2022 Community Health Opinion Survey

Dear Community Member,

During the next few months Brunswick County Health Services, Dosher Memorial Hospital, and Novant Health Brunswick Medical Center will conduct a Community Health Needs Assessment to identify ways we can improve the health and wellness of individuals living in the County. Your answers to this survey will help us understand what is important and how we can better serve the County.

This survey should take about 15 minutes to complete. Your responses are confidential. If you need help with this survey, please call 1-877-257-8783.

PLEASE DO NOT COMPLETE THIS SURVEY IF YOU DO NOT LIVE IN BRUNSWICK COUNTY.

Part 1) ABOUT YOU AND YOUR HOUSEHOLD

Question Title

* 1. Do you live in Brunswick County?

Yes, Full Time

Yes, Part Time

No, I don't live in Brunswick County

Question Title

* 2. What is your home zip code?

Question Title

* 3. How many people live in your home (including yourself)?. Including yourself, how many people in the following age groups live in your household? Please choose an answer for each age group.

	Total People in Household
People in the Household:	People in the Household: Total People in Household menu
Less than 5 years old	Less than 5 years old Total People in Household menu
5 to 12 years old	5 to 12 years old Total People in Household menu
13 to 17 years old	13 to 17 years old Total People in Household menu
18 to 54 years old	18 to 54 years old Total People in Household menu
55 years and older	55 years and older Total People in Household menu

Question Title

* 4. What is your age range?

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 5. What is your gender?

Male

Female

Prefer to self-identify

Prefer not to answer

Question Title

* 6. What is your sexual orientation?

Straight

Gay

Lesbian

Bisexual

Transgender

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* 7. What is your race and/or ethnicity?

White or Caucasian

Black or African American

Hispanic or Latino

More than one race

Prefer not to answer

Other (please specify)

Part 2) THE COMMUNITY AND HEALTH

Question Title

* 8. How do you rate the importance of the following COMMUNITY ISSUES for Brunswick County? (Select below):

	Very Important	Important	Not Important
Poverty	Poverty Very Important	Poverty Important	Poverty Not Important
Child maltreatment, neglect and abuse	Child maltreatment, neglect and abuse Very Important	Child maltreatment, neglect and abuse Important	Child maltreatment, neglect and abuse Not Important
Domestic/sexual violence	Domestic/sexual violence Very Important	Domestic/sexual violence Important	Domestic/sexual violence Not Important
Discrimination/racism	Discrimination/racism Very Important	Discrimination/racism Important	Discrimination/racism Not Important
Violent crime	Violent crime Very Important	Violent crime Important	Violent crime Not Important
High paying jobs	High paying jobs Very Important	High paying jobs Important	High paying jobs Not Important
Transportation	Transportation Very Important	Transportation Important	Transportation Not Important
Homelessness	Homelessness Very Important	Homelessness Important	Homelessness Not Important
Educational opportunities (schools, community colleges, on the job training)	Educational opportunities (schools, community colleges, on the job training) Very Important	Educational opportunities (schools, community colleges, on the job training) Important	Educational opportunities (schools, community colleges, on the job training) Not Important
Services for disabled	Services for disabled Very Important	Services for disabled Important	Services for disabled Not Important
Culturally appropriate (sensitive to people's cultural identity or heritage) health services	Culturally appropriate (sensitive to people's cultural identity or heritage) health services Very Important	Culturally appropriate (sensitive to people's cultural identity or heritage) health services Important	Culturally appropriate (sensitive to people's cultural identity or heritage) health services Not Important

Other (please specify)

Question Title

* 9. How do you rate the importance of the following HEALTH ISSUES for Brunswick County? (Select below):

