Washington Adventist Hospital (WAH) Relocation Questionnaire

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* 1. Are you a resident of Takoma Park?

YES

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* 2. If YES, which Ward do you live in?

Not Sure

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* 3. Do you work in Takoma Park?

YES

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* 4. Do you own a commercial property or a business in Takoma Park?

YES

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* 5. If the Maryland Health Care Commission approves WAH’s request to move to White Oak, should health care services remain available on the Takoma Park campus?

YES

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* 6. If YES, which of the following health care services would you like to remain available on the Takoma Park campus? Rank in order of importance from 1 (highest importance) to 8 (lowest importance).

	1 (high)	2	3	4	5	6	7	8 (low)
Acute Inpatient Rehabilitation	Acute Inpatient Rehabilitation 1 (high)	Acute Inpatient Rehabilitation 2	Acute Inpatient Rehabilitation 3	Acute Inpatient Rehabilitation 4	Acute Inpatient Rehabilitation 5	Acute Inpatient Rehabilitation 6	Acute Inpatient Rehabilitation 7	Acute Inpatient Rehabilitation 8 (low)
Alternative Medicine (ie acupuncture, chiropractic, massage therapy)	Alternative Medicine (ie acupuncture, chiropractic, massage therapy) 1 (high)	Alternative Medicine (ie acupuncture, chiropractic, massage therapy) 2	Alternative Medicine (ie acupuncture, chiropractic, massage therapy) 3	Alternative Medicine (ie acupuncture, chiropractic, massage therapy) 4	Alternative Medicine (ie acupuncture, chiropractic, massage therapy) 5	Alternative Medicine (ie acupuncture, chiropractic, massage therapy) 6	Alternative Medicine (ie acupuncture, chiropractic, massage therapy) 7	Alternative Medicine (ie acupuncture, chiropractic, massage therapy) 8 (low)
Dialysis Services	Dialysis Services 1 (high)	Dialysis Services 2	Dialysis Services 3	Dialysis Services 4	Dialysis Services 5	Dialysis Services 6	Dialysis Services 7	Dialysis Services 8 (low)
Outpatient Behavioral/Mental Health	Outpatient Behavioral/Mental Health 1 (high)	Outpatient Behavioral/Mental Health 2	Outpatient Behavioral/Mental Health 3	Outpatient Behavioral/Mental Health 4	Outpatient Behavioral/Mental Health 5	Outpatient Behavioral/Mental Health 6	Outpatient Behavioral/Mental Health 7	Outpatient Behavioral/Mental Health 8 (low)
Outpatient Rehabilitation	Outpatient Rehabilitation 1 (high)	Outpatient Rehabilitation 2	Outpatient Rehabilitation 3	Outpatient Rehabilitation 4	Outpatient Rehabilitation 5	Outpatient Rehabilitation 6	Outpatient Rehabilitation 7	Outpatient Rehabilitation 8 (low)
Primary Care (General and Family Practice Physicians)	Primary Care (General and Family Practice Physicians) 1 (high)	Primary Care (General and Family Practice Physicians) 2	Primary Care (General and Family Practice Physicians) 3	Primary Care (General and Family Practice Physicians) 4	Primary Care (General and Family Practice Physicians) 5	Primary Care (General and Family Practice Physicians) 6	Primary Care (General and Family Practice Physicians) 7	Primary Care (General and Family Practice Physicians) 8 (low)
Sleep Lab Services	Sleep Lab Services 1 (high)	Sleep Lab Services 2	Sleep Lab Services 3	Sleep Lab Services 4	Sleep Lab Services 5	Sleep Lab Services 6	Sleep Lab Services 7	Sleep Lab Services 8 (low)
Urgent Care Center (24 hour)	Urgent Care Center (24 hour) 1 (high)	Urgent Care Center (24 hour) 2	Urgent Care Center (24 hour) 3	Urgent Care Center (24 hour) 4	Urgent Care Center (24 hour) 5	Urgent Care Center (24 hour) 6	Urgent Care Center (24 hour) 7	Urgent Care Center (24 hour) 8 (low)

Other (please specify)

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* 7. If WAH moves to White Oak, which of the following proposed services would you like to see established on the Takoma Park campus? Rank in order of importance from 1 (highest importance) to 8 (lowest importance).

