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Cabarrus Health Alliance Outreach Survey - Spanish
Cabarrus Health Alliance would like your input on how we can make a bigger impact on our community. Your feedback is important to us. Thank you for taking the time to complete this survey.
1.
Have you ever received services from Cabarrus Health Alliance (CHA)?
Yes
No
2.
How likely are you to use CHA services in the next year?
Extremely Likely
Likely
Neutral
Unlikely
Extremely Unlikely
3.
What hours are most convenient for you to receive services?
8:00 a.m. - 5:00 p.m.
Before 8:00 a.m.
After 5:00 p.m.
Saturday 8:00 a.m. - noon
4.
Which of the following services would you be interested in obtaining from CHA? (check all that apply)
Dental
International Travel
Family Planning
Child Health
Maternity
Breast Health
Immunizations & Flu Shots
Cooking Classes
Other
Other (please specify)
5.
Please share any ideas or suggestions you have for improving the services at Cabarrus Health Alliance.
6.
Optional: If you would like for someone to follow up with you, please include your contact information.
Name
Phone Number
