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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.
1.In the past year, did you or someone in your household delay or avoid getting medical care?(Required.)
2.If yes, why? (Check all that apply)
3.Where do you usually go for most of your healthcare?(Required.)
4.How easy is it for you to get to a medical appointment?(Required.)
5.How much do you trust the local hospital to provide quality care?(Required.)
6.How satisfied are you with your experiences with local healthcare providers? (Doctors, nurses, other staff)(Required.)
7.What would increase your trust in the hospital or providers?(Required.)
8.What healthcare services are lacking or hard to access in your community? (Check all that apply)(Required.)
9.Are there services you currently leave the area to receive? If so, which ones?
10.What are the biggest health concerns in your community? (Check all that apply)(Required.)
11.Are there specific populations you feel are underserved?(Required.)
12.What types of health education or programs would you or your family be interested in?(Required.)
13.How do you prefer to receive health-related information? (Check all that apply)(Required.)
14.What do you think the hospital is doing well at?(Required.)
15.What do you think the hospital could do to improve or expand its services?(Required.)
16.Would you be interested in participating in a focus group or community meeting to discuss health issues?(Required.)
17.Zip Code(Required.)
18.Your Age?(Required.)
19.Gender(Required.)
20.What ethnicity are you?
21.What is your Race?
22.Do you have health insurance?(Required.)
23.Please enter First Name and Phone Number, if you are interested in being submitted in a drawing for a gift card.