provider care Above Average	Quality of physician/provider care I Don't Know
Number of physicians/providers	Number of physicians/providers Needs Improvement	Number of physicians/providers Average	Number of physicians/providers Above Average	Number of physicians/providers I Don't Know
Access to specialty services	Access to specialty services Needs Improvement	Access to specialty services Average	Access to specialty services Above Average	Access to specialty services I Don't Know
Closeness/convenience of services	Closeness/convenience of services Needs Improvement	Closeness/convenience of services Average	Closeness/convenience of services Above Average	Closeness/convenience of services I Don't Know
Hours the physicians/provider offices are open	Hours the physicians/provider offices are open Needs Improvement	Hours the physicians/provider offices are open Average	Hours the physicians/provider offices are open Above Average	Hours the physicians/provider offices are open I Don't Know
Access to long term care	Access to long term care Needs Improvement	Access to long term care Average	Access to long term care Above Average	Access to long term care I Don't Know
Access to emergency care services	Access to emergency care services Needs Improvement	Access to emergency care services Average	Access to emergency care services Above Average	Access to emergency care services I Don't Know
Access to urgent care services	Access to urgent care services Needs Improvement	Access to urgent care services Average	Access to urgent care services Above Average	Access to urgent care services I Don't Know
Access to dental services	Access to dental services Needs Improvement	Access to dental services Average	Access to dental services Above Average	Access to dental services I Don't Know
Access to optometry services	Access to optometry services Needs Improvement	Access to optometry services Average	Access to optometry services Above Average	Access to optometry services I Don't Know
Access to mental health services	Access to mental health services Needs Improvement	Access to mental health services Average	Access to mental health services Above Average	Access to mental health services I Don't Know
Access to substance abuse treatment	Access to substance abuse treatment Needs Improvement	Access to substance abuse treatment Average	Access to substance abuse treatment Above Average	Access to substance abuse treatment I Don't Know
Access to telehealth services	Access to telehealth services Needs Improvement	Access to telehealth services Average	Access to telehealth services Above Average	Access to telehealth services I Don't Know

2024 Community Health Needs Assessment Community Survey

Question Title

* What is your home zip code?

Question Title

* What is your age?

Question Title

* Are you a guardian, parent, or caretaker for another individual?

Question Title

* How do you prefer to receive information about healthcare services? Check all that apply.

Question Title

* What prevents you, if anything, from receiving healthcare services? (check all that apply). If nothing is preventing you from receiving healthcare services, please leave blank.

Question Title

* How do you view the following health care topics in your community?

Question Title

* For any topic (above) you think needs improvement, please explain in a sentence or two.