Hillsdale Hospital Community Health Needs Assessment

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* 1. Are you a Hillsdale resident?

Yes

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* 2. What is your gender?

Male

Female

Other

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* 3. How old are you?

18 to 26 years

27 to 35 years

36 to 45 years

46 to 55 years

56 to 64 years

65 or older

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* 4. How would you describe your race?

White

Black or African-American

American Indian or Alaska Native

Asian or Asian American

Native Hawaiian or other Pacific Islander

Two or more races

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* 5. How would you describe your ethnicity?

Hispanic or Latino

Not Hispanic or Latino

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* 6. What is the highest grade you completed in school?

Less than high school degree

Trade school

High school degree or equivalent (e.g., GED)

Some College (no degree)

Associate degree

College degree (B.S./ B.A. or equivalent)

Graduate degree (e.g., Masters, PhD, MD)

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* 7. Are you a caregiver for a sick or aged person?

Yes

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* 8. How would you rate the healthcare service or support for elder care in Hillsdale County?

Does not Apply

Excellent

Good

Adequate

Insufficient

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* 9. Do you have a primary care physician (doctor or advanced practice provider)?

Yes

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* 10. If yes, do you see your primary care physician in Hillsdale County?

Yes