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Community Health and Wellness Survey

Dear North Haven Community: To better understand the community's health and wellness needs, the Medical Services Board is asking year-round, summer, and visiting community members to please take a few minutes and complete this anonymous survey. Your input will help guide planning, budgeting, and implementing health and wellness services available to everyone on the island. We ask that you refer to recent experiences and future goals for your responses.

Each adult member of your household is invited to submit a survey. If you need additional copies, you can pick one up at the Town Office or the Clinic. Completed surveys can be dropped into the collection box at the Town Office or mailed to the Medical Services Board c/o Town Office, PO Box 400, North Haven, ME 04853. If you prefer you can complete this online survey. The deadline for returning your survey is December 12, 2025. Thank you for your help with this important project.
Part 1: North Haven Clinic
1.What services have you used at the North Haven Clinic?(Required.)
2.I use the Clinic Providers as my PCP (Primary Care Provider).(Required.)
3.How often have you or your family used the Clinic in the past year? (This includes in-person appointments and phone consultations)(Required.)
4.If you do not use the Clinic, please tell us why.
Please rate the following statements based on your recent experiences.

5 - Strongly Agree, 4 - Agree, 3 - Neutral, 2 - Disagree, 1 - Strongly Disagree
5.Appointments(Required.)
5 - Strongly Agree
4 - Agree
3 - Neutral
2 - Disagree
1 - Strongly Disagree
N/A
I found it easy to make appointments by phone.
Appointments were available within a reasonable amount of time.
I received urgent, after-hours care when I needed it.
The current hours of operation are convenient for me.
My phone call was answered promptly during office hours.
My experience with the answering service after hours was satisfactory.
My after-hours call was returned promptly by the provider.
I know how to use the online communications portal that is available.
6.Facility(Required.)
5 - Strongly Agree
4 - Agree
3 - Neutral
2 - Disagree
1 - Strongly Disagree
N/A
The Clinic is welcoming.
I feel that I have privacy during my office visit.
I feel safe using the handicap access.
The Clinic is clean.
7.Providers(Required.)
5 - Strongly Agree
4 - Agree
3 - Neutral
2 - Disagree
1 - Strongly Disagree
N/A
I am satisfied with the care received from the clinic providers.
I find the providers to be professional.
I find the providers deliver a high quality of service.
I am able to access Physical Therapy sessions when needed.
I am able to access Counseling sessions when needed.
8.Would you use these services if they were available on the island?
Please signify which services you feel are the most important in the comment section below. (Required.)
Yes
No
X-Ray Services
Pediatric primary care/immunizations
Adult Immunization clinics
Counseling services
Dental Care
Dermatology
OB/GYN/Women's Care
Eye Services (Opthamology/Optometry)
9.What do you like best about our clinic?
10.If there is any way we can improve the medical services, please tell us.
Part II: General Community Health
Please rate the following statements based on your recent experiences:

5 - Strongly Agree, 4 - Agree, 3 - Neutral, 2 - Disagree, 1 - Strongly Disagree
11.Quality of Life(Required.)
5 - Strongly Agree
4 - Agree
3 - Neutral
2 - Disagree
1 - Strongly Disagree
N/A
I am satisfied with my quality of life in our community.
This is a safe place to live.
I have access to environmental and natural resources including parks, walking trails, sports, and other outdoor activities.
I have access to a health and fitness center.
There are support systems/resources for me and my family during times of stress and need.
The environmental conditions in my workplace are safe.
The environmental conditions in my home are safe.
How do you rate your overall health? (1-5, 5 being excellent)
12.Access to Health Care - Health Insurance Status(Required.)
13.Reasons for avoiding necessary health care at North Haven Medical Clinic (if applicable)
14.Suggested Areas for Improvement to Community Services

How would you rate these even if you are not currently using these services?

(3 - Very Important, 2 - Important, 1 - Not Important)(Required.)
3 - Very Important
2 - Important
1 - Not Important
N/A
Assistance keeping elderly residents on the island or in their home.
Assistance meeting personal health goals (weight loss, exercise, etc.)
Addressing addiction issues.
Providing crime and safety resources.
Addressing discrimination of any kind.
Assuring clean water.
More access to general health information.
Access to Town Outreach Program.
Part III: Demographics
15.Gender(Required.)
16.Your age (years)(Required.)
17.Status as a patient (Select all that apply)(Required.)
18.What is your association to North Haven? (Select all that apply)(Required.)
19.Please share any comments/suggestions that you think would help improve the North Haven Clinic or community health in general.