	Very Important	Important	Not Important
Infant mortality	Infant mortality Very Important	Infant mortality Important	Infant mortality Not Important
Low birthweight babies	Low birthweight babies Very Important	Low birthweight babies Important	Low birthweight babies Not Important
Pregnancy and infant wellness	Pregnancy and infant wellness Very Important	Pregnancy and infant wellness Important	Pregnancy and infant wellness Not Important
Births to teens or adolescents/Teen pregnancy	Births to teens or adolescents/Teen pregnancy Very Important	Births to teens or adolescents/Teen pregnancy Important	Births to teens or adolescents/Teen pregnancy Not Important
Child/Adult Immunizations	Child/Adult Immunizations Very Important	Child/Adult Immunizations Important	Child/Adult Immunizations Not Important
Family planning	Family planning Very Important	Family planning Important	Family planning Not Important
Health insurance	Health insurance Very Important	Health insurance Important	Health insurance Not Important
Access to healthcare	Access to healthcare Very Important	Access to healthcare Important	Access to healthcare Not Important
Health resource information	Health resource information Very Important	Health resource information Important	Health resource information Not Important
Child obesity/physical activity	Child obesity/physical activity Very Important	Child obesity/physical activity Important	Child obesity/physical activity Not Important
Asthma/Lung Disease	Asthma/Lung Disease Very Important	Asthma/Lung Disease Important	Asthma/Lung Disease Not Important
Cancer	Cancer Very Important	Cancer Important	Cancer Not Important
Chronic Disease (heart disease, high blood pressure, diabetes, stroke)	Chronic Disease (heart disease, high blood pressure, diabetes, stroke) Very Important	Chronic Disease (heart disease, high blood pressure, diabetes, stroke) Important	Chronic Disease (heart disease, high blood pressure, diabetes, stroke) Not Important
Dental health	Dental health Very Important	Dental health Important	Dental health Not Important
Mental health - Counseling/ Support groups	Mental health - Counseling/ Support groups Very Important	Mental health - Counseling/ Support groups Important	Mental health - Counseling/ Support groups Not Important
Elder care options	Elder care options Very Important	Elder care options Important	Elder care options Not Important
Respite for caregivers	Respite for caregivers Very Important	Respite for caregivers Important	Respite for caregivers Not Important

Other (please specify)

Question Title

* 10. What is your current living situation (check all that apply)?

I own my home

I rent my home/apartment

I live with family or friends

I live in temporary housing (shelter, motel, hotel, transitional housing)

I am homeless

Prefer not to answer

Other (please specify)

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* 11. What is the primary language spoken in your home?

English

Spanish

Other (please specify)

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* 12. In the past year, have you or your household been unable to get utilities (heat, electricity)?

Yes

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* 13. Within the past year, have you worried about losing your housing?

Yes

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* 14. What is your current employment status (check all that apply)?

Full-time work

Part-time work

Self-employed

Out of work and not currently looking for employment

A homemaker

Student

Retired

Unable to work

Disabled

Seasonal or migrant work

Other (please specify)

Question Title

* 15. What type of childcare do you use (select all that apply)?

I don’t use childcare

Faith-based programs

Private childcare center

Cared for by family members or friends

School-age child in afterschool program

Does not apply

Other (please specify)

Question Title

* 16. Are you on active duty, a reservist, or a veteran of the U.S. Armed Forces?

Yes

Not Applicable

Question Title

* 17. What is the highest level of school, college or vocational training you completed by May 2022?

Less than high school diploma

High school diploma or GED

Some college, no degree

Associate degree

Bachelor’s degree

Graduate degree (master’s, doctorate)

Other (please specify)

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* 18. What form of transportation do you use most often?

Personal/family vehicle

Family member/friend vehicle

Public transportation

Uber/Lyft concierge driver services

Other (please specify)

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* 19. In the past year, has lack of transportation kept you from going to medical appointments, other appointments or work?

Yes

Question Title

* 20. In the past year, has a lack of transportation kept you from getting things you need (e.g., food, medicine, basic necessities)?

