North Attleborough Community Health Needs Assessment

North Attleborough Community Health Needs Assessment 2024

The purpose of a Community Health Needs Assessment is to determine conditions within the community that prove to be most impactful and currently in need of improvement. The goal of this assessment is to listen to the people of this community and work toward improving upon the concerns that are most widely shared.

By participating in this survey, your perceptions and experiences will be thoughtfully considered, and will be significantly influential in making community-based changes. The North Attleborough Health Department will use information collected in this survey to ensure that action is being taken to meet the needs of the community.

The results of a Community Health Needs Assessment are crucial for improving the health of both individuals within a community, as well as the health and wellness of the community itself. The effects of the results can range from increased spending to address certain needs to implementing new programs to increase physical activity or socialization within the community to initiatives geared toward removing barriers to health.

Who can take this survey? You can take this survey if you:
1. Are 14 years old or older
AND
2. Live in North Attleborough, MA for some or all of the year

About the survey:
Your answers are anonymous and cannot be traced back to you. Your name and other identifying information will not be collected. The survey should take about 20 minutes to complete.
Questions in the survey will ask about:
1. Your access to health care
2. Your experience with housing in your community
3. Your experience with chronic health conditions
4. Your physical and mental health and wellbeing
5. Your experience with the environment of the town
6. Basic information about yourself (age, gender, ethnicity, etc. – we will not ask for any identifying information)

Participation in this survey is completely optional. You may skip questions you do not want to answer, and you can stop the survey at any time for any reason.

There are minimal risks to completing this survey. Some questions may be uncomfortable to answer, and may bring up stress, anxiety, or hurtful memories. Again, you may pause or stop the survey at any time if you need to. While there are no direct benefits to you for completing the survey, your information will be greatly beneficial in helping the North Attleboro Health Department understand the greatest needs in the community so we may direct support to where it is needed most. Your participation is critical in helping North Attleborough achieve better health.

Questions? If you have any questions, please contact the North Attleborough Board of Health. The office number is 508-699-0100 ext. 2560 or email the departmental mailbox at healthdept@nattleboro.com.

Resources: Here are a few community resources available to meet multiple different needs.

Interface Mental Health Referral Services

Apply for SNAP benefits

Question Title

* 1. What is your affiliation with the town of North Attleborough, MA?

Full-time resident

Part-time resident

Not a resident of North Attleborough

Question Title

* 2. Approximately, how frequently do you see a primary care physician or similar provider for a routine wellness check?

Every 12 months

Every 2-3 years

Every 4-6 years

Every 10 years

I do not recieve routine checks

Other (please specify)

Question Title

* 3. If you do not recieve routine check-ups, why not?

I believe I do not need to because I am healthy

I do not have a regular doctor

I cannot afford to see a doctor routinely

I am uninsured

I believe I receive unfair treatment in conventional care spaces because of my ethnicity, gender identity, weight, etc.

Other (please specify)

Not applicable to me

Question Title

* 4. In the last 12 months, how accessible were the following services if/when needed by you or someone you know?

	Accessible ALL of the time	Accessible MOST of the time	Accessible SOME of the time	NOT accessible at all	Not applicable to me
Primary care	Primary care Accessible ALL of the time	Primary care Accessible MOST of the time	Primary care Accessible SOME of the time	Primary care NOT accessible at all	Primary care Not applicable to me
Emergency physical care	Emergency physical care Accessible ALL of the time	Emergency physical care Accessible MOST of the time	Emergency physical care Accessible SOME of the time	Emergency physical care NOT accessible at all	Emergency physical care Not applicable to me
Mental Health care	Mental Health care Accessible ALL of the time	Mental Health care Accessible MOST of the time	Mental Health care Accessible SOME of the time	Mental Health care NOT accessible at all	Mental Health care Not applicable to me
Maternal / Reproductive health care	Maternal / Reproductive health care Accessible ALL of the time	Maternal / Reproductive health care Accessible MOST of the time	Maternal / Reproductive health care Accessible SOME of the time	Maternal / Reproductive health care NOT accessible at all	Maternal / Reproductive health care Not applicable to me
Emergency mental health care	Emergency mental health care Accessible ALL of the time	Emergency mental health care Accessible MOST of the time	Emergency mental health care Accessible SOME of the time	Emergency mental health care NOT accessible at all	Emergency mental health care Not applicable to me
Substance use treatment	Substance use treatment Accessible ALL of the time	Substance use treatment Accessible MOST of the time	Substance use treatment Accessible SOME of the time	Substance use treatment NOT accessible at all	Substance use treatment Not applicable to me
Dental / oral health care	Dental / oral health care Accessible ALL of the time	Dental / oral health care Accessible MOST of the time	Dental / oral health care Accessible SOME of the time	Dental / oral health care NOT accessible at all	Dental / oral health care Not applicable to me
Vision care	Vision care Accessible ALL of the time	Vision care Accessible MOST of the time	Vision care Accessible SOME of the time	Vision care NOT accessible at all	Vision care Not applicable to me
Pediatric care	Pediatric care Accessible ALL of the time	Pediatric care Accessible MOST of the time	Pediatric care Accessible SOME of the time	Pediatric care NOT accessible at all	Pediatric care Not applicable to me

