Caring for Populations

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.
YourName: 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