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Cimarron Memorial Hospital Medical Service Area
Telephone Survey Form and Results
Oklahoma State Department of Health
Oklahoma Office of Rural Health
Oklahoma Cooperative Extension Service Oklahoma State University
October 2001
ADAI R
ALFALFA
ATO KA
BECKHAM
BLAI NE
BRYAN
CANADI AN
CARTER
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CHOCTAW
CI MARRON
CLEVELAND
COMANCHE
CO TTON
CRAI G
CUSTER
DELA
WAR
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ELLI S GARFIELD
GRADY
G RANT
GREER
HARM
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HARPER
JACKSON
JEFFERSON
KAY
KIOWA LATI MER
LOVE
MAYES
MURRAY
MUSKO GEE
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NOWATA
OKLAHO MA
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PAWNEE
PAYNE
PUSHMATAHA
ROGER MILLS
ROG ERS
SEQ UOYAH
STEPHENSTI LLMAN
TULSA
WAGO NER
WASHI TA
WOO DS
WO ODWARD
WAS
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SHALLMAR-
MAJOR
KINGFI SHER
BEAVERTEXAS
LOGAN
CREEK
LINCO LNOKFUSKEE
McI NTOSH
CADDO
MCCLAI N
GARVIN
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POTT
A-W
ATO
MIE
HUG HES
PI TTSBURG
HASKELL
LE FLO RE
COAL
JOHNSTON
PONTOTO C
MCCURTAI N
Boise City
Keyes
AE-01174
Cimarron Memorial Hospital Medical Service Area Telephone Survey Form and Results
Sarah Trzebiatowski & April Burns – Student Extension Assistants, OSU, Stillwater 405-744-6083
Mary K. Lawler – Assistant Extension Specialist, OSU, Stillwater
405-744-6081
Cheryl F. St. Clair, Assistant Extension Specialist, OSU, Stillwater 405-744-6081
Gerald A. Doeksen - Extension Economist, OSU, Stillwater
405-744-6081
Stan Ralstin - Area Extension Rural Development Specialist, Enid 580-233-5295
Scott Grillin - Cimarron County Extension Director, Boise City
405-282-3331
Rod Hargrave - Coordinator, Flex Program, Oklahoma City 405-271-8750
Val Schott - Director, Oklahoma Office of Rural Health, Oklahoma City
405-271-8750
RURAL DEVELOPMENT OKLAHOMA COOPERATIVE EXTENSION SERVICE
OKLAHOMA STATE UNIVERSITY
October 2001
CIMARRON MEMORIAL HOSPITAL Page 1 of 4 MEDICAL SERVICE AREA TELEPHONE SURVEY
Screener
� 73933 Boise City � 73949 Griggs � 73937 Felt � 73946 Kenton � 73947 Keyes
1. Do you use a family doctor for most of your routine health care? � Yes � No 2. If no, who do you go to for routine care? ________________________________________________
3. Where do you go the most for your family’s routine health care needs?
� Boise City � Amarillo, Texas � Guymon � Dalhart, Texas � Beaver � Clayton, New Mexico � Woodward � Liberal, Kansas
� Elkhart, Kansas
4. If you use a family doctor outside of Cimarron County, why? _____________________________________________________________________________________
_____________________________________________________________________________________ 5. Are you able to get an appointment with your family doctor when you need one? � Yes � No
6. A. How would you describe the quality of care provided by your family doctor? � Satisfied � Dissatisfied B. If dissatisfied, why? ____________________________________________________ 7. Do you think there are enough family doctors in Cimarron County? � Yes � No � Don’t Know 8. Do you think that additional specialty doctors are needed in Cimarron County? � Yes � No � Don’t Know 9. If yes to 8, identify one specialist you think should come on a regular basis to your community to offer
a specialty clinic. � Cardiology � Obstetrics-gynecology � Pediatrics
CIMARRON MEMORIAL HOSPITAL Page 2 of 4 MEDICAL SERVICE AREA TELEPHONE SURVEY
10. A. What health insurance covers you and your family? You Insurance through Employer/ Previous Employer � Medicare � Medicare Supplement � Medicaid or Sooner Care � Champus/TriCare Program � VA benefits � Self-Paid Plan � Native American Benefits � Do Not Have Health Insurance � ___________________ �
10. B. What health insurance covers you and your family? Family Insurance through Employer/ Previous Employer � Medicare � Medicare Supplement � Medicaid or Sooner Care � Champus/TriCare Program � VA benefits � Self-Paid Plan � Native American Benefits � Do Not Have Health Insurance � ___________________ �
11. If you do not have health insurance coverage, which best describes why? ��Cannot afford coverage ��Pre-existing medical condition ��__________________________________________
12. Has any member of your household used the services of a hospital in the past 12 months? � Yes � No 13. If Yes, at which hospital(s) were services received? � Cimarron Memorial Hospital -Boise City � Coon Memorial Hospital-Dalhart
� Memorial Hospital of Texas County-Guymon � Northwest Texas Healthcare System-Amarillo � Beaver County Memorial Hospital-Beaver � Southwest Medical Center-Liberal
� Woodward Hospital-Woodward � Union County General Hospital-Clayton � Newman Memorial Hospital-Shattuck � Morton County Hospital-Elkhart � BSA Health System-Amarillo � Other___________________