Question Title

* 5. Do you or someone you know have an unmet need for any of the following? (select all that apply)

Primary care

Emergency physical care

Mental Health care

Maternal / Reproductive health care

Emergency mental health care

Substance use treatment

Dental / oral health care

Vison care

Pediatric care

Other (please specify)

None of the above

Question Title

* 6. Have you ever been offered and/or had the option to access telehealth services?

I have been offered but cannot access telehealth

I have been offered and can access telehealth, but chose not to pursue

I have been offered and can access telehealth, and chose to use that service

I have never been offered any telehealth service

Question Title

* 7. Do you have health insurance?

Yes

I am unsure

Prefer not to answer

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* 8. If you have health insurance, what type?

Insured through my current or former employer

Private insurance I purchase directly from an insurance company

Medicare

Medicaid, Medical Assistance, MassHealth, or any other government-assistance plan

Other (please specify)

I do not have health insurance

Question Title

* 9. How would you describe your current housing situation?

Home Owner

Renter

Homeless

Other (please specify)

Question Title

* 10. How would you describe you and your family’s current financial situation?

Living very comfortably

Doing alright

Just barely getting by/a bit difficult

Things are very difficult

Question Title

* 11. Do you ever have trouble paying for any of the following?

	ALL of the time	MOST of the time	SOME of the time	NEVER	N/A
Housing	Housing ALL of the time	Housing MOST of the time	Housing SOME of the time	Housing NEVER	Housing N/A
Food/groceries	Food/groceries ALL of the time	Food/groceries MOST of the time	Food/groceries SOME of the time	Food/groceries NEVER	Food/groceries N/A
Childcare	Childcare ALL of the time	Childcare MOST of the time	Childcare SOME of the time	Childcare NEVER	Childcare N/A
Health care	Health care ALL of the time	Health care MOST of the time	Health care SOME of the time	Health care NEVER	Health care N/A
Technology	Technology ALL of the time	Technology MOST of the time	Technology SOME of the time	Technology NEVER	Technology N/A
Transportation	Transportation ALL of the time	Transportation MOST of the time	Transportation SOME of the time	Transportation NEVER	Transportation N/A
Utilities	Utilities ALL of the time	Utilities MOST of the time	Utilities SOME of the time	Utilities NEVER	Utilities N/A
Prescription medications	Prescription medications ALL of the time	Prescription medications MOST of the time	Prescription medications SOME of the time	Prescription medications NEVER	Prescription medications N/A

Other (please specify)

Question Title

* 12. In the past 12 months, have you applied for or received any of the following? (select all that apply)

	Applied and Pending	Applied and Received	Applied and Denied
Cash Assistance or Temporary Assistance for needy families (TANF)	Cash Assistance or Temporary Assistance for needy families (TANF) Applied and Pending	Cash Assistance or Temporary Assistance for needy families (TANF) Applied and Received	Cash Assistance or Temporary Assistance for needy families (TANF) Applied and Denied
Disability Assistance	Disability Assistance Applied and Pending	Disability Assistance Applied and Received	Disability Assistance Applied and Denied
Food Assistance (ETB, SNAP, HIP, Lenore's Pantry)	Food Assistance (ETB, SNAP, HIP, Lenore's Pantry) Applied and Pending	Food Assistance (ETB, SNAP, HIP, Lenore's Pantry) Applied and Received	Food Assistance (ETB, SNAP, HIP, Lenore's Pantry) Applied and Denied
Housing/Rental Assistance	Housing/Rental Assistance Applied and Pending	Housing/Rental Assistance Applied and Received	Housing/Rental Assistance Applied and Denied
Women, Infant, and Children (WIC)	Women, Infant, and Children (WIC) Applied and Pending	Women, Infant, and Children (WIC) Applied and Received	Women, Infant, and Children (WIC) Applied and Denied

