Weston County Health Services

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Weston County Health Services is conducting a study on healthcare needs in our community. This study will help us in our efforts to improve our services. Please take a few minutes to complete the following survey.

Please Note: Because we want to get feedback from as many people as possible, you may receive more than one request to complete this survey. We apologize for this inconvenience and ask that you only take the survey once. All responses are confidential, and you may choose not to answer any questions that you would prefer not to. Thank you for your help.

1.What is your age?

17 and under

18-24

25-34

35-44

45-54

55-64

65 and over

2.What is your gender?

Female

Male

Other

3.What is your race?

Asian

Black or African American

Hispanic/Latino

Native American

Other Race

Two or More Races

White Non-Hispanic

Prefer Not to Say

4.What is your annual income?

Under $25,000

$25,000 - $49,000

$50,000 - $75,000

Over $75,000

5.Please select your Zip Code.

82701

82727

82730

82723

82715

Other

6.Do you use Weston County Health Services or Clinics for your main health care needs?

Yes

7.If you do not use Weston County Health Services or its Clinics, Why?

8.Do you have a Primary Care Physician, Physician's Assistant or Nurse Practitioner you see regularly?

Yes

9.If you answered yes, what physician, physician assistant or nurse practitioner do you see and where are they located?

10.In an effort to meet the needs of the community, Weston County Health Services and Clinics would like to know what outpatient services you or someone in your family have utilized in the past 24 months?

	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service
Cardiac or Pulmonary Rehabilitation	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

Cardiopulmonary (EKG, Pulmonary Function Test, Stress Test)	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

Cataract Surgery	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

Colonoscopy/Endoscopy	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

Emergency Room	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

General Surgery	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

Gynecology	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

Laboratory	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

Orthopedics	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

Pain Management	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

Physical, Occupational or Speech Therapy	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

Primary Care (Family Medicine, Internal Medicine, Pediatrics)	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

Radiology/Imaging (X-Ray, MRI, CT, Ultrasound, Mammogram, Dexa Scan)	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

Sleep Studies	Used the service	Did not use the service	Used this service elsewhere	Did not know you had this service

11.

Have you or someone in your household utilized any of these services anywhere in the past 24 months? Please check all that apply.

	Weston County Health Services	Other	N/A
Allergy	Weston County Health Services	Other	N/A

Asthma	Weston County Health Services	Other	N/A

Audiology	Weston County Health Services	Other	N/A

Cardiology/Heart	Weston County Health Services	Other	N/A

Dermatology	Weston County Health Services	Other	N/A

Endocrinology	Weston County Health Services	Other	N/A

ENT (Ear, Nose, Throat)	Weston County Health Services	Other	N/A

Geriatrics	Weston County Health Services	Other	N/A

Nephrology	Weston County Health Services	Other	N/A

Oncology	Weston County Health Services	Other	N/A

Orthopedics	Weston County Health Services	Other	N/A

Pain Management	Weston County Health Services	Other	N/A

Pharmacy	Weston County Health Services	Other	N/A

Podiatry	Weston County Health Services	Other	N/A

Pulmonary	Weston County Health Services	Other	N/A

Urology	Weston County Health Services	Other	N/A

Vascular Surgery	Weston County Health Services	Other	N/A

Wound Care	Weston County Health Services	Other	N/A

12.How would you rate the need for the following services?