14. If other than Cimarron Memorial Hospital, why did you choose this/these hospital(s)?
____________________________________________________________________________
CIMARRON MEMORIAL HOSPITAL Page 3 of 4 MEDICAL SERVICE AREA TELEPHONE SURVEY
15. If your last visit to a hospital was to Cimarron Memorial Hospital, what hospital services did you use?
� Emergency Room � Physical Therapy � Outpatient Surgery � Inpatient Surgery � Laboratory (blood) Tests � Inpatient Stay � Radiology (x-ray, MRI, mammogram) � Birthing Services
� Respiratory Therapy � _______________ 16. A. If Yes to 15, how would you describe your experience at Cimarron Memorial Hospital? � Satisfied � Dissatisfied
B. If dissatisfied, why?_____________________________________________ 17. A. Do you think Cimarron Memorial Hospital is meeting the health needs of Cimarron County
residents? � Yes � No � Don’t Know B. If “No”, Why? _____________________________________________________________
18. If you have used Emergency Room services in the past 12 months at the Cimarron Memorial Hospital,
what services were used? � X-Ray (Radiology) � Laboratory � Respiratory Therapy � Cardiac Evaluation � Obstetrics (OB) � Trauma Care � Routine Illness � Other ____________________________
19. Have you or any member of your household used the services of the WIC clinic and/or immunization clinic offered by Cimarron Memorial Hospital in the Hospital Annex on Main in Boise City in the past 12 months? � Yes � No
20. A. If Yes to Number 19, were you: � Satisfied � Dissatisfied B. If dissatisfied, why? ____________________________________________________________ C. If Cimarron County had its own Health Department that offered services like WIC (women, infants, and children nutrition), immunizations, and others, would you use those services? � Yes � No OPTIONAL QUESTION: 21. Do you feel that your community provides adequate services for the following:
(Community to select 2 from the list below) Yes No Don’t Know A. Ambulance Service � � � B. Home Health Care � � � C. Nursing Homes � � �
CIMARRON MEMORIAL HOSPITAL Page 4 of 4 MEDICAL SERVICE AREA TELEPHONE SURVEY
22. What concerns you most about health care in your community? (INTERVIEWER: 1 OR 2 ISSUES)_______________________________________________________________________________
23. What is your age?
� 18-20 � 21-30 � 31-40 � 41-50 � 51-60 � 61-70 � 71-80 � 81+
24. What is your race? (Optional)
� White � Asian � Hispanic � African American � Native American � Other _________________
25. What is your yearly household income?
______Less than $10,000 ______$10,000 to less than $15,000 ______$15,000 to less than $20,000 ______$20,000 to less than $25,000 ______$25,000 to less than $35,000 ______$35,000 to $50,000 ______Over $50,000 [Do not read ______Don't know/Not sure these responses.] ______Refused
26. DO NOT ASK THIS QUESTION!!!!
Interviewer will decide on the answer to this question!!! � Male � Female � Unknown (Can’t Tell)
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 1
Response Frequency Percent73933 Boise City 129 80%73946 Kenton 14 9%73937 Felt 12 7%73947 Keyes 5 3%73949 Griggs 1 1%Total 161 100%
QScreen. What is your zip code?
9%
7%
3%
1%
80%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
73933 Boise City
73946 Kenton
73937 Felt
73947 Keyes
73949 Griggs
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 2
Response Frequency PercentYes 158 98%No 3 2%Total 161 100%
Q1. Do you use a family doctor for most of your routine care?
No2%
Yes98%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 3
Response Frequency Percentwoman/child clinic 1 34%my mother 1 33%no one 1 33%
Total Responses 3 100%
Q2. If no, who do you go to for routine care?
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 4
Response No. Percent Response No. PercentBoise City 136 84% Elkhart, KS 2 1%Guymon 15 9% Beaver 1 1%Clayton, NM 4 2% Keyes 1 1%Amarillo, TX 2 1%Dalhart, TX 2 1% Total 161 100%
Q3. Where do you go the most for your family's primary health care needs?
