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2025 Hardin County General Hospital Community Needs Assessment Survey
1.
What County do you live in?
Hardin County
Pope County
Other (please specify)
2.
Gender
Female
Male
Prefer not to answer
3.
What is your age?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
4.
What is your race?
White
Black or African American
Hispanic or Latino
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Another race
5.
What is your current employment status
Employed Full-Time
Employed Part-Time
Umemployed
Retired
Student
Disabled
Homemaker
6.
What is your household income range?
Under $15,000
Between $15,000 and $29,999
Between $30,000 and $49,999
Between $50,000 and $74,999
Between $75,000 and $99,999
Between $100,000 and $150,000
Over $150,000
Prefer not to answer
7.
What is the highest level of education you have completed?
Some high school
High school graduate
Some college
College graduate
8.
What type of healthcare coverage do you have
Medicare A
Medicare Advantage
Medicare B
Medicaid
Through retirement insurance plan
Through employer health plan
Private Insurance Plan (Blue Cross/Humana, etc.)
Veterans Administration
No healthcare coverage
9.
In general, how would you rate your overall health?
Excellent
Very good
Good
Fair
Poor
10.
Please choose all statements below that apply to you?
I exercise at least 3 times per week
I eat at least 5 servings of fruits and vegetables each day
I eat fast food more than once per week
I smoke cigarettes
I chew tobacco
I use illegal drugs
I abuse or overuse prescription drugs
I consume more than 4 alcoholic drinks per day
I receive a COVID shot or booster
I receive a flu shot each year
I have access to a wellness program through my employer
I am not comfortable with my current weight
None of these apply to me
11.
Have you ever been told by a doctor that you have one of the following conditions? (Check all that apply)
Adult Asthma
Angina or coronary heart disease
Bacterial Pneumonia
Heart Attack
Cancer
COPD ( Chronic Obstructive Pulmonary Disease)
Diabetes or high blood sugar
High Cholesterol
Hypertension (high blood pressure)
Stoke
12.
Where do you normally go for routine healthcare?
Hardin County General Hospital
Hardin County General Hospital Physician Clinic
Other Physician's Office
Health Department
Emergency Room
Urgent Care Clinic
Clinic in grocery or pharmacy
I do not receive routine healthcare
Other
13.
Is your Primary Care provider at Hardin County General Hospital?
Yes
No
14.
Do you use any outpatient services at Hardin County General Hospital
Yes
No
If you don't use any outpatient services at Hardin County General Hospital, why?
15.
Which of the following services have you received at the Hardin County General Hospital in the past 12 months?
Cardiac Services
Flu/Shigles/Pnuemonia Shot
COVID-19 Shot or Booster
Blood Sugar Check
Physical/Occupational Therapy
XRays/Imaging
Womens Health
Blood Pressure Check
Lab Services
Other (please specify)
16.
How long has it been since your most recent visit with your healthcare provider?
Less than 1 month
At least 1 month but less than 3 months
At least 3 months but less than 6 months
At least 6 months but less than 12 months
12 months or more
17.
If your last visit was more than a year ago, is it because you -
Do not have a medical condition that requires any care and receive health screenings from other service provider?
Do not routinely receive any healthcare screenings?
Could not afford visit?
Could not schedule due to work or personal conflicts with normal business hours?
No transportation?
No appointment available?
18.
Have you or anyone in your household had any difficulty finding a doctor within the past two years?
Yes
No
19.
Have you or anyone in your household had any difficulty finding a doctor in your area that treats specific illnesses or conditions with the past two years?
Yes
No
20.
How would you rate the quality of care at Hardin County General Hospital and Clinic?
Very Good
Good
Okay
Poor
Very Poor
21.
What do you think are the most pressing health problems in your community? (Check all that apply)
Ability to pay for care
Alcohol - dependency of abuse
Alcohol - underage binge or abuse
Drug abuse - Prescription medications
Drug abuse - illegal substances
Cancer
Child abuse
Cost of health care
Lack of health insurance
Lack of transportation to health care services
Lack of dental care
Lack of prenatal care
Mental Health
Obesity
Teen Pregnancy
Tobacco use/smoking in adults
Tobacco use/smoking in teenagers
22.
What does Hardin County General Hospital and Clinic do well?
23.
What does Hardin County General Hospital and Clinic NOT do well?
24.
What medical services are most needed in your community?
Adult Primary care services
Alcohol and drug abuse treatment
Cancer Treatment
Counseling/Mental Health Services
Diabetes Education /Care
Emergency/Trauma Care
Heart Care Services
Orthopedic Care (Bone & Joint)
Pediatric Services
Womens Health services such as obstetrics/gynecological services
Other (please specify)
25.
Where do you get most of your health information? (Check all that apply)
Internet (Facebook/Twitter)
Newspapers/Magazine
Doctor/Health Professional
Television
Hospital
Radio
School
Health Department
Religious Organization
Other (please specify)
26.
Please check the type of health screenings and or services that are most needed in your community?
Blood Pressure
Cancer
Cholesterol
Dental
Diabetes
Disease outbreak prevention
COVID-19 testing
Drug and Alcohol Abuse
Eating Disorders
Emergency Preparedness
Exercise/physical activity
Falls prevention for the elderly
Hearing Screening
Heart Disease
HIV/AIDS & STD's
Routine Well Check
Memory Loss (Dementia/Alzheimers)
Nutrition
Prenatal Care
Quitting Smoking /Vaping
Suicide Prevention
Vaccination/ Immunizations
Vision Screenings
Weight Loss help
Pain Management
Other (please specify)
27.
What can Hardin County General Hospital and Clinic do to better the health needs of your community?
Thank you for completing the Community Health Needs Assessment. Your input is greatly appreciated.