Community Health Needs Assessment 

Please take approximately 15 minutes to complete this short survey. The purpose of this survey is to get your input about the health of your community. Area resources such as SRMC, PPHD, Economic Development and others will use your responses to help identify the most pressing concerns. Thank you for your feedback!
Every three years SRMC asks for your support as we assess the health needs of our community through a process known as a Community Health Needs Assessment (CHNA). It is our goal at Sidney Regional Medical Center, a nonprofit critical access healthcare organization, to stay focused on the needs of those we serve.

We hope you will take the next several minutes and provide feedback regarding the health of our community. This survey is completely confidential and designed to give direction about how our organization can make an impact by creating programs and partnerships that will positively improve key areas that are of concern. Thank you for your time.

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* 1. Has your health improved in the last 3 years?

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* 2. What has been the biggest contributor to an improvement or decline in your health over the past 3 years?

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* 3. What do you think would make the biggest difference in improving your health or your family's health over the next 3 years?

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* 4. Please indicate your level of agreement with each of the following statements:

  Strongly disagree Disagree Agree Strongly agree Not applicable
I am satisfied with the healthcare system in our community.
I am able to get my desired medical care whenever I need it.
I am very satisfied with the medical care I receive.
Sometimes it is a problem for me to cover my share of the cost for a medical care visit.
I have easy access to the medical specialist (providers that focus on a specific area of medicine that I need).
I have easy access to the reproductive health services (contraceptives, pregnancy testing, adoption counseling, infertility services, etc.).
I would use a telehealth (phone or video) option (for check-ups, mental health visits, reproductive health, or other medical needs, not including surgery).
I can understand what my healthcare providers, including specialty and mental health, are saying to me and act on that information and that there is an interpreter service available to me if necessary. 
I can understand written information from my healthcare providers.
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