VMH Community Outreach Interview Questions

Welcome, we appreciate you taking the next 10 minutes answering the following survey questions to gather your thoughts and feedback about Vernon Memorial Healthcare (VMH), which includes Bland Clinic, Hirsch Clinic, Kickapoo Valley Medical Clinic, and La Farge Clinic. Your responses will be completely anonymous. This information will be integrated into the Master Planning Process being facilitated by Wold Healthcare to help us shape our future patient care areas and work environment.

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* 1. How many people are in your household?

1 - 2

2 - 3

3 - 4

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* 2. What is/are the age range(s) of your household? (check all that apply)

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 3. Do you or someone in your household require routine treatment, testing, or other services provided by VMH (including Bland, Hirsch, Kickapoo Valley, or La Farge Clinic)?

Yes

If yes, please indicate which location you are receiving services and your experience.

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* 4. How would you rank the treatment and/or care you received at VMH (including Bland, Hirsch, Kickapoo Valley, or La Farge Clinic) by the medical professional(s)?

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* 5. What is your first impression of the VMH facilities? Please specify location.

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* 6. How would you rank the overall cleanliness of the facility?

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* 7. If you are receiving services, what factor(s) influenced your decision to use Vernon Memorial Healthcare for your care (check all that apply)?

Close to home

Services offered

Provider options

Family member/ Friend connection

Other (please specify)

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* 8. What areas or updates would help improve the experience at VMH (including Bland, Hirsch, Kickapoo Valley, or La Farge Clinic)? Please indicate specific location in comment box.

Parking location

Main entrance / Registration

Patient Rooms

Emergency department / Urgent Care

Access to care team / Providers

Signage / Wayfinding

Billing / Insurance understanding

Services offered

Technology (appointment reminder and virtual scheduling, virtual appointment, portal messaging, etc.)

Please specify location or any other concerns

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* 9. Are there services you wish the hospital would offer?

Explain:

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* 10. Are you able to find your way around the hospital and Medical Office Building? How could this experience be improved?

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* 11. Have you seen or experienced something at a different facility that could improve VMH?

Yes

If yes, please describe this item or experience.

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* 12. Is there anything else you’d like to share about your experience(s) or information you’d like considered for our planning?

Thank you for your time and for helping to shape the future of healthcare in our community!

VMH Community Outreach Interview Questions

Question Title

* 1. How many people are in your household?

Question Title

* 2. What is/are the age range(s) of your household? (check all that apply)

Question Title

* 3. Do you or someone in your household require routine treatment, testing, or other services provided by VMH (including Bland, Hirsch, Kickapoo Valley, or La Farge Clinic)?

Question Title

* 4. How would you rank the treatment and/or care you received at VMH (including Bland, Hirsch, Kickapoo Valley, or La Farge Clinic) by the medical professional(s)?

Question Title

* 5. What is your first impression of the VMH facilities? Please specify location.

Question Title

* 6. How would you rank the overall cleanliness of the facility?

Question Title

* 7. If you are receiving services, what factor(s) influenced your decision to use Vernon Memorial Healthcare for your care (check all that apply)?

Question Title

* 8. What areas or updates would help improve the experience at VMH (including Bland, Hirsch, Kickapoo Valley, or La Farge Clinic)? Please indicate specific location in comment box.

Question Title

* 9. Are there services you wish the hospital would offer? Explain:

Question Title

* 10. Are you able to find your way around the hospital and Medical Office Building? How could this experience be improved?

Question Title

* 11. Have you seen or experienced something at a different facility that could improve VMH?

Question Title

* 12. Is there anything else you’d like to share about your experience(s) or information you’d like considered for our planning?

* 9. Are there services you wish the hospital would offer?

Explain: