Greetings. Every three years we are required to go through the Community Health Needs Assessment (CHNA) process. In addition to it being a requirement, we see it as an opportunity to hear your thoughts on the health needs of the community and how you think we're doing as an organization. Thanks for taking the time to share your input.

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1. What is your age?

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2. What is your gender?

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3. What is your ethnicity?

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4. Check any of the options that you feel describe yourself. (Check all that apply.)

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5. Please select your zip code

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