	1 (high)	2	3	4	5	6	7	8 (low)
Clinical Trial Beds	Clinical Trial Beds 1 (high)	Clinical Trial Beds 2	Clinical Trial Beds 3	Clinical Trial Beds 4	Clinical Trial Beds 5	Clinical Trial Beds 6	Clinical Trial Beds 7	Clinical Trial Beds 8 (low)
Health and Fitness Center	Health and Fitness Center 1 (high)	Health and Fitness Center 2	Health and Fitness Center 3	Health and Fitness Center 4	Health and Fitness Center 5	Health and Fitness Center 6	Health and Fitness Center 7	Health and Fitness Center 8 (low)
Health and Wellness Services (i.e. exercise and nutritional counseling	Health and Wellness Services (i.e. exercise and nutritional counseling 1 (high)	Health and Wellness Services (i.e. exercise and nutritional counseling 2	Health and Wellness Services (i.e. exercise and nutritional counseling 3	Health and Wellness Services (i.e. exercise and nutritional counseling 4	Health and Wellness Services (i.e. exercise and nutritional counseling 5	Health and Wellness Services (i.e. exercise and nutritional counseling 6	Health and Wellness Services (i.e. exercise and nutritional counseling 7	Health and Wellness Services (i.e. exercise and nutritional counseling 8 (low)
Non-Profit Administrative Offices	Non-Profit Administrative Offices 1 (high)	Non-Profit Administrative Offices 2	Non-Profit Administrative Offices 3	Non-Profit Administrative Offices 4	Non-Profit Administrative Offices 5	Non-Profit Administrative Offices 6	Non-Profit Administrative Offices 7	Non-Profit Administrative Offices 8 (low)
Non-Profit Clinical Activities	Non-Profit Clinical Activities 1 (high)	Non-Profit Clinical Activities 2	Non-Profit Clinical Activities 3	Non-Profit Clinical Activities 4	Non-Profit Clinical Activities 5	Non-Profit Clinical Activities 6	Non-Profit Clinical Activities 7	Non-Profit Clinical Activities 8 (low)
Physical Medicine (Exercise Physiology, Respiratory Therapy)	Physical Medicine (Exercise Physiology, Respiratory Therapy) 1 (high)	Physical Medicine (Exercise Physiology, Respiratory Therapy) 2	Physical Medicine (Exercise Physiology, Respiratory Therapy) 3	Physical Medicine (Exercise Physiology, Respiratory Therapy) 4	Physical Medicine (Exercise Physiology, Respiratory Therapy) 5	Physical Medicine (Exercise Physiology, Respiratory Therapy) 6	Physical Medicine (Exercise Physiology, Respiratory Therapy) 7	Physical Medicine (Exercise Physiology, Respiratory Therapy) 8 (low)
Restaurant with Healthy Food Choices	Restaurant with Healthy Food Choices 1 (high)	Restaurant with Healthy Food Choices 2	Restaurant with Healthy Food Choices 3	Restaurant with Healthy Food Choices 4	Restaurant with Healthy Food Choices 5	Restaurant with Healthy Food Choices 6	Restaurant with Healthy Food Choices 7	Restaurant with Healthy Food Choices 8 (low)
University Classroom Teaching Lab	University Classroom Teaching Lab 1 (high)	University Classroom Teaching Lab 2	University Classroom Teaching Lab 3	University Classroom Teaching Lab 4	University Classroom Teaching Lab 5	University Classroom Teaching Lab 6	University Classroom Teaching Lab 7	University Classroom Teaching Lab 8 (low)

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* 8. If the Maryland Health Care Commission denies WAH’s request to relocate to White Oak, and WAH decides to expand its operations in Takoma Park, which of the following options would you support?

The construction, if necessary, of additional and possibly taller buildings on the hospital campus

The creation of a dual campus with some WAH services remaining on the current campus and some services relocated to another site or facility

Both of the above options

Neither of the above options

Other (please specify)

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* 9. If the Maryland Health Care Commission denies WAH’s request to relocate to White Oak, and WAH decides to close its Takoma Park facility, what type of new development would you support locating on the site? Rank in order of preference from 1 (highest preference) to 7 (lowest preference).

