Aspirus Health in partnership with the Taylor County Health Department is completing its 2022 Community Needs Assessment.  We’d appreciate your help by completing this important survey.

Why are we doing this? Every non profit healthcare facility is to conduct a Community Health Needs Assessment every three years.  Once data is collected, the health needs are prioritized to focus on the communities’ greatest need. Aspirus Health has people who work together to support community – based health programs and services. New programs are also implemented to help each community meet its specific needs.

Instructions: We want to know how you view our community, so we are inviting you to participate in a brief survey for community health needs.  Your opinions are important. This questionnaire will take approximately 15 minutes to complete.

All of your individual responses are confidential.  We will use results of the surveys to improve our understanding of health needs in the community.

Please read each question and mark the response that best represents your views of community needs.

Question Title

* 1. What is your sex?

Question Title

* 2. What is your age?

Question Title

* 3. What is your ethnicity/race?

Question Title

* 4. What is the zip code where you live?

Question Title

* 5. What is your highest level of education?

Question Title

* 6. What was your total income last year, before taxes?

Question Title

* 7. What is your current housing situation?

Question Title

* 8. How many people live in your home (including you)?

Question Title

* 9. What is your job status?

Question Title

* 10. If applicable, do you have access to affordable child care? 

Question Title

* 11. If you are in need of childcare, please indicate type of care you are seeking:

Question Title

* 12. If you are in need of childcare, please indicate type of hours you are in need of care: 

Question Title

* 13. Health Behaviors: please identify the two (2) most important health issues for this category, in our community:

Question Title

* 14. Social and Economic Factors: please identify the two (2) most important health issues for this category, in our community:

Question Title

* 15. Clinical Care: please identify the two (2) most important health issues for this category, in our community:

Question Title

* 16. Physical Environment: please identify the two (2) most important health issues for this category, in our community:

Question Title

* 17. How would you rate your physical health, in general? Please check one:

Question Title

* 18. How would you rate your mental health, in general? Consider things such as conserving stress, depression and problems with emotions. Please check one:

Question Title

* 19. During the past 12 months, did you seriously consider suicide?

Question Title

* 20. On average, how many days per week do you participate in physical activity or exercise (more than 15 minutes in one day)?

Question Title

* 21. On an average day, how many servings of fruit do you eat?

Question Title

* 22. On an average day, how many servings of vegetables do you eat?

Question Title

* 23. How many servings (1 serving – 12 ounces) of regular soda, diet soda and energy drinks do you consumer per week?

Question Title

* 24. In an average week, how many times do you eat out (fast food, restaurants, delivery, carry out)?

Question Title

* 25. In the past 30 days, did you use any of these tobacco or nicotine products? Select all that apply.

Question Title

* 26. Are you exposed to secondhand smoke or e-cigarette aerosol at home?

Question Title

* 27. In an average week, how many days do you have at least 1 drink of alcohol?

Question Title

* 28. On the days you drink alcohol, how many drinks do you have on average?

Question Title

* 29. In the past 30 days, have you used any of these mood-altering substances at least once? Select all that apply.

Question Title

* 30. Access to Care: When you get sick, where do you go? Please choose only one.

Question Title

* 31. How long has it been since you have been to the doctor to get a checkup when you were well (not because you were already sick)?

Question Title

* 32. In the last year, was there time when you needed medical care but were NOT able to get it within a reasonable timeframe?

Question Title

* 33. If you answered “yes” to the previous question, why weren’t you able to get medical care? Choose all that apply.

Question Title

* 34. Is there anything else you would like to tell us about community concerns, health concerns or services in the community?

Question Title

* 35. Want to be more involved in improving the health of your community?  We’d love for you to join a group session.  We’re looking for volunteers who are Taylor County residents to participate in a 1 hour virtual group session to share their thoughts about what makes communities healthy and how they can become healthier. Please reach out directly or provide your contact information below or contact Amanda Lange, Director – Community Health Improvement & Foundation by email at Amanda.lange@aspirus.org or by phone at 715-748-7507.

0 of 35 answered
 

T