* 1. What services do we provide that are especially important to you?

* 2. Are there services that you would like improved or expanded?  Please be specific.

* 3. What is the biggest need in our community that Lower Umpqua Hospital can help meet?

* 4. What is the biggest barrier to good health in our community?

* 5. What health services, programs or specialists would you like to have available in the community?

* 6. What is the best form of communication for you?

* 7. If you include your name & phone #, surveys returned by July 31st will be entered into a drawing for one of four $50 gift cards for Safeway, Price & Pride or Riverbanks Speedy Mart in Scottsburg.