	I don't see a need for this	There seems to be a need for this	We definitely need this
Acupuncture	I don't see a need for this	There seems to be a need for this	We definitely need this

Assisted Living	I don't see a need for this	There seems to be a need for this	We definitely need this

Chiropractic	I don't see a need for this	There seems to be a need for this	We definitely need this

Community Paramedicine (Paramedics wellness check to reduce ER visits)	I don't see a need for this	There seems to be a need for this	We definitely need this

Dental Health Preventative	I don't see a need for this	There seems to be a need for this	We definitely need this

Dental Health Extraction	I don't see a need for this	There seems to be a need for this	We definitely need this

Diabetes Educators	I don't see a need for this	There seems to be a need for this	We definitely need this

Holistic Medicine	I don't see a need for this	There seems to be a need for this	We definitely need this

Home Health	I don't see a need for this	There seems to be a need for this	We definitely need this

Hospice	I don't see a need for this	There seems to be a need for this	We definitely need this

Long-Term Care	I don't see a need for this	There seems to be a need for this	We definitely need this

Mental Health Services	I don't see a need for this	There seems to be a need for this	We definitely need this

Ophthalmology	I don't see a need for this	There seems to be a need for this	We definitely need this

Pediatric Care	I don't see a need for this	There seems to be a need for this	We definitely need this

Pharmacy	I don't see a need for this	There seems to be a need for this	We definitely need this

Rehabilitation Services (Drug and Alcohol)	I don't see a need for this	There seems to be a need for this	We definitely need this

Substance Abuse Services	I don't see a need for this	There seems to be a need for this	We definitely need this

Women's Health	I don't see a need for this	There seems to be a need for this	We definitely need this

13.Tele-health is a technology that allows patients to be diagnosed and treated remotely. This may be through a tablet at home or through more advanced equipment at a hospital. It allows specialties to be offered through smaller hospitals they normally could not provide.

How do you feel about receiving services via Tele-health?

I have no problem being treated through Tele-health

I have some reservations, but would be willing to try Tele-health

I would not use Telehealth as a treatment option

14.

Please rate the following supportive services based on your view of the need for additional capacity.

	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know
Assistance with Insurance Enrollment (Private Insurance, Medicare, Medicaid)	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Discharge Planning	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Post Discharge Follow-up	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Health Education (Understanding health Conditions and Medication Management)	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Local Access to Out of Town Specialists	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Referral to Medical Specialists	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Referral to Support Services	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Support Groups	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Translation (Spanish)	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Transportation	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

15.Are you aware the following services are offered in Weston County?

	Aware of this service	Not aware of this service	I could use this service
Assisted Living in our Community	Aware of this service	Not aware of this service	I could use this service

Behavioral Health / Mental Wellness Services	Aware of this service	Not aware of this service	I could use this service

Cardiac Rehabilitation	Aware of this service	Not aware of this service	I could use this service

Chronic Care Coordination	Aware of this service	Not aware of this service	I could use this service

Drug and Alcohol Counseling	Aware of this service	Not aware of this service	I could use this service

Physical Therapy for Youth Sports Injuries	Aware of this service	Not aware of this service	I could use this service

Services and Training to Prevent Suicide	Aware of this service	Not aware of this service	I could use this service

Veteran Services	Aware of this service	Not aware of this service	I could use this service

16.Please indicate which population groups may be in need of additional health care services.

	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know
Children	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Adults	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Homeless	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

LGBTQ+	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

People Eligible for Medicaid	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

People Who are Under Served with Minimal Insurance	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

People with Behavioral Health Needs	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

People with Low Income	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

People with No Insurance	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Seniors (65+)	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Sexual Assault Victims/Survivors	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Substance Abuse Issues	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Support for Caregivers of Seniors	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Teenage Parents	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Veterans	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

Women of Child Bearing Age	Needs Are Being Met	Needs Are Somewhat Being Met	Needs Are Not Being Met	I don't know

17.If you require Durable Medical Equipment/Products for maintaining your health, what do you need?

18.Please rate the importance of the following aspects of health care services.

