Hendry/Glades County Health Assessment (English Version) On behalf of the Florida Department of Health in Hendry and Glades Counties, the Health Planning Council of Southwest Florida is hosting a survey in your neighborhood on health and healthcare. This community-wide study of the health care resources and needs in Hendry and Glades Counties needs YOUR valuable input, and will be used, along with other research, to plan services and make needed improvements in the community. Question Title * 1. How would you rate the general health of area residents? Excellent Good Fair Poor Question Title * 2. How would you rate the quality of healthcare in the area? Excellent Good Fair Poor Question Title * 3. Where do you think the residents of the area go to get health information? Newspaper Friends or relatives Clinic, Family doctor or health provider Radio Television Internet Magazines Books Health Department Social Media Health Fairs 211 Caloosa Belle Glades County Democrat Other (please specify) Question Title * 4. Where do you go to get healthcare? Family Doctor Clinic (Florida Community Health Center, Hendry Regional Convenient Care) Health Department Hospital/Emergency Room Lee Memorial Family Health Centers Out of County Don’t know Other (please specify) Question Title * 5. How do you choose your healthcare providers? Reccommendations (Friends/Family) Shop for cost/Cash fee Soonest appointment Distance Whatever is on my insurance Charity program Internet Referrals/Reviews Social Media Referral Emergency Room/Physician Other (please specify) Question Title * 6. Which of the following do you feel are the three most important health concerns in the area (select three)? Asthma Cancer Crime Dental problems Diabetes Domestic Violence Flu Heart Disease and Stroke HIV/AIDS Mental health problems Not enough doctors Lack of food/Hunger Nutrition/Quality food Obesity Addiction Senior care Sexually Transmitted Diseases (STDs) Suicide Racial Discrimination Unsafe living conditions Unsafe working conditions Teenage pregnancy Women’s issues Access to primary care (family doctor) Access to specialty care (doctors who provide care for one specific medical issue) Aging problems (such as arthritis, hearing/vision loss, etc.) Other (please specify)Comments Question Title * 7. Which of the following do you feel are the 3 most important risky behaviors in n the area (select three)? Being overweight Not using birth control Dropping out of school Not using seat belts/child safety seats Drug/Alcohol Abuse Poor eating habits Lack of exercise Lack of maternity care Smoking/Tobacco Use Not getting shots to prevent disease Unsafe sex Not getting annual exams Unsafe sleep practices (Lack of sleep, etc.) Bullying Distracted Driving (Texting) Unsafe Infant Sleep Practices Other (please specify) Question Title * 8. What do you think is the main reason that keeps people in the area from seeking medical treatment? Cultural/health beliefs Fear (not ready to face health problem) Health services too far away Lack of insurance/unable to pay for doctor’s visit Lack of knowledge/understanding of need No appointments available at doctor Transportation Have to wait too long at doctor's office Language Barrier No doctors willing to take health insurance Lack of quality services Fear (due to immigration status) Too busy/Lack of time Hard to make an appointment (process) Appointments not available at times needed None/no barriers Other (please specify) Question Title * 9. Are there environmental factors affecting your health? Flooding Mildew/Mold Road conditions Water pollution Air quality Lack of sidewalks Lack of bike paths Lack of parks/recreational facilities Lack of playgrounds Other (please specify)/Comments: Question Title * 10. What types of residents of the area have more difficulty accessing healthcare than others? Adults Children Elderly/Senior Citizens Non-English Speaking Teens/Adolescents Uninsured/Low-Income Seasonal Residents People with mental health issues Single parents Medicaid/Medicare Recipients Migrants People with disabilities Homeless people Veterans LGBTQ Undocumented residents Other (please specify) Question Title * 11. Are there areas/neighborhoods in the area where residents have a particularly difficult time accessing health services? No Yes If yes, which areas/neighborhoods? Question Title * 12. Are there services that individuals in the area have difficulty accessing? If yes, which of the following services have you or someone you know had difficulty accessing (select all that apply)? No Yes, Primary care Yes, Emergency Care Yes, Dental care Yes, Hospital care Yes, Pediatric Care Yes, OB/Gynecological Care Yes, Mental Health care Yes, Pharmacy/Medications Yes, Audiology (Hearing) Yes, Optometry (Vision) Yes, Chiropractic Services Yes, Substance Abuse Treatment Yes, Dialysis Yes, Palliative Care Yes, Laboratory Services Yes, Breastfeeding/Lactation Classes Yes, Applied Behavioral Analysis/Autism Services Yes, Physical/Occupational/Speech Therapy Yes, Specialty Care (Please specify which type of specialty care in the comments box below) Yes, Other (please specify) Question Title * 13. What does the area need to improve the health of your family, friends, and neighbors? Additional health services After-school programs Counseling & support Health education Specialty doctors Healthier food choices Job opportunities Housing support/Legal assistance Financial Assistance for Healthcare More doctors Recreational facilities (parks, sports fields, etc.) Safe places to walk/play Wellness programs ADA accessible facilities Substance abuse treatment services Transportation Immigration/Legal assistance Other (please specify) Question Title * 14. Please share any additional comments you have about healthcare needs in the area. Question Title * 15. What county do you live in? Hendry County Glades County Other Question Title * 16. What city do you live in? Question Title * 17. Are you a permanent, seasonal, or temporary resident of the area? Permanent Seasonal Temporary Question Title * 18. Age Under 18 18-26 27-45 46-64 65+ Question Title * 19. Gender Male Female Other Question Title * 20. Race American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Mixed Other (please specify) Question Title * 21. Ethnicity Hispanic or Latino Not Hispanic of Latino Question Title * 22. What is your primary language? English Spanish Creole Other (please specify) Question Title * 23. What type of insurance do you have? Private insurance (through employer) Private insurance (not through employer) Medicaid (Staywell, Prestige, Molina, etc.) Medicare Medicare Replacement (Advantage) Veteran Parents' Insurance Not sure None Other (please specify) Done