Maine Shared Health Needs Assessment & Planning Process Project

This form is for reported input from community engagement events. If you want to provide individual feedback on the SHNAPP, please go to the feedback page.

If you have not yet done  so, please review the educational videos on the Community Engagement Process at the MaineGeneral SHNAPP website

 SHNAPP Community Engagement Committee Reporting Form 

Representation from (check all that apply):


* Please check boxes for medically underserved, low income, and/or minorities if people from these populations are present OR if they are represented by an organization that serves the population. For the purpose of Community engagement “medically underserved” is defined as “at risk of not receiving adequate medical care as a result of being uninsured or underinsured or due to geographic, language, financial, or other barriers.”

Type of Input (check all that apply):