Yes

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* 21. Please rate the following statements

	Never	Rarely	Sometimes	Usually	Always	N/A
Occupational - I get personal satisfaction from my knowledge, skills, and talents used at work/school	Occupational - I get personal satisfaction from my knowledge, skills, and talents used at work/school Never	Occupational - I get personal satisfaction from my knowledge, skills, and talents used at work/school Rarely	Occupational - I get personal satisfaction from my knowledge, skills, and talents used at work/school Sometimes	Occupational - I get personal satisfaction from my knowledge, skills, and talents used at work/school Usually	Occupational - I get personal satisfaction from my knowledge, skills, and talents used at work/school Always	Occupational - I get personal satisfaction from my knowledge, skills, and talents used at work/school N/A
Occupational - I am able to balance my work with my personal life	Occupational - I am able to balance my work with my personal life Never	Occupational - I am able to balance my work with my personal life Rarely	Occupational - I am able to balance my work with my personal life Sometimes	Occupational - I am able to balance my work with my personal life Usually	Occupational - I am able to balance my work with my personal life Always	Occupational - I am able to balance my work with my personal life N/A
Social - I communicate well with others by sharing my views and respectfully listening to others’ views	Social - I communicate well with others by sharing my views and respectfully listening to others’ views Never	Social - I communicate well with others by sharing my views and respectfully listening to others’ views Rarely	Social - I communicate well with others by sharing my views and respectfully listening to others’ views Sometimes	Social - I communicate well with others by sharing my views and respectfully listening to others’ views Usually	Social - I communicate well with others by sharing my views and respectfully listening to others’ views Always	Social - I communicate well with others by sharing my views and respectfully listening to others’ views N/A
Emotional - I find it easy to cope or express my emotions in positive, constructive ways	Emotional - I find it easy to cope or express my emotions in positive, constructive ways Never	Emotional - I find it easy to cope or express my emotions in positive, constructive ways Rarely	Emotional - I find it easy to cope or express my emotions in positive, constructive ways Sometimes	Emotional - I find it easy to cope or express my emotions in positive, constructive ways Usually	Emotional - I find it easy to cope or express my emotions in positive, constructive ways Always	Emotional - I find it easy to cope or express my emotions in positive, constructive ways N/A
Emotional - I am resilient and can bounce back after a disappointment or problem	Emotional - I am resilient and can bounce back after a disappointment or problem Never	Emotional - I am resilient and can bounce back after a disappointment or problem Rarely	Emotional - I am resilient and can bounce back after a disappointment or problem Sometimes	Emotional - I am resilient and can bounce back after a disappointment or problem Usually	Emotional - I am resilient and can bounce back after a disappointment or problem Always	Emotional - I am resilient and can bounce back after a disappointment or problem N/A
Spiritual - My morals, values, and beliefs are true priorities which are reflected in my actions	Spiritual - My morals, values, and beliefs are true priorities which are reflected in my actions Never	Spiritual - My morals, values, and beliefs are true priorities which are reflected in my actions Rarely	Spiritual - My morals, values, and beliefs are true priorities which are reflected in my actions Sometimes	Spiritual - My morals, values, and beliefs are true priorities which are reflected in my actions Usually	Spiritual - My morals, values, and beliefs are true priorities which are reflected in my actions Always	Spiritual - My morals, values, and beliefs are true priorities which are reflected in my actions N/A
Spiritual - My life has purpose and meaning	Spiritual - My life has purpose and meaning Never	Spiritual - My life has purpose and meaning Rarely	Spiritual - My life has purpose and meaning Sometimes	Spiritual - My life has purpose and meaning Usually	Spiritual - My life has purpose and meaning Always	Spiritual - My life has purpose and meaning N/A
Intellectual - I am curious and interested in communities beyond where I live	Intellectual - I am curious and interested in communities beyond where I live Never	Intellectual - I am curious and interested in communities beyond where I live Rarely	Intellectual - I am curious and interested in communities beyond where I live Sometimes	Intellectual - I am curious and interested in communities beyond where I live Usually	Intellectual - I am curious and interested in communities beyond where I live Always	Intellectual - I am curious and interested in communities beyond where I live N/A
Intellectual - I enjoy learning about things other than those I am required to use in education or work	Intellectual - I enjoy learning about things other than those I am required to use in education or work Never	Intellectual - I enjoy learning about things other than those I am required to use in education or work Rarely	Intellectual - I enjoy learning about things other than those I am required to use in education or work Sometimes	Intellectual - I enjoy learning about things other than those I am required to use in education or work Usually	Intellectual - I enjoy learning about things other than those I am required to use in education or work Always	Intellectual - I enjoy learning about things other than those I am required to use in education or work N/A
Physical - I protect myself and others from sickness (e.g., wash my hands, cover my cough, etc.)	Physical - I protect myself and others from sickness (e.g., wash my hands, cover my cough, etc.) Never	Physical - I protect myself and others from sickness (e.g., wash my hands, cover my cough, etc.) Rarely	Physical - I protect myself and others from sickness (e.g., wash my hands, cover my cough, etc.) Sometimes	Physical - I protect myself and others from sickness (e.g., wash my hands, cover my cough, etc.) Usually	Physical - I protect myself and others from sickness (e.g., wash my hands, cover my cough, etc.) Always	Physical - I protect myself and others from sickness (e.g., wash my hands, cover my cough, etc.) N/A
Physical - I limit drinking alcohol to less two drinks per day	Physical - I limit drinking alcohol to less two drinks per day Never	Physical - I limit drinking alcohol to less two drinks per day Rarely	Physical - I limit drinking alcohol to less two drinks per day Sometimes	Physical - I limit drinking alcohol to less two drinks per day Usually	Physical - I limit drinking alcohol to less two drinks per day Always	Physical - I limit drinking alcohol to less two drinks per day N/A

