2022 Community Health Needs Assessment

Timber Cove through Elk

Your Voice Matters! Help local health care organizations plan for the future by completing this survey. Your input and perspective are vital to understanding the most urgent needs in our community. This anonymous survey will take 10-15 minutes to complete. 
1.What is your age?(Required.)
2.Are you a veteran?(Required.)
3.What is your race? (Select all that apply.)(Required.)
4.What is your ethnicity?(Required.)
5.What is your primary language spoken at home?(Required.)
6.What gender do you identify as?(Required.)
7.What is your sexual orientation?(Required.)
8.What town do you live in? (If your town is not listed, please exit the survey.)(Required.)
9.I live in this community:(Required.)
10.How long do you see yourself living in this community?(Required.)
11.What might make you leave the community?(Required.)
12.Are you a member of one of the following tribes?(Required.)
13.How do you typically travel locally for errands or appointments? (Select all that apply.)(Required.)
14.How do you typically travel out of town for errands or appointments? (Select all that apply.)(Required.)
15.Is the cost of car insurance, registration or gas a barrier to you seeing the health care providers you prefer?(Required.)
16.Does the cost of rent/mortgage create barriers in accessing essential resources, such as food, health care, etc.?(Required.)
17.What is your employment status? (Select all that apply.)(Required.)
18.What are the top 3-5 most concerning health issues you see among your family, friends, and community?(Required.)
19.Do you have any of the following health conditions? (Select all that apply.)(Required.)
20.With no local pharmacies available, how will/ do you access medications when needed?
21.What is your housing status?(Required.)
22.How satisfied are you with the quality of life in our community?(Required.)
Extremely
Very
Somewhat
Not at all
How satisfied are you with the quality of life in the community?
How satisfied are you with the health care available in the community?
How satisfied are you with the community as a place to raise children?
How satisfied are you with the community as a place to grow old?
How satisfied are you with the economic opportunities in the community, such as available jobs, career growth, and higher education?
How satisfied are you with the level of social services available in the community?
23.In your experience, do any of the following barriers exist with local health care? (Select all that apply.)(Required.)
24.What is needed to improve the quality of life for you and your loved ones in this community? Please choose your top 3-5. (Required.)
25.If you would like to provide additional thoughts about community needs, please write your thoughts here:
Current Progress,
0 of 25 answered