84%
9%
2%
1%
1%
1%
1%
1%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
Boise City
Guymon
Clayton, NM
Amarillo, TX
Dalhart, TX
Elkhart, KS
Beaver
Keyes
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 5
Response Frequency PercentPersonal preference 7 28%Quality of care 5 20%Specialists 4 16%Closer to home/Convenience 3 12%Established patient 3 12%Available health services 1 4%Better facilities 1 4%Gender of doctor 1 4%
Total Responses 25 100%
Q4. Why do you use a doctor outside of the Cimarron County?
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 6
Response Frequency PercentYes 155 98%No 3 2%Total 158 100%
Q5. Are you able to get an appointment with your family doctor when you need one?
Yes98%
No2%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 7
Frequency PercentSatisfied 153 97%Dissatisfied 5 3%Total 158 100%
Q6A. How would you describe the quality of care provided by your family doctor?
Dissatisfied3%
Satisfied97%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 8
Response Frequency Percentpoor quality of service 2 32%unqualified 1 17%billing problems 1 17%wrong medications 1 17%unable to get appointment 1 17%
Total Responses 6 100%
Q6B. Why are you dissatisfied with the quality of careprovided by your family doctor?
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 9
Frequency PercentYes 17 11%No 135 83%Don't know 9 6%Total 161 100%
Q7. Do you think there are enough family doctors in Cimarron County?
No83%
Don't know6%
Yes11%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 10
Response Frequency PercentYes 115 72%No 34 21%Don't know 12 7%Total 161 100%
Q8. Do you think that additional specialty doctors are needed in Cimarron County?
Yes 72%
Don't know7%
No21%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 11
Response Frequency PercentCardiology 31 27%OB-GYN 27 23%Pediatrics 15 13%Other 42 37%Total 115 100%
Q9. Which one specialist do you think should come on a regular basis to your community to offer a specialty clinic?
Cardiology27%
OB-GYN23%
Pediatrics13%
Other37%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 12
Response Frequency Percentsurgeon 26 65%geriatric doctor 3 8%dentist 2 4%general practitioner 2 4%all specialists 1 3%kidney doctor 1 3%oncologist 1 3%urologists 1 3%allergy specialist 1 3%don't know 2 4%
Total Responses 40 100%
Q9Other. "Other" specialists listed from Q9.
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 13
Response Frequency Percent*Insurance through Employer/Previous Employer 60 37%Medicare 59 37%Medicare Supplement 46 29%Self-Paid Plan 30 19%Do Not Have Health Insurance 25 16%Medicaid/Sooner Care 5 3%VA Benefits 4 2%Total 229*Percent based on number of respondents of 161.
Q10A. What health insurance covers you?
37%
29%
19%
16%
2%
3%
37%
0% 10% 20% 30% 40% 50%
Employer/PreviousEmployer
Medicare
MedicareSupplement
Self-Paid Plan
Do Not Have HealthInsurance
Medicaid/SoonerCare
VA Benefits
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 14
Response Frequency Percent*Insurance through Employer/Previous Employer 55 34%No One Else in Family 38 24%Medicare 30 19%Self-Paid Plan 26 16%Medicare Supplement 24 15%Do Not Have Health Insurance 16 10%Medicaid/Sooner Care 13 8%VA Benefits 4 2%Champus/TriCare Program 1 1%Native American Benefits 1 1%Total 208*Percent based on number of respondents of 161.
Q10B. What health insurance covers your family?
24%
19%
16%
15%
10%
8%
2%
1%
1%
34%
0% 10% 20% 30% 40% 50%
Employer/Previous Employer
No One Else in Family
Medicare
Self-Paid Plan
Medicare Supplement
Do Not Have Health Insurance
Medicaid/Sooner Care
VA Benefits
Champus/TriCare Program
Native American Benefits
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 15
Response Frequency PercentCannot afford 21 80%Have a pre-existing condition 1 4%Use Medical Share Plan 1 4%In-between Jobs 1 4%Still Looking 1 4%Not a Citizen Yet 1 4%
Total 26 100%
Q11. If you do not have health insurance coverage, which best describes why?
Still Looking4%
Not a Citizen Yet4%
In-between Jobs4%
Use Medical Share Plan
4%
Cannot afford80%
Have a pre-existing
condition4%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 16
Response Frequency PercentYes 77 48%No 84 52%Total 161 100%
Q12. Has any member of your household used the services of a hospital in the past 12 months?
