• Hill County Community Health Assessment

  • The Hill County Health Consortium is a collaborative group of local organizations working together to improve the health and well-being of Hill County residents. Community input matters because residents are the experts on their own experiences, and their feedback helps ensure that assessment reflects real priorities, challenges, and strengths in Hill County. 

     

    Its members include:  Northern Montana Healthcare, Bullhook Community Health Center, Hill County Health Department, Salvation Army, Boys and Girls Club of the Hi-Line, District IV HRDC, and Havre Public Schools. 

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • We would like to gather some general information about your household. This includes yourself and any other individuals who sleep at your home most nights.

  • Q1: What best describes the type of home your household lives in?*
  • Q2: Is the home.....*
  • Q3: How long has your household lived in this county?*
  • Q4: What race(s)/ethincities do you and members of your household identify with? CHECK ALL)*
  • Q5: What is the highest grade level of school completed by a member of your household? (Check one)*
  • Q6: Does your head of household feel like your home is physically safe to live?*
  • Q6a: if no, why not? (check ALL)*
  • Now we would like to know more about how you and members of your household feel about your community.

  • Q7: Do you and members of your household.....*
    Rows
  • Q8: What are the TOP 3 items that your household believes are the most important for a healthy community? (CHECK THREE)*
  • Q9: What does your household believe are the TOP 3 most serious health concerns in this community? (CHECK THREE)*
  • Q10: What does your household believe are the TOP 3 things that would make this community a better place to grow old? (Check THREE)*
  • Q11: Does your household believe this community has enough social activities and/or support groups for aging adults? (Check ALL)*
  • Q12: What are the TOP 3 things you and members of your household believe should be improved (or made available) to make this community a better place to raise children? ( Check THREE)*
  • Q13: What would help you and members of your household be more physically active or excercise? (Check ALL)*
  • Q14: What are the bigggest barriers to you and members of your household being more physically active or exercising? (Check ALL)*
  • Now we would like to know more about your household's access to services and care. 

  • Q15: What is your household's current source of heat? (Check ALL)*
  • Q16: Does your household have access to a reliable vehicle?*
  • Q17: Where does your household typically access routine healthcare such as primary care (annual exams), prescriptions, urgent care, immunizations, and screenings? (Check ALL)*
  • Q18: Where does your household typically access specialty healthcare such as trauma care, cancer treatments, oral surgery, etc? (Check ALL)*
  • Q19: In the past 12 months, was there a time when you or a member of your household thought you needed health care services but DID NOT get it or DELAYED getting services?*
  • Q19a: If yes, Why? (Check All)*
  • Q20: In your opinion, what would improve our community's access to healthcare? (Check ALL)*
  • Q21: Where does your household typically access behavioral healthcare such as counseling, therapy, addiction care, etc.? (Check ALL)*
  • Q22: In the past 12 months, has there been any barriers to accessing healthcare services for any children in your household?*
  • Q23: In the past 12 months, has any member of your household needed mental or behavioral health services and NOT been able to get them*
  • Q24: In the past 12 months, was there a time when you or a member of your household needed prescription medicine but did not get it because of the cost?*
  • Q25: In the past 12 months, has any household member used any telehealth services for medical care?*
  • Q26: Is your household aware of programs that help people pay for healthcare*
  • The next few questions are about health information and the health of you and members of your household.

  • Q28: What, if any, makes it hard for your household to eat a healthy diet? (Check ALL)*
  • Q29: What is the biggest barrier to purchasing healthy food in your community? (Check ALL)*
  • Q30: In the last 12 months, how often would you say your household was worried or stressed about....*
    Rows
  • Q31: In the last 12 months, how often would you say your household was worried or stressed about...*
    Rows
  • Q32: How do you and members of your household typically manage stress?*
  • We now would like to ask you a few questions about substance misuse and mental health services within the community.

  • Q33: If someone in your community needed mental health services, like counseling or treatment, where would your household suggest they go? (Check ALL)*
  • Q34: If someone in your community needed services for substance misuse or treatment for alcohol or drug addiction, where would your household suggest they go? (Check ALL)*
  • Now we are going to ask about YOU as an INDIVIDUAL. Please remember your responses are confidential and private.

  • Q35: Would you say that in general your health is....*
  • Q36: During the PAST 30 DAYS, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation?*
  • Q37: Now thinking about mental health, which includes stress, depression, and problems with emotions, for how many days during the PAST 30 DAYS was your mental health not good?*
  • Q38: How often do you feel socially isolated from others?*
  • Q39: Is there anything else you would like to tell us about your household?*
  • Should be Empty: