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Community Health Needs Assessment Survey 2026

We are conducting a Community Health Needs Assessment to better understand the health needs of residents in Chambers County and South Liberty County. Your responses are anonymous and will help us improve health services in our community. This survey takes approximately 5 minutes to complete. Thank you for your participation!
HEALTH CARE ACCESS
The following questions ask about your experience accessing healthcare in your community.
1.Do you currently have a regular doctor or primary care provider?
2.On a scale of 1 to 5, how would you rate the availability of the following services in your community?
1 - Unavailable
2 - Slightly Available
3 - Moderately Available
4 - Very Available
5 - Extremely Available
Primary medical care
Pediatric care
Mental health services
Dental health services
Women's health services
Specialty care
Vision care
Pharmacy services
3.Have you ever delayed or avoided medical care?
4.If yes, why? (select all that apply)
5.How far do you typically travel to receive primary medical care?
COMMUNITY MEMBERS IN NEED
The following question asks about groups in your community that you feel could benefit from more healthcare attention and support.
6.What populations in your community do you believe need more attention from healthcare providers? (select all that apply)
COMMUNITY HEALTH NEEDS
The following questions ask about the health conditions and services you feel are most important in your community.
7.What do you believe are the top three health problems in your community? (select up to 3)(Required.)
8.Which of the following health services are most needed and hardest to access in your community? (select all that apply)
SOCIAL NEEDS
The following questions ask about challenges faced that can affect overall health and wellness.
9.In the past year have you experienced any of the following? (select all that apply)
10.What do you believe are the top three barriers that prevent people in your community from eating healthy foods?
11.What do you think are the three most important factors negatively impacting your community? (select up to 3)
ADDITIONAL COMMENTS
Please use this section to share any additional thoughts or concerns about the health needs of your community.
12.What is the greatest unmet health need in your community?
13.Is there anything else you would like us to know about the health needs of your community? Please share any additional comments, concerns, or suggestions below.