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Watonga Community Survey
1.
The zip code of my residence is:
2.
What is your current age?
*
3.
How would you prefer to be notified of community events? (Please select all that apply).
(Required.)
Newspaper
Radio
Email
Website
Social Media
Other (please specify)
4.
How satisfied are you with the availability of healthcare services in Watonga and the surrounding communities?
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
5.
How do you view the following healthcare topics in Watonga and the surrounding communities? (Check all that apply):
Above Average
Average
Needs Improvement
Quality of hospital/clinic care
Above Average
Average
Needs Improvement
Quality of physician/provider care
Above Average
Average
Needs Improvement
Number of physicians/providers
Above Average
Average
Needs Improvement
Cost of local healthcare
Above Average
Average
Needs Improvement
Access to specialty care services
Above Average
Average
Needs Improvement
Closeness/Convenience of services
Above Average
Average
Needs Improvement
Timeliness of care
Above Average
Average
Needs Improvement
Hours the physician/provider offices are open
Above Average
Average
Needs Improvement
Access to Long Term Care
Above Average
Average
Needs Improvement
Access to Emergency services
Above Average
Average
Needs Improvement
Access to Urgent Care services
Above Average
Average
Needs Improvement
Other
Above Average
Average
Needs Improvement
6.
What services are people accessing outside of the service area that, in your opinion, could or should be provided within Watonga and the surrounding communities?
Accessing outside of Watonga and the surrounding communities:
Yes
No
Audiology
Yes
No
Cancer care
Yes
No
Cardiology
Yes
No
Endocrinology
Yes
No
Mental/behavioral heatlh
Yes
No
Obsetrics
Yes
No
Pediatrics
Yes
No
Urgent care
Yes
No
Orthopedics
Yes
No
Ear, nose, throat
Yes
No
Ophthalmology
Yes
No
Sleep disorders
Yes
No
Urology
Yes
No
Other (please specify)
7.
What services are people accessing outside of the service area that, in your opinion, could or should be provided within Watonga and the surrounding communities?
Should be provided in Watonga and the surrounding communities:
Yes
No
Audiology
Yes
No
Cancer care
Yes
No
Cardiology
Yes
No
Endocrinology
Yes
No
Mental/behavioral heatlh
Yes
No
Obsetrics
Yes
No
Pediatrics
Yes
No
Urgent care
Yes
No
Orthopedics
Yes
No
Ear, nose, throat
Yes
No
Ophthalmology
Yes
No
Sleep disorders
Yes
No
Urology
Yes
No
Other (please specify)
*
8.
Has your household used the services of a hospital in the past 24 months?
(Required.)
Yes
No
Don't know