Dear Community Member,

Jeff Davis Hospital has asked the Center for Public Health Practice and Research (CPHPR) to conduct a Community Health Needs Assessment. This Center is within the Jiann Ping Hsu College of Public Health, Georgia Southern University. Your input is invaluable for this important study. The goal of this study is to obtain community perspective on the health needs of your local community. Therefore, we are requesting that you complete the online survey. The survey should take approximately 45 minutes to complete.

Your participation in this survey is completely voluntary. You will not receive any financial or other compensation for your participation. Please note that the hospital will not have access to your actual responses. Your confidentiality will be assured as all data will be held in a secured file by the principal investigators at Georgia Southern University. All responses will be reported in aggregate form, and no unique identifiers will be reported. Thus, your participation in this study will have no adverse impact on you or your relationship with the hospital. We also do not anticipate you experiencing any discomfort or risk greater than what would be experience in day to day life as a result of your participation in this study. However, if you do, you may stop participating at any time you wish or choose not to answer some questions.

Participants have the right to ask questions, and the research team will do their best to answer them. Should you have any questions or concerns, please contact Samuel Opoku [sopoku@georgiasouthern.edu or 912-478-6985]. This project has been reviewed and approved by the Georgia Southern University Institutional Review Board under tracking number H21380. For questions concerning your rights as a research participant, contact Georgia Southern University Office of Research Services Sponsored Programs at 912-478- 5465.

Title of Work: Community Health Needs Assessment

Investigators:

Linda Kimsey , PO Box 8015, 912-478-2008 lkimsey@georgiasouthern.edu
Samuel Opoku, PO Box 8015, 912-478-6985, sopoku@georgiasouthern.edu

Completing this survey means you agree to participate in this work.

Thank you for participating.