Alcona Health Center - CHNA - Community Survey 2024

Alcona Health Center
Community Health Needs Assessment
Survey Questionnaire 2024

Alcona Health Center (AHC) is surveying service area residents and patients to better understand the needs of the local community. This survey can be completed by anyone 18 years or older. Your responses are completely anonymous. We estimate this survey will take about 10 minutes. We hope you will take the time to complete this survey. Your opinion is valuable and will help AHC provide better services to those who need them. Thank you for your help!

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* 1. In which county do you reside?

Alpena County

Alcona County

Cheboygan County

Chippewa County

Emmet County

Iosco County

Oscoda County

Montmorency County

Ogemaw County

Otsego County

Presque Isle County

Mackinac County

Other (please specify):

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* 2. Have you ever received services at AHC?

Yes

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* 3. If yes, what services (select all that apply):

Substance Use Disorder

Acute Medical Care

Pharmacy

HIV

Dental/Oral Health

Behavioral Health

Primary Medical Care

Other (please specify)

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* 4. Of the services you receive at AHC, how satisfied are you with the care you have received?

	Not at All	Slightly Satisfied	Moderately Satisfied	Very Satisfied	Extremely Satisfied	Never Received this Service at AHC - N/A
Primary Medical Care	Primary Medical Care Not at All	Primary Medical Care Slightly Satisfied	Primary Medical Care Moderately Satisfied	Primary Medical Care Very Satisfied	Primary Medical Care Extremely Satisfied	Primary Medical Care Never Received this Service at AHC - N/A
Behavioral Health	Behavioral Health Not at All	Behavioral Health Slightly Satisfied	Behavioral Health Moderately Satisfied	Behavioral Health Very Satisfied	Behavioral Health Extremely Satisfied	Behavioral Health Never Received this Service at AHC - N/A
Substance Use Disorder	Substance Use Disorder Not at All	Substance Use Disorder Slightly Satisfied	Substance Use Disorder Moderately Satisfied	Substance Use Disorder Very Satisfied	Substance Use Disorder Extremely Satisfied	Substance Use Disorder Never Received this Service at AHC - N/A
Dental/Oral Health	Dental/Oral Health Not at All	Dental/Oral Health Slightly Satisfied	Dental/Oral Health Moderately Satisfied	Dental/Oral Health Very Satisfied	Dental/Oral Health Extremely Satisfied	Dental/Oral Health Never Received this Service at AHC - N/A
HIV	HIV Not at All	HIV Slightly Satisfied	HIV Moderately Satisfied	HIV Very Satisfied	HIV Extremely Satisfied	HIV Never Received this Service at AHC - N/A
Acute Medical Care	Acute Medical Care Not at All	Acute Medical Care Slightly Satisfied	Acute Medical Care Moderately Satisfied	Acute Medical Care Very Satisfied	Acute Medical Care Extremely Satisfied	Acute Medical Care Never Received this Service at AHC - N/A
Pharmacy	Pharmacy Not at All	Pharmacy Slightly Satisfied	Pharmacy Moderately Satisfied	Pharmacy Very Satisfied	Pharmacy Extremely Satisfied	Pharmacy Never Received this Service at AHC - N/A

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* 5. Please select your age group:

18-24

25-34

35-44

45-54

55-64

65-74

75 or older

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* 6. What is the highest level of education you have completed?

Some High School or less

High School Diploma / GED

Some College

College Associates Degree

College Bachelors Degree

Post Graduate Degree

Trade / Technical School Certificate/Degree

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* 7. Counting income from all sources (including all earnings from jobs, unemployment insurance, pensions, public assistance, etc.) and counting income from everyone living in your home, which of the following ranges did your household income fall into last year?

Less than $5,000

$5,000 - $9,000

$10,000 - $14,999

$15,000 - $24,999

$25,000 - $34,999

$35,000 - $49,999

$50,000 - $99,999

$100,000 - $199,999

$200,000 or more

Decline to answer

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* 8. What is your current employment status? (check all that apply)

Employed full-time

Employed part-time, but seeking full-time employment

Employed part-time at multiple jobs

Employed part-time and not seeking additional employment

Retired

Disabled

Collecting Unemployment Benefits

Self-employed

Out of work, but seeking employment

Out of work, but not seeking employment

A Homemaker

A Student

Unable to work (permanently)

Temporarily unable to work (Medical Program, etc.)

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* 9. Do you have a primary care physician, physician assistant, nurse practitioner, or health clinic?

Yes

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* 10. If yes, have you been seen for a physical exam in the past year?

Yes

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* 11. What is your usual method of transportation to get to health appointments?