	1 (high)	2	3	4	5	6	7 (low)
Mix of Retail, Residential and Community Functions	Mix of Retail, Residential and Community Functions 1 (high)	Mix of Retail, Residential and Community Functions 2	Mix of Retail, Residential and Community Functions 3	Mix of Retail, Residential and Community Functions 4	Mix of Retail, Residential and Community Functions 5	Mix of Retail, Residential and Community Functions 6	Mix of Retail, Residential and Community Functions 7 (low)
Single-Family Houses	Single-Family Houses 1 (high)	Single-Family Houses 2	Single-Family Houses 3	Single-Family Houses 4	Single-Family Houses 5	Single-Family Houses 6	Single-Family Houses 7 (low)
Multi-Family Houses	Multi-Family Houses 1 (high)	Multi-Family Houses 2	Multi-Family Houses 3	Multi-Family Houses 4	Multi-Family Houses 5	Multi-Family Houses 6	Multi-Family Houses 7 (low)
Health Service Functions	Health Service Functions 1 (high)	Health Service Functions 2	Health Service Functions 3	Health Service Functions 4	Health Service Functions 5	Health Service Functions 6	Health Service Functions 7 (low)
Educational Services and Functions	Educational Services and Functions 1 (high)	Educational Services and Functions 2	Educational Services and Functions 3	Educational Services and Functions 4	Educational Services and Functions 5	Educational Services and Functions 6	Educational Services and Functions 7 (low)
Public Space such as Parks or Recreational Facilities	Public Space such as Parks or Recreational Facilities 1 (high)	Public Space such as Parks or Recreational Facilities 2	Public Space such as Parks or Recreational Facilities 3	Public Space such as Parks or Recreational Facilities 4	Public Space such as Parks or Recreational Facilities 5	Public Space such as Parks or Recreational Facilities 6	Public Space such as Parks or Recreational Facilities 7 (low)
Cultural Facility	Cultural Facility 1 (high)	Cultural Facility 2	Cultural Facility 3	Cultural Facility 4	Cultural Facility 5	Cultural Facility 6	Cultural Facility 7 (low)

Other (please specify)

Question Title

* 10. The City Council raised the following concerns during the Maryland Health Care Commission’s hearing. Which of these concerns are most important to you? Rank in order of importance from 1 (highest importance) to 8 (lowest importance).