Yes48%
No52%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 17
Response Frequency PercentCimarron Memorial Hospital, Boise City 45 58%BSA Health System, Amarillo, TX 11 14%Memorial Hospital of Texas County, Guymon 6 8%Union County General Hospital, Clayton, NM 5 6%Northwest Texas Healthcare System, Amarillo, TX 3 5%Morton County Hospital, Elkhart TX 2 3%Tulsa hospitals 2 3%Coon Memorial Hospital, Dalhart, TX 1 1%Southwest Medical Center - Liberal, KS 1 1%Amarillo hospital 1 1%Total 77 100%
Q 13. At which hospital were services received?
14%
8%
6%
5%
3%
3%
1%
1%
1%
58%
0% 10% 20% 30% 40% 50% 60%
Cimarron Memorial Hospital, Boise City
BSA Health System, Amarillo, TX
Memorial Hospital of Texas County, Guymon
Union County General Hospital, Clayton, NM
Northwest Texas Healthcare System, Amarillo, TX
Morton County Hospital, Elkhart TX
Tulsa hospitals
Coon Memorial Hospital, Dalhart, TX
Southwest Medical Center - Liberal, KS
Amarillo hospital
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 18
Response Frequency PercentRecommendation/Referral 13 41%Established patient 5 16%Specialists 5 16%Closer to home/Convenience 4 13%Personal preference 3 9%Better facilities 2 5%
Total Responses 32 100%
Q14. If other than the Cimarron Memorial Hospital, why did you choose this/these hospital?
16%
16%
13%
9%
5%
41%
0% 10% 20% 30% 40% 50%
Recommendation/Referral
Established patient
Specialists
Closer tohome/Convenience
Personal preference
Better facilities
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 19
Response No. Percent* Response No. Percent*Lab Tests 34 76% Outpatient Surgery 2 4%Emergency Room 27 60% Physical Therapy 2 4%Radiology 27 60% Inpatient Surgery 3 7%Inpatient Stay 12 27% Bone Density Test 1 2%Respiratory Therapy 6 13% Total 112
*Percent based on number of "Cimarron County Hospital" answers in Q13 (45).
Q15. What hospital services did you use on your most recent visit to Cimarron Memorial Hospital?
76%
60%
60%
27%
13%
4%
4%
7%
2%
0% 10% 20% 30% 40% 50% 60% 70% 80%
Lab Tests
Emergency Room
Radiology
Inpatient Stay
Respiratory Therapy
Outpatient Surgery
Physical Therapy
Inpatient Surgery
Bone Density Test
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 20
Response Frequency PercentSatisfied 46 92%Dissatisfied 4 8%Total 50 100%
Q16A. How would you describe your experience at Cimarron Memorial Hospital?
Dissatisfied8%
Satisfied92%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 21
Response Frequency Percentquality of care 2 50%billing problems 1 25%doctor unavailable 1 25%
Total Responses 4 100%
Q16B. Why were you dissatisfied with your experience at Cimarron Memorial Hospital?
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 22
Frequency PercentYes 96 59%No 51 32%Don't Know 14 9%Total 161 100%
Q17A. Do you think Cimarron Memorial Hospital is meeting the health needs of the residents in the surrounding area?
No32%Don't Know
9%
Yes59%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 23
Reponse Frequency Percent
26 38%
20 29%
7 10%administrative problems (5): better billing (1) 6 9%more staff 3 4%quality of care 3 4%updated facilities/technology/equipment 2 3%don't know 1 1%more health services 1 1%more people to go to the doctor 1 1%
Total Responses 70 100%*Respondents may give more than one reason.
Q17B. If no, why?
specialists (5): surgeons (10), obstetrician (2), anesthesiologist (1), cardiologist (1), pediatrician (1)
doctors: more doctors (21), qualified doctors (3), doctors covered by SoonerCare (1), availability of doctors (1)
financial problems (5): not knowing if hospital is going to close (2)
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 24
Response Frequency PercentYes 49 30%No 112 70%Total 161 100%
Q18A. Have you used Emergency Room services at the Cimarron Memorial Hospital in the past 12 months?
No70%
Yes30%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 25
Response Frequency Percent*Laboratory 31 63%Radiology 23 47%Trauma Care 13 27%Cardiac Evaluation 12 24%Routine Illness 10 20%Respiratory Therapy 7 14%Obstetrics 3 6%Overnight Monitoring 1 2%Total 100*Percent based on "yes" answers to Q18A of 49.
Q18B. If you have used Emergency Room services in the past 12 months at Cimarron Memorial Hospital, what services were used?