Walking

Personal vehicle

Borrowing friend/family vehicle

Getting a ride from friend/family

Public buses

Lyft/Uber/Taxi

Health insurance provided transportation

Other (please specify)

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* 12. What is the best way to inform people about new health services available in your area?

Flyers/Brochures

Newsletter (please specify below)

Social Media (Twitter, Facebook, Instagram – please specify below)

Radio

Presentation at Community/Organizational Meetings (please specify below)

Text or e-mail

Other (please specify below)

Other (please specify)

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* 13. What is the most you could afford to pay to visit a primary care / dental / mental health provider?

$0.00 - $10.00

$11.00 - $15.00

$16.00 - $20.00

$21.00 - $25.00

$26.00 - $30.00

$31.00 - $35.00

$36.00 - $40.00

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* 14. Everyone experiences certain needs which are essential for their daily living. Rate you important each need is to you at the present time:

	Not Important	A Little Important	Somewhat Important	Very Important	Extremely Important
Finding Affordable Permanent Housing	Finding Affordable Permanent Housing Not Important	Finding Affordable Permanent Housing A Little Important	Finding Affordable Permanent Housing Somewhat Important	Finding Affordable Permanent Housing Very Important	Finding Affordable Permanent Housing Extremely Important
Getting Free Meals	Getting Free Meals Not Important	Getting Free Meals A Little Important	Getting Free Meals Somewhat Important	Getting Free Meals Very Important	Getting Free Meals Extremely Important
Short-term Shelter (less than 90 days)	Short-term Shelter (less than 90 days) Not Important	Short-term Shelter (less than 90 days) A Little Important	Short-term Shelter (less than 90 days) Somewhat Important	Short-term Shelter (less than 90 days) Very Important	Short-term Shelter (less than 90 days) Extremely Important
Temporary Housing with Support Services (also called “Transitional Housing”)	Temporary Housing with Support Services (also called “Transitional Housing”) Not Important	Temporary Housing with Support Services (also called “Transitional Housing”) A Little Important	Temporary Housing with Support Services (also called “Transitional Housing”) Somewhat Important	Temporary Housing with Support Services (also called “Transitional Housing”) Very Important	Temporary Housing with Support Services (also called “Transitional Housing”) Extremely Important
Job Placement	Job Placement Not Important	Job Placement A Little Important	Job Placement Somewhat Important	Job Placement Very Important	Job Placement Extremely Important
Job Training	Job Training Not Important	Job Training A Little Important	Job Training Somewhat Important	Job Training Very Important	Job Training Extremely Important
Getting Public Benefits (e.g. AFDC, SSI, Welfare)	Getting Public Benefits (e.g. AFDC, SSI, Welfare) Not Important	Getting Public Benefits (e.g. AFDC, SSI, Welfare) A Little Important	Getting Public Benefits (e.g. AFDC, SSI, Welfare) Somewhat Important	Getting Public Benefits (e.g. AFDC, SSI, Welfare) Very Important	Getting Public Benefits (e.g. AFDC, SSI, Welfare) Extremely Important
Assistance with Budgeting Money	Assistance with Budgeting Money Not Important	Assistance with Budgeting Money A Little Important	Assistance with Budgeting Money Somewhat Important	Assistance with Budgeting Money Very Important	Assistance with Budgeting Money Extremely Important
Getting Transportation	Getting Transportation Not Important	Getting Transportation A Little Important	Getting Transportation Somewhat Important	Getting Transportation Very Important	Getting Transportation Extremely Important
Parenting Training	Parenting Training Not Important	Parenting Training A Little Important	Parenting Training Somewhat Important	Parenting Training Very Important	Parenting Training Extremely Important
Available Child Care	Available Child Care Not Important	Available Child Care A Little Important	Available Child Care Somewhat Important	Available Child Care Very Important	Available Child Care Extremely Important
Individual Counseling	Individual Counseling Not Important	Individual Counseling A Little Important	Individual Counseling Somewhat Important	Individual Counseling Very Important	Individual Counseling Extremely Important
Family Counseling	Family Counseling Not Important	Family Counseling A Little Important	Family Counseling Somewhat Important	Family Counseling Very Important	Family Counseling Extremely Important
Drug or Alcohol Treatment	Drug or Alcohol Treatment Not Important	Drug or Alcohol Treatment A Little Important	Drug or Alcohol Treatment Somewhat Important	Drug or Alcohol Treatment Very Important	Drug or Alcohol Treatment Extremely Important
Case Management	Case Management Not Important	Case Management A Little Important	Case Management Somewhat Important	Case Management Very Important	Case Management Extremely Important
Mental Health Care	Mental Health Care Not Important	Mental Health Care A Little Important	Mental Health Care Somewhat Important	Mental Health Care Very Important	Mental Health Care Extremely Important
Trauma – Childhood abuse/neglect, sexual assault, gun violence, prison, etc.	Trauma – Childhood abuse/neglect, sexual assault, gun violence, prison, etc. Not Important	Trauma – Childhood abuse/neglect, sexual assault, gun violence, prison, etc. A Little Important	Trauma – Childhood abuse/neglect, sexual assault, gun violence, prison, etc. Somewhat Important	Trauma – Childhood abuse/neglect, sexual assault, gun violence, prison, etc. Very Important	Trauma – Childhood abuse/neglect, sexual assault, gun violence, prison, etc. Extremely Important
Life Skills Training (e.g. learning health habitats, time management, cooking, etc.)	Life Skills Training (e.g. learning health habitats, time management, cooking, etc.) Not Important	Life Skills Training (e.g. learning health habitats, time management, cooking, etc.) A Little Important	Life Skills Training (e.g. learning health habitats, time management, cooking, etc.) Somewhat Important	Life Skills Training (e.g. learning health habitats, time management, cooking, etc.) Very Important	Life Skills Training (e.g. learning health habitats, time management, cooking, etc.) Extremely Important
Furthering Your Education	Furthering Your Education Not Important	Furthering Your Education A Little Important	Furthering Your Education Somewhat Important	Furthering Your Education Very Important	Furthering Your Education Extremely Important
Medical Services	Medical Services Not Important	Medical Services A Little Important	Medical Services Somewhat Important	Medical Services Very Important	Medical Services Extremely Important
Dental Services	Dental Services Not Important	Dental Services A Little Important	Dental Services Somewhat Important	Dental Services Very Important	Dental Services Extremely Important
Obtaining Legal Assistance	Obtaining Legal Assistance Not Important	Obtaining Legal Assistance A Little Important	Obtaining Legal Assistance Somewhat Important	Obtaining Legal Assistance Very Important	Obtaining Legal Assistance Extremely Important
Being Involved in Support Groups	Being Involved in Support Groups Not Important	Being Involved in Support Groups A Little Important	Being Involved in Support Groups Somewhat Important	Being Involved in Support Groups Very Important	Being Involved in Support Groups Extremely Important
Having Information on Agency Services	Having Information on Agency Services Not Important	Having Information on Agency Services A Little Important	Having Information on Agency Services Somewhat Important	Having Information on Agency Services Very Important	Having Information on Agency Services Extremely Important
Health Care Information	Health Care Information Not Important	Health Care Information A Little Important	Health Care Information Somewhat Important	Health Care Information Very Important	Health Care Information Extremely Important
OB/GYN	OB/GYN Not Important	OB/GYN A Little Important	OB/GYN Somewhat Important	OB/GYN Very Important	OB/GYN Extremely Important
Eye Doctor (e.g. vision services)	Eye Doctor (e.g. vision services) Not Important	Eye Doctor (e.g. vision services) A Little Important	Eye Doctor (e.g. vision services) Somewhat Important	Eye Doctor (e.g. vision services) Very Important	Eye Doctor (e.g. vision services) Extremely Important