Part 3) YOUR PHYSICAL HEALTH

Question Title

* 22. Do you have a personal doctor or healthcare provider?

Yes

Question Title

* 23. Is your medical care provided in a way that respects your culture?

Yes

Question Title

* 24. Where do you go to get healthcare services when you are sick?

Community Health Center/Free Clinic

Doctor’s office

Emergency room

Health Department

Urgent Care

VA Clinic

I do not seek care when I am sick

Other (please specify)

Question Title

* 25. Which hospital do you primarily use for care?

Dosher Memorial Hospital

Novant Health Brunswick Medical Center

Grand Strand Medical Center

McLeod Seacoast Hospital

Novant New Hanover Regional Medical Center

Other (please specify)

Question Title

* 26. In the past year, have you gone to the emergency room for non-urgent care?

Yes

Unsure

Question Title

* 27. Where do you go when you need dental care?

Community Health Center/Free Clinic

East Carolina University Dental Clinic

Mobile Dental Clinic

Private Dentists’ Office

I don’t seek dental care

I can’t afford dental care

Other (please specify)

Question Title

* 28. Which of the following tests/screenings do you include in your health care (check all that apply)?

A1c or fasting blood sugar

Annual physical or well check

Blood pressure check

Cholesterol screening

Colonoscopy

Dental cleaning/X-rays

Flu shot

Mammogram

Vision screening

None

Other (please specify)

Question Title

* 29. What health insurance do you have (select all that apply)?

Medicare or Medicare Supplement Plan

Medicaid

Veteran Administration benefits

Private health insurance plan (provided by employer)

Private health insurance plan (self-pay)

Tricare, CHAMPUS

Affordable Care Act (can also be called” Obamacare”)

I do not have health insurance

Other (please specify)

Question Title

* 30. In the past year, what challenges have you had in getting prescription medication (select al that apply)?

Did not have challenges

Insurance did not cover

Did not have health insurance

Pharmacy hours inconvenient

Too expensive (total cost or co-pay)

Other (please specify)

Question Title

* 31. Do you currently use any cigarettes, tobacco, nicotine products (e-cigarettes, vape pens, JUUL), and chew tobacco?

Yes

Part 4) YOUR WELLNESS

Question Title

* 32. How would you rate your overall health?

Excellent

Very good

Good

Fair

Poor

Question Title

* 33. If you could improve your health, what would you do? (Check all that apply)

Eat more healthy food

Exercise more

Learn more about healthy living

Manage my disease or condition

Have preventative screenings

Stop or reduce using tobacco/nicotine products (including vape)

Stop or reduce using alcohol

Stop or reduce using prescription

Stop or reduce using illegal drugs

Access substance use treatment

Access mental health services

I am not interested in improving my health

Other (please specify)

Question Title

* 34. What types of health services are most important to you? (Select the top 5 services most important to you)

