At Rockcastle Regional Hospital and Respiratory Care Center, we want to deliver the best care we possibly can. To better understand the needs of our community, we are asking you to complete this anonymous survey.

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* 1. What is your age?

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* 2. How would you rate the current status of your health?

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* 3. Please select the top FIVE health challenges you or your immediate family members face (select up to 5):

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* 4. Have you been told by a doctor, nurse, or other health professional that you have one or more of the following chronic illnesses? (select all that apply)

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* 5. If over 50, have you had a colonoscopy?

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* 6. If you answered "no," why not?

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* 7. If over 50, are a current or former smoker (last 15 years), and have a smoking history of 20-pack years, have you had a low-dose CT cancer screening?

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* 8. If you answered "no," why not?

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* 9. If you are a female over 45, have you had a mammogram?

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* 10. If you answered "no," why not?

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* 11. If you are a female between 21 and 65, have you had a recent cervical cancer screening (i.e. pap test screening):

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* 12. If you answered "no," why not?

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* 13. If you are a male over 50, have you had a PSA screening?

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* 14. If you answered "no," why not?

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* 15. Which of the following preventive procedures have you had in the last 12 months (select all that apply):

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* 16. Have you received the most recent COVID-19 vaccine?

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* 17. If you answered "no," why not?

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* 18. What, if any, of the following treatments and/or supports for substance use disorders or mental health have you used over the last 12 months? (select all that apply)

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* 19. Do you use any of the following?

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* 20. Have you or an immediate family member been affected by drug abuse?

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* 21. Were you aware Rockcastle Regional offers behavioral health counseling and sick-child telehealth visits in the schools?

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* 22. Of the list below, what are the top FIVE most important health problems in your community? (select up to 5)

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* 23. Which of the following do you think is the most serious substance abuse problem in Rockcastle County?

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* 24. What do you believe are the top FIVE current weaknesses of our community? (select up to 5)

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* 25. Do people in our county have difficulty getting the following? (select all that apply)

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* 26. Are there any issues that prevent you from accessing care? (select all that apply)

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* 27. What other healthcare services are needed locally to better address the health problems in Rockcastle County for the next two years?

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