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Austin Community Health Hub Feedback Survey
Thank you so much for joining us! Please take a few minutes to provide your feedback.
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1.
What is your relationship to the Austin community? Please select all that apply.
I live here
I work here
I go to school here
My children go to school here
My organization/business serves the Austin community
I don’t have a relationship to the Austin community
Other (please specify)
2.
How do you know Lively Stone / Stone CDC? Please select all that apply.
I am a parishioner of Lively Stone Church
I work/volunteer/support Lively Stone or Stone CDC
I have heard of Stone but I don’t have a relationship with them
I do not know anything about Lively Stone / Stone CDC
Other (please specify)
3.
How do you know Lurie Children’s Hospital? Please select all that apply.
My child or a child I know is or has been a patient there
I work/volunteer/support Lurie Children’s
I have heard of Lurie Children’s but I don’t have a relationship with them
I do not know anything about Lurie Children’s
Other (please specify)
4.
Do you think there is a need for this project and these services on Chicago Avenue in Austin?
Yes, this project and these services are needed in the Austin community
No, we already have these services and/or they are not needed
I’m not sure yet
Other (please specify)
5.
Do you think the project should include a café serving the community?
Yes, a café is an important part of this project
It would be nice, but not very important to me
No, we do not need a café here
I’m not sure yet
Other (please specify)
6.
We'd like to hear what you think should be included if there is an outdoor space. Please let us know how important each of the options are below and share if you have any additional ideas.
Not important
A little important
Important
Very important
I'm not sure
Café seating
Not important
A little important
Important
Very important
I'm not sure
Community garden
Not important
A little important
Important
Very important
I'm not sure
Quiet space to relax
Not important
A little important
Important
Very important
I'm not sure
Playground for kids
Not important
A little important
Important
Very important
I'm not sure
Do you have any other ideas or additional comments?
7.
In your opinion, which of these potential youth clinical services should be included?
Not important
A little important
Important
Very important
I'm not sure
Asthma
Not important
A little important
Important
Very important
I'm not sure
Autism Care
Not important
A little important
Important
Very important
I'm not sure
Behavioral Health Crisis Evaluation Services for Local Schools
Not important
A little important
Important
Very important
I'm not sure
Behavioral Health for Youth with Developmental Disabilities
Not important
A little important
Important
Very important
I'm not sure
Blood Disorders (including Hemophilia and Sickle Cell Disease)
Not important
A little important
Important
Very important
I'm not sure
Fatty Liver Clinic
Not important
A little important
Important
Very important
I'm not sure
General Adolescent Medicine
Not important
A little important
Important
Very important
I'm not sure
General Gastrointestinal
Not important
A little important
Important
Very important
I'm not sure
Headache
Not important
A little important
Important
Very important
I'm not sure
Home-based Behavioral Health Services
Not important
A little important
Important
Very important
I'm not sure
Infectious Disease
Not important
A little important
Important
Very important
I'm not sure
Nephrology (including Kidney Disease)
Not important
A little important
Important
Very important
I'm not sure
Preventative Cardiology
Not important
A little important
Important
Very important
I'm not sure
Reproductive Health (including HIV/STI Testing)
Not important
A little important
Important
Very important
I'm not sure
Respite Care
Not important
A little important
Important
Very important
I'm not sure
Substance Use
Not important
A little important
Important
Very important
I'm not sure
Wellness and Weight Management
Not important
A little important
Important
Very important
I'm not sure
Do you have any other ideas or additional comments?
8.
What should we keep in mind about the look and feel of this space as we begin designing?
9.
Please share any other information, questions, concerns or ideas you have about this project:
10.
Please share your email if you want to receive updates about the project and future meetings.
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