CHNA Survey 2017

In 2015, a community health needs assessment was done. Based on the identified needs, an action plan was put into place. A list of those actions can be found by clicking on this link: Actions Taken. Your input will help us understand the effect of these actions.

Please answer the following questions based on your own experience and what you see in your own community.

Thank you!

Jill Lord, RN, MS
Director of Community Health

Question Title

* 1. For the statement below, would you say that over the last 3 years, the condition has improved, stayed the same or are worse?

	Improved	Same	Worse	Don't know
Alcohol and drug misuse (including use of heroin and pain medication)	Alcohol and drug misuse (including use of heroin and pain medication) Improved	Alcohol and drug misuse (including use of heroin and pain medication) Same	Alcohol and drug misuse (including use of heroin and pain medication) Worse	Alcohol and drug misuse (including use of heroin and pain medication) Don't know
People can get mental health care when they need it	People can get mental health care when they need it Improved	People can get mental health care when they need it Same	People can get mental health care when they need it Worse	People can get mental health care when they need it Don't know
People can get dental health care when they need it	People can get dental health care when they need it Improved	People can get dental health care when they need it Same	People can get dental health care when they need it Worse	People can get dental health care when they need it Don't know
People can get medical care when they need it	People can get medical care when they need it Improved	People can get medical care when they need it Same	People can get medical care when they need it Worse	People can get medical care when they need it Don't know
People can get affordable health insurance	People can get affordable health insurance Improved	People can get affordable health insurance Same	People can get affordable health insurance Worse	People can get affordable health insurance Don't know
People can afford the medications they need	People can afford the medications they need Improved	People can afford the medications they need Same	People can afford the medications they need Worse	People can afford the medications they need Don't know
People are exercising and active	People are exercising and active Improved	People are exercising and active Same	People are exercising and active Worse	People are exercising and active Don't know
Income, poverty and family stress	Income, poverty and family stress Improved	Income, poverty and family stress Same	Income, poverty and family stress Worse	Income, poverty and family stress Don't know
Seniors can get medical care when they need it	Seniors can get medical care when they need it Improved	Seniors can get medical care when they need it Same	Seniors can get medical care when they need it Worse	Seniors can get medical care when they need it Don't know
Tobacco use/smoking	Tobacco use/smoking Improved	Tobacco use/smoking Same	Tobacco use/smoking Worse	Tobacco use/smoking Don't know

Comments (Optional)

Question Title

* 2. Mt. Ascutney Hospital and community partners (such as mental health, food shelves, recreation departments, etc.) have been working to improve the conditions above. How aware are you of their activities?

Very aware

Somewhat aware

Not at all aware

Comments (Optional)

Question Title

* 3. My view of the communities' needs is based on (Check all that apply)

My needs

Needs of my friends

Needs of my family

Needs of the people I serve

Question Title

* 4. This survey is anonymous. The town I am from is:

Question Title

* 5. I would like to join you in this effort to bring health to my community. You can contact me at:

Name

Phone