Windshield Survey Worksheet
· Complete the basic demographic information & epidemiology and community core sections.
· Complete the disaster preparedness plan.
· You must complete two subsystems, Education and Health & Social Services, as part of your community assessment. Then you are free to select two of the remaining six subsystems of the Community Assessment Wheel in the Community-as-Partner model.
· Use this worksheet to develop your community assessment data relating to the subsystems.
Basic Demographic Information & Epidemiology
73.8% white non-H
7.9% Hispanic or Latino 6.5% Asian
96.5% white N.H.
9.0% Hispanic or Latino 6.2% Asian
76.6% white N.H.
18.1% Hispanic or Latino
13.4% Black, A.A
1.3% American Indian
15.3% 65 and old
Median age 38, 14.2% are 65 and over
6.1% under age 5
22.6% under age 18
15.6% over age 64
87.3% high school graduate or higher (under age 25)
30.9 bachelors degree or higher
94.2% high school graduate or higher, 25 years old and older
88.9% of Virginia adults had completed at least high school in 2015
87.3% high school graduate or higher (under age 25)
30.9% bachelors degree or higher
48% Evangelical protestant
18% Mainline Protestant
21% Historically Black Protestant
7% non-Christian faith
30% Evangelical Protestant
16% Mainline Protestant
12% Historically Black Protestant
6% non-Christian faith
Median household income $54,606
Median household income $68,766
Median household income in 2017 was $57,652
21.5% persons in poverty
10.6% persons in poverty
12.3% poverty status
50.3% Civilian labor force age 16 and up
64.4% Civilian labor force age 16 and up
63.0% Civilian labor force age 16 and up
Number of births
86 live births in 2016
101,220 live births in 2016
3,945,875 live births in 2016
Births to unmarried/
women in poverty
38 in 2016
34,794 in 2016
1,569,796 in 2016
Community Core (see page 174 of Anderson & McFarlane)
Boundaries – Identify the boundaries of the community
Homelessness, obesity, disabled, elderly
What are the signs of where this area begins & ends?
I-199 and I 64
Does this area have a name? Is it displayed?
Yes, Williamsburg. Yes, it is displayed
Physical – Highways, railroad tracks, etc. that mark the boundaries
All of the above
Natural – Bodies of water, hills, or mountains
Economic – Residential or commercial areas
Residential and Commercial
What can you learn about the community by looking around?
Mostly tourist attraction, a lot of new housing developments, shopping malls as well
Is this an established neighborhood, new sub-division, apartment building, etc.?
Have houses been repurposed as businesses?
Are there any historical markers in the community? What do they say?
Yes Colonial Williamsburg Historic
Are the trees and other plantings mature?
What kind of people do you see: the old, homeless, families, loners, etc.?
Most elderly, retirees, families, some homeless as well
What races do you see?
All races are seen primarily white.
Is the population homogeneous or integrated?
Do you see indicators of more than one ethnicity?
Restaurants, churches, private schools, festivals, etc.?
Many restaurants and churches, 3 private schools, monthly festivals
Are there signs in a language other than English?
Values & Beliefs
Are there churches, temples, mosques?
What denominations are the churches?
Variety Jewish Temples, Mosque, Kingdom Hall, and Christian based churches
Are the lawns cared for, is there landscaping?
Yes, mostly well-manicured
What are the signs of culture or history seen?
Historic Jamestown Settlement
How do you feel in the community – welcomed? Concerned?
Disaster Preparedness Plan
Summarize the community’s disaster preparedness plan.
Is it simple? Clear? Realistic? Flexible? Easy to implement regardless of the nature and extent of the disaster or who must implement the plan? Consider all types of community hazards and disaster possibilities for your local community.
In my opinion, for the most part if evacuation is needed, evacuate. This is assistance for evacuations available if needed.
When was the community’s disaster plan last updated? If there is no evidence that it has been updated recently (or at all), note this fact.
Is there evidence that the community has tested the disaster plan (disaster drills, equipment checks, etc.)? If there is no evidence that it has been updated recently (or at all), note this fact.
There is a nuclear power plant in Surry Co. There are frequent drills that can be heard in Williamsburg. A loud alarm is sounded in the event of an emergency. The notice will also come across our local radio station.
Is the community’s disaster plan easily accessed via website or community communication channels (community television station, community newsletter, etc.)? Discuss the ease or difficulty you had in locating your community’s disaster preparedness plan.
Yes, the website’s link is down at the present moment.
Are all 4 stages of the community’s disaster response found in the disaster preparedness plan? Discuss each stage if found; if each stage is not found, note this fact.
Interrelated Subsystems (see applicable chapter in Anderson & McFarlane)
Education (MUST SELECT)
Day Care and/or Pre-school
Are there any day care and/or pre-school agencies in your community? If so, how many? How much do they charge for a month of care and/or school? At what age can children begin attending day care and/or pre-school?
Does the day care/pre-school offer transportation to/from primary school?
Are there recreational facilities at the day care/pre-school?
Are there schools in the area?
How do the schools look?
Are the schools in one building or are portable classrooms (trailers) seen?
What are the nearest elementary/middle/high schools?
Are there children of school-age visible in the neighborhood during the day?
Do the schools have a website that is available to parents?
If the school has a website, does it display school policies, such as absenteeism, bullying, tardiness, illness, etc.?
Are community colleges or universities in the community?
Are there students walking around on campus?
Are the community colleges or universities well laid out and their borders specifically defined?
Does the community offer any adult education courses? If so, how do adults learn about these courses? Are they offered online, on campus, or both?
