NP700 Community Assessment Worksheet
Community Assessment Worksheet
This worksheet will be graded for content, spelling, grammar, and APA. This worksheet needs to be filled out in its entirety to get full credit for the information, except where it says “Local only.” ******Please delete out everything highlighted in red from your submitted worksheets.
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Please add in a title page with your name, school name, and the name of your community on it.
Demographics
| ***add references to each cell | Community (add in your community name here) | State (add in your state name here) | United States |
| Total Population | |||
| Age | |||
| Gender | |||
| Race | |||
| Elementary Schools | Local only | Local only | |
| Middle Schools | Local only | Local only | |
| High Schools | Local only | Local only | |
| High School Graduation Rate | |||
| Bachelor’s Degree | |||
| Unemployment | |||
| Poverty Line | |||
| Smoking Rate | |||
| Obesity Rate | |||
| Foreign Born population | |||
| Population Growth or Decline |
Health Indicators
| ***add references to each cell. | Community (add in your community name here) | State (Add in your state) | United States | |
| Infant Mortality | ||||
| Life Expectancy | ||||
| Top Three (3) Leading Causes of Death | ||||
| Target Goals
(Reference after each item)*** author of HP 2020 target goals is USDHHS*** |
||||
| Progress on Five (5) Identified Healthy People 2020 goals:
-Smoking -Obesity -Plus Three (3) of Your Choice |
Services Available
| Service | Number/Organization (Reference within each cell/after each item, if needed) |
| Medical Providers | Nurse Practitioners:
Certified Nurse Midwives: Physicians: Physician Assistants: |
| Hospitals | |
| Child Care Services and Services for Children | |
| Elderly | |
| Homeless | |
| Medically Indigent | |
| Drug Abusers | |
| Hospice | |
| Mental Health | |
| Weekend HealthcareServices: include details, such as name, and hours available. | |
| After Hours Healthcare Services: include details, such as name and hours available. |
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