6%
14%
20%
27%
47%
63%
24%
2%
0% 10% 20% 30% 40% 50% 60% 70%
Laboratory
Radiology
Trauma Care
Cardiac Evaluation
Routine Illness
Respiratory Therapy
Obstetrics
Overnight Monitoring
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 26
Response Frequency PercentYes 24 16%No 130 84%Total 154 100%
Q19. Have you or any member of your household used the services of the WIC program or immunization clinics offered by Cimarron
Memorial Hospital in the past 12 months?
Yes16%
No84%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 27
Response Frequency PercentSatisfied 23 96%Dissatisfied 1 4%Total 24 4%
Q20A. If Yes to Q19, were you satisified or dissatisfied with these services?
Dissatisfied4%
Satisfied96%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 28
Response Frequency Percentdidn't receive enough money 1 100%
Total Responses 1 100%
Q20B. Why were you dissatisfied with the quality of services of the WIC program at Cimarron Memorial Hospital?
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 29
Response Frequency PercentYes 101 65%No 41 27%Don't Know 12 8%Total 154 100%
Q20C. If Cimarron County had its own Health Department that offered services like WIC (women, infants, and children nutrition), immunizations, and others, would you use those services?
Don't Know8%
Yes65%
No27%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 30
Response Frequency PercentYes 148 92%No 5 3%Don't know 8 5%Total 161 100%
Q21A. Do you feel your community provides adequate ambulance services?
Don't know5%No
3%
Yes 92%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 31
Response Frequency PercentYes 109 68%No 13 8%Don't know 39 24%Total 161 100%
Q21B. Do you feel your community provides adequate services for home health care?
Don't know24%
No8%
Yes 68%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 32
Response Frequency PercentYes 123 76%No 17 11%Don't know 21 13%Total 161 100%
Q21C. Do you feel that the community has adequate services for nursing homes?
Yes 76%
No11%
Don't know13%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 33
Reponse Frequency PercentHospital: Losing the hospital (65), inpatient care at hospital (1), 67 31%
hospital taking care of community needs (1)doctors: more doctors (42), qualified doctors (10), availability 56 26%
of doctors (4)specialists (14): surgeons (26), cardiologists (2), dentists (2), 55 26%
eye doctor (2), OB-GYN (2), dermatologists (1), allergy specialists (1), geriatric doctor (1), obstetrician (1), ophthalmologists (1), gynecologists (1), internal medicine doctors (1)
healthcare: affordability of healthcare (5), distance to 12 6%healthcare (5), more healthcare services (2)
administrative: hospital accepting Medicare/Medicaid (2), 5 2%administrative problems (1), bookkeeping problems (1), government paperwork (1)
hospital staffing: improvement in hospital staffing (1), more 5 2%nurses (1), physician's assistants (1), qualified personnel (1),professional staff (1)
emergency services 3 1%insurance problems: affordability of insurance (2), insurance 3 1%
covering doctors (1)nursing home: losing the nursing home (2), qualified personnel 3 1%
for nursing home (1)in-home care 1 1%lack of variety in community 1 1%more equipment at hospital 1 1%poor health in community 1 1%
Total Responses 213 100%*Percent may not equal 100 due to rounding.
Q22. What concerns you most about health care in your community?
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 34
Response Frequency Percent18-20 Years 5 3%21-30 Years 9 6%31-40 Years 24 15%41-50 Years 29 18%51-60 Years 30 18%61-70 Years 22 14%71-80 Years 27 17%81 or Over 15 9%Total 161 100%
Q23. What is your age?
81 or Over9%
31-40 Years15% 21-30 Years
6%
18-20 Years3%
71-80 Years17%
61-70 Years14%
51-60 Years18%41-50 Years
18%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 35
Response Frequency PercentCaucasian 149 93%Hispanic 12 7%Total 161 100%
Q24. What is your race?
Hispanic7%
Caucasian93%
Cimarron Memorial Hospital Medical Service Area Telephone Survey Results 36
Response Frequency Percent< $10,000 16 10%$10,000-$14,999 19 12%$15,000-$19,999 21 13%$20,000-$24,999 22 14%$25,000-$34,999 28 17%$35,000-$50,000 17 11%Over $50,000 20 12%Don't Know/Not Sure 11 7%Refused 7 4%Total 161 100%
Q25. What is your yearly household income?
$15,000-$19,999
13%
$10,000-$14,999
12%
$20,000-$24,999
14%
$25,000-$34,999
17%$35,000-$50,000
11% Over $50,00012%
Don't Know/Not
Sure7%Refused
4%
< $10,00010%