Other (please specify)

Question Title

* 13. Have you or someone you know ever been told you have any of the following conditions? (select all that apply)

Diabetes

High Blood Pressure (Hypertension)

Stroke

Obesity

High cholesterol

Chronic Obstructive Pulmonary Disease (COPD)

Asthma

Heart attack (Myocardial Infarction)

Peripheral vascular disease

Osteoporosis

Hypothyroidism

Anemia

Chronic Kidney Disease (CKD)

Liver disease

Other cardiac disease (please specify)

None of the above

Question Title

* 14. If you answered yes to any of the previous conditions, do you find care/treatment to be accessible and feasible for you/your loved one?

Yes

Unsure

Not applicable to me

Question Title

* 15. In the past 12 months, have you experienced any of the following? (select all that apply)

Depression

Anxiety

Feelings of isolation

Psychiatric distress

Suicidal thoughts/ideations

Other mental health issue (please specify)

None of the above

Question Title

* 16. If you answered yes to any of the above, did you ever pursue and/or receive care to treat it?

Yes

Prefer not to answer

Question Title

* 17. If you pursued/received care, how were you referred to that care?

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* 18. Do you know where to go for referrals for mental health care?

Yes

Unsure

Question Title

* 19. In the past 12 months, have you or someone you know used any of the following substances? (select all that apply)

Tobacco / nicotine products (cigarettes, chewing tobacco, vapes, etc.)

Alcohol

Medical cannabis

Recreational cannabis

Fentanyl

Heroin

Opioids – not prescribed

Opioids – not used as prescribed

Prescription drugs – not prescribed to them, non-medical use

Other (please specify)

None of the above

Question Title

* 20. Has your or their use of any of the previously stated substances negatively interfered with daily life or functioning?

Yes

Unsure

If yes, please describe

Question Title

* 21. Have you ever turned to any of the previously stated substances as a way to cope with a mental health crisis?

Yes

Prefer not to answer

If yes, please describe

Question Title

* 22. If you or someone who you know has found substances to be interfering negativelywith their daily life and functioning, have they received treatment?

Yes

Unsure

Question Title

* 23. What mode of transportation do you currently rely on most?

Personal vehicle

Family/Friend's vehicle

Bicycle

Public Bus

Train

Taxi/Uber/Lyft

Walking

Other (please specify)

Question Title

* 24. Typically, would you say that you are able to get to the places you need to go?

Always

Most of the time

Some of the time

Rarely

Never

Question Title

* 25. Would you say that transportation within your community is accessible and affordable for all community members?

Yes

Unsure

Question Title

* 26. Do you feel safe in your community?

Always

Most of the time

Some of the time

Rarely

Never

Question Title

* 27. Have you ever experienced or witnessed violence in your community?

Yes, I have experienced it

Yes, I have witnessed it

Yes, I have both experienced and witnessed it

No, I have never experienced nor witnessed it

Question Title

* 28. Do you feel that the physical environment of your community promotes health and wellness?

Definitely

Somewhat

Not at all

Unsure

Question Title

* 29. Do you feel that a lack of a clean environment is a problem in your ...

	Yes	No	Unsure
Community?	Community? Yes	Community? No	Community? Unsure
Neighborhood?	Neighborhood? Yes	Neighborhood? No	Neighborhood? Unsure
Personal life/experience?	Personal life/experience? Yes	Personal life/experience? No	Personal life/experience? Unsure

If you answered yes to any option, please describe

Question Title

* 30. Do you feel that there are ample opportunities for physical activity and movement within your community?

Yes

Unsure

If yes, please describe

Question Title

* 31. How accessible are fresh, nutritious food options to you?

Very accessible

Somewhat accessible

Difficult to access

Impossible to access

Question Title

* 32. If you answered difficult or impossible to access, why is that? (select all that apply)

Cost of food items

Location of food sellers

Time constraints / busy daily life

Other (please specify)

Question Title

* 33. What is your overall rating of the health of North Attleborough?

Excellent

Good

Decent

Not good

Question Title

* 34. What is your overall perception of your own health?

