Gunnison Valley Hospital Community Health Needs Assessment Survey

Help Gunnison Valley Hospital identify and address health needs of our community. Your voice matters! Share your insight and
help us create a healthier future for our community.

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* 1. In the past year, did you or someone in your household delay or avoid getting medical care?

Yes

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* 2. If yes, why? (Check all that apply)

Cost

Lack of Transportation

Couldn't get an appointment

Provider not available locally

Do not trust local care

Chose not to get care

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* 3. Where do you usually go for most of your healthcare?

Local Hospital

Local Clinic

Out-of-town hospital/clinic

Urgent Care

I do not regularly see a provider

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* 4. How easy is it for you to get to a medical appointment?

Easy

Somewhat easy

Neither easy nor difficult

Somewhat difficult

Difficult

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* 5. How much do you trust the local hospital to provide quality care?

A great deal

Somewhat

A little

None at all

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* 6. How satisfied are you with your experiences with local healthcare providers? (Doctors, nurses, other staff)

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

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* 7. What would increase your trust in the hospital or providers?

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* 8. What healthcare services are lacking or hard to access in your community? (Check all that apply)

Dental Care

Family Practice

Maternity/Obstetric Services

Mental Health Services

Pediatric Care

Physical Therapy

Senior/Elder Care

Specialty Care

Substance Use Treatment

Urgent Care

Vision/Eyecare

Other

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* 9. Are there services you currently leave the area to receive? If so, which ones?

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* 10. What are the biggest health concerns in your community? (Check all that apply)

Obesity

Diabetes

High Blood Pressure

Heart Disease

Substance Use (Alcohol, Opioids, Meth)

Depression/Anxiety

Suicide

Cancer

Aging Population

Lack of physical activity

Poor Nutrition

Other

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* 11. Are there specific populations you feel are underserved?

Seniors

Youth/Teens

Pediatrics

Migrant or Seasonal Workers

Uninsured or underinsured

People with mental illness

Other (please specify)

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* 12. What types of health education or programs would you or your family be interested in?

Managing chronic illness (e.g., diabetes)

Nutrition and healthy cooking

Mental Health awareness

Exercise/fitness classes

Parenting or Prenatal support

Substance abuse prevention

Other

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* 13. How do you prefer to receive health-related information? (Check all that apply)

Social Media

Hospital Website

Local Newspaper

Radio

Text Messages

Flyers/posters at community locations

Community Meetings

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* 14. What do you think the hospital is doing well at?

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* 15. What do you think the hospital could do to improve or expand its services?

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* 16. Would you be interested in participating in a focus group or community meeting to discuss health issues?

Yes (please include your contact information)

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* 17. Zip Code

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* 18. Your Age?

Under 18

18-29

30-44

45-64

65+

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* 19. Gender

Male

Female

Prefer not to answer

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* 20. What ethnicity are you?

Hispanic

Latino

None of the above

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* 21. What is your Race?

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or other Pacific Islander

White

Another race

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* 22. Do you have health insurance?

Yes

Not sure

Gunnison Valley Hospital Community Health Needs Assessment Survey

Question Title

* 1. In the past year, did you or someone in your household delay or avoid getting medical care?

Question Title

* 2. If yes, why? (Check all that apply)

Question Title

* 3. Where do you usually go for most of your healthcare?

Question Title

* 4. How easy is it for you to get to a medical appointment?

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* 5. How much do you trust the local hospital to provide quality care?

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* 6. How satisfied are you with your experiences with local healthcare providers? (Doctors, nurses, other staff)

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* 7. What would increase your trust in the hospital or providers?

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* 8. What healthcare services are lacking or hard to access in your community? (Check all that apply)

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* 9. Are there services you currently leave the area to receive? If so, which ones?

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* 10. What are the biggest health concerns in your community? (Check all that apply)

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* 11. Are there specific populations you feel are underserved?

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* 12. What types of health education or programs would you or your family be interested in?

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* 13. How do you prefer to receive health-related information? (Check all that apply)

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* 14. What do you think the hospital is doing well at?

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* 15. What do you think the hospital could do to improve or expand its services?

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* 16. Would you be interested in participating in a focus group or community meeting to discuss health issues?

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* 17. Zip Code

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* 18. Your Age?

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* 19. Gender

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* 20. What ethnicity are you?

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* 21. What is your Race?

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* 22. Do you have health insurance?

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* 23. Please enter First Name and Phone Number, if you are interested in being submitted in a drawing for a gift card.