Bartlett Regional Hospital Community Health Needs Assessment

Bartlett Regional Hospital needs your help.

We are conducting a study on health care needs in our community. This study will help us in our efforts to improve our service.

Please take a few minutes to complete the following survey. Please Note: Because we want to get feedback from as many people as possible, you may receive more than one request to complete it. We apologize for this inconvenience and ask that you only take the survey once.

All responses are confidential, and you may choose not to answer any questions that you would prefer not to for any reason. Thank you for your help.

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* 1. What is your age?

Under 18

18 to 24

25 to 30

31 to 40

41 to 50

51 to 60

61+

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* 2. What is your gender?

Female

Male

Non-Binary/Gender Non-Conforming

Prefer not to say

Other (please specify)

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* 3. What is your race?

Asian

Black or African American

Hispanic/Latino

Native Alaskan

Native American

Native Hawaiian or Pacific Islander

Other Race

Two or more Races

White Non-Hispanic

Prefer not to say

Other (please specify)

The following questions are designed to help us determine what specific health care services are most needed in the appropriate geographic area

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* 4. Please select your Zip Code.

99801

99820

99824

99826

99827

99829

99833

99840

99929

Other

Other (please specify)

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* 5. Do you have a preferred Doctor or Nurse Practitioner?

Yes

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* 6. Do you use Bartlett Regional Hospital or its clinics for your main healthcare needs?

Yes

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* 7. Did you choose to go outside of Juneau for medical treatment in the last 3 years?

Yes

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* 8. If yes, what were your reasons for going outside Juneau for your treatment?

Did not know the services were offered in Juneau

My Insurance company sent me outside the area

A physician referred me outside the area

Price

I was traveling when I needed the service

It was a specialty I felt was better served outside the area

Other (please specify)

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* 9. Bartlett Regional Hospital would like to ensure we are taking care of the needs of our community. Please check all of the services that you, a family member or a local friend are need of within the community.

