Community Outreach Interview Questions - Appleton Area Health

Welcome! We appreciate you spending the next 5 minutes answering the following survey questions to gather your thoughts and feedback regarding our current facility and future growth. The information gathered in this survey is completely anonymous and will be used during the Master Planning process, facilitated by Wold Healthcare. Your input in important in shaping the future of Appleton Area Health, the community of Appleton, and surrounding areas.

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* 1. What factor(s) influenced your decision to use Appleton Area Health for your care (check all that apply)?

Location / Convenience

Services offered

Provider options

Family members / Friend connection

Other (Please explain)

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* 2. What do you like about Appleton Area Health (AAH) currently?

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* 3. What is your first impression of the campus?

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* 4. What changes need to be implemented to make AAH the provider of choice in the community? (check all that apply)

Specialty Providers

Updated Environment

Scheduling Ease

Reputation

Primary Care

Updated Senior Living

Other (please specify)

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* 5. What area(s) needing updates would improve your experience at AAH?

Location of the hospital

Parking

Main Entrance

Registration

Emergency Department

Clinic

Access to care teams

Senior services

Signage / Wayfinding

Technology (appointment reminder and scheduling, virtual appointment, etc.)

Billing

Customer Service

Other (Please specify)

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* 6. Are there services that you wish Appleton Area Health would offer?

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* 7. How would you rank the treatment and/or care you and your family have received at Appleton Area Health? How could your experience be improved?

Poor

Fair

Good

Excellent

Comment:

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* 8. Have you seen or experienced something at a different facility that could improve Appleton Area Health?

If yes, please describe this item or experience:

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* 9. What potential safety improvements should be considered as part of the planning process?

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* 10. What is the age range(s) in your household?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 11. Is there any other information you would like us to know / consider in the planning?

If yes, please explain:

Thank you for your time and for helping to shape the future of healthcare and senior care in our community!