Community Health Needs Assessment

North Side Christian Health Center is a local community-based health center that serves all patients, regardless of insurance status. We want to learn about your health needs so that we can support the community. Please fill out our short survey. All responses are anonymous. Thank you for your help!
1.What are your preferred appointment days?
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2.What are your preferred appointment times?
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3.What do you usually do when you are sick Mondays to Fridays from 8:30am-5:00pm
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4.What do you usually do when you are sick outside of Mondays to Fridays from 8:30am-5:00pm
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5.What makes it hard to get healthcare for you, your family, or your friends?
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6.Why do you usually go to the ER?
Select up to three
7.How often did you go to the ER in the past 6 months?
8.Why do you have a hard time seeing the doctor?
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9.Are you able to see a therapist / counselor to support your behavioral health?
10.If you could see (or currently see) a therapist / counselor, what needs would you want help with?
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11.What makes it hard to see a therapist / counselor?
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12.Are you able to visit the dentist when you need to?
13.What makes it hard to see a dentist?
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14.Why do you go to the dentist?
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15.Where do you usually get your medicine from?
16.Do you feel like you, your family, or your friends need care for any of the following?
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17.What health care specialists do you need who are not currently available to you?
18.How did you hear of North Side Christian Health Center?
Select up to three
19.Why don’t you go to North Side Christian Health Center?
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20.Is there anything else that you would like to share about getting healthcare for you, your family, or your friends?
21.How old are you?
22.What is the primary language in your household?
23.What best describes your race / ethnicity?
Select all that apply
Current Progress,
0 of 23 answered