	Service Highly Needed		Service Somewhat Needed		Service Not Needed	N/A
Audiology (Hearing Issues)	Audiology (Hearing Issues) Service Highly Needed	Audiology (Hearing Issues)	Audiology (Hearing Issues) Service Somewhat Needed	Audiology (Hearing Issues)	Audiology (Hearing Issues) Service Not Needed	Audiology (Hearing Issues) N/A
Bone or Skeletal Injuries - Orthopedic Surgeon	Bone or Skeletal Injuries - Orthopedic Surgeon Service Highly Needed	Bone or Skeletal Injuries - Orthopedic Surgeon	Bone or Skeletal Injuries - Orthopedic Surgeon Service Somewhat Needed	Bone or Skeletal Injuries - Orthopedic Surgeon	Bone or Skeletal Injuries - Orthopedic Surgeon Service Not Needed	Bone or Skeletal Injuries - Orthopedic Surgeon N/A
Cardiology - (Heart Specialist)	Cardiology - (Heart Specialist) Service Highly Needed	Cardiology - (Heart Specialist)	Cardiology - (Heart Specialist) Service Somewhat Needed	Cardiology - (Heart Specialist)	Cardiology - (Heart Specialist) Service Not Needed	Cardiology - (Heart Specialist) N/A
Colonoscopy / Endoscopy	Colonoscopy / Endoscopy Service Highly Needed	Colonoscopy / Endoscopy	Colonoscopy / Endoscopy Service Somewhat Needed	Colonoscopy / Endoscopy	Colonoscopy / Endoscopy Service Not Needed	Colonoscopy / Endoscopy N/A
Dental Health - Preventative	Dental Health - Preventative Service Highly Needed	Dental Health - Preventative	Dental Health - Preventative Service Somewhat Needed	Dental Health - Preventative	Dental Health - Preventative Service Not Needed	Dental Health - Preventative N/A
Dental Health - Extractions, Restorations, or Fillings	Dental Health - Extractions, Restorations, or Fillings Service Highly Needed	Dental Health - Extractions, Restorations, or Fillings	Dental Health - Extractions, Restorations, or Fillings Service Somewhat Needed	Dental Health - Extractions, Restorations, or Fillings	Dental Health - Extractions, Restorations, or Fillings Service Not Needed	Dental Health - Extractions, Restorations, or Fillings N/A
Dermatology (Skin Problems)	Dermatology (Skin Problems) Service Highly Needed	Dermatology (Skin Problems)	Dermatology (Skin Problems) Service Somewhat Needed	Dermatology (Skin Problems)	Dermatology (Skin Problems) Service Not Needed	Dermatology (Skin Problems) N/A
Diagnostic Lab, MRI and X-ray	Diagnostic Lab, MRI and X-ray Service Highly Needed	Diagnostic Lab, MRI and X-ray	Diagnostic Lab, MRI and X-ray Service Somewhat Needed	Diagnostic Lab, MRI and X-ray	Diagnostic Lab, MRI and X-ray Service Not Needed	Diagnostic Lab, MRI and X-ray N/A
Dialysis (Blood, Kidney)	Dialysis (Blood, Kidney) Service Highly Needed	Dialysis (Blood, Kidney)	Dialysis (Blood, Kidney) Service Somewhat Needed	Dialysis (Blood, Kidney)	Dialysis (Blood, Kidney) Service Not Needed	Dialysis (Blood, Kidney) N/A
Dietician	Dietician Service Highly Needed	Dietician	Dietician Service Somewhat Needed	Dietician	Dietician Service Not Needed	Dietician N/A
Eating Disorders	Eating Disorders Service Highly Needed	Eating Disorders	Eating Disorders Service Somewhat Needed	Eating Disorders	Eating Disorders Service Not Needed	Eating Disorders N/A
Emergency Medical Services (Ambulance. or Emergency Room)	Emergency Medical Services (Ambulance. or Emergency Room) Service Highly Needed	Emergency Medical Services (Ambulance. or Emergency Room)	Emergency Medical Services (Ambulance. or Emergency Room) Service Somewhat Needed	Emergency Medical Services (Ambulance. or Emergency Room)	Emergency Medical Services (Ambulance. or Emergency Room) Service Not Needed	Emergency Medical Services (Ambulance. or Emergency Room) N/A
Endocrinology (Diabetes, Thyroid. Pituitary etc.)	Endocrinology (Diabetes, Thyroid. Pituitary etc.) Service Highly Needed	Endocrinology (Diabetes, Thyroid. Pituitary etc.)	Endocrinology (Diabetes, Thyroid. Pituitary etc.) Service Somewhat Needed	Endocrinology (Diabetes, Thyroid. Pituitary etc.)	Endocrinology (Diabetes, Thyroid. Pituitary etc.) Service Not Needed	Endocrinology (Diabetes, Thyroid. Pituitary etc.) N/A
Family Planning / Birth Control	Family Planning / Birth Control Service Highly Needed	Family Planning / Birth Control	Family Planning / Birth Control Service Somewhat Needed	Family Planning / Birth Control	Family Planning / Birth Control Service Not Needed	Family Planning / Birth Control N/A
Gerentology	Gerentology Service Highly Needed	Gerentology	Gerentology Service Somewhat Needed	Gerentology	Gerentology Service Not Needed	Gerentology N/A
Gynecological Care	Gynecological Care Service Highly Needed	Gynecological Care	Gynecological Care Service Somewhat Needed	Gynecological Care	Gynecological Care Service Not Needed	Gynecological Care N/A
Hematologist (Specialist for Blood Thinners)	Hematologist (Specialist for Blood Thinners) Service Highly Needed	Hematologist (Specialist for Blood Thinners)	Hematologist (Specialist for Blood Thinners) Service Somewhat Needed	Hematologist (Specialist for Blood Thinners)	Hematologist (Specialist for Blood Thinners) Service Not Needed	Hematologist (Specialist for Blood Thinners) N/A
