Men Health Needs Assessment Survey
The Men Health Needs Assessment Survey is a tool used to assess the health needs of men. It is a self-administered questionnaire that asks questions about health problems, health care access, and health-related behaviors. The survey is designed to help identify areas where men may need more education or services to improve their health.
2 minutes to complete
Eligibility
Men 18 years of age and older are eligible to fill out this survey.
Questions for Men Health Needs Assessment Survey
Questions
Do you have any health concerns that you would like to discuss with a healthcare provider?
- Yes
- No
- Unsure
Have you ever been diagnosed with any chronic health conditions?
- Yes
- No
- Unsure
Do you have regular health checkups?
- Yes
- No
- Unsure
Do you eat a balanced and healthy diet?
- Yes
- No
- Unsure
Do you get enough exercise?
- Yes
- No
- Unsure
Do you use tobacco products?
- Yes
- No
- Unsure
Do you drink alcohol?
- Yes
- No
- Unsure
Do you use drugs?
- Yes
- No
- Unsure
Do you have any mental health concerns that you would like to discuss with a healthcare provider?
- Yes
- No
- Unsure
Do you have access to healthcare?
- Yes
- No
- Unsure
Do you have health insurance?
- Yes
- No
- Unsure
Do you have a regular doctor or healthcare provider that you see for your health needs?
- Yes
- No
- Unsure
Do you feel like you are able to talk openly with your healthcare provider about your health needs?
- Yes
- No
- Unsure
Do you feel like your healthcare needs are being met?
- Yes
- No
- Unsure
Is there anything else you would like to share about your health or healthcare experiences?
Surveys Similar to Men Health Needs Assessment Survey
- Women's Health Needs Assessment Survey
- Senior Health Needs Assessment Survey
- Children's Health Needs Assessment Survey
- Community Health Needs Assessment Survey
Here are some FAQs and additional information
on Men Health Needs Assessment Survey
What is the purpose of this survey?
The purpose of this survey is to help assess the health needs of men. The survey will collect information on men's health habits, behaviors, and needs in order to help design programs and services that better meet the needs of men.
Who is the target audience for this survey?
The target audience for this survey is men aged 18 and over.
How will the survey be used?
The survey will be used to collect data on men's health habits, behaviors, and needs. This data will be used to help design programs and services that better meet the needs of men.
How long will the survey take to complete?
The survey should take no more than 10 minutes to complete.
Is the survey confidential?
Yes, the survey is confidential. All of the information you provide will be kept strictly confidential.
Will I be compensated for taking the survey?
No, you will not be compensated for taking the survey.
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