Springfield Hospital
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Community Needs Assessment-Your Feedback
What town do you live in?
What is the top health care concern in your community?
What possible solutions can you identify to the health care concern listed above?
What do you consider the top problem facing your community?
What possible solutions can you identify to the problem you listed above?
Please select the category that best suits you.
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Health Care Professional
Community Member
Local Business Professional
Government Official
Other
Please tell us your gender.
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Male
Female
Do you have health insurance?
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Yes
No
Where do you get your hospital care?
Please offer any additional comments.
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