Thank you for taking the time to share your input on community health needs. Your submissions are confidential. Only our consultants (Eide Bailly LLP) see individual responses and then share summarized information with us.

The survey will take approximately 8-12 minutes to complete.

Your input is specifically for Madison, SD and surrounding communities. The data gathered will be used as part of a community needs assessment, ensuring that our community's health services align with the real needs of its residents. Feedback from diverse groups is important. Please share this survey with others.

Thank you for being an active participant in creating a healthier future for us all!

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* 1. What is your home zip code?

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* 2. What is your age?

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* 3. Are you a guardian, parent, or caretaker for another individual?

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* 4. How do you prefer to receive information about healthcare services? Check all that apply.

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* 5. What prevents you, if anything, from receiving healthcare services? (check all that apply). If nothing is preventing you from receiving healthcare services, please leave blank.

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* 6. How do you view the following health care topics in your community?

  Needs Improvement Average Above Average I don't know
Quality of hospital/clinic care
Quality of physician/provider care
Closeness/convenience of services
Hours the physicians/provider offices are open
Number of physicians/providers
Access to Primary Care services
Access to specialty services
Access to long term care
Access to emergency care services
Access to urgent care services
Access to dental services
Access to optometry services
Access to mental health services
Access to substance abuse treatment
Access to telehealth services

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* 7. For any topic (above) you think needs improvement, please explain in a sentence or two.

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