Are there advertisements for adult courses posted anywhere? (Grocery stores, library, community newsletter, churches, etc.)
If courses are offered, what are some of the topics? Are they educational (e.g., history, English, English as a Second Language, foreign language, computer skills), hobby (e.g., photography, art, knitting, etc.), or life skills (e.g., budgeting, finances, computer, cooking, etc.).
Are there public libraries in the community?
Are the public library parking lots empty or full?
Does the public library provide free computer access for patrons? If there are computers available to patrons, are there restrictions on usage, such as time limitations?
Health & Social Services (MUST SELECT)
Is there evidence of acute or chronic health conditions such as drug addiction, alcoholism, mental illness, accidents?
Are there homeless or abuse shelters?
How close are houses or housing complexes to major roadways?
What types of clinics, hospitals, doctor offices, etc. are there?
How far is it to the nearest hospital or urgent care clinic?
What types of emergency care are available in the community? (Free-standing emergency departments, urgent/immediate care facilities, EMS/Fire/Rescue departments, etc.)
Are there any specialty clinics in the community?
Is the public health department located in the community? If yes, what hours are they open? If not, how far is it to the nearest health department?
No matter where the public health department is located, what services does this agency provide to the community?
How many pediatrician offices do you see?
How many extended- and continuing-care facilities do you see? (Long-term care facilities, adult assisted living facilities, adult day care facilities, etc.)
Identify whether health services are extracommunity or intracommunity resources.
What types of social service facilities are available in the community? (Public assistance office, counseling & support, clothing, food, shelter, etc.). If there are none, how far to the nearest social services office?
How many private counseling services do you see?
Are there any clothing donation bins located in the community? If so, which agency benefits from the collection of clothing?
Are there any “stores” that accept donations of items (clothing, housewares, furniture, etc.) in the community? If there are, who benefits from the sale of these items?
Are there any alcohol or drug abuse services offered in the community? If not, where are the nearest services located?
Who can community residents call in case of a mental health crisis? Is there a crisis hot line service available? How is it advertised to the community? If not, how are mental health emergencies handled in your community?
Where can community members buy fresh produce or healthy food?
Are there sidewalks along major roadways in the community? Are there crosswalks in usy pedestrian areas?
Are there areas for exercising (bike trails, hiking trails, outdoor exercise equipment, etc.)?
Communication/Media (Elective Subsystem)
Are there common areas where people gather?
Neighborhood hangouts, school yards, stores, parks, etc.?
Are there places to pick up local community newsletters or circulars? Are they free to the public?
Are there places to buy local and national newspapers?
What media outlets are available to the area?
Economy (Elective Subsystem)
Is it a thriving community or a struggling community? What evidence supports this observation?
Do you see trash or abandoned cars and houses?
Available resources and industries
Are there shopping centers or neighborhood stores?
Are there grocery stores within walking distance? If not, how far away?
Are there a lot of real estate signs?
Are there industries and places for employment?
Physical Environment (Elective Subsystem)
How does the community look?
Is it a newer community or an older established community?
Are there sidewalks connecting commercial areas to residential areas?
Housing & Zoning
What is the estimated age and architecture of the houses and buildings?
What types of construction materials are used in the buildings? Condition of houses? Detached or attached garages?
Is there space around the houses?
How is it used?
Is the area residential or commercial? Public or private?
Are there empty lots or lawns? Are the empty lots overgrown or well maintained?
Who do the see outside within the community? Children, housewives, mothers with their babies?
Do see people that you wouldn’t expect, such as teenagers or school-aged children during the day?
Are there salesmen or other professionals walking or driving in the community?
What types of animals are seen?
Politics & Government (Elective Subsystem)
Are there signs of political activity, such as election signs or billboards?
Any posters relating to civic meetings, town or city hall meetings?
Any zoning notices?
Is City Hall or the governmental center readily accessible?
Recreation (Elective Subsystem)
Where do children play?
Where do adults play?
What facilities for recreation do the see? Ball fields, parks, pools?
Are outdoor facilities, such as ball fields, parks, pools, in good condition?
Who is using the facilities?
Safety (Elective Subsystem)
Are there sidewalks & bike trails for people to travel safely?
Are road signs visible?
Are streetlights on at night over highly travelled roads or sidewalks?
What types of protective services are available; fire, police, ambulance?
Are protective services visible in the community?
Do you feel safe in the community?
Transportation (Elective Subsystem)
How do people get around?
What type of private & public transportation is available?
Do you see people walking or riding bikes?
Are there buses? Is public transportation accessible and how frequently is it available?
Do buses have the ability to carry bicycles?
Is there a major highway nearby?
Can people with disabilities get around easily?
The following questions are posted here to help you as you begin to assemble your Community Assessment PowerPoint.
You do not need to answer these questions as part of your Windshield Survey.
Based on the Windshield Survey you completed, begin thinking about:
· What are two community diagnoses for the community? Prioritize with rationale.
· What are the two expected outcomes for the two community diagnoses? Provide rationale as to why you selected these. Remember to base your rankings on the Ethical Principles of Health Care, found on p. 77.
· What interventions are appropriate for the community diagnoses? Provide rationale and evidence that supports these interventions as realistic and achievable.
· What resources are needed to accomplish the interventions? Remember a community health nurse doesn’t have unlimited resources! The resources should be readily accessible and realistic.
· What resources are currently available? Are current available resources being used? If not, why do you think they are not being used? What resources would need to be developed? Remember to make them realistic.
· What evaluation strategies could be used to determine if the expected outcomes were met? Be sure to make them measureable and realistic.
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