	Not important	Somewhat important	Very Important	I don't know
24hr Emergency Room Services	Not important	Somewhat important	Very Important	I don't know

Ambulance Services	Not important	Somewhat important	Very Important	I don't know

Appointments on Weekends	Not important	Somewhat important	Very Important	I don't know

Family Planning	Not important	Somewhat important	Very Important	I don't know

Mental Health Crisis Services	Not important	Somewhat important	Very Important	I don't know

Mobile Medical Services	Not important	Somewhat important	Very Important	I don't know

Proximity to Home	Not important	Somewhat important	Very Important	I don't know

Range of Health Care Services	Not important	Somewhat important	Very Important	I don't know

Seeing Medical Specialists Locally	Not important	Somewhat important	Very Important	I don't know

Spanish Speaking Practitioners	Not important	Somewhat important	Very Important	I don't know

Tele-health Medical Visits	Not important	Somewhat important	Very Important	I don't know

Walk-in Clinic	Not important	Somewhat important	Very Important	I don't know

Wheelchair Van Transport	Not important	Somewhat important	Very Important	I don't know

19.

We are concerned about the needs of children and youth in the area. Please rate the following topics on how applicable they are to the youth in our community.

	Highly Applicable	Applicable	Not Applicable
Abuse / Neglect	Highly Applicable	Applicable	Not Applicable

Alcohol Use	Highly Applicable	Applicable	Not Applicable

Bullying/Cyber Bullying	Highly Applicable	Applicable	Not Applicable

Child Care	Highly Applicable	Applicable	Not Applicable

Dental Care	Highly Applicable	Applicable	Not Applicable

Depression or Anxiety	Highly Applicable	Applicable	Not Applicable

Excessive Gaming	Highly Applicable	Applicable	Not Applicable

Food Insecurity	Highly Applicable	Applicable	Not Applicable

Infant Care	Highly Applicable	Applicable	Not Applicable

Internet Safety	Highly Applicable	Applicable	Not Applicable

Lack of Exercise	Highly Applicable	Applicable	Not Applicable

Marijuana/THC Use	Highly Applicable	Applicable	Not Applicable

Opioid Use	Highly Applicable	Applicable	Not Applicable

Poor Diet	Highly Applicable	Applicable	Not Applicable

Special Needs	Highly Applicable	Applicable	Not Applicable

Teen Pregnancy	Highly Applicable	Applicable	Not Applicable

Teen Sexuality	Highly Applicable	Applicable	Not Applicable

Vaping/Tobacco Use	Highly Applicable	Applicable	Not Applicable

Vision	Highly Applicable	Applicable	Not Applicable

Shelter / Housing	Highly Applicable	Applicable	Not Applicable

20.Please explain any special needs our youth are facing.

21.We are concerned about the needs of the elderly in our community. Please rate the following topics on how applicable they are to the elderly in our area?

	Highly Applicable	Applicable	Not Applicable
Abuse / Neglect	Highly Applicable	Applicable	Not Applicable

Adult day care services	Highly Applicable	Applicable	Not Applicable

Affordable Housing for Seniors	Highly Applicable	Applicable	Not Applicable

Availability of Long Term Care	Highly Applicable	Applicable	Not Applicable

Behavioral Health	Highly Applicable	Applicable	Not Applicable

Caregiver Support	Highly Applicable	Applicable	Not Applicable

Financial Abuse	Highly Applicable	Applicable	Not Applicable

Food Insecurity	Highly Applicable	Applicable	Not Applicable

In-home Health Services	Highly Applicable	Applicable	Not Applicable

Memory evaluation	Highly Applicable	Applicable	Not Applicable

Physical and mental evaluation	Highly Applicable	Applicable	Not Applicable

Quality long term care	Highly Applicable	Applicable	Not Applicable

Senior Care Planning	Highly Applicable	Applicable	Not Applicable

Transportation to medical appointments	Highly Applicable	Applicable	Not Applicable

22. Is there a reason you are not using Weston County Health Services and or Clinics for your health care?

23.What reservations if any do you currently have about using WCHS for your health care?

24.If you had reservations, what changes would you recommend?

25.Please take a moment to share any general comments you have about health care or service needs in the area.

Thank you for your participation and feedback.

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