HEALTHCARE PERCEPTIONS & SATISFACTION for HAMILTON COUNTY, IOWA
The leadership of Hamilton County Public Health Nursing Services and Van Diest Medical Center / Family Health Clinic invite you to help improve the care and services of our community. Please help by answering these few short questions. Please answer honestly and your responses will be kept confidential.
In general, how would you rate the overall quality of the healthcare delivered to your community or county? *
Very Good
Good
Fair
Poor
Very Poor
Overall quality of care
How would you rate the following healthcare services? (Please select one box for each row)
Very Good
Good
Fair
Poor
Very Poor
Not Applicable (NA)
Not Aware of Services
Child Care
Chiropractor
Dentists
Eye Doctor / Optometrist
Family Planning Services
Family Practice Services
Home Care Agencies / Home Health
Hospice
Hospital Services
Nursing Home
Pharmacy
Public Health
School Nurse
Teen health (drinking, abuse, safety, pregnancy)
In your opinion, how much of a problem are the following causes of poor health in your community? (Please select one box for each row)
Not a problem
Somewhat of a problem
Major problem
Don't know
Cancer
Diabetes
Drug Abuse
Substance Abuse
Heart Disease
Mental Disorders
Obesity
Pneumonia / Flu
Respiratory Disease
Sexual Transmitted Diseases
Stroke
Suicide
Trauma
Other health problems in your community not listed above?
Your answer
How would you rate each of the following in your community?
Very Good
Good
Fair
Poor
Very Poor
Not aware of the services
Caregiver training programs
Early childhood development programs
Prevention of Falls
Obesity prevention and treatment
Spiritual health support
Drug Abuse programs
Alcohol use and treatment programs
Violence prevention
In your opinion, what areas need additional education or attention in our community / county? (Please select all that apply)
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