Home Health / Hospice	Home Health / Hospice Service Highly Needed	Home Health / Hospice	Home Health / Hospice Service Somewhat Needed	Home Health / Hospice	Home Health / Hospice Service Not Needed	Home Health / Hospice N/A
Immunizations / Infusions	Immunizations / Infusions Service Highly Needed	Immunizations / Infusions	Immunizations / Infusions Service Somewhat Needed	Immunizations / Infusions	Immunizations / Infusions Service Not Needed	Immunizations / Infusions N/A
Mammography	Mammography Service Highly Needed	Mammography	Mammography Service Somewhat Needed	Mammography	Mammography Service Not Needed	Mammography N/A
Mental Health Services	Mental Health Services Service Highly Needed	Mental Health Services	Mental Health Services Service Somewhat Needed	Mental Health Services	Mental Health Services Service Not Needed	Mental Health Services N/A
Neurology (Brain and Nervous System)	Neurology (Brain and Nervous System) Service Highly Needed	Neurology (Brain and Nervous System)	Neurology (Brain and Nervous System) Service Somewhat Needed	Neurology (Brain and Nervous System)	Neurology (Brain and Nervous System) Service Not Needed	Neurology (Brain and Nervous System) N/A
Obstetrical Care	Obstetrical Care Service Highly Needed	Obstetrical Care	Obstetrical Care Service Somewhat Needed	Obstetrical Care	Obstetrical Care Service Not Needed	Obstetrical Care N/A
Oncology (Cancer Specialist)	Oncology (Cancer Specialist) Service Highly Needed	Oncology (Cancer Specialist)	Oncology (Cancer Specialist) Service Somewhat Needed	Oncology (Cancer Specialist)	Oncology (Cancer Specialist) Service Not Needed	Oncology (Cancer Specialist) N/A
Orthopedics (Bone or Skeletal Injuries)	Orthopedics (Bone or Skeletal Injuries) Service Highly Needed	Orthopedics (Bone or Skeletal Injuries)	Orthopedics (Bone or Skeletal Injuries) Service Somewhat Needed	Orthopedics (Bone or Skeletal Injuries)	Orthopedics (Bone or Skeletal Injuries) Service Not Needed	Orthopedics (Bone or Skeletal Injuries) N/A
Pediatrics (Children's Health)	Pediatrics (Children's Health) Service Highly Needed	Pediatrics (Children's Health)	Pediatrics (Children's Health) Service Somewhat Needed	Pediatrics (Children's Health)	Pediatrics (Children's Health) Service Not Needed	Pediatrics (Children's Health) N/A
Personal Health Screenings	Personal Health Screenings Service Highly Needed	Personal Health Screenings	Personal Health Screenings Service Somewhat Needed	Personal Health Screenings	Personal Health Screenings Service Not Needed	Personal Health Screenings N/A
Pharmacy	Pharmacy Service Highly Needed	Pharmacy	Pharmacy Service Somewhat Needed	Pharmacy	Pharmacy Service Not Needed	Pharmacy N/A
Physical Therapy	Physical Therapy Service Highly Needed	Physical Therapy	Physical Therapy Service Somewhat Needed	Physical Therapy	Physical Therapy Service Not Needed	Physical Therapy N/A
Prenatal and Perinatal Services	Prenatal and Perinatal Services Service Highly Needed	Prenatal and Perinatal Services	Prenatal and Perinatal Services Service Somewhat Needed	Prenatal and Perinatal Services	Prenatal and Perinatal Services Service Not Needed	Prenatal and Perinatal Services N/A
Primary Care Services (Family Medicine)	Primary Care Services (Family Medicine) Service Highly Needed	Primary Care Services (Family Medicine)	Primary Care Services (Family Medicine) Service Somewhat Needed	Primary Care Services (Family Medicine)	Primary Care Services (Family Medicine) Service Not Needed	Primary Care Services (Family Medicine) N/A
Respiratory Therapist (Breathing Issues)	Respiratory Therapist (Breathing Issues) Service Highly Needed	Respiratory Therapist (Breathing Issues)	Respiratory Therapist (Breathing Issues) Service Somewhat Needed	Respiratory Therapist (Breathing Issues)	Respiratory Therapist (Breathing Issues) Service Not Needed	Respiratory Therapist (Breathing Issues) N/A
Rheumatology	Rheumatology Service Highly Needed	Rheumatology	Rheumatology Service Somewhat Needed	Rheumatology	Rheumatology Service Not Needed	Rheumatology N/A
Specialist for Pain	Specialist for Pain Service Highly Needed	Specialist for Pain	Specialist for Pain Service Somewhat Needed	Specialist for Pain	Specialist for Pain Service Not Needed	Specialist for Pain N/A
Substance Abuse Services	Substance Abuse Services Service Highly Needed	Substance Abuse Services	Substance Abuse Services Service Somewhat Needed	Substance Abuse Services	Substance Abuse Services Service Not Needed	Substance Abuse Services N/A
Urology	Urology Service Highly Needed	Urology	Urology Service Somewhat Needed	Urology	Urology Service Not Needed	Urology N/A
Well Child Services (Immunizaton, Prevention, etc)	Well Child Services (Immunizaton, Prevention, etc) Service Highly Needed	Well Child Services (Immunizaton, Prevention, etc)	Well Child Services (Immunizaton, Prevention, etc) Service Somewhat Needed	Well Child Services (Immunizaton, Prevention, etc)	Well Child Services (Immunizaton, Prevention, etc) Service Not Needed	Well Child Services (Immunizaton, Prevention, etc) N/A
Wellness Clnic	Wellness Clnic Service Highly Needed	Wellness Clnic	Wellness Clnic Service Somewhat Needed	Wellness Clnic	Wellness Clnic Service Not Needed	Wellness Clnic N/A

