Sheridan Neighborhood Community Health Survey

Health Questions

Please take 5 minutes to complete the survey below. The purpose of this survey is to get your opinions about community health problems in Sheridan Neighborhood. We will use the results of this survey to plan future community health programming.

Question Title

* 1. How would you rate:

	Very unhealthy	Unhealthy	Somewhat Healthy	Healthy	Very Healthy
Your physical health	Your physical health Very unhealthy	Your physical health Unhealthy	Your physical health Somewhat Healthy	Your physical health Healthy	Your physical health Very Healthy
Your mental health	Your mental health Very unhealthy	Your mental health Unhealthy	Your mental health Somewhat Healthy	Your mental health Healthy	Your mental health Very Healthy
Our community's health in general	Our community's health in general Very unhealthy	Our community's health in general Unhealthy	Our community's health in general Somewhat Healthy	Our community's health in general Healthy	Our community's health in general Very Healthy

Comments (optional):

Question Title

* 2. Do you have healthcare coverage?

Yes

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* 3. Are you able to access care or visit health care facilities when needed?

Yes

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* 4. Please rate your experience with local healthcare facilities and programs:

	Bad	Unsatisfactory	Neutral	Satisfactory	Excellent
Affordability	Affordability Bad	Affordability Unsatisfactory	Affordability Neutral	Affordability Satisfactory	Affordability Excellent
Language & cultural competency	Language & cultural competency Bad	Language & cultural competency Unsatisfactory	Language & cultural competency Neutral	Language & cultural competency Satisfactory	Language & cultural competency Excellent
Respectful practitioners	Respectful practitioners Bad	Respectful practitioners Unsatisfactory	Respectful practitioners Neutral	Respectful practitioners Satisfactory	Respectful practitioners Excellent
Transportation to and from the facilities	Transportation to and from the facilities Bad	Transportation to and from the facilities Unsatisfactory	Transportation to and from the facilities Neutral	Transportation to and from the facilities Satisfactory	Transportation to and from the facilities Excellent
Building accessibility	Building accessibility Bad	Building accessibility Unsatisfactory	Building accessibility Neutral	Building accessibility Satisfactory	Building accessibility Excellent

Comments (optional):

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* 5. How often do you think your healthcare needs are met?

Always

Usually

Sometimes

Rarely

Never

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* 6. What are some of the barriers to meet your healthcare needs?

Lack of health coverage / in-network care options

Transportation to healthcare facilities

Unable to afford care

Long wait times

Societal stigma

Language barriers

Other (please specify)

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* 7. Considering the changes that took place since March 1, 2020 (the start of the COVID-19 pandemic), how would you rate access to the following:

	Bad	Unsatisfactory	Satisfactory	Excellent	N/A
COVID-19 testing	COVID-19 testing Bad	COVID-19 testing Unsatisfactory	COVID-19 testing Satisfactory	COVID-19 testing Excellent	COVID-19 testing N/A
COVID-19 vaccines	COVID-19 vaccines Bad	COVID-19 vaccines Unsatisfactory	COVID-19 vaccines Satisfactory	COVID-19 vaccines Excellent	COVID-19 vaccines N/A
Communication about COVID-19 resources and information	Communication about COVID-19 resources and information Bad	Communication about COVID-19 resources and information Unsatisfactory	Communication about COVID-19 resources and information Satisfactory	Communication about COVID-19 resources and information Excellent	Communication about COVID-19 resources and information N/A

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* 8. How safe do you feel in your neighborhood?

Very safe

Somewhat safe

Not very safe

Not safe

Comments (optional):

Sheridan Neighborhood Community Health Survey

Health Questions

Question Title

* 1. How would you rate:

Question Title

* 2. Do you have healthcare coverage?

Question Title

* 3. Are you able to access care or visit health care facilities when needed?

Question Title

* 4. Please rate your experience with local healthcare facilities and programs:

Question Title

* 5. How often do you think your healthcare needs are met?

Question Title

* 6. What are some of the barriers to meet your healthcare needs?

Question Title

* 7. Considering the changes that took place since March 1, 2020 (the start of the COVID-19 pandemic), how would you rate access to the following:

Question Title

* 8. How safe do you feel in your neighborhood?

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* 9. What programs would you like to see from Sheridan Neighborhood Organization to help address community health? Please rank the following:

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* 10. Do you have any other comments or ideas on how SNO can support you in meeting your healthcare needs or creating a healthy community generally?