Franklin County Quality of Life Survey

1. Franklin County Quality of Life Survey

Please take a moment to complete this survey. The results of the survey will be used to identify problems that may be addressed through community action. Your opinion is important, but please fill out the survey one time only.

On a scale of one to five, with one being the lowest and five being the most positive, please select the ONE number that best describes your opinion about the following questions.

1. Considering your sense of well-being, participation in community life, associates, diversity, etc., how satisfied are you with the quality of life in our community?

	1	2	3	4	5
Answer here	* Considering your sense of well-being, participation in community life, associates, diversity, etc., how satisfied are you with the quality of life in our community? Answer here 1	Answer here 2	Answer here 3	Answer here 4	Answer here 5

Comments

2. Considering access, cost, availability, quality, options in health care, etc., how satisfied are you with the health care system in the community?

	1	2	3	4	5
Answer here	*Considering access, cost, availability, quality, options in health care, etc., how satisfied are you with the health care system in the community? Answer here 1	Answer here 2	Answer here 3	Answer here 4	Answer here 5

Comments

3. Considering school quality, day care, after school programs, recreation, diversity, etc., how satisfied are you that this community is a good place to raise children?

	1	2	3	4	5
Answer here	*Considering school quality, day care, after school programs, recreation, diversity, etc., how satisfied are you that this community is a good place to raise children? Answer here 1	Answer here 2	Answer here 3	Answer here 4	Answer here 5

Comments

4. Considering elder-friendly housing, transportation to needed services and social support for the elderly living alone, how strongly do you feel that this community a good place to grow older?

	1	2	3	4	5
Answer	*Considering elder-friendly housing, transportation to needed services and social support for the elderly living alone, how strongly do you feel that this community a good place to grow older? Answer 1	Answer 2	Answer 3	Answer 4	Answer 5

Comments

5. Taking into consideration residents’ perceptions of safety in the home, the workplace, schools, playgrounds, parks and shopping areas, how strongly do you feel that this community a safe place to live?

	1	2	3	4	5
Answer here	*Taking into consideration residents’ perceptions of safety in the home, the workplace, schools, playgrounds, parks and shopping areas, how strongly do you feel that this community a safe place to live? Answer here 1	Answer here 2	Answer here 3	Answer here 4	Answer here 5

Comments

6. How strongly do you feel that there are networks of support for individuals and families not only during times of special need, but whenever there is a need?

	1	2	3	4	5
Answer here	*How strongly do you feel that there are networks of support for individuals and families not only during times of special need, but whenever there is a need? Answer here 1	Answer here 2	Answer here 3	Answer here 4	Answer here 5

Comments

7. How strongly do you feel that you have the opportunity to help make the community a better place to live?

	1	2	3	4	5
Answer here	*How strongly do you feel that you have the opportunity to help make the community a better place to live? Answer here 1	Answer here 2	Answer here 3	Answer here 4	Answer here 5

Comments

8. Considering locally owned and operated businesses, jobs with career growth, job training, higher education opportunities and affordable housing, how strongly do you feel that there is economic opportunity in the community?

	1	2	3	4	5
Answer here	*Considering locally owned and operated businesses, jobs with career growth, job training, higher education opportunities and affordable housing, how strongly do you feel that there is economic opportunity in the community? Answer here 1	Answer here 2	Answer here 3	Answer here 4	Answer here 5

Comments

9. Considering your mental and physical wellness, how would you rate your health status?

	poor	somewhat fair	fair	good	excellent
Answer here	*Considering your mental and physical wellness, how would you rate your health status? Answer here poor	Answer here somewhat fair	Answer here fair	Answer here good	Answer here excellent

Comments

10. From the following list please select the three most important health issues facing Franklin County. Check only three.

From the following list please select the three most important health issues facing Franklin County. Check only three. Chronic diseases (diabetes, stroke, heart disease, etc.) Cancer Poor diet Suicide	Infectious diseases (TB, HIV/AIDS) Mental health problems motor vehicle crashes Child abuse/neglect	Rape/sexual assault Sexually transmitted infections Aging problems (arthritis, hearing and vision loss etc.)
Other (please specify)

11. From the following list, please select what you think are the three most serious risk behavior problems in our community.

From the following list, please select what you think are the three most serious risk behavior problems in our community. Alcohol abuse Being overweight Dropping out of school	Tobacco use Unsafe sex Not using safety belts/child safety seats	Drug abuse Racism Not getting shots to prevent disease
Other (please specify)

12. What are the three most important characteristics of a healthy community? Check only three.

What are the three most important characteristics of a healthy community? Check only three. Low crime rate Access to health care Clean environment	Parks/recreation Religious or spiritual values Good jobs/healthy economy	Good place to raise children/good schools/ safe neighborhoods
Other (please specify)

13. Where do you live in Franklin County Please select only one.

Where do you live in Franklin County Please select only one. Bridgeport Bald Knob Choateville	Peaks Mill East Frankfort North Frankfort	South Frankfort West Frankfort
Other (please specify)

14. What is your age?

What is your age? 25 or less	26 to 39	40 to 54	55 to 64	65 to 72	73 and over
Comments

Franklin County Quality of LifeExit this survey

1. Franklin County Quality of Life Survey

1. Considering your sense of well-being, participation in community life, associates, diversity, etc., how satisfied are you with the quality of life in our community?

2. Considering access, cost, availability, quality, options in health care, etc., how satisfied are you with the health care system in the community?

3. Considering school quality, day care, after school programs, recreation, diversity, etc., how satisfied are you that this community is a good place to raise children?

4. Considering elder-friendly housing, transportation to needed services and social support for the elderly living alone, how strongly do you feel that this community a good place to grow older?

5. Taking into consideration residents’ perceptions of safety in the home, the workplace, schools, playgrounds, parks and shopping areas, how strongly do you feel that this community a safe place to live?

6. How strongly do you feel that there are networks of support for individuals and families not only during times of special need, but whenever there is a need?

7. How strongly do you feel that you have the opportunity to help make the community a better place to live?

8. Considering locally owned and operated businesses, jobs with career growth, job training, higher education opportunities and affordable housing, how strongly do you feel that there is economic opportunity in the community?

9. Considering your mental and physical wellness, how would you rate your health status?

10. From the following list please select the three most important health issues facing Franklin County. Check only three.

11. From the following list, please select what you think are the three most serious risk behavior problems in our community.

12. What are the three most important characteristics of a healthy community? Check only three.

13. Where do you live in Franklin County Please select only one.

14. What is your age?

Franklin County Quality of Life
Exit this survey