AST Health Services Community Needs Assessment Question Title * 1. When visiting the clinic, how often do the staff explain things in a way that you understand? Always Usually Sometimes Never Always Usually Sometimes Never Question Title * 2. When visiting the clinic, how often do the providers (physicians, dentists, behavior health counselors, etc.) listen carefully to you? Always Usually Sometimes Never Always Usually Sometimes Never Question Title * 3. When visiting the clinic, do the staff do everything that they can to help you with your health issues (ie., pain management, prescription refills, physicals, complaints, etc.)? Always Usually Sometimes Never N/A Always Usually Sometimes Never N/A Question Title * 4. Would you recommend this clinic to your friends and family? Definitely Probably Unlikely No Definitely Probably Unlikely No Question Title * 5. In general, how would you rate your overall health? Excellent Very Good Good Fair Poor Excellent Very Good Good Fair Poor Question Title * 6. What is the highest level of school that you have completed? 8th grade or less Some high school, but did not graduate High school graduate or GED Some college or 2-year degree 4-year college graduate More than 4-year college degree 8th grade or less Some high school, but did not graduate High school graduate or GED Some college or 2-year degree 4-year college graduate More than 4-year college degree Question Title * 7. What is your race? Please choose one or more. Native American Hispanic/Latino White Black/African American Asian Other Native American Hispanic/Latino White Black/African American Asian Other Please specify Tribe (ie., AST, Cherokee, etc.) Question Title * 8. What kind of things impact the health of your neighbors and you the most? Question Title * 9. What is keeping you and your neighbors healthy? Question Title * 10. What 3-5 things could be done in your community to improve the health of your neighbors and you (ie., new services, technology, tele-health, hours of operation, etc.)? Done