Hendrick Health System Community Survey

Every three years, Hendrick Health System conducts a Community Health Needs Assessment to learn more about community health and issues that need more focus and attention. This short survey is designed to learn your thoughts and ideas on these important topics.

Thank you for being willing to share your thoughts!

The survey will take less than 6 minutes, and your comments will be kept confidential.

Question Title

* 1. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

Question Title

* 2. What is the highest grade or year in school you completed?

Less than high school

Graduated high school

Some college or vocational training

Completed a 2-year college degree or a vocational training program

Graduated college (4-year Bachelor Degree)

Completed Graduate or Professional school (Masters, PhD, Lawyer)

Question Title

* 3. What is your race? [Check all that apply]

African-American

American Indian

Asian

Caucasian

Hispanic

Mixed Race

Other

Question Title

* 4. Which of the following ranges best describes your total annual household income last year?

Less than $25,000

$25,001 to $50,000

$50,001 to $75,000

$75,001 to $100,000

More than $100,000

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* 5. What is your gender?

Male

Female

Other

Question Title

* 6. Do you have a family doctor or a place where you go for routine care?

Yes, family doctor, family health center, or clinic

Yes, emergency room, or walk-in urgent care

Other (please specify)