Community Health Needs Assessment for Tanner Health

Screening

Your responses to these questions will be used by our hospital, public health department, and other community organizations to better serve the needs of our community’s residents. Please complete if you live and/or work in any of these counties. Thank you for your participation.

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* 1. What county do you live and/or work in?

Carroll

Haralson

Heard

Cleburne

Randolph

Other (please specify)

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* 2. Generally, how satisfied are you with your ... ?

	Very satisfied	Satisfied	Dissatisfied	Very dissatisfied	Not applicable
Physical health	Physical health Very satisfied	Physical health Satisfied	Physical health Dissatisfied	Physical health Very dissatisfied	Physical health Not applicable
Mental health	Mental health Very satisfied	Mental health Satisfied	Mental health Dissatisfied	Mental health Very dissatisfied	Mental health Not applicable
Dental health	Dental health Very satisfied	Dental health Satisfied	Dental health Dissatisfied	Dental health Very dissatisfied	Dental health Not applicable

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* 3. Please tell us to what level you agree or disagree with the following statements.

	Strongly agree	Agree	Disagree	Strongly disagree
I am aware of mental health resources available in my community.	I am aware of mental health resources available in my community. Strongly agree	I am aware of mental health resources available in my community. Agree	I am aware of mental health resources available in my community. Disagree	I am aware of mental health resources available in my community. Strongly disagree
If needed, I know how to access mental health resources in my community.	If needed, I know how to access mental health resources in my community. Strongly agree	If needed, I know how to access mental health resources in my community. Agree	If needed, I know how to access mental health resources in my community. Disagree	If needed, I know how to access mental health resources in my community. Strongly disagree
I would be comfortable getting mental health help in my community.	I would be comfortable getting mental health help in my community. Strongly agree	I would be comfortable getting mental health help in my community. Agree	I would be comfortable getting mental health help in my community. Disagree	I would be comfortable getting mental health help in my community. Strongly disagree
The pandemic, current political climate, or other external events had a negative impact on my mental health.	The pandemic, current political climate, or other external events had a negative impact on my mental health. Strongly agree	The pandemic, current political climate, or other external events had a negative impact on my mental health. Agree	The pandemic, current political climate, or other external events had a negative impact on my mental health. Disagree	The pandemic, current political climate, or other external events had a negative impact on my mental health. Strongly disagree
In my community, mental health issues are viewed as a personal failure.	In my community, mental health issues are viewed as a personal failure. Strongly agree	In my community, mental health issues are viewed as a personal failure. Agree	In my community, mental health issues are viewed as a personal failure. Disagree	In my community, mental health issues are viewed as a personal failure. Strongly disagree
The COVID pandemic made it easier to discuss mental health issues.	The COVID pandemic made it easier to discuss mental health issues. Strongly agree	The COVID pandemic made it easier to discuss mental health issues. Agree	The COVID pandemic made it easier to discuss mental health issues. Disagree	The COVID pandemic made it easier to discuss mental health issues. Strongly disagree
There is a need for leaders in my community to understand more about mental health needs.	There is a need for leaders in my community to understand more about mental health needs. Strongly agree	There is a need for leaders in my community to understand more about mental health needs. Agree	There is a need for leaders in my community to understand more about mental health needs. Disagree	There is a need for leaders in my community to understand more about mental health needs. Strongly disagree

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* 4. Please tell us to what level you agree or disagree with the following statements.