Excellent

Good

Decent

Not good

Question Title

* 35. How satisfied are you with the following factors of health in your community?

	Very Satisfied	Satisfied	Neutral	Dissatisfied	Very Dissatisfied	N/A
Economic stability	Economic stability Very Satisfied	Economic stability Satisfied	Economic stability Neutral	Economic stability Dissatisfied	Economic stability Very Dissatisfied	Economic stability N/A
Education	Education Very Satisfied	Education Satisfied	Education Neutral	Education Dissatisfied	Education Very Dissatisfied	Education N/A
Food security	Food security Very Satisfied	Food security Satisfied	Food security Neutral	Food security Dissatisfied	Food security Very Dissatisfied	Food security N/A
Neighborhood and Physical environment	Neighborhood and Physical environment Very Satisfied	Neighborhood and Physical environment Satisfied	Neighborhood and Physical environment Neutral	Neighborhood and Physical environment Dissatisfied	Neighborhood and Physical environment Very Dissatisfied	Neighborhood and Physical environment N/A
Community and social contexts	Community and social contexts Very Satisfied	Community and social contexts Satisfied	Community and social contexts Neutral	Community and social contexts Dissatisfied	Community and social contexts Very Dissatisfied	Community and social contexts N/A
Healthcare system	Healthcare system Very Satisfied	Healthcare system Satisfied	Healthcare system Neutral	Healthcare system Dissatisfied	Healthcare system Very Dissatisfied	Healthcare system N/A

Question Title

* 36. In the past 12 months, how accessible were the following resources in your experience?

	Accessible ALL of the time	Accessible MOST of the time	Accessible SOME of the time	NEVER accessible	N/A
Reliable transportation	Reliable transportation Accessible ALL of the time	Reliable transportation Accessible MOST of the time	Reliable transportation Accessible SOME of the time	Reliable transportation NEVER accessible	Reliable transportation N/A
Healthy food	Healthy food Accessible ALL of the time	Healthy food Accessible MOST of the time	Healthy food Accessible SOME of the time	Healthy food NEVER accessible	Healthy food N/A
Childcare	Childcare Accessible ALL of the time	Childcare Accessible MOST of the time	Childcare Accessible SOME of the time	Childcare NEVER accessible	Childcare N/A
Income to cover basic needs	Income to cover basic needs Accessible ALL of the time	Income to cover basic needs Accessible MOST of the time	Income to cover basic needs Accessible SOME of the time	Income to cover basic needs NEVER accessible	Income to cover basic needs N/A
Income or insurance to cover health care needs	Income or insurance to cover health care needs Accessible ALL of the time	Income or insurance to cover health care needs Accessible MOST of the time	Income or insurance to cover health care needs Accessible SOME of the time	Income or insurance to cover health care needs NEVER accessible	Income or insurance to cover health care needs N/A
Safe spaces for recreational activity	Safe spaces for recreational activity Accessible ALL of the time	Safe spaces for recreational activity Accessible MOST of the time	Safe spaces for recreational activity Accessible SOME of the time	Safe spaces for recreational activity NEVER accessible	Safe spaces for recreational activity N/A
Good quality, affordable housing	Good quality, affordable housing Accessible ALL of the time	Good quality, affordable housing Accessible MOST of the time	Good quality, affordable housing Accessible SOME of the time	Good quality, affordable housing NEVER accessible	Good quality, affordable housing N/A

Question Title

* 37. What do you feel are the top 3 health issues facing North Attleborough?

Question Title

* 38. What do you feel is workng well in your community in terms of health?

Question Title

* 39. What is the biggest health need(s) you and your family have while living in North Attleborough?

Question Title

* 40. What age range do you currently fit in to?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 41. How would you describe your gender identity?

Man

Woman

Transgender

Non-binary / Non-conforming

Prefer not to answer

Other (please specify)

Question Title

* 42. How would you describe your race/ethnicity?

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or other Pacific Islander

White

Other (please specify)

Question Title

* 43. What is your highest level of completed education?

Less than a high school diploma

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

Some college credit, but no degree

Bachelor's degree

Master's degree

PhD or higher

Trade/Technical/Vocational school

Prefer not to say

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* 44. What is your marital status?

Single, never married

Married / civil union

Living with partner

Separated

Divorced

Widowed

Prefer not to answer

Question Title

* 45. What is your current employment situation?

Employed, full-time

Employed, part-time

Working more than one job

Unemployed

Other (please specify)