Community Health Assessment Survey

 
Your opinion is important to us!
The purpose of this survey is to get your opinion about health issues that are important in your community. Together, the Nassau County Department of Health and Nassau County hospitals will use the results of this survey and other information to help target health programs in your community. Please complete only one survey per adult 18 years or older. If you have any questions, please contact us at (516) 227-9408. Your survey responses are anonymous. Thank you for your participation.
1. What are the biggest ongoing health concerns in your COMMUNITY? (Please check up to 3)
2. What are the biggest ongoing health concerns for YOU? (Please check up to 3)
3. What prevents people in your community from getting medical treatment? (Please check up to 3)
4. Which of the following is MOST needed to improve the health of your community? (Please check up to 3)
5. What health screenings or education/information services are needed in your community? (Please check up to 3)
6. Where do you and your family get most of your health information? (Check all that apply)
For statistical purposes only, please complete the following:
7. Location where you received this survey:
8. What is your sex