Other (please specify)

Robotic Surgery is a process by which a surgeon uses a machine to perform a surgery.

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* 10. Would you be open to having a robot used for a surgery performed on you or a loved one?

Yes

Unsure

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* 11. How do you feel the following supportive service needs are being met by Bartlett Regional Hospital?

	Needs Are Being Met		Needs Are Somewhat Being Met		Needs Are Not Being Met	N/A
Bariatric Services	Bariatric Services Needs Are Being Met	Bariatric Services	Bariatric Services Needs Are Somewhat Being Met	Bariatric Services	Bariatric Services Needs Are Not Being Met	Bariatric Services N/A
Care Management	Care Management Needs Are Being Met	Care Management	Care Management Needs Are Somewhat Being Met	Care Management	Care Management Needs Are Not Being Met	Care Management N/A
Counseling/Assessment/Life Coaching	Counseling/Assessment/Life Coaching Needs Are Being Met	Counseling/Assessment/Life Coaching	Counseling/Assessment/Life Coaching Needs Are Somewhat Being Met	Counseling/Assessment/Life Coaching	Counseling/Assessment/Life Coaching Needs Are Not Being Met	Counseling/Assessment/Life Coaching N/A
Follow-up/Discharge Planning	Follow-up/Discharge Planning Needs Are Being Met	Follow-up/Discharge Planning	Follow-up/Discharge Planning Needs Are Somewhat Being Met	Follow-up/Discharge Planning	Follow-up/Discharge Planning Needs Are Not Being Met	Follow-up/Discharge Planning N/A
Health Education	Health Education Needs Are Being Met	Health Education	Health Education Needs Are Somewhat Being Met	Health Education	Health Education Needs Are Not Being Met	Health Education N/A
Help With Enrollment Services for Medicaid	Help With Enrollment Services for Medicaid Needs Are Being Met	Help With Enrollment Services for Medicaid	Help With Enrollment Services for Medicaid Needs Are Somewhat Being Met	Help With Enrollment Services for Medicaid	Help With Enrollment Services for Medicaid Needs Are Not Being Met	Help With Enrollment Services for Medicaid N/A
Help Understanding Recommended Medical Care	Help Understanding Recommended Medical Care Needs Are Being Met	Help Understanding Recommended Medical Care	Help Understanding Recommended Medical Care Needs Are Somewhat Being Met	Help Understanding Recommended Medical Care	Help Understanding Recommended Medical Care Needs Are Not Being Met	Help Understanding Recommended Medical Care N/A
Medical Supplies for In-Home Use	Medical Supplies for In-Home Use Needs Are Being Met	Medical Supplies for In-Home Use	Medical Supplies for In-Home Use Needs Are Somewhat Being Met	Medical Supplies for In-Home Use	Medical Supplies for In-Home Use Needs Are Not Being Met	Medical Supplies for In-Home Use N/A
Referral to Other Locations	Referral to Other Locations Needs Are Being Met	Referral to Other Locations	Referral to Other Locations Needs Are Somewhat Being Met	Referral to Other Locations	Referral to Other Locations Needs Are Not Being Met	Referral to Other Locations N/A
Support Groups	Support Groups Needs Are Being Met	Support Groups	Support Groups Needs Are Somewhat Being Met	Support Groups	Support Groups Needs Are Not Being Met	Support Groups N/A
Transportation	Transportation Needs Are Being Met	Transportation	Transportation Needs Are Somewhat Being Met	Transportation	Transportation Needs Are Not Being Met	Transportation N/A
Translation	Translation Needs Are Being Met	Translation	Translation Needs Are Somewhat Being Met	Translation	Translation Needs Are Not Being Met	Translation N/A

