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Community Health Survey

Community Health Improvement Survey for Ashland, Bayfield, and Iron Counties

Memorial Medical Center (MMC) and the Ashland, Bayfield, and Iron County Health Departments are working together to conduct each organization’s Community Health Needs Assessment (CHNA). 
 

One of the first steps in conducting the 2021-2023 CHNA is to gather feedback from the community and gain support by asking residents to complete a short survey.


This survey is specifically to learn about and improve health issues in our region. Participation is voluntary. Your answers will be anonymous and combined with those of all other survey respondents. The results will be shared with community members who are interested in improving the health of our community. The survey should take about 5-7 minutes.
1. Which zip code do you live in?
The following are health focus areas that may impact the health of community members. Below are descriptions to explain each of the 12 focus areas.
  • Substance Use (alcoholism, drug use and abuse, opioids, impaired driving, alcohol/drug related injuries or death, access to alcohol and drug treatment programs)
  • Chronic Disease (diabetes, cancer, heart disease, lung disease, obesity, etc.)
  • Communicable Disease (tuberculosis, tick-borne illnesses, COVID-19, whooping cough, food-borne illnesses, STI's, chickenpox, measles)
  • Environmental and Occupational (safe supply of food and drinking water, disposal of toxic wastes, air/water/noise pollution, safe work environments)
  • Growth and Development (optimal opportunities for physical, behavioral, cognitive and emotional growth and change across the lifespan)
  • Injury and Violence (recreational activity injuries, car accidents, battery, assault, gang-related violence, domestic and elder abuse, homicide)
  • Mental Health (suicide, depression, other mental disorders; access to mental health professionals,)
  • Nutrition (access to healthy foods at reasonable prices, education regarding nutrition)
  • Oral Health (access to dental services)
  • Physical Health (access to workout facilities, public recreation, walking/biking trails, weather conditions)
  • Reproductive and Sexual Issues (access to family planning services, birth control availability, STD education)
  • Tobacco Use (access to tobacco, vaping, education about health implications, access to cessation programs)
2. Please rank your concerns for your community with the top ranking being most important and your bottom ranking being the least important. 

Please drag and drop in order (1-12) with #1 being the most important health concern and #12 being least important to you. Please note: on a desktop, simply drag and drop. On a mobile device, you will rank based on which items you select first. *This question is required. Order the items from the following list. First select an item with the spacebar to show a menu of possible ranking positions. Next, click a ranking position to order it in the ranked list. Note the menu will display more ordering options as you add items to the ranked list.
4. In the past year, was there a time when you or a member of your household needed health care services, but could not get or were delayed getting medical services? 
5. If you answered yes to the question above, what were the most important reasons why you/member of your household did not receive health care services?
Check all that apply.
 
6. Please choose your age category.
7. What gender(s) do you most identify with at this time?
8. Which ethnicities do you most identify with?
9. What is the highest level of schooling that you have completed?
10. What is/are your current employment status?
Select all that apply.
 
11. During the COVID-19 pandemic, have you experienced any of the following?
Select all that apply.
 
12. We know other important issues also impact our health. Which of the factors below are also health concerns to you?
Select all that apply.
 
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