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Good Shepherd Health System is gathering local data as part of developing a plan to improve health and quality of life in the community. Community input is essential to this process. You have been selected for a key informant survey because of your knowledge, insight, and familiarity with the community. The themes that emerge from these surveys will be summarized and made available to the public; however, individual survey responses will be kept strictly confidential.
 
 
 
Name
   
 
 
 
Title
   
 
 
 
Next you will be asked a series of questions about health and quality of life in our community. As you consider these questions, keep in mind the broad definition of health adopted by the World Health Organization: 'Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity,' while sharing the local perspectives you have from your current position and from experiences in this community.
 
 
 
In general, how would you rate health and quality of life in the community (scale of 1 to 10, 1 - poor, 10 - excellent)
   
 
 
 
In your opinion, has health and quality of life in the community improved, stayed the same, or declined over the past few years?
 
 
 
Based on your response to Q2, why do you think health an quality has improved, stayed the same or declined?
   
 
 
 
Based on your response to Q2, what other factors have contributed to health and quality of life improving, declining or staying the same?
   
 
 
 
What barriers, if any, exist to improving health and quality of life in the community?
   
 
 
 
In your opinion what are the most critical health and quality of life issues in your community?