Other (please specify)

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* 12. Please indicate which population groups may be in need of additional health care services

	Needs Are Being Met		Needs Are Somewhat Being Met		Needs Are Not Being Met	N/A
Adults	Adults Needs Are Being Met	Adults	Adults Needs Are Somewhat Being Met	Adults	Adults Needs Are Not Being Met	Adults N/A
Children	Children Needs Are Being Met	Children	Children Needs Are Somewhat Being Met	Children	Children Needs Are Not Being Met	Children N/A
Homeless	Homeless Needs Are Being Met	Homeless	Homeless Needs Are Somewhat Being Met	Homeless	Homeless Needs Are Not Being Met	Homeless N/A
People eligible for Medicare	People eligible for Medicare Needs Are Being Met	People eligible for Medicare	People eligible for Medicare Needs Are Somewhat Being Met	People eligible for Medicare	People eligible for Medicare Needs Are Not Being Met	People eligible for Medicare N/A
People who are "under served" with minimal insurance	People who are "under served" with minimal insurance Needs Are Being Met	People who are "under served" with minimal insurance	People who are "under served" with minimal insurance Needs Are Somewhat Being Met	People who are "under served" with minimal insurance	People who are "under served" with minimal insurance Needs Are Not Being Met	People who are "under served" with minimal insurance N/A
People with Behavioral Health Needs / Substance Abuse Issues	People with Behavioral Health Needs / Substance Abuse Issues Needs Are Being Met	People with Behavioral Health Needs / Substance Abuse Issues	People with Behavioral Health Needs / Substance Abuse Issues Needs Are Somewhat Being Met	People with Behavioral Health Needs / Substance Abuse Issues	People with Behavioral Health Needs / Substance Abuse Issues Needs Are Not Being Met	People with Behavioral Health Needs / Substance Abuse Issues N/A
People with low income	People with low income Needs Are Being Met	People with low income	People with low income Needs Are Somewhat Being Met	People with low income	People with low income Needs Are Not Being Met	People with low income N/A
People with no insurance	People with no insurance Needs Are Being Met	People with no insurance	People with no insurance Needs Are Somewhat Being Met	People with no insurance	People with no insurance Needs Are Not Being Met	People with no insurance N/A
Schools	Schools Needs Are Being Met	Schools	Schools Needs Are Somewhat Being Met	Schools	Schools Needs Are Not Being Met	Schools N/A
Seniors	Seniors Needs Are Being Met	Seniors	Seniors Needs Are Somewhat Being Met	Seniors	Seniors Needs Are Not Being Met	Seniors N/A
Teenage Parents	Teenage Parents Needs Are Being Met	Teenage Parents	Teenage Parents Needs Are Somewhat Being Met	Teenage Parents	Teenage Parents Needs Are Not Being Met	Teenage Parents N/A
Transgendered	Transgendered Needs Are Being Met	Transgendered	Transgendered Needs Are Somewhat Being Met	Transgendered	Transgendered Needs Are Not Being Met	Transgendered N/A
Women of child bearing age	Women of child bearing age Needs Are Being Met	Women of child bearing age	Women of child bearing age Needs Are Somewhat Being Met	Women of child bearing age	Women of child bearing age Needs Are Not Being Met	Women of child bearing age N/A

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* 13. Please rate the importance to you of the following aspects of health care services:

	Highly Important	Important	Not Important	Don't Know
Access to healthy foods	Access to healthy foods Highly Important	Access to healthy foods Important	Access to healthy foods Not Important	Access to healthy foods Don't Know
Adult Day Care	Adult Day Care Highly Important	Adult Day Care Important	Adult Day Care Not Important	Adult Day Care Don't Know
Alzheimer's and Dementia	Alzheimer's and Dementia Highly Important	Alzheimer's and Dementia Important	Alzheimer's and Dementia Not Important	Alzheimer's and Dementia Don't Know
Assisted Living	Assisted Living Highly Important	Assisted Living Important	Assisted Living Not Important	Assisted Living Don't Know
Clinic Evening Availability	Clinic Evening Availability Highly Important	Clinic Evening Availability Important	Clinic Evening Availability Not Important	Clinic Evening Availability Don't Know
Clinic Weekend Availability	Clinic Weekend Availability Highly Important	Clinic Weekend Availability Important	Clinic Weekend Availability Not Important	Clinic Weekend Availability Don't Know
Convenient Pharmacy	Convenient Pharmacy Highly Important	Convenient Pharmacy Important	Convenient Pharmacy Not Important	Convenient Pharmacy Don't Know
Lower fee for low income individuals	Lower fee for low income individuals Highly Important	Lower fee for low income individuals Important	Lower fee for low income individuals Not Important	Lower fee for low income individuals Don't Know
More active care management by your primary care practitioners (Follow-up visits after service from other provider; nutrition, diet, prescription counseling)	More active care management by your primary care practitioners (Follow-up visits after service from other provider; nutrition, diet, prescription counseling) Highly Important	More active care management by your primary care practitioners (Follow-up visits after service from other provider; nutrition, diet, prescription counseling) Important	More active care management by your primary care practitioners (Follow-up visits after service from other provider; nutrition, diet, prescription counseling) Not Important	More active care management by your primary care practitioners (Follow-up visits after service from other provider; nutrition, diet, prescription counseling) Don't Know
Proximity to home	Proximity to home Highly Important	Proximity to home Important	Proximity to home Not Important	Proximity to home Don't Know
Respit Care	Respit Care Highly Important	Respit Care Important	Respit Care Not Important	Respit Care Don't Know
Scheduled appointment	Scheduled appointment Highly Important	Scheduled appointment Important	Scheduled appointment Not Important	Scheduled appointment Don't Know
Urgent Care	Urgent Care Highly Important	Urgent Care Important	Urgent Care Not Important	Urgent Care Don't Know

Other (please specify)

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* 14. Have you or your family members been to a healthcare facility in the last 24 months? If so how often?

	Reason for visit	Reason you chose this hospital
Alaska Native Medical Center (Anchorage)	Alaska Native Medical Center (Anchorage) Reason for visit menu	Alaska Native Medical Center (Anchorage) Reason you chose this hospital menu
Alaska Regional Hospital (Anchorage)	Alaska Regional Hospital (Anchorage) Reason for visit menu	Alaska Regional Hospital (Anchorage) Reason you chose this hospital menu
Alaska VA Healthcare System (Anchorage)	Alaska VA Healthcare System (Anchorage) Reason for visit menu	Alaska VA Healthcare System (Anchorage) Reason you chose this hospital menu
Bartlett Regional Hospital (Juneau)	Bartlett Regional Hospital (Juneau) Reason for visit menu	Bartlett Regional Hospital (Juneau) Reason you chose this hospital menu
CHI Franciscan Health (Seattle)	CHI Franciscan Health (Seattle) Reason for visit menu	CHI Franciscan Health (Seattle) Reason you chose this hospital menu
Kindred Hospital (Seattle)	Kindred Hospital (Seattle) Reason for visit menu	Kindred Hospital (Seattle) Reason you chose this hospital menu
Mount Edgecomb (Sitka)	Mount Edgecomb (Sitka) Reason for visit menu	Mount Edgecomb (Sitka) Reason you chose this hospital menu
Providence Alaska Medical Center (Anchorage)	Providence Alaska Medical Center (Anchorage) Reason for visit menu	Providence Alaska Medical Center (Anchorage) Reason you chose this hospital menu
Seattle Children's Hospital (Seattle)	Seattle Children's Hospital (Seattle) Reason for visit menu	Seattle Children's Hospital (Seattle) Reason you chose this hospital menu
Southeast Alaska Regional Health Care	Southeast Alaska Regional Health Care Reason for visit menu	Southeast Alaska Regional Health Care Reason you chose this hospital menu
Swedish Medical Center (Seattle)	Swedish Medical Center (Seattle) Reason for visit menu	Swedish Medical Center (Seattle) Reason you chose this hospital menu
UW Medical Center (Seattle)	UW Medical Center (Seattle) Reason for visit menu	UW Medical Center (Seattle) Reason you chose this hospital menu
VA Puget Sound (Seattle)	VA Puget Sound (Seattle) Reason for visit menu	VA Puget Sound (Seattle) Reason you chose this hospital menu
Virginia Mason and Seattle Medical Center (Seattle)	Virginia Mason and Seattle Medical Center (Seattle) Reason for visit menu	Virginia Mason and Seattle Medical Center (Seattle) Reason you chose this hospital menu

Other (please specify)

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* 15. Are there barriers to you using Bartlett Regional Hospital

Yes

If Yes, What are the barriers?

This section of the survey is designed to help us have a better understanding of needs and how they may be best addressed.

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* 16. In which areas would like to see more education?

	Highly Applicable	Applicable	Not Applicable
Addiction Recovery	Addiction Recovery Highly Applicable	Addiction Recovery Applicable	Addiction Recovery Not Applicable
Bullying	Bullying Highly Applicable	Bullying Applicable	Bullying Not Applicable
Depression or Anxiety	Depression or Anxiety Highly Applicable	Depression or Anxiety Applicable	Depression or Anxiety Not Applicable
Diet/Nutrition	Diet/Nutrition Highly Applicable	Diet/Nutrition Applicable	Diet/Nutrition Not Applicable
Early Childhood Issues	Early Childhood Issues Highly Applicable	Early Childhood Issues Applicable	Early Childhood Issues Not Applicable
Exercise	Exercise Highly Applicable	Exercise Applicable	Exercise Not Applicable
Heath Education	Heath Education Highly Applicable	Heath Education Applicable	Heath Education Not Applicable
Infant Care	Infant Care Highly Applicable	Infant Care Applicable	Infant Care Not Applicable
Internet Safety	Internet Safety Highly Applicable	Internet Safety Applicable	Internet Safety Not Applicable
Maternity	Maternity Highly Applicable	Maternity Applicable	Maternity Not Applicable
Navigating Medical Systems	Navigating Medical Systems Highly Applicable	Navigating Medical Systems Applicable	Navigating Medical Systems Not Applicable
Sexually Transmitted Diseases	Sexually Transmitted Diseases Highly Applicable	Sexually Transmitted Diseases Applicable	Sexually Transmitted Diseases Not Applicable
Smoking/Vaping	Smoking/Vaping Highly Applicable	Smoking/Vaping Applicable	Smoking/Vaping Not Applicable
Special Needs (please explain below)	Special Needs (please explain below) Highly Applicable	Special Needs (please explain below) Applicable	Special Needs (please explain below) Not Applicable
Substance Abuse	Substance Abuse Highly Applicable	Substance Abuse Applicable	Substance Abuse Not Applicable
Teen Sexuality	Teen Sexuality Highly Applicable	Teen Sexuality Applicable	Teen Sexuality Not Applicable

Other (please specify)

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* 1. What is your age?

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* 2. What is your gender?

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* 3. What is your race?

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* 4. Please select your Zip Code.

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* 5. Do you have a preferred Doctor or Nurse Practitioner?

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* 6. Do you use Bartlett Regional Hospital or its clinics for your main healthcare needs?

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* 7. Did you choose to go outside of Juneau for medical treatment in the last 3 years?

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* 8. If yes, what were your reasons for going outside Juneau for your treatment?

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* 9. Bartlett Regional Hospital would like to ensure we are taking care of the needs of our community. Please check all of the services that you, a family member or a local friend are need of within the community.

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* 10. Would you be open to having a robot used for a surgery performed on you or a loved one?

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* 11. How do you feel the following supportive service needs are being met by Bartlett Regional Hospital?

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* 12. Please indicate which population groups may be in need of additional health care services

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* 13. Please rate the importance to you of the following aspects of health care services:

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* 14. Have you or your family members been to a healthcare facility in the last 24 months? If so how often?

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* 15. Are there barriers to you using Bartlett Regional Hospital

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* 16. In which areas would like to see more education?

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* 17. Please take a moment to share any general comments you have about health care or supportive services needs in the area.