	Strongly agree	Agree	Disagree	Strongly disagree	Not applicable
I feel safe in my community.	I feel safe in my community. Strongly agree	I feel safe in my community. Agree	I feel safe in my community. Disagree	I feel safe in my community. Strongly disagree	I feel safe in my community. Not applicable
There are opportunities for people like me to gather in my community.	There are opportunities for people like me to gather in my community. Strongly agree	There are opportunities for people like me to gather in my community. Agree	There are opportunities for people like me to gather in my community. Disagree	There are opportunities for people like me to gather in my community. Strongly disagree	There are opportunities for people like me to gather in my community. Not applicable
I have close friends, family, or a support system that I can depend on.	I have close friends, family, or a support system that I can depend on. Strongly agree	I have close friends, family, or a support system that I can depend on. Agree	I have close friends, family, or a support system that I can depend on. Disagree	I have close friends, family, or a support system that I can depend on. Strongly disagree	I have close friends, family, or a support system that I can depend on. Not applicable
Decisions in my community are made with resident participation. (For example I am given an opportunity to express my concerns.)	Decisions in my community are made with resident participation. (For example I am given an opportunity to express my concerns.) Strongly agree	Decisions in my community are made with resident participation. (For example I am given an opportunity to express my concerns.) Agree	Decisions in my community are made with resident participation. (For example I am given an opportunity to express my concerns.) Disagree	Decisions in my community are made with resident participation. (For example I am given an opportunity to express my concerns.) Strongly disagree	Decisions in my community are made with resident participation. (For example I am given an opportunity to express my concerns.) Not applicable
There are places to volunteer in my community.	There are places to volunteer in my community. Strongly agree	There are places to volunteer in my community. Agree	There are places to volunteer in my community. Disagree	There are places to volunteer in my community. Strongly disagree	There are places to volunteer in my community. Not applicable
I feel like I belong in my community.	I feel like I belong in my community. Strongly agree	I feel like I belong in my community. Agree	I feel like I belong in my community. Disagree	I feel like I belong in my community. Strongly disagree	I feel like I belong in my community. Not applicable

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* 5. Think about where you live. Do you have any of the following issues?

	Always	Sometimes	Rarely	Never
Pests such as bugs, ants, or mice	Pests such as bugs, ants, or mice Always	Pests such as bugs, ants, or mice Sometimes	Pests such as bugs, ants, or mice Rarely	Pests such as bugs, ants, or mice Never
Water damage, not related to flooding	Water damage, not related to flooding Always	Water damage, not related to flooding Sometimes	Water damage, not related to flooding Rarely	Water damage, not related to flooding Never
Lack of heat	Lack of heat Always	Lack of heat Sometimes	Lack of heat Rarely	Lack of heat Never
Lack of air conditioning	Lack of air conditioning Always	Lack of air conditioning Sometimes	Lack of air conditioning Rarely	Lack of air conditioning Never
Unsafe home living conditions	Unsafe home living conditions Always	Unsafe home living conditions Sometimes	Unsafe home living conditions Rarely	Unsafe home living conditions Never
Unsafe neighborhood	Unsafe neighborhood Always	Unsafe neighborhood Sometimes	Unsafe neighborhood Rarely	Unsafe neighborhood Never
Oven or stove not working	Oven or stove not working Always	Oven or stove not working Sometimes	Oven or stove not working Rarely	Oven or stove not working Never
Carbon monoxide detectors missing or not working	Carbon monoxide detectors missing or not working Always	Carbon monoxide detectors missing or not working Sometimes	Carbon monoxide detectors missing or not working Rarely	Carbon monoxide detectors missing or not working Never
Hot or cold water not working	Hot or cold water not working Always	Hot or cold water not working Sometimes	Hot or cold water not working Rarely	Hot or cold water not working Never
Unsafe drinking water	Unsafe drinking water Always	Unsafe drinking water Sometimes	Unsafe drinking water Rarely	Unsafe drinking water Never
Smoke/vape secondhand smoke exposure	Smoke/vape secondhand smoke exposure Always	Smoke/vape secondhand smoke exposure Sometimes	Smoke/vape secondhand smoke exposure Rarely	Smoke/vape secondhand smoke exposure Never

Other (please specify)

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* 6. Think about where you live and tell us to the degree or disagree with the following statements.