Alzheimer’s/Dementia care

Cancer care

Colorectal care or screening

Dental care

Diabetes care

Disease outbreak prevention

Drug and alcohol misuse

Emergency preparedness

Heart disease care

HIV/AIDS care and medication

High blood pressure management

Maternal/Infant services

Mental health/Depression care

Quitting use of tobacco products (including vape)

Routine wellness checks (mammogram, cholesterol, immunizations, well-child)

Sexually transmitted disease care

Suicide prevention

Telehealth

Vision care

Weight loss support

Other (please specify)

Question Title

* 35. Where do you get your health information? (Check all that apply)

Doctor/health professional

Friends or family

Health department

Hospital newsletter

Internet

Library

Newspaper/Magazine

Radio

Social media

Television

Other (please specify)

Question Title

* 36. Do you think Brunswick County has the resources to quickly respond to a challenge?

	Yes	No	Prefer not to answer
Opioids	Opioids Yes	Opioids No	Opioids Prefer not to answer
COVID	COVID Yes	COVID No	COVID Prefer not to answer
Disaster Preparation	Disaster Preparation Yes	Disaster Preparation No	Disaster Preparation Prefer not to answer
Hurricanes	Hurricanes Yes	Hurricanes No	Hurricanes Prefer not to answer

Other (please specify)

Part 5) YOUR BEHAVIORAL AND SOCIAL HEALTH

Question Title

* 37. Thinking about your mental health, which includes stress, depression, anxiety and problems managing emotions, how many days during the past month was your mental health “NOT GOOD”?

0 - 5 days

6 - 10 days

11 - 15 days

16 - 20 days

21 days or more

Question Title

* 38. Have you had a traumatic childhood event?

Yes

Question Title

* 39. If you answered yes to question 38; has that negatively impacted your mental health?

Yes

Question Title

* 40. Have you used any of the following illicit drugs in the past year?

Cocaine or crack

Ecstasy

Heroin

LSD

Marijuana

Methamphetamines (i.e. Meth)

Unknown drug(s)

Don’t know

None of the above

Prefer not to answer

Other (please specify)

Question Title

* 41. Have you taken medication not prescribed to you or in a way other than prescribed in the past year? (Including but not limited to codeine, Vicodin, Percocet, morphine, oxycodone, Tramadol, Fentanyl, Hydrocodone, or OxyContin)

Yes

Don't know/not sure

Prefer not to answer

Question Title

* 42. Where would you go if you needed help for your mental health and wellness?

Primary care doctor

Psychologist or another specialist

Pastor/Minister/Clergy

Private counselor or therapist

Friend or family

School counselor

Hospital

Work (Employee Assistance Program)

Crisis Hotline

Support groups (Alcoholics Anonymous or Narcotics Anonymous)

Other (please specify)

Question Title

* 43. In the past year, what prevented you from getting mental health care or substance use treatment? (Check all that apply)

Guilt or shame about mental health

Don’t believe that treatment will help

No health insurance (insurance will not cover)

Provider does not accept insurance

Cost was too high (private pay, co-pay or deductible)

Don’t know where to go

No transportation

Culture/personal beliefs

Not enough providers

Work interferes with appointment times

No childcare

Not ready to face the problem

Did not seek mental health or substance use care or treatment

Does not apply/ Did not need it

Not ready to face the problem

Other (please specify)

Question Title

* 44. Please tell us whether you "strongly agree", "agree", "disagree" or "strongly disagree" with the next few statements about substance use services.

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	Not aware/ No knowledge
In Brunswick County substance use services are affordable	In Brunswick County substance use services are affordable Strongly Agree	In Brunswick County substance use services are affordable Agree	In Brunswick County substance use services are affordable Neutral	In Brunswick County substance use services are affordable Disagree	In Brunswick County substance use services are affordable Strongly Disagree	In Brunswick County substance use services are affordable Not aware/ No knowledge
In Brunswick County substance use services are accessible and easy to find	In Brunswick County substance use services are accessible and easy to find Strongly Agree	In Brunswick County substance use services are accessible and easy to find Agree	In Brunswick County substance use services are accessible and easy to find Neutral	In Brunswick County substance use services are accessible and easy to find Disagree	In Brunswick County substance use services are accessible and easy to find Strongly Disagree	In Brunswick County substance use services are accessible and easy to find Not aware/ No knowledge
In Brunswick County substance use services are high quality	In Brunswick County substance use services are high quality Strongly Agree	In Brunswick County substance use services are high quality Agree	In Brunswick County substance use services are high quality Neutral	In Brunswick County substance use services are high quality Disagree	In Brunswick County substance use services are high quality Strongly Disagree	In Brunswick County substance use services are high quality Not aware/ No knowledge

