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Parish Nurse Survey-2016

The Health Ministry team for Middleham and St. Peter’s Parish is seeking your opinion on the health needs of our congregation and community. We are collecting this information in order to help us plan the programs and priorities for our ministry. As many of you know, the roles of a parish nurse are to function in the following capacities: integrator of faith and health, health educator, health counselor, referral advisor, health advocate, and developer of support groups. Please answer the questions below and check all items that apply. Thank You! On-Line Survey Version is also Available. http://survey.constantcontact.com/survey/a07ecm73jxzinlx57bj/start Please check the topics you would like to see as part of the Parish Nurse Ministry Programming:

 Nutrition  Exercise  Smoking/Alcohol /Drugs  Stress Management  Disease Management  AIDS  Diabetes  Heart Disease  Relationships  Parenting/Child Care  First Aid and CPR  Men’s Health/Women’s Health  Mental health  Hospice /End-of Life Issues/Advanced Directives/MOLST Forms  Domestic Violence  Insurance- Medical/Life

Do you see a need for health events in the congregation such as Blood Pressures, Cholesterol screening, Diabetes testing, Mental Health screening? If so, which should be started?

Do you see a need for more support groups in our community? If so which ones:

 Alcohol Related  Caregivers  Marriage/Divorce  Grief  Parenting  Weight  Pain  Other______________________________ Are there any other services that you feel the Parish Nurses can offer?

Are there topics of interest, i.e. : Elderly companionship, Herbal /Alternative medicine, Bereavement, Financial Crisis Yoga, MeditationTechniques

In your opinion, the parish nurse should:

 Serve the Congregation Only  Serve the Surrounding Community  Serve Both  Provide Educational Materials in the Church Newsletter or Bulletin  Other_________________________________________________________________________________________ _______________________________________________________________________________________________ Are you interested in using your skills and talents to work in the Health Ministry? Please let us know.

 Yes  No  Maybe Skills and talents that may support and enhance the Health Ministry that I may be able to contribute.

Would you like to be contacted by a Parish Nurse regarding your concerns or questions? If so, feel free to call the church office (410-326-4948) or add your name and telephone number to this survey. One of the parish nurses will call you ASAP.

Name: _______________________________________________________________________________ Phone # _____________________________________________________________________________ We thank you for your time and suggestions. Please return the surveys to one of the parish nurses or the office as soon as possible. You may mail them to: Middleham and St. Peter’s Parish Attention: Dale Yoe P.O. Box 277 Lusby, MD 20657

The Health Cabinet Ministry of Middleham and St. Peter’s Parish