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* 15. Rate how easy or difficult it is for you to access the below resources to meet your need. If you do not need a certain service, please select N/A (Not a Need).

	Always Difficult	Sometimes Difficult	Sometimes Easy	Always Easy	N/A - Not a Need
Finding Affordable Permanent Housing	Finding Affordable Permanent Housing Always Difficult	Finding Affordable Permanent Housing Sometimes Difficult	Finding Affordable Permanent Housing Sometimes Easy	Finding Affordable Permanent Housing Always Easy	Finding Affordable Permanent Housing N/A - Not a Need
Getting Free Meals	Getting Free Meals Always Difficult	Getting Free Meals Sometimes Difficult	Getting Free Meals Sometimes Easy	Getting Free Meals Always Easy	Getting Free Meals N/A - Not a Need
Short-term Shelter (less than 90 days)	Short-term Shelter (less than 90 days) Always Difficult	Short-term Shelter (less than 90 days) Sometimes Difficult	Short-term Shelter (less than 90 days) Sometimes Easy	Short-term Shelter (less than 90 days) Always Easy	Short-term Shelter (less than 90 days) N/A - Not a Need
Temporary Housing with Support Services (also called “Transitional Housing”)	Temporary Housing with Support Services (also called “Transitional Housing”) Always Difficult	Temporary Housing with Support Services (also called “Transitional Housing”) Sometimes Difficult	Temporary Housing with Support Services (also called “Transitional Housing”) Sometimes Easy	Temporary Housing with Support Services (also called “Transitional Housing”) Always Easy	Temporary Housing with Support Services (also called “Transitional Housing”) N/A - Not a Need
Job Placement	Job Placement Always Difficult	Job Placement Sometimes Difficult	Job Placement Sometimes Easy	Job Placement Always Easy	Job Placement N/A - Not a Need
Job Training	Job Training Always Difficult	Job Training Sometimes Difficult	Job Training Sometimes Easy	Job Training Always Easy	Job Training N/A - Not a Need
Getting Public Benefits (e.g. AFDC, SSI, Welfare)	Getting Public Benefits (e.g. AFDC, SSI, Welfare) Always Difficult	Getting Public Benefits (e.g. AFDC, SSI, Welfare) Sometimes Difficult	Getting Public Benefits (e.g. AFDC, SSI, Welfare) Sometimes Easy	Getting Public Benefits (e.g. AFDC, SSI, Welfare) Always Easy	Getting Public Benefits (e.g. AFDC, SSI, Welfare) N/A - Not a Need
Assistance with Budgeting Money	Assistance with Budgeting Money Always Difficult	Assistance with Budgeting Money Sometimes Difficult	Assistance with Budgeting Money Sometimes Easy	Assistance with Budgeting Money Always Easy	Assistance with Budgeting Money N/A - Not a Need
Getting Transportation	Getting Transportation Always Difficult	Getting Transportation Sometimes Difficult	Getting Transportation Sometimes Easy	Getting Transportation Always Easy	Getting Transportation N/A - Not a Need
Parenting Training	Parenting Training Always Difficult	Parenting Training Sometimes Difficult	Parenting Training Sometimes Easy	Parenting Training Always Easy	Parenting Training N/A - Not a Need
Available Child Care	Available Child Care Always Difficult	Available Child Care Sometimes Difficult	Available Child Care Sometimes Easy	Available Child Care Always Easy	Available Child Care N/A - Not a Need
Individual Counseling	Individual Counseling Always Difficult	Individual Counseling Sometimes Difficult	Individual Counseling Sometimes Easy	Individual Counseling Always Easy	Individual Counseling N/A - Not a Need
Family Counseling	Family Counseling Always Difficult	Family Counseling Sometimes Difficult	Family Counseling Sometimes Easy	Family Counseling Always Easy	Family Counseling N/A - Not a Need
Drug or Alcohol Treatment	Drug or Alcohol Treatment Always Difficult	Drug or Alcohol Treatment Sometimes Difficult	Drug or Alcohol Treatment Sometimes Easy	Drug or Alcohol Treatment Always Easy	Drug or Alcohol Treatment N/A - Not a Need
Case Management	Case Management Always Difficult	Case Management Sometimes Difficult	Case Management Sometimes Easy	Case Management Always Easy	Case Management N/A - Not a Need
Mental Health Care	Mental Health Care Always Difficult	Mental Health Care Sometimes Difficult	Mental Health Care Sometimes Easy	Mental Health Care Always Easy	Mental Health Care N/A - Not a Need
