Community Health Survey 2022

INSTRUCTIONS

We invite you to participate in the 2022 Oroville Hospital Community Health Survey, providing information about your health, the health of your family and health issues facing our community.

The survey will take about 5-10 minutes to complete and will help us identify the unique health-related concerns facing residents of Oroville and surrounding areas. It will also help us develop a series of resources and activities to address the needs identified.

This is an anonymous survey and we want to assure you that your responses will be kept strictly confidential. If you do not wish to answer a question, or if a question does not apply to you, you may leave your answer blank.

SECTION 1: About You and Your Family

Check the boxes that best apply to you, and/or your child(ren) under the age of 18.   About how tall are you (without shoes)?   About how much do you weigh (without shoes)?     How would you classify your gender identity?  

If your identity is not listed above, please self-identify:    Home Zip Code:     Your age:     What is your race?  If you selected "Other" please identify:    What is your marital status?     Are you currently employed?     Do you have a child or children under the age of 18?  If yes, what type of school is your child(ren) enrolled in? 

If you selected "Other", please identify:    What is your highest level of education?  If you selected "Other", please identify:    What is your annual household income before taxes?     How would you describe the overall health of you and/or your child(ren)?  Your health: Your child(ren)'s health:    On average, how many days per week do you get at least 30 minutes of exercise or other physical activity?
EXAMPLES: walking, running, weight-lifting, team sports or gardening.  
Exercise: You Exercise: Child(ren)    What obstacles prevent you from getting regular exercise?  


If you selected "Other", please elaborate:    Do you use, or have you used, any of the following substances?
Check each box that applies:  
Alcohol: 

Cigarettes: 

Electronic cigarettes: 

Cigars, chew or snuff: 

Cocaine: 

Crystal Methamphetamine (Meth): 

Heroin: 

Marijuana: 

Unprescribed prescriptions: 

   If you are a current or former smoker, are you aware of Oroville Hospital's smoking cessation program?  Are you interested in joining the program? 

  

SECTION 2: About Your Health and Health Care

Do you have a Primary Care Physician (PCP)?  Your PCP: Your child(ren)'s PCP: If you answered "yes" please list your doctor's name:    If you do not see a primary health provider regularly, please tell us why.
Check all that apply.  



If you selected "Other", please elaborate:    What other kinds of health care professionals do you visit regularly?
Check all that apply.  
You: 


If you selected "Other", please elaborate: Child(ren): 


If you selected "Other", please elaborate:    Where do you and your family members receive routine health care services?  You: 


Child(ren): 


   Did you have health insurance during all, part or none of the past year?  You: Child(ren):    Currently, what is your primary type of health care coverage?  You: 

Child(ren): 

   What hospital do you normally go to for care?  If you selected "Other", please elaborate:   

FOR WOMEN, AGE 21 AND OLDER:

How long has it been since your last pap smear (a screening exam for cervical cancer)?    

FOR WOMEN, AGE 40 AND OLDER:

How long has it been since your last mammogram (a screening exam for breast cancer)?    

FOR MEN, AGE 50 AND OLDER:

How long has it been since your last rectal exam (a screening used to examine the prostate)?   How long has it been since you had a prostate cancer screening blood test?    

FOR MEN AND WOMEN, AGE 50 AND OLDER:

How long has it been since your last colonoscopy (a screening exam for colon cancer)?   How long has it been since your last sigmoidoscopy (a screening exam for colorectal cancer)?    

FOR EVERYONE:

Have you ever experienced suicidal or homicidal ideation?     Have you ever been told by a doctor or health care professional that you and/or your child(ren), have any of the following conditions, diseases or challenges?
Check all that apply.  
You: 




If you selected "Other", please elaborate: Child(ren): 




If you selected "Other", please elaborate:    Within the past year, what types of mental health services did you and/or your child(ren) use?
Check all that apply.  
You: 


If you selected "Other", please elaborate: Child(ren): 


If you selected "Other", please elaborate: If you were in need of services, but were unable to access them, please explain why:    Do you feel that you have adequate access to quality health care?  

If you feel you do not have adequate access, what is the biggest problem?
Please use the drop-down boxes to identify your 1st, 2nd and 3rd choice.  
First choice: Second choice: Third choice: If you selected "Other", please elaborate:    Where do you receive information about local health services?
Check all that apply.  


   How would you prefer to receive your health information?
Check all that apply.  


  

SECTION 3: Social and Community Context

Has anyone made you feel afraid for your personal safety or physically hurt you?  If yes, what relationship is this person (or people) to you?    How often do you experience unwanted stress?  

   How satisfied are you with Oroville's school system?  

If you are not satisfied, what do you think could be improved?
Please use the drop-down boxes to identify your 1st, 2nd and 3rd choice.  
First choice: Second choice: Third choice: If you selected "Other", please elaborate:    Do you feel that there enough extra-curricular activities available to children in Oroville and the surrounding communities?  

What improvements do you think would be beneficial?    Please use the drop-down boxes to identify your 1st, 2nd and 3rd choice for each of the following:   Most important factors for a "Healthy Community"  First choice: Second choice: Third choice: If you selected "Other", please elaborate:    Greatest needs affecting "Children's Health"  First choice: Second choice: Third choice: If you selected "Other", please elaborate:    Most important "Health Problems" facing our community  First choice: Second choice: Third choice: If you selected "Other", please elaborate:    Most challenging "Risky Behaviors" facing our community  First choice: Second choice: Third choice: If you selected "Other", please elaborate:   

SECTION 4: Neighborhood and Built Environment

Do you feel that you have adequate access to affordable and healthy food?  

If you feel you do not have adequate access, why not?
Please use the drop-down boxes to identify your 1st, 2nd and 3rd choice.  
First choice: Second choice: Third choice: If you selected "Other", please elaborate:    Are you satisfied with your current housing situation?  If no, why not?
Please use the drop-down boxes to identify your 1st, 2nd and 3rd choice.  
First choice: Second choice: Third choice: If you selected "Other", please elaborate:    Did you delay accessing health care due to the COVID-19 pandemic?  If so, what type of health care did you delay?
Check all that apply. 


If you selected "Other", please elaborate: Do you feel that your overall health was negatively impacted by this delay in care?    Did you experience any barriers to getting the COVID-19 vaccine when you became eligible?
Check all that apply.  



If you selected "Other", please elaborate:    Do you feel safe in the environment that you live in?  

   What changes would you like to see made in order to improve the neighborhood you live in?  

If you selected "Other", please elaborate:    Where did you learn about this survey?  



If you selected "Other", please elaborate:   

Is there anything we've overlooked?

Feel free to write in additional information you think we should know about the health of our community.   

Thank you for your time!

Your anonymous response with be used by Oroville Hospital to better serve the health needs of our community's residents.

 

contact us

 

 

Copyright © Oroville Hospital. All rights reserved. Legal Notice