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Cambridge City Family Health Partners and Henry Community Health are leading a Community Health Needs Assessment to learn more about the current health needs in Cambridge City and Hagerstown.  Your insight and personal health related experiences are important to help better understand community health needs. Thank you for sharing your thoughts with us. Please complete this survey no later than August 15. Thank you.

Paul Janssen
President and Chief Executive Officer
Henry Community Health

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* 1. Would you say that, in general, your health is

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* 2. Do you have a primary care provider? A primary care provider is a health care practitioner who sees people for their common medical needs. This person can be a doctor, physician's assistant or a nurse practitioner, and does NOT include specialists.

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* 3. If you don't have a primary care provider, why you don't have one. Please check all that apply. YOU DO NOT NEED TO ANSWER THIS QUESTION IF YOU HAVE A PRIMARY CARE PROVIDER.

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* 4. Have you had a test for high blood sugar or diabetes in the last three years?

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* 5. If you  have high blood pressure and you aren't being treated for it, why is that?  Please check all that apply. You may skip this question if you do not have high blood pressure.

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* 6. Preventative care is very important and could save your life. If you have not had the following preventative care screenings, why was that? Please check all that apply.

  Mammogram-women 40 plus to detect breast cancer Pap Smear-women to detect cervical cancer and sexually transmitted diseases Colonoscopy-men and women 50 plus to detect colon cancer Stool test such as Cologuard-men and women 50+ to detect colon cancer Prostate examination  for men
I had it done
Not important
Nervous about the test
Insurance doesn't cover
Heard it hurts
Doctor didn't recommend it
Not appropriate due to either my age or sex
I don't know what this test is for
Confused because guidelines on when to have test  keep changing 
Haven't gotten around to scheduling this yet

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* 7. If you have tried to quit smoking in the past 12 months, what did you try to help you quit? Please check all that apply.

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* 8. Have you or a member of your family accessed any of these services in the last 12 months?

  Adult household member Child household member Teen household member Did not need access Don't know
Alcohol addiction treatment
Substance abuse (drugs) treatment
Mental health counseling
Smoking cessation classes
Vaping cessation classes

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* 9. In the last 12 months, if you or a member of your household could not get the professional help you needed for an alcohol or substance abuse disorder (drug) problem, why was that? Please check all that apply.

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* 10. Now thinking about your mental health, which includes stress, depression and problems with emotions, would you say that, in general, your mental health is:

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* 11. In the last 12 months, if you or a member of your household could not get the professional help you needed for mental health services, why was that? Please check all that apply.

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