2011 Whitley County Community Health Survey

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1. 2011 Whitley County Community Health Survey
Please take a minute to fill out the survey. The purpose of this survey is to get your thoughts about community problems in Whitley County. The Whitley County Health Communities Committee will use the results of this survey and other information to identify the most pressing problems in our area. If you have already completed this survey do not complete it again. Remember, your opinion is important!

It takes all of the items listed below to have a truly healthy community. In the list below, what do you think are 3 Most Important areas we need to improve upon? Check only 3:

2011 Whitley County Community Health Survey Please take a minute to fill out the survey. The purpose of this survey is to get your thoughts about community problems in Whitley County. The Whitley County Health Communities Committee will use the results of this survey and other information to identify the most pressing problems in our area. If you have already completed this survey do not complete it again. Remember, your opinion is important! It takes all of the items listed below to have a truly healthy community. In the list below, what do you think are 3 Most Important areas we need to improve upon? Check only 3: Good place to raise kids

Low crime/safe neighborhoods

Good jobs

Low level of child abuse

Strong family life

Good Schools

Parks and recreation

Healthy behaviors and lifestyles

Low adult sickness

Low infant sickness/death

Clean air and water

Afordable housing

Religious/spiritual values

Art and cultural events

Healthy Food

Good school nutrition

Available trash pick up

Transportation (Having a car and insurance)

Other (please specify)

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2. In the list below, what do you thnk are the 3 Biggest Health Problems" in our community? (Those problems which have the greatest impact on overall community health). Check only 3

In the list below, what do you thnk are the 3 Biggest Health Problems" in our community? (Those problems which have the greatest impact on overall community health). Check only 3 Diseases of aging

Cancers

Child abuse/neglect

Diabetes

Dental problems/lack of Dental Care

Domestic Violence

Heart Disease/Stroke

High Blood Pressure

HIV/AIDS

Respiratory/lung disease

Sexually Transmitted Diseases (STDs)

Homicide

Suicide

Infant death

Rape/Sexual assault

No Health Insurance

No Dental Insurance

Teen Pregnancy

Mental Health Problems

Car Crash injuries/death

illegal trash dumping

Other (please specify)

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3. In the list below, what do you think are the 3 most "Risky Behaviors" in our community? (Those behaviors that have the greatest impact on overall community health.) Check only 3:

In the list below, what do you think are the 3 most "Risky Behaviors" in our community? (Those behaviors that have the greatest impact on overall community health.) Check only 3: Alcohol abuse Being overweight Racism Tobacco use Breathing Secondhand Smoke	Meth labs Dropping out of school Not using Birth Control Drug Abuse Lack of exercise	Not using Seat belts/car seats Unsafe sex Poor eating habits Not getting Well Child exams Not getting "Shots"
Other (please specify)

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4. For survey purposes, please click the color RED.

For survey purposes, please click the color RED.

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5. Are you for or against a smoke free policy in all public places?

Are you for or against a smoke free policy in all public places? For

Against

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6. Are you for or against alcohol sales in our community?

Are you for or against alcohol sales in our community? For

Against

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7. Do you feel that breast feeding is important for infant health?

Do you feel that breast feeding is important for infant health? Yes

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8. Do you know what the EPSDT (Early Periodic Screening, Diagnosis, and Treatment) Program is for kids aged birth to 21 years?

Do you know what the EPSDT (Early Periodic Screening, Diagnosis, and Treatment) Program is for kids aged birth to 21 years? Yes

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9. How would you rate our community overall as a "Healthy Community"?

How would you rate our community overall as a "Healthy Community"? Very Unhealthy

Somewhat Unhealthy

Very Healthy

Somewhat Healthy

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10. How would you rate your own personal health?

How would you rate your own personal health? Very Unhealthy

Somewhat Unhealthy

Very Healthy

Somewhat Healthy

2011 Whitley County Community Health SurveyExit this survey

*2. In the list below, what do you thnk are the 3 Biggest Health Problems" in our community? (Those problems which have the greatest impact on overall community health). Check only 3

*3. In the list below, what do you think are the 3 most "Risky Behaviors" in our community? (Those behaviors that have the greatest impact on overall community health.) Check only 3:

*4. For survey purposes, please click the color RED.

*5. Are you for or against a smoke free policy in all public places?

*6. Are you for or against alcohol sales in our community?

*7. Do you feel that breast feeding is important for infant health?

*8. Do you know what the EPSDT (Early Periodic Screening, Diagnosis, and Treatment) Program is for kids aged birth to 21 years?

*9. How would you rate our community overall as a "Healthy Community"?

*10. How would you rate your own personal health?

2011 Whitley County Community Health Survey
Exit this survey