Trauma – Childhood abuse/neglect, sexual assault, gun violence, prison, etc.	Trauma – Childhood abuse/neglect, sexual assault, gun violence, prison, etc. Always Difficult	Trauma – Childhood abuse/neglect, sexual assault, gun violence, prison, etc. Sometimes Difficult	Trauma – Childhood abuse/neglect, sexual assault, gun violence, prison, etc. Sometimes Easy	Trauma – Childhood abuse/neglect, sexual assault, gun violence, prison, etc. Always Easy	Trauma – Childhood abuse/neglect, sexual assault, gun violence, prison, etc. N/A - Not a Need
Life Skills Training (e.g. learning health habitats, time management, cooking, etc.)	Life Skills Training (e.g. learning health habitats, time management, cooking, etc.) Always Difficult	Life Skills Training (e.g. learning health habitats, time management, cooking, etc.) Sometimes Difficult	Life Skills Training (e.g. learning health habitats, time management, cooking, etc.) Sometimes Easy	Life Skills Training (e.g. learning health habitats, time management, cooking, etc.) Always Easy	Life Skills Training (e.g. learning health habitats, time management, cooking, etc.) N/A - Not a Need
Furthering Your Education	Furthering Your Education Always Difficult	Furthering Your Education Sometimes Difficult	Furthering Your Education Sometimes Easy	Furthering Your Education Always Easy	Furthering Your Education N/A - Not a Need
Getting Assistance in Increasing English Fluency	Getting Assistance in Increasing English Fluency Always Difficult	Getting Assistance in Increasing English Fluency Sometimes Difficult	Getting Assistance in Increasing English Fluency Sometimes Easy	Getting Assistance in Increasing English Fluency Always Easy	Getting Assistance in Increasing English Fluency N/A - Not a Need
Medical Services	Medical Services Always Difficult	Medical Services Sometimes Difficult	Medical Services Sometimes Easy	Medical Services Always Easy	Medical Services N/A - Not a Need
Dental Services	Dental Services Always Difficult	Dental Services Sometimes Difficult	Dental Services Sometimes Easy	Dental Services Always Easy	Dental Services N/A - Not a Need
Obtaining Legal Assistance	Obtaining Legal Assistance Always Difficult	Obtaining Legal Assistance Sometimes Difficult	Obtaining Legal Assistance Sometimes Easy	Obtaining Legal Assistance Always Easy	Obtaining Legal Assistance N/A - Not a Need
Being Involved in Support Groups	Being Involved in Support Groups Always Difficult	Being Involved in Support Groups Sometimes Difficult	Being Involved in Support Groups Sometimes Easy	Being Involved in Support Groups Always Easy	Being Involved in Support Groups N/A - Not a Need
Having Information on Agency Services	Having Information on Agency Services Always Difficult	Having Information on Agency Services Sometimes Difficult	Having Information on Agency Services Sometimes Easy	Having Information on Agency Services Always Easy	Having Information on Agency Services N/A - Not a Need
Health Care Information	Health Care Information Always Difficult	Health Care Information Sometimes Difficult	Health Care Information Sometimes Easy	Health Care Information Always Easy	Health Care Information N/A - Not a Need
Improving Physical Safety (e.g. more police on streets, safer shelters, etc.)	Improving Physical Safety (e.g. more police on streets, safer shelters, etc.) Always Difficult	Improving Physical Safety (e.g. more police on streets, safer shelters, etc.) Sometimes Difficult	Improving Physical Safety (e.g. more police on streets, safer shelters, etc.) Sometimes Easy	Improving Physical Safety (e.g. more police on streets, safer shelters, etc.) Always Easy	Improving Physical Safety (e.g. more police on streets, safer shelters, etc.) N/A - Not a Need
OB/GYN	OB/GYN Always Difficult	OB/GYN Sometimes Difficult	OB/GYN Sometimes Easy	OB/GYN Always Easy	OB/GYN N/A - Not a Need
Eye Doctor (e.g. vision services)	Eye Doctor (e.g. vision services) Always Difficult	Eye Doctor (e.g. vision services) Sometimes Difficult	Eye Doctor (e.g. vision services) Sometimes Easy	Eye Doctor (e.g. vision services) Always Easy	Eye Doctor (e.g. vision services) N/A - Not a Need

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* 16. AHC wants to thank you for your participation! We will be using your responses to improve the services that we provide to our community. If you have any additional comments, please write them below.

Alcona Health Center - CHNA - Community Survey 2024

Alcona Health CenterCommunity Health Needs AssessmentSurvey Questionnaire 2024

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* 1. In which county do you reside?

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* 2. Have you ever received services at AHC?

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* 3. If yes, what services (select all that apply):

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* 4. Of the services you receive at AHC, how satisfied are you with the care you have received?

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* 5. Please select your age group:

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* 6. What is the highest level of education you have completed?

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* 7. Counting income from all sources (including all earnings from jobs, unemployment insurance, pensions, public assistance, etc.) and counting income from everyone living in your home, which of the following ranges did your household income fall into last year?

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* 8. What is your current employment status? (check all that apply)

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* 9. Do you have a primary care physician, physician assistant, nurse practitioner, or health clinic?

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* 10. If yes, have you been seen for a physical exam in the past year?

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* 11. What is your usual method of transportation to get to health appointments?

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* 12. What is the best way to inform people about new health services available in your area?

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* 13. What is the most you could afford to pay to visit a primary care / dental / mental health provider?

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* 14. Everyone experiences certain needs which are essential for their daily living. Rate you important each need is to you at the present time:

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* 15. Rate how easy or difficult it is for you to access the below resources to meet your need. If you do not need a certain service, please select N/A (Not a Need).

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* 16. AHC wants to thank you for your participation! We will be using your responses to improve the services that we provide to our community. If you have any additional comments, please write them below.

Alcona Health Center
Community Health Needs Assessment
Survey Questionnaire 2024