2012/13 Community Health Needs Assessment

Quality of Life

Think about you and your family and how the following questions affect them when completing this section.

Question Title

* Do you feel safe in your community?

All of the time

Most of the time

Sometimes

Rarely

Never

Question Title

* Rate the Quality of Life statements by choosing the answer that best represents how satisfied you are with the following services, programs or access to care in your community.

	Very Satisfied	Satisfied	Not Sure	Dissatified	Very Dissatisfied	Not Applicable
Opportunity to participate in community activities ?	Opportunity to participate in community activities ? Very Satisfied	Opportunity to participate in community activities ? Satisfied	Opportunity to participate in community activities ? Not Sure	Opportunity to participate in community activities ? Dissatified	Opportunity to participate in community activities ? Very Dissatisfied	Opportunity to participate in community activities ? Not Applicable
Access to quality mental health services?	Access to quality mental health services? Very Satisfied	Access to quality mental health services? Satisfied	Access to quality mental health services? Not Sure	Access to quality mental health services? Dissatified	Access to quality mental health services? Very Dissatisfied	Access to quality mental health services? Not Applicable
Access to quality substance abuse services?	Access to quality substance abuse services? Very Satisfied	Access to quality substance abuse services? Satisfied	Access to quality substance abuse services? Not Sure	Access to quality substance abuse services? Dissatified	Access to quality substance abuse services? Very Dissatisfied	Access to quality substance abuse services? Not Applicable
Access to quality dental care?	Access to quality dental care? Very Satisfied	Access to quality dental care? Satisfied	Access to quality dental care? Not Sure	Access to quality dental care? Dissatified	Access to quality dental care? Very Dissatisfied	Access to quality dental care? Not Applicable
Access to quality health care?	Access to quality health care? Very Satisfied	Access to quality health care? Satisfied	Access to quality health care? Not Sure	Access to quality health care? Dissatified	Access to quality health care? Very Dissatisfied	Access to quality health care? Not Applicable
Availability of daycare?	Availability of daycare? Very Satisfied	Availability of daycare? Satisfied	Availability of daycare? Not Sure	Availability of daycare? Dissatified	Availability of daycare? Very Dissatisfied	Availability of daycare? Not Applicable
Quality of daycare?	Quality of daycare? Very Satisfied	Quality of daycare? Satisfied	Quality of daycare? Not Sure	Quality of daycare? Dissatified	Quality of daycare? Very Dissatisfied	Quality of daycare? Not Applicable
Access to and coordination of high quality early childhood programs?	Access to and coordination of high quality early childhood programs? Very Satisfied	Access to and coordination of high quality early childhood programs? Satisfied	Access to and coordination of high quality early childhood programs? Not Sure	Access to and coordination of high quality early childhood programs? Dissatified	Access to and coordination of high quality early childhood programs? Very Dissatisfied	Access to and coordination of high quality early childhood programs? Not Applicable
Quality of pre-schools?	Quality of pre-schools? Very Satisfied	Quality of pre-schools? Satisfied	Quality of pre-schools? Not Sure	Quality of pre-schools? Dissatified	Quality of pre-schools? Very Dissatisfied	Quality of pre-schools? Not Applicable
Quality of K-12 schools?	Quality of K-12 schools? Very Satisfied	Quality of K-12 schools? Satisfied	Quality of K-12 schools? Not Sure	Quality of K-12 schools? Dissatified	Quality of K-12 schools? Very Dissatisfied	Quality of K-12 schools? Not Applicable
Access and quality of after school programs?	Access and quality of after school programs? Very Satisfied	Access and quality of after school programs? Satisfied	Access and quality of after school programs? Not Sure	Access and quality of after school programs? Dissatified	Access and quality of after school programs? Very Dissatisfied	Access and quality of after school programs? Not Applicable
Access to needed transportation?	Access to needed transportation? Very Satisfied	Access to needed transportation? Satisfied	Access to needed transportation? Not Sure	Access to needed transportation? Dissatified	Access to needed transportation? Very Dissatisfied	Access to needed transportation? Not Applicable
