Community Health Needs Assessment
Thank you for participating in our community needs assessment. Goodland Regional Medical Center and the Sherman County Health Department will be presenting a report from the issues identified in the fall of 2019.

If you would like to take part in an assessment group, please email includeme@goodlandregional.com. Include your name, address, and phone number. There is no way to track your request to this survey. Please call 785-890-6036 with any questions.

Again, thank you for your time!
Your Zip Code *
Your answer
Your Gender *
Your Age *
Your Income (Optional)
What kind of Medical Provider do you use for routine health care *
Local Provider
Other Provider
Not Applicable
Family Practice Physician
APRN/ PA
Community Health Center
ER/Hospital
Specialist
Health Department
Chiropractor
Other
What services have you used at Goodland Family Health Center (GFHC)? *
Required
How would you rate your satisfaction in the services you used at GFHC? *
Very Unsatisfied
Unsatisfied
Average
Above Average
Exceptional
Not Applicable
MD/DO
APRN/PA
Walk in clinic
Chronic care
Nursing visit
Immunizations
Appointment Experience
Have you used any services of a hospital in the past 24 months? *
Required
What hospital services have you used? *
Goodland Regional Medical Center (GRMC)
Other Hospital
Not Applicable
Inpatient
Outpatient
Emergency Room
Physical Therapy Services
Counseling/ Behavioral Health Services
Diagnostic Imaging Services
Laboratory Services
Occupational Therapy Services
Respiratory Therapy Services
Cardiac Rehab Services
Dialysis Services
Sleep Study Services
Of the services you used at GRMC how would you rate your satisfaction of that service? *
Very Unsatisfied
Unsatisfied
Average
Above Average
Exceptional
Not Applicable
Inpatient
Outpatient
Emergency Room
Physical Therapy Services
Counseling/ Behavioral Health Services
Diagnostic Imaging Services
Laboratory Services
Occupational Therapy Services
Respiratory Therapy Services
Cardiac Rehab Services
Dialysis Services
Sleep Study Services
Have you used services at Sherman County Health Department? *
How would you rate the services provided at the Sherman County Health Department? *
What other services would you like to see added to the Sherman County Health Department/ Public Health? *
Your answer
Would you share three things you think the local health care community does well? *
Your answer
What do you see as the three most important issues that our health care system needs to address and is not addressing? *
Your answer
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