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We Want Your Input - Take Our Surveys
> Building/Transportation Assessment
We value your opinion and would like to know more from you. Please take the time to fill out this brief survey to help us determine if the location of our building and transportation are satisfactory. Your responses are kept confidential and anonymous.
Page 1 of 1
Are you familiar with the services provided at the Grand Traverse Health Department?
Yes
No
Not sure
Have you ever utilized GTCHD services?
Yes
No
No, but I would like to
Not sure
Do you know where GTCHD is located?
Yes
No
Please check all services you have utilized at GTCHD
Immunizations
WIC
Maternal Infant Health Program (MIHP)
Children's Special Health Care Services (CSHCS)
Vision & Hearing Screening
Physicals for Head Start and/or Sports
Reproductive Health
RH-birth control
RH-pap smear
RH-STD/HIV testing
RH-pregnancy testing
RH-breast & certicial cancer screening (BCCCP/Womancare)
Dental Clinics North
Communicable Disease/TB Testing
Other
N/A
If you are currently a client of GTCHD, how do you typically get to your appointment?
I drive my own vehicle
I borrow a vehicle
A friend or family member drives me
I have to take public transportation
I walk
Other
N/A
If you currently take public transportation, how much does it cost round trip?
Have you ever missed an appointment because you had no transportation?
Yes
No
N/A
How far do you have to travel to get here?
Less than a mile
1 to 5 miles
5 to 10 miles
10 to 20 miles
over 20 miles
N/A
Was it difficult to find the Health Department?
Yes
No
N/A
Would it be more convenient if the Health Department was in a different location?
Yes
No
Location isn't an issue
N/A
Where would you prefer the Health Department be located?
Downtown
Near Munson Medical Center
Near the Grand Traverse Mall
It's fine where it is
Other
Don't care
Are you and/or your children currently covered under health insurance?
Yes
No
Not sure
If yes, please tell us what insurance program(s) you are covered under (check all that apply)
Priority Health
Blue Cross Blue Shield
Other employer sponsored health insurance
Medicaid
MI-Child
Healthy Kids
MOMS (prenatal services issued by DCH)
Plan First!
CHAP (Coalition Health Access Program)
Other
N/A
Do you and/or your children utilize Dental Clinics North located here at the Health Department?
Yes
No
Did you know that Medicaid also covers dental care for children and some adults?
Yes
No
Would you like more information on Dental Clinics North?
Yes
No
If yes, how can we reach you?
Thank you for taking the time to fill out this survey. We truly appreciate your input.
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