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Needs Assessment Survey

 > Home > Departments > Health > We Want Your Input - Take Our Surveys > Needs Assessment Survey
We value your input.  Please take this brief needs assessment survey to help us better understand your needs so we can further meet them.  Your answers will be confidential and anonymous.
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How do you typically get to your appointment at the Health Department?
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 take public transportation, how much does it cost round trip?
Have you ever had to miss an appointment because you had no transportation?
YesNo
How far do you travel to get here?
Less than a mile
1 to 5 miles
5 to 10 miles
10 to 20 miles
over 20 miles
Was it difficult finding the health department?
YesNo
Would it be more convenient if the Health Department were in a different location?
YesNo
Location isn't an issue
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, don't change it
It doesn't matter to me
Other
Do you consider the Health Department your primary source for medical care?
YesNo
What do you like best about the Health Department?
What do you like least about the Health Department?
Do you have any suggestions for improving our services or our facility?
Are you and/or your children currently covered under health insurance?
Yes, and I am satisfied with our coverageYes, but I'm not satisfied with our coverageNo
If yes, please tell us what insurance program(s) you are covered under (check all that apply - hold down the control key to select more than one)
Do you currently utilize Dental Clinics North located here at the Health Department?
YesNoWasn't aware of services
Did you know that Medicaid covers dental care for children and some adults?
YesNo
Would you like more information on Dental Clinics North?
YesNo
If yes, please provide your email or phone number for us to contact you
Please check all services you utilize at the Health Department (check all that apply - hold down the control key to select more than one)