Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. EXIT Health Care Access Now Community Feedback Survey Health Care Access Now (HCAN) is a social service non-profit agency that was started by community leaders in 2009. The goal was to improve the overall health status of Greater Cincinnati’s most vulnerable residents. HCAN is working hard to be the solution to the health disparities and extreme health care costs experienced by an estimated 400,000 Greater Cincinnati area residents.In order to be that solution, HCAN would like your feedback. Please take a few minutes to complete and submit your responses to the survey below. The survey should take less than 10 minutes. OK Question Title * 1. How familiar are you with HCAN? Extremely familiar Very familiar Somewhat familiar Not so familiar Not at all familiar Select one Select one Extremely familiar Select one Very familiar Select one Somewhat familiar Select one Not so familiar Select one Not at all familiar OK Question Title * 2. How would you describe your overall opinion of HCAN? Extremely favorable Very favorable Somewhat favorable Not so favorable Not at all favorable I have not heard of HCAN Select one Select one Extremely favorable Select one Very favorable Select one Somewhat favorable Select one Not so favorable Select one Not at all favorable Select one I have not heard of HCAN OK Question Title * 3. Do you know what Community Health Workers are and what services they provide? Yes No OK Question Title * 4. What client type(s) can HCAN provide services to?Select all that apply: Adult Pregnant Infant (age 0-1 year) Pediatric (age 0 - 18 years) OK Question Title * 5. How likely are you to use HCAN's services for yourself and/or your immediate family? I already have Extremely likely Very likely Somewhat likely Not so likely Not at all likely Select one Select one I already have Select one Extremely likely Select one Very likely Select one Somewhat likely Select one Not so likely Select one Not at all likely OK Question Title * 6. How likely are you to recommend HCAN's services to others? I already have Extremely likely Very likely Somewhat likely Not so likely Not at all likely Select one Select one I already have Select one Extremely likely Select one Very likely Select one Somewhat likely Select one Not so likely Select one Not at all likely OK Question Title * 7. When you think of HCAN, what first comes to mind? OK Question Title * 8. Please rate how important you think each of the following are: Extremely important Very important Somewhat important Not so important Not at all important Business conduct, ethics and compliance Business conduct, ethics and compliance Extremely important Business conduct, ethics and compliance Very important Business conduct, ethics and compliance Somewhat important Business conduct, ethics and compliance Not so important Business conduct, ethics and compliance Not at all important Removing barriers to health care Removing barriers to health care Extremely important Removing barriers to health care Very important Removing barriers to health care Somewhat important Removing barriers to health care Not so important Removing barriers to health care Not at all important Removing barriers to social service Removing barriers to social service Extremely important Removing barriers to social service Very important Removing barriers to social service Somewhat important Removing barriers to social service Not so important Removing barriers to social service Not at all important Reducing infant mortality (reducing the number of infants who die before age one) Reducing infant mortality (reducing the number of infants who die before age one) Extremely important Reducing infant mortality (reducing the number of infants who die before age one) Very important Reducing infant mortality (reducing the number of infants who die before age one) Somewhat important Reducing infant mortality (reducing the number of infants who die before age one) Not so important Reducing infant mortality (reducing the number of infants who die before age one) Not at all important Ending health disparities Ending health disparities Extremely important Ending health disparities Very important Ending health disparities Somewhat important Ending health disparities Not so important Ending health disparities Not at all important OK Question Title * 9. How can HCAN have a more positive impact on the community? OK Question Title * 10. Please rate how effective you believe HCAN has been in the following areas: Extremely effective Very effective Somewhat effective Not so effective Not at all effective Removing barriers to health care Removing barriers to health care Extremely effective Removing barriers to health care Very effective Removing barriers to health care Somewhat effective Removing barriers to health care Not so effective Removing barriers to health care Not at all effective Removing barriers to social service Removing barriers to social service Extremely effective Removing barriers to social service Very effective Removing barriers to social service Somewhat effective Removing barriers to social service Not so effective Removing barriers to social service Not at all effective Reducing infant mortality (reducing the number of infants who die before age one) Reducing infant mortality (reducing the number of infants who die before age one) Extremely effective Reducing infant mortality (reducing the number of infants who die before age one) Very effective Reducing infant mortality (reducing the number of infants who die before age one) Somewhat effective Reducing infant mortality (reducing the number of infants who die before age one) Not so effective Reducing infant mortality (reducing the number of infants who die before age one) Not at all effective Ending health disparities Ending health disparities Extremely effective Ending health disparities Very effective Ending health disparities Somewhat effective Ending health disparities Not so effective Ending health disparities Not at all effective OK Question Title * 11. What strategies will be more effective in the community? OK Question Title * 12. Has HCAN’s progress on removing barriers to health care and social service, reducing infant mortality and ending health disparities been reported to the community? Yes No If yes, where did you see the report? OK Question Title * 13. Do you believe HCAN treats client data in a trustworthy and responsible manner? Yes No If no, why not? OK Question Title * 14. Would you like to receive HCAN’s newsletter? Yes No If yes, please provide your email address or visit https://healthcareaccessnow.us3.list-manage.com/subscribe?u=609fd6fc6c33c374b06690e7e&id=f6290cc1da. OK Question Title * 15. Would you like to be connected to a Community Health Worker? Yes No If yes, please provide your contact information or visit https://www.surveymonkey.com/r/HCANReferral OK Thank you for taking the time to complete the survey! OK DONE
