Community Health Needs Assessment Survey

Question Title

* 1. Please indicate what barriers exist, if any, in the community, in accessing the care you need to maintain your health? Check all that apply.

Transportation

Cost of care/Insurance doesn't cover services

Lack of insurance

Availability/accessibility of physicians who understand my special needs

Physical limitations

Services and resources not located locally

Unaware of services

I need to be better informed about how to care for myself

Home care services for my special needs

Lack of care coordination among providers

Lack of support/Patient Advocacy

Other (please specify)

Question Title

* 2. Please indicate what barriers exist, if any, at Gaylord, in accessing the care you need to maintain your health? Check all that apply.

Transportation

Cost of Care/Insurance doesn’t cover services

Lack of Insurance

Availability/accessibility of physicians who understand my special needs

Physical limitations

Services and resources not located locally

Unaware of services

I need to be better informed about how to care for myself

Home care services for my special needs

Lack of care coordination among providers

Lack of support/Patient Advocacy

Other (please specify)

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* 3. What services do you need but are not getting?

Question Title

* 4. What would you say are the greatest unmet needs of the communities for whom Gaylord provides services? (Spinal Cord Injury, Traumatic Brain Injury, Stoke, and Pulmonary/Ventilator Weaning).

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* 5. What are one or two key improvements you feel are needed for Gaylord to provide better healthcare for our communities?

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* 6. Other Comments?