We Need You!

MHA is conducting this Community Health Needs Assessment (CHNA) survey to better understand the health concerns and needs in our community. The information obtained from the CHNA will be used in the development of an action plan to help improve the health of local community members.

* 1. Please rank the following in order of (1) for Most Concerning to (10) for Least Concerning health issue of our community. (NOTE: You can easily rank your choice by dragging and dropping them in your desired order.)

* 2. Are there barriers to improving health and quality of life in our community?

* 3. If you answered “Yes” to Question #2, please rank the following barriers in order of (1) for Most to (5) for Least Significant.

* 4. Are there any other barriers to improving health and quality of life in our community? What additional health services need to be offered to meet health challenges in our community?

* 5. Please rank the following health prevention topics in order of (1) for Most Important to (10) for Least Important for our community.

* 6. Please select the health challenges you face. (Check all that apply.)

* 7. Where do you go for routine health care? (Check all that apply.)

* 8. Where do you go for emergency care? (Check all that apply.)

* 9. Where do you go for hospital care? (Check all that apply.)

* 10. Are there issues that prevent you from accessing care? (Check all that apply.)

* 11. What is needed to improve the health of your family and neighbors? (Check all that apply.)

* 12. Where do you get most of your health information? (Check all that apply.)

* 13. Anything else you would like to share?

* 14. In what ZIP code is your home located? (enter 5-digit ZIP code)

* 15. What is your gender?

* 16. Which category below includes your age?

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100% of survey complete.

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