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?

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

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

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* 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.

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