	1 (high)	2	3	4	5	6	7	8 (low)
Continuation of Primary Care Physicians (General Practitioners) onsite in Takoma Park	Continuation of Primary Care Physicians (General Practitioners) onsite in Takoma Park 1 (high)	Continuation of Primary Care Physicians (General Practitioners) onsite in Takoma Park 2	Continuation of Primary Care Physicians (General Practitioners) onsite in Takoma Park 3	Continuation of Primary Care Physicians (General Practitioners) onsite in Takoma Park 4	Continuation of Primary Care Physicians (General Practitioners) onsite in Takoma Park 5	Continuation of Primary Care Physicians (General Practitioners) onsite in Takoma Park 6	Continuation of Primary Care Physicians (General Practitioners) onsite in Takoma Park 7	Continuation of Primary Care Physicians (General Practitioners) onsite in Takoma Park 8 (low)
Creation of an Advisory Council to coordinate WAH relocation and track local health needs	Creation of an Advisory Council to coordinate WAH relocation and track local health needs 1 (high)	Creation of an Advisory Council to coordinate WAH relocation and track local health needs 2	Creation of an Advisory Council to coordinate WAH relocation and track local health needs 3	Creation of an Advisory Council to coordinate WAH relocation and track local health needs 4	Creation of an Advisory Council to coordinate WAH relocation and track local health needs 5	Creation of an Advisory Council to coordinate WAH relocation and track local health needs 6	Creation of an Advisory Council to coordinate WAH relocation and track local health needs 7	Creation of an Advisory Council to coordinate WAH relocation and track local health needs 8 (low)
Development of the Takoma Park Wellness Village proposed by WAH	Development of the Takoma Park Wellness Village proposed by WAH 1 (high)	Development of the Takoma Park Wellness Village proposed by WAH 2	Development of the Takoma Park Wellness Village proposed by WAH 3	Development of the Takoma Park Wellness Village proposed by WAH 4	Development of the Takoma Park Wellness Village proposed by WAH 5	Development of the Takoma Park Wellness Village proposed by WAH 6	Development of the Takoma Park Wellness Village proposed by WAH 7	Development of the Takoma Park Wellness Village proposed by WAH 8 (low)
Direct and convenient transit access to the WAH White Oak Campus	Direct and convenient transit access to the WAH White Oak Campus 1 (high)	Direct and convenient transit access to the WAH White Oak Campus 2	Direct and convenient transit access to the WAH White Oak Campus 3	Direct and convenient transit access to the WAH White Oak Campus 4	Direct and convenient transit access to the WAH White Oak Campus 5	Direct and convenient transit access to the WAH White Oak Campus 6	Direct and convenient transit access to the WAH White Oak Campus 7	Direct and convenient transit access to the WAH White Oak Campus 8 (low)
Documentation that the Wellness Village proposed by WAH is economically viable	Documentation that the Wellness Village proposed by WAH is economically viable 1 (high)	Documentation that the Wellness Village proposed by WAH is economically viable 2	Documentation that the Wellness Village proposed by WAH is economically viable 3	Documentation that the Wellness Village proposed by WAH is economically viable 4	Documentation that the Wellness Village proposed by WAH is economically viable 5	Documentation that the Wellness Village proposed by WAH is economically viable 6	Documentation that the Wellness Village proposed by WAH is economically viable 7	Documentation that the Wellness Village proposed by WAH is economically viable 8 (low)
Provision of 24-Hour Urgent Care Services on the Takoma Park Campus	Provision of 24-Hour Urgent Care Services on the Takoma Park Campus 1 (high)	Provision of 24-Hour Urgent Care Services on the Takoma Park Campus 2	Provision of 24-Hour Urgent Care Services on the Takoma Park Campus 3	Provision of 24-Hour Urgent Care Services on the Takoma Park Campus 4	Provision of 24-Hour Urgent Care Services on the Takoma Park Campus 5	Provision of 24-Hour Urgent Care Services on the Takoma Park Campus 6	Provision of 24-Hour Urgent Care Services on the Takoma Park Campus 7	Provision of 24-Hour Urgent Care Services on the Takoma Park Campus 8 (low)
Provision of health care services for individuals with a broad range of incomes	Provision of health care services for individuals with a broad range of incomes 1 (high)	Provision of health care services for individuals with a broad range of incomes 2	Provision of health care services for individuals with a broad range of incomes 3	Provision of health care services for individuals with a broad range of incomes 4	Provision of health care services for individuals with a broad range of incomes 5	Provision of health care services for individuals with a broad range of incomes 6	Provision of health care services for individuals with a broad range of incomes 7	Provision of health care services for individuals with a broad range of incomes 8 (low)
Resolution of environmental issues on the Takoma Park Campus	Resolution of environmental issues on the Takoma Park Campus 1 (high)	Resolution of environmental issues on the Takoma Park Campus 2	Resolution of environmental issues on the Takoma Park Campus 3	Resolution of environmental issues on the Takoma Park Campus 4	Resolution of environmental issues on the Takoma Park Campus 5	Resolution of environmental issues on the Takoma Park Campus 6	Resolution of environmental issues on the Takoma Park Campus 7	Resolution of environmental issues on the Takoma Park Campus 8 (low)

Other (please specify)

Washington Adventist Hospital (WAH) Relocation Questionnaire

Question Title

* 1. Are you a resident of Takoma Park?

Question Title

* 2. If YES, which Ward do you live in?

Question Title

* 3. Do you work in Takoma Park?

Question Title

* 4. Do you own a commercial property or a business in Takoma Park?

Question Title

* 5. If the Maryland Health Care Commission approves WAH’s request to move to White Oak, should health care services remain available on the Takoma Park campus?

Question Title

* 6. If YES, which of the following health care services would you like to remain available on the Takoma Park campus? Rank in order of importance from 1 (highest importance) to 8 (lowest importance).

Question Title

* 7. If WAH moves to White Oak, which of the following proposed services would you like to see established on the Takoma Park campus? Rank in order of importance from 1 (highest importance) to 8 (lowest importance).

Question Title

* 8. If the Maryland Health Care Commission denies WAH’s request to relocate to White Oak, and WAH decides to expand its operations in Takoma Park, which of the following options would you support?

Question Title

* 9. If the Maryland Health Care Commission denies WAH’s request to relocate to White Oak, and WAH decides to close its Takoma Park facility, what type of new development would you support locating on the site? Rank in order of preference from 1 (highest preference) to 7 (lowest preference).

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* 10. The City Council raised the following concerns during the Maryland Health Care Commission’s hearing. Which of these concerns are most important to you? Rank in order of importance from 1 (highest importance) to 8 (lowest importance).

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* 11. If you would you like to learn more about the Washington Adventist Hospital’s plans, please provide your NAME, PHONE and/or an EMAIL ADDRESS:

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* 12. Do you have any comments you would like to share with the City Council?