Siletz Community Health Needs and Satisfaction Survey

June 14, 2023

The Siletz Community Health Clinic is working to create a health care delivery strategy to align the Tribes’ vision and direction moving forward, and to secure additional grant funding to support these efforts. As a part of this process, the Clinic is gathering input from the community to help shape our programs, services, and areas of focus. We greatly value your input.

This survey will take about 10 minutes to complete. Anything you share on the survey will be kept confidential. This means it won’t be linked to you as a person. You can skip any question you wish. Your participation is voluntary. You have a choice about whether or not to take this survey. Please only complete the survey one time.

You must be 18 years or older to take this survey. Please do not continue if you are not 18 or older.

Please see the end of the survey for an opportunity to enter to win a gift basket.