Community Health Needs Assessment Survey

This survey is conducted in partnership with Greeley County Health Services, the Greeley County Health Department and the Wallace County Health Department.  The results of this survey and other information gathered by this process will be used to make recommendations to bring about improvements in outcomes related to health.  The survey results, other information about the health care system and recommendations for the future will be shared with the citizens of Greeley and Wallace County.  If you have completed this survey in 2016, please do not do so again.  The following information is provided for you to decide whether you wish to complete the survey.  You should be aware that even if you agree to participate, you are free to withdraw at any time without penalty.  Your individual responses will remain confidential; only total survey results will be shared.  You are not obligated in any way to take or complete this survey.  Completion of the survey indicates your willingness to participate in this project and that you are at least eighteen years old.  Thank you for sharing your opinions!

Question Title

* 1. Please indicate your opinion in the following areas:

  Not at all correct Somewhat correct Correct Very correct Extremely correct N/A
Children and youth have access to basic services.
Individuals are aware of and know how to access healthcare services.
Laws against selling or providing alcohol to minors are strictly enforced.
Victims of rape and sexual assault get the help they need.  
Mental health problems are recognized and treated in our community.  
Children and youth are free from abuse.
There are resources to help people manage diabetes, cardiovascular disease and arthritis.
Health insurance is available for all.
Dental care and preventive screenings are available for all.
Children and youth are up to date on immunizations.
The infrastructure (sidewalks, lighting) in our community makes it easy and safe to be physically active.

Question Title

* 2. The following items were listed as major health concerns in our 2013 Community Health Needs Assessment.  Would you please share your opinion on if these issues are still a top concern?

  Yes, this is still a major community concern This concern is still important but has improved from three years ago This is not a primary health concern for our community in my opinion
Quality Childcare is available and affordable
Dental Care and Preventive Screenings are available for all
Alcoholism and Drug Dependence is recognized and treatment is available
Adults and Youth know how to avoid unsafe sex and have access to contraceptives
Housing is a limiting factor in attracting new residents
Early childhood education is a need
Chronic physical and mental illness is a concern
Access to healthcare is a concerns

Question Title

* 3. In general, how would you best describe your health?

Question Title

* 4. Compared to a year ago, how would you rate your overall health in general now?

Question Title

* 5. Do you know the recommended daily servings of fruits and vegetables?

Question Title

* 6. In general, how would you rate the overall quality of the healthcare delivered to your community?

Question Title

* 7. Over the past two years, did you or anyone in your household receive healthcare services outside of your community?

Question Title

* 8. If yes, please share what type of services you received.

Question Title

* 9. Are you......?

  Yes No
Using tobacco products weekly
Exercising 2-3 times weekly, for at least 30 minutes
Consuming alcohol more than one drink daily
Receiving an annual flu shot

Question Title

* 10. As you think about the aging process, what types of information would be important to you?

  Yes No N/A
Healthy aging
Financial preparation for healthcare expenses
End of life decision making

T