	Strongly agree	Agree	Disagree	Strongly disagree	Not applicable
I have reliable transportation to meet my daily needs.	I have reliable transportation to meet my daily needs. Strongly agree	I have reliable transportation to meet my daily needs. Agree	I have reliable transportation to meet my daily needs. Disagree	I have reliable transportation to meet my daily needs. Strongly disagree	I have reliable transportation to meet my daily needs. Not applicable
There is a need for leaders in my community to understand more about transportation needs.	There is a need for leaders in my community to understand more about transportation needs. Strongly agree	There is a need for leaders in my community to understand more about transportation needs. Agree	There is a need for leaders in my community to understand more about transportation needs. Disagree	There is a need for leaders in my community to understand more about transportation needs. Strongly disagree	There is a need for leaders in my community to understand more about transportation needs. Not applicable
I am satisfied with my job.	I am satisfied with my job. Strongly agree	I am satisfied with my job. Agree	I am satisfied with my job. Disagree	I am satisfied with my job. Strongly disagree	I am satisfied with my job. Not applicable
There are job opportunities for my skills, education, and experience.	There are job opportunities for my skills, education, and experience. Strongly agree	There are job opportunities for my skills, education, and experience. Agree	There are job opportunities for my skills, education, and experience. Disagree	There are job opportunities for my skills, education, and experience. Strongly disagree	There are job opportunities for my skills, education, and experience. Not applicable
I am satisfied with my wages.	I am satisfied with my wages. Strongly agree	I am satisfied with my wages. Agree	I am satisfied with my wages. Disagree	I am satisfied with my wages. Strongly disagree	I am satisfied with my wages. Not applicable
My household has enough money to pay for our basic needs like food, clothing, and housing.	My household has enough money to pay for our basic needs like food, clothing, and housing. Strongly agree	My household has enough money to pay for our basic needs like food, clothing, and housing. Agree	My household has enough money to pay for our basic needs like food, clothing, and housing. Disagree	My household has enough money to pay for our basic needs like food, clothing, and housing. Strongly disagree	My household has enough money to pay for our basic needs like food, clothing, and housing. Not applicable
There is a need for leaders in my community to understand more about housing needs.	There is a need for leaders in my community to understand more about housing needs. Strongly agree	There is a need for leaders in my community to understand more about housing needs. Agree	There is a need for leaders in my community to understand more about housing needs. Disagree	There is a need for leaders in my community to understand more about housing needs. Strongly disagree	There is a need for leaders in my community to understand more about housing needs. Not applicable

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* 7. Of the factors listed below which are strengths of the community and which can be improved.

	Strength	Neutral	Weakness	Don't know
Affordable transportation options	Affordable transportation options Strength	Affordable transportation options Neutral	Affordable transportation options Weakness	Affordable transportation options Don't know
Number of trails, sidewalks, bike lanes connected to where I live and where I want to go	Number of trails, sidewalks, bike lanes connected to where I live and where I want to go Strength	Number of trails, sidewalks, bike lanes connected to where I live and where I want to go Neutral	Number of trails, sidewalks, bike lanes connected to where I live and where I want to go Weakness	Number of trails, sidewalks, bike lanes connected to where I live and where I want to go Don't know
Amount of safe, affordable places to play and be active near where I live	Amount of safe, affordable places to play and be active near where I live Strength	Amount of safe, affordable places to play and be active near where I live Neutral	Amount of safe, affordable places to play and be active near where I live Weakness	Amount of safe, affordable places to play and be active near where I live Don't know
Education opportunities	Education opportunities Strength	Education opportunities Neutral	Education opportunities Weakness	Education opportunities Don't know
Income/wages	Income/wages Strength	Income/wages Neutral	Income/wages Weakness	Income/wages Don't know
Job options	Job options Strength	Job options Neutral	Job options Weakness	Job options Don't know
jail/prison presence	jail/prison presence Strength	jail/prison presence Neutral	jail/prison presence Weakness	jail/prison presence Don't know
Justice/re-entry system	Justice/re-entry system Strength	Justice/re-entry system Neutral	Justice/re-entry system Weakness	Justice/re-entry system Don't know

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* 8. Think about how you identify as a person (your age, race, gender, sexual orientation, disability status, citizenship status, language(s) you speak, etc.) How well can you access resources in the community to meet your unique needs? Please tell us to what level you agree or disagree with the following statements.

