Community Health Needs Assessment 2020

In order to continue to access the health needs of our community, King’s Daughters is asking you to provide your thoughts and opinions on your health and the health of your community. By taking this brief survey we can learn about health needs, concerns and barriers, which in turn will allow us to devise an improvement strategy. We appreciate your time and input.

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* 1. How would you rate your overall health?

Excellent

Good

Fair

Poor

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* 2. Which of these issues most affect you or your family?

Alcohol use

Drug use

Tobacco/vaping

Cancer

Breathing disorders (COPD, asthma, etc.)

COVID-19 testing/treatment

Diabetes

Stroke

Heart disease

High blood pressure

Infant health

Mental health/suicide

Obesity/overweight

Dental health

Other (please specify):

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* 3. I get most of my healthcare support/advice from:

	Agree	Neutral	Disagree
My doctor	My doctor Agree	My doctor Neutral	My doctor Disagree
My family	My family Agree	My family Neutral	My family Disagree
My friends	My friends Agree	My friends Neutral	My friends Disagree
My co-workers	My co-workers Agree	My co-workers Neutral	My co-workers Disagree
My church family	My church family Agree	My church family Neutral	My church family Disagree
I avoid healthcare	I avoid healthcare Agree	I avoid healthcare Neutral	I avoid healthcare Disagree
The internet	The internet Agree	The internet Neutral	The internet Disagree

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* 4. Please choose your gender.

Male

Female

I choose not to identify as male or female

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* 5. Within the past year, where did you go most often for healthcare?

Emergency room

Local health department

Doctor's office

Federally qualified health center (ex: CAO or Primary Plus)

Urgent care

I did not seek health services

Other (please specify)

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* 6. What are your barriers to healthcare?

Access to a doctor I can relate to

Language/communication

Access to a doctor near me

Cost/lack of insurance

Fear of discrimination/being judged by others

Transportation

I do not have confidence/trust in healthcare

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* 7. How can we make free healthcare screenings and educational programs more convenient for you?

Free/low cost screenings/education at malls, neighborhoods, grocery stores, churches, etc.

Facebook or YouTube videos

Transportation assistance

Other (please specify)

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* 8. Please choose your age group.

18 - 30

31 - 60

61 - 80

81 - over

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* 9. What is your primary language?

English

Spanish

Other (please specify)

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* 10. Please choose a race/ethnicity that best represents you.

Asian

Black/African-American

Hispanic

White/Caucasian

Other (please specify)

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* 11. Did you have help completing this survey?

Yes