Community Windshield Survey Form

Caring for Populations: Milestone1: Community Windshield Survey Form

Caring for Populations: Milestone1: Community Windshield Survey Form

Directions: Please refer to the Milestone 1: Community Windshield Survey Guidelines and grading rubric for specific instructions in order to complete the information below. This assignment is worth 150 points.

Type your name, date, and observations directly on this form. Click Save as and save the file with the assignment name and your last name; for example, NR443 Windshield Survey Form_Smith. When you are finished, submit the form to the Week 2 Caring for Populations: Windshield Survey Dropbox by the deadline indicated in your guidelines.

Your Name: Date:

Criteria

Your response

1. Introduction of Community (20 points)

Identify the city and state of your community and briefly describe the community you will be using for this assignment. It should be the area where you live or the area surrounding your work setting but must include a residential area. Demographic data are not needed.

2. Windshield Survey (75 points)

a. Vitality: Use a majority of the questions from Box 6-2 in your text to describe your observations about the community vitality.

b. Indicators of social and economic conditions: Use a majority of the questions from Box 6-2 in your text to describe your observations about the social and economic conditions.

c. Health Resources: Use a majority of the questions from Box 6-2 in your text to describe your observations about the health resources.

d. Environmental conditions related to health: Use a majority of the questions from Box 6-2 in your text to describe your observations about the environmental conditions.

e. Social functioning: Use a majority of the questions from Box 6-2 in your text to describe your observations about the social functioning.

f. Attitude toward healthcare: Use a majority of the questions from Box 6-2 in your text to describe your observations about the attitudes toward healthcare.

3. Vulnerable population (20 points)Describe a vulnerable population or aggregate that you identified during your survey. What did you observe about this group such as their appearance and actions?

4. Conclusion (20 points)

Provide a summary of your findings. Describe several potential community health problems for the vulnerable population that you identified.

5. References:

References are not required for this survey: If you used references, they must be listed in APA format. If you include any references here, you must also include an in-text citation (author, year) in the body of the form.