Issues Impacting
Your Community

1. Job Title ^*

2. How many open positions are in your department?^*

3. What has been your biggest challenge in the last 12 months?^*

4. Do you currently provide clinical services (examples include; vaccine clinics adults/children, women's health & planning, general practice, etc)?^*

5. What programs are currently outsourced? -select all that apply ^*

6. How do you handle staying current on health initiatives and trends to keep your community healthy?^*

7. Do you currently have a medical director or health officer as a physician of record for county initiatives?^*

8. On a scale of 1-5, with 5 being worst, how bad is burnout in your department? ^*

9. Healthcare System^*

10. Region^*

11. On a scale of 1-5, with 5 being the worst, how badly has employee turnover affected your department? ^*

12. What is your most significant challenge regarding healthcare for your community?^*