Ottawa County Community Member Survey

Welcome

Ottawa County Health Department & Magruder Hospital are conducting a Community Health Needs Assessment to identify and assess the health needs of the community. We are asking community members (those who live and/or work in Ottawa County) to complete this 10 minute survey. This information will help guide us as we consider services and programs that will benefit the community.

Be assured that this process is completely anonymous - we cannot access your name and your responses will be kept confidential. Your participation in this survey is entirely voluntary and you are free to leave questions unanswered. Thank you for helping us to better serve our community!

7.What is the highest level of education you have completed?

Less than a High School diploma

High School degree or equivalent

Some college but no degree

Associate's degree (e.g. AA, AS)

Bachelor's degree (e.g. BA, BS)

Graduate degree (e.g. MA, MS, PhD, EdD, MD)

8.Are you currently employed?

9.What kind of work do you do? Or what is your job title? (for example, registered nurse, custodian, firefighter, police officer, local business worker or owner, artist, lawyer, engineer, auto mechanic, etc.)

12.Which of the following best describes your healthcare insurance coverage?

Other (please specify)

13.If you do NOT currently have healthcare coverage or insurance, what are the main reasons why? (Select all that apply)

I am waiting to get coverage through my job

I don't think I need health insurance

I haven't had time to deal with it

It costs too much

I am not eligible or do not qualify

It is too confusing to sign up

Does not apply - I have health coverage/insurance

Other (please specify)

15.Where do you and your family members go most often to receive routine healthcare services (physical exams, check-ups, immunizations, treatment for chronic diseases)? (Select all that apply)

Doctor's office (primary care physician, family physician, internist, pediatrician, etc.)

Emergency room department at the hospital

Urgent care clinic

I wouldn't go to a doctor unless it was an emergency

Not sure

None of the above

Other (please specify)

16.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)?

17.If you were sick, where would you go first for treatment? Assume that this is not an emergency situation.

Doctor's office (primary care physician, family physician, internist, pediatrician, etc.)

Specialist's office (cardiologist, pulmonologist, endocrinologist, etc.)

Emergency room department at hospital

Urgent care clinic

I wouldn't go to a doctor unless it was an emergency

Not sure

None of the above

Other (please specify):

22.In the last year, was there a time when you needed prescription medicine but were not able to get it?

Yes

23.About how long has it been since you have been to the dentist to get a checkup (not for an emergency)?

24.In the last year, was there a time when you needed dental care but could not get it?

Yes

25.In the last year, was there a time when you needed mental health counseling but could not get it?

Yes

26.In the last week, did you participate in deliberate exercise (such as jogging, walking, golf, weight-lifting, fitness classes) that lasted for at least 30 minutes or more?

Yes

28.Do you have a personal physician?

Yes

29.Overall, my physical health is:

Good

Average

Poor

30.Overall, my mental health is:

Good

Average

Poor