	Strongly agree	Agree	Disagree	Strongly disagree	Not applicable
I can get the dental care I need.	I can get the dental care I need. Strongly agree	I can get the dental care I need. Agree	I can get the dental care I need. Disagree	I can get the dental care I need. Strongly disagree	I can get the dental care I need. Not applicable
I can get the medical care I need.	I can get the medical care I need. Strongly agree	I can get the medical care I need. Agree	I can get the medical care I need. Disagree	I can get the medical care I need. Strongly disagree	I can get the medical care I need. Not applicable
I can get the substance misuse treatment I need.	I can get the substance misuse treatment I need. Strongly agree	I can get the substance misuse treatment I need. Agree	I can get the substance misuse treatment I need. Disagree	I can get the substance misuse treatment I need. Strongly disagree	I can get the substance misuse treatment I need. Not applicable
I can get the mental health care I need.	I can get the mental health care I need. Strongly agree	I can get the mental health care I need. Agree	I can get the mental health care I need. Disagree	I can get the mental health care I need. Strongly disagree	I can get the mental health care I need. Not applicable
I can get healthcare for my children.	I can get healthcare for my children. Strongly agree	I can get healthcare for my children. Agree	I can get healthcare for my children. Disagree	I can get healthcare for my children. Strongly disagree	I can get healthcare for my children. Not applicable
I can get the adult day care or elder care services I or my family needs.	I can get the adult day care or elder care services I or my family needs. Strongly agree	I can get the adult day care or elder care services I or my family needs. Agree	I can get the adult day care or elder care services I or my family needs. Disagree	I can get the adult day care or elder care services I or my family needs. Strongly disagree	I can get the adult day care or elder care services I or my family needs. Not applicable
I can get the childcare services I need.	I can get the childcare services I need. Strongly agree	I can get the childcare services I need. Agree	I can get the childcare services I need. Disagree	I can get the childcare services I need. Strongly disagree	I can get the childcare services I need. Not applicable
I can get services or resources in the language I need.	I can get services or resources in the language I need. Strongly agree	I can get services or resources in the language I need. Agree	I can get services or resources in the language I need. Disagree	I can get services or resources in the language I need. Strongly disagree	I can get services or resources in the language I need. Not applicable
I receive support from a faith community or civic organization.	I receive support from a faith community or civic organization. Strongly agree	I receive support from a faith community or civic organization. Agree	I receive support from a faith community or civic organization. Disagree	I receive support from a faith community or civic organization. Strongly disagree	I receive support from a faith community or civic organization. Not applicable
I have used or currently use support services and community resources to meet my unique needs.	I have used or currently use support services and community resources to meet my unique needs. Strongly agree	I have used or currently use support services and community resources to meet my unique needs. Agree	I have used or currently use support services and community resources to meet my unique needs. Disagree	I have used or currently use support services and community resources to meet my unique needs. Strongly disagree	I have used or currently use support services and community resources to meet my unique needs. Not applicable
I would use an assistance program or other support program to get help if needed. (For example community support group, employee assistance program.)	I would use an assistance program or other support program to get help if needed. (For example community support group, employee assistance program.) Strongly agree	I would use an assistance program or other support program to get help if needed. (For example community support group, employee assistance program.) Agree	I would use an assistance program or other support program to get help if needed. (For example community support group, employee assistance program.) Disagree	I would use an assistance program or other support program to get help if needed. (For example community support group, employee assistance program.) Strongly disagree	I would use an assistance program or other support program to get help if needed. (For example community support group, employee assistance program.) Not applicable

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* 9. Please tell us if the following are strengths of our community and which can be improved.

	Strength	Neutral	Weakness	Don't know
Dental care access	Dental care access Strength	Dental care access Neutral	Dental care access Weakness	Dental care access Don't know
Dental care affordability	Dental care affordability Strength	Dental care affordability Neutral	Dental care affordability Weakness	Dental care affordability Don't know
Medical care access	Medical care access Strength	Medical care access Neutral	Medical care access Weakness	Medical care access Don't know
Medical care affordability	Medical care affordability Strength	Medical care affordability Neutral	Medical care affordability Weakness	Medical care affordability Don't know
Mental health access	Mental health access Strength	Mental health access Neutral	Mental health access Weakness	Mental health access Don't know
Mental health affordability	Mental health affordability Strength	Mental health affordability Neutral	Mental health affordability Weakness	Mental health affordability Don't know
Insurance access	Insurance access Strength	Insurance access Neutral	Insurance access Weakness	Insurance access Don't know
Insurance affordability	Insurance affordability Strength	Insurance affordability Neutral	Insurance affordability Weakness	Insurance affordability Don't know
Substance use treatment access/recovery services (e.g. drug assisted treatment, group therapy, counseling, etc.)	Substance use treatment access/recovery services (e.g. drug assisted treatment, group therapy, counseling, etc.) Strength	Substance use treatment access/recovery services (e.g. drug assisted treatment, group therapy, counseling, etc.) Neutral	Substance use treatment access/recovery services (e.g. drug assisted treatment, group therapy, counseling, etc.) Weakness	Substance use treatment access/recovery services (e.g. drug assisted treatment, group therapy, counseling, etc.) Don't know
Childcare access	Childcare access Strength	Childcare access Neutral	Childcare access Weakness	Childcare access Don't know
Childcare affordability	Childcare affordability Strength	Childcare affordability Neutral	Childcare affordability Weakness	Childcare affordability Don't know
Adult day services/care	Adult day services/care Strength	Adult day services/care Neutral	Adult day services/care Weakness	Adult day services/care Don't know
Elder care	Elder care Strength	Elder care Neutral	Elder care Weakness	Elder care Don't know