Question Title

* 45. Below is a list of Environmental Risks that may be found in Brunswick County. Please review each risk and select whether you feel that risk is Most Urgent, Most Challenging, or Most Resource-Intense to Correct.

	Most Urgent	Most Challenging	Most Resource Intense to Correct
Indoor air pollution	Indoor air pollution Most Urgent	Indoor air pollution Most Challenging	Indoor air pollution Most Resource Intense to Correct
Water pollution	Water pollution Most Urgent	Water pollution Most Challenging	Water pollution Most Resource Intense to Correct
Waste disposal	Waste disposal Most Urgent	Waste disposal Most Challenging	Waste disposal Most Resource Intense to Correct
Clean air	Clean air Most Urgent	Clean air Most Challenging	Clean air Most Resource Intense to Correct
Safe drinking water	Safe drinking water Most Urgent	Safe drinking water Most Challenging	Safe drinking water Most Resource Intense to Correct
Outdoor air pollution	Outdoor air pollution Most Urgent	Outdoor air pollution Most Challenging	Outdoor air pollution Most Resource Intense to Correct
Accidents	Accidents Most Urgent	Accidents Most Challenging	Accidents Most Resource Intense to Correct
Pesticides	Pesticides Most Urgent	Pesticides Most Challenging	Pesticides Most Resource Intense to Correct
Coastal climate change	Coastal climate change Most Urgent	Coastal climate change Most Challenging	Coastal climate change Most Resource Intense to Correct
Violence	Violence Most Urgent	Violence Most Challenging	Violence Most Resource Intense to Correct
Personal Safety	Personal Safety Most Urgent	Personal Safety Most Challenging	Personal Safety Most Resource Intense to Correct
Housing	Housing Most Urgent	Housing Most Challenging	Housing Most Resource Intense to Correct
Trails, playgrounds, parks where you live	Trails, playgrounds, parks where you live Most Urgent	Trails, playgrounds, parks where you live Most Challenging	Trails, playgrounds, parks where you live Most Resource Intense to Correct
Over-development	Over-development Most Urgent	Over-development Most Challenging	Over-development Most Resource Intense to Correct

Question Title

* 46. Share with us how often you?

	Never	Rarely	Sometimes	Often	Always
Talk on the phone with family, friends, or neighbors?	Talk on the phone with family, friends, or neighbors? Never	Talk on the phone with family, friends, or neighbors? Rarely	Talk on the phone with family, friends, or neighbors? Sometimes	Talk on the phone with family, friends, or neighbors? Often	Talk on the phone with family, friends, or neighbors? Always
Get together with friends or relatives?	Get together with friends or relatives? Never	Get together with friends or relatives? Rarely	Get together with friends or relatives? Sometimes	Get together with friends or relatives? Often	Get together with friends or relatives? Always
Go to church or religious services?	Go to church or religious services? Never	Go to church or religious services? Rarely	Go to church or religious services? Sometimes	Go to church or religious services? Often	Go to church or religious services? Always
Join in social activities such as clubs, volunteer groups, athletic or school groups.	Join in social activities such as clubs, volunteer groups, athletic or school groups. Never	Join in social activities such as clubs, volunteer groups, athletic or school groups. Rarely	Join in social activities such as clubs, volunteer groups, athletic or school groups. Sometimes	Join in social activities such as clubs, volunteer groups, athletic or school groups. Often	Join in social activities such as clubs, volunteer groups, athletic or school groups. Always
Internet/ Social media chatting	Internet/ Social media chatting Never	Internet/ Social media chatting Rarely	Internet/ Social media chatting Sometimes	Internet/ Social media chatting Often	Internet/ Social media chatting Always