Southern Coos Hospital & Health Center 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 it. We apologize for this inconvenience and ask that you only take the survey once. All responses are confidential. Feel free not to answer any questions you choose. Thank you for your help.
What is your Gender? (Adapted from the Oregon Health Authority’s guidelines on collecting gender information)
What is your race? (adapted from the Oregon Health Authority’s guidelines on collecting race, ethnicity, and language and disability data)
Please select your Zip Code.
What type of provider do you prefer to be treated by?
Do you use Southern Coos Hospital & Health Center or its health clinics for your main healthcare needs?
Southern Coos Hospital & Health Center would like to ensure we are taking care of the needs of our community. Please check all services that you, a family member, or a local friend need within the community.
Were you aware that Southern Coos Hospital & Health Center offers the following Specialty and Outpatient Services?
Were you aware that Southern Coos Hospital & Health Center offers the following preventative and imaging services?
Were you aware Southern Coos Hospital & Health Center provides services in conjunction with the following?
Telemedicine has proven to be an effective way to increase access to healthcare. Would you be open to having telemedicine visits for primary care, specialty services, and/or behavioral health services?
How do you feel the following supportive service needs are being met by Southern Coos Hospital & Health Center?
Based on your personal experiences, are you aware of any of the following groups who need care?
Please indicate all the following aspects of health care services Southern Coos Hospital & Health Center could provide that would benefit you personally. (Please mark your top 3)
If you or your family members have been to any of the healthcare facilities below, please let us know the reason for your visit.
How has your experience been in working with Southern Coos Hospital & Health Center and our clinics?
Please explain your above ratings.
Are there barriers to you or your family using Southern Coos Hospital and Health Center or its affiliated clinics?
Please take a moment to share any general comments you have about health care or supportive service needs in the area.