Opportunities for job and career growth?	Opportunities for job and career growth? Very Satisfied	Opportunities for job and career growth? Satisfied	Opportunities for job and career growth? Not Sure	Opportunities for job and career growth? Dissatified	Opportunities for job and career growth? Very Dissatisfied	Opportunities for job and career growth? Not Applicable
Access to job training programs?	Access to job training programs? Very Satisfied	Access to job training programs? Satisfied	Access to job training programs? Not Sure	Access to job training programs? Dissatified	Access to job training programs? Very Dissatisfied	Access to job training programs? Not Applicable
Opportunities for higher education?	Opportunities for higher education? Very Satisfied	Opportunities for higher education? Satisfied	Opportunities for higher education? Not Sure	Opportunities for higher education? Dissatified	Opportunities for higher education? Very Dissatisfied	Opportunities for higher education? Not Applicable
Access to veteran's services?	Access to veteran's services? Very Satisfied	Access to veteran's services? Satisfied	Access to veteran's services? Not Sure	Access to veteran's services? Dissatified	Access to veteran's services? Very Dissatisfied	Access to veteran's services? Not Applicable
Programs that support seniors?	Programs that support seniors? Very Satisfied	Programs that support seniors? Satisfied	Programs that support seniors? Not Sure	Programs that support seniors? Dissatified	Programs that support seniors? Very Dissatisfied	Programs that support seniors? Not Applicable
Programs that support substance abuse services?	Programs that support substance abuse services? Very Satisfied	Programs that support substance abuse services? Satisfied	Programs that support substance abuse services? Not Sure	Programs that support substance abuse services? Dissatified	Programs that support substance abuse services? Very Dissatisfied	Programs that support substance abuse services? Not Applicable
Availability of affordable housing?	Availability of affordable housing? Very Satisfied	Availability of affordable housing? Satisfied	Availability of affordable housing? Not Sure	Availability of affordable housing? Dissatified	Availability of affordable housing? Very Dissatisfied	Availability of affordable housing? Not Applicable
Outdoor air quality?	Outdoor air quality? Very Satisfied	Outdoor air quality? Satisfied	Outdoor air quality? Not Sure	Outdoor air quality? Dissatified	Outdoor air quality? Very Dissatisfied	Outdoor air quality? Not Applicable
Indoor air quality in public places?	Indoor air quality in public places? Very Satisfied	Indoor air quality in public places? Satisfied	Indoor air quality in public places? Not Sure	Indoor air quality in public places? Dissatified	Indoor air quality in public places? Very Dissatisfied	Indoor air quality in public places? Not Applicable
Local public water supply?	Local public water supply? Very Satisfied	Local public water supply? Satisfied	Local public water supply? Not Sure	Local public water supply? Dissatified	Local public water supply? Very Dissatisfied	Local public water supply? Not Applicable
Well water supply?	Well water supply? Very Satisfied	Well water supply? Satisfied	Well water supply? Not Sure	Well water supply? Dissatified	Well water supply? Very Dissatisfied	Well water supply? Not Applicable
Quality of environmental public service (garbage removal, litter pick up, sewage)?	Quality of environmental public service (garbage removal, litter pick up, sewage)? Very Satisfied	Quality of environmental public service (garbage removal, litter pick up, sewage)? Satisfied	Quality of environmental public service (garbage removal, litter pick up, sewage)? Not Sure	Quality of environmental public service (garbage removal, litter pick up, sewage)? Dissatified	Quality of environmental public service (garbage removal, litter pick up, sewage)? Very Dissatisfied	Quality of environmental public service (garbage removal, litter pick up, sewage)? Not Applicable

Question Title

* Of those listed below, what are the three most important community concerns right now for you and/or your family? (select olny three)

A place to live

Adult foster care or assisted living living

Affordable child care

Affordable health insurance

Affordable pre-schools

Affordable recreation

Affordable rental housing

Child abuse prevention

Dental care

Drug or alcohol abuse assistance

Food assistance

GED or other adult education

Home health care

Hospital services

Job placement/better jobs

Job training

Legal issues

Medical services (other than hospital)

Mental health services or other counseling

Mortgage assistance

Nursing home care

Nutrition assistance

Parenting classes

Prescription drug assistance

Public transportation

Spousal abuse assistance

Utility bill assistance

Other (please specify)