Purpose of Survey

Beth Israel Deaconess Hospital Needham is conducting a Community Health Needs Assessment to better understand the most pressing health-related for residents in the communities they serve. It is important that the hospital gathers input from people living, working, and learning in the community. The information gathered will help the hospital to improve its services.

Please take about 10 minutes to complete this survey. Your responses will be anonymous.

This survey has been shared widely. Please complete this survey only once.

Please email Madison MacLean (madison_maclean@jsi.com) with questions.

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* 1. Do you live, work, and/or learn in Needham, Dedham, Dover, or Westwood?

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* 2. What is your age?

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* 3. Are you Hispanic, Latino/a, or of Spanish origin?

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* 4. What race best describes you? Select all that apply.

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* 5. Please answer Questions 5-10 with your community and/or the population(s) you serve in mind.

Choose the top three (3) challenges that prevent people in your community from achieving and maintaining good health. Rank your top three (3) answers, with 1 being the greatest challenge.

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* 6. Are there other things that prevent people in your community from achieving and maintaining good health? Please specify.

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* 7. Choose the three (3) health conditions that have the greatest impact on your community. Rank your top three (3) answers, with 1 being the condition that has the most impact.

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* 8. Are there other health conditions that impact your community? Please specify.

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* 9. Choose the top three (3) populations that you think have the most significant health-related needs. Rank your top three (3), with 1 being the group with the most significant needs.

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* 10. Are there other populations that have significant health-related needs?

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* 11. Which (if any) programs offered by or supported by Beth Israel Deaconess  Needham have you used or attended?

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* 12. Which (if any) of these programs do you think works well to address the needs of your community? Check all that apply.

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* 13. What, if any, specific programs or services offered by other community organizations stand out as working well to address the needs of the community?

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* 14. Which health services in your community are hard to access? Check all that apply.

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* 15. Are there other health services in your community that are hard to access? Please specify.

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* 16. What programs or services should Beth Israel Deaconess Needham offer or support to improve community health?

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* 17. How did you hear about this survey? 

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* 18. Please provide any additional thoughts on how Beth Israel Deaconess Needham could improve health in your community.

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