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* 10. If you have one person or group you turn to for basic healthcare needs, where to you go most often?

	Always	Sometimes	Rarely	Never
My primary care doctor/family physician	My primary care doctor/family physician Always	My primary care doctor/family physician Sometimes	My primary care doctor/family physician Rarely	My primary care doctor/family physician Never
Hospital (including the ER)	Hospital (including the ER) Always	Hospital (including the ER) Sometimes	Hospital (including the ER) Rarely	Hospital (including the ER) Never
Health Department	Health Department Always	Health Department Sometimes	Health Department Rarely	Health Department Never
Urgent care center	Urgent care center Always	Urgent care center Sometimes	Urgent care center Rarely	Urgent care center Never
Free or low-income clinic	Free or low-income clinic Always	Free or low-income clinic Sometimes	Free or low-income clinic Rarely	Free or low-income clinic Never
Retail clinic (CVS, Walgreens, Little Clinic, etc.)	Retail clinic (CVS, Walgreens, Little Clinic, etc.) Always	Retail clinic (CVS, Walgreens, Little Clinic, etc.) Sometimes	Retail clinic (CVS, Walgreens, Little Clinic, etc.) Rarely	Retail clinic (CVS, Walgreens, Little Clinic, etc.) Never
School or university nurse	School or university nurse Always	School or university nurse Sometimes	School or university nurse Rarely	School or university nurse Never
Alternative healthcare providers (e.g. acupuncture, chiropractic, massage, etc.)	Alternative healthcare providers (e.g. acupuncture, chiropractic, massage, etc.) Always	Alternative healthcare providers (e.g. acupuncture, chiropractic, massage, etc.) Sometimes	Alternative healthcare providers (e.g. acupuncture, chiropractic, massage, etc.) Rarely	Alternative healthcare providers (e.g. acupuncture, chiropractic, massage, etc.) Never
Friend or relative	Friend or relative Always	Friend or relative Sometimes	Friend or relative Rarely	Friend or relative Never
Use specialist as PCP	Use specialist as PCP Always	Use specialist as PCP Sometimes	Use specialist as PCP Rarely	Use specialist as PCP Never

Other (please specify)

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* 11. Was there a time in the past 12 months when you needed to see a doctor but could not?

Yes

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* 12. What are some of the reasons why you could not see a doctor? Select all that apply.

I'm not comfortable with any doctor.

Language/racial/cultural barriers

Lack of transportation

I don't know how to find a good doctor.

Lack of access to a physician taking new patients

Inconvenient office hours

The specific service I needed was not available locally.

Lack of money or insurance for an office visit

The weather was too bad.

I was too sick.

The doctor was unavailable.

I do not have a healthcare provider.

Other (please specify)

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* 13. Was there a time in the past 12 months when you needed Medications but could not obtain them?

Yes

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* 14. What are some of the reasons why you could not obtain needed medications? Select all that apply.

I could not obtain a prescription from a physician.

Language/racial/cultural barriers

Lack of transportation

I don't know how to find a good pharmacy.

Inconvenient pharmacy hours

The specific drug I needed was not available.

Lack of money or insurance for an a prescription

The weather was too bad.

I was too sick.

I do not have a pharmacy.

Other (please specify)

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* 15. During the past month, other than on your regular job, how often did you participate in any physical activities or exercise such as fitness walking, running, weightlifting, team sports, etc.?

Every once in a while

1 to 2 times a week

3 to 4 times a week

5-7 times a week

Several times a day

Never

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* 16. If you marked "every once in a while" or "never in the previous question, what are the reasons you have not participated in much or any exercise during the past month? Select all that apply.

Not enough time in my day

Exercise is not a priority.

I don't know how.

I don't know where to go.

There is no safe place to exercise in my neighborhood.

I'm not healthy enough to exercise.

It's hard to stay motivated.

Other (please specify)

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* 17. Have you ever been told by a doctor you have any of these conditions, diseases, or challenges? Select all that apply.

Arthritis

Asthma

Cancer

Developmental/learning concerns (including Autism)

Diabetes

Eating disorder

High blood pressure/hypertension

High cholesterol

Heart disease

Mental or emotional issue

Obese

Overweight

Substance use disorder

None

Other (please specify)

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* 18. What healthcare, health education or public health services or programs would you like to see offered in your community? (Select all that apply.)

None, we have everything we need.

Healthcare resources for the uninsusred or poor

Exercise resources such as fitness center

Nutrition or diet education

Primary care access

Wellness programs

Preventative services

Health education for chronic conditions: diabetes, high blood pressure, heart disease, cancer, etc.

Additional health services

Access to specialty physicians

Affordable healthcare

Affordable insurance

Senior care services

Mental/behavioral health services

Substance misuse services

Don't know

Other (please specify)

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* 19. What are the top three issues in your community that impact people's health? These issues could be related to healthcare access, community issues, general lifestyle, quality of life issues or any other issues you may think of.

Affordable health insurance

Available and affordable services and programs for individuals with disabilities and special needs

Affordable healthcare

Dental health services

Health care services

Health services for seniors

Mental health & behavioral health services

Lack of primary care professionals

Lack of subspecialty physicians such as cardiology, neurology, etc.

Availability of doctors – office hours, not accepting insurance

More urgent care or walk-in clinics, after hours care

Substance use disorder treatment services

Vision health services

Prevention/wellness

Affordable, quality housing

Transportation

Safe community infrastructure (good lighting, well maintained sidewalks, parks)

Safe/affordable/access places to exercise

Safe/affordable places to relax

Walking/bike paths and trails

Full-service grocery stores

Safe neighborhoods

Air quality

Water quality

Access to early childhood education and development opportunities

Access to opportunities for secondary education (post-high school)

Supports for kids and families to access/sustain primary education (K-12)

Racial/ethnic/ inequities

Language barriers

Health care for the undocumented population

Culturally appropriate language and accessibility for services and supports

Embracing diversity and promoting inclusion and belonging

Chronic disease management

Healthy Eating/Active Living Issues

Healthy weight/obesity

Available and affordable fresh/natural foods

Information about how to cook healthy foods

Affordable healthy lifestyle services and programs

Aging population/services for elderly

Jobs/employment

Living wage jobs

Food /nutrition insecurity

Poverty/Low Income

Care for the unhoused population

Violence

Gun violence

Gangs

Abuse and/or neglect

Nicotine use – smoking and/or vaping

Alcohol misuse

Substance use disorder

Social media use

Anxiety

Stress/stress at school or work

Access to affordable, quality childcare

Safe, appropriate activities for teens

Teen pregnancy

Maternal and childbirth outcomes

Falls

Senior in home care

Senior housing

People taking more responsibility for their own lifestyle/health

Lack of broadband and technology

Understanding healthcare/health literacy

Don’t know

Other (please specify)

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* 20. What are the top three health concerns for children in your community?

Physical activity

Healthy diet/nutrition

Obesity

School lunch programs

Children’s health education

Child-care/day care options

Responsible sexual behavior

Access to pediatricians/primary care

Mental health services

Dental health services

Responsible, involved parents

Substance misuse

Immunizations/Vaccinations

Abuse/neglect

Don’t Know

Other (please specify)

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* 21. How good a community leader is Tanner Health System in terms of offering emergency services that are available to everyone?

Excellent

Good

Neutral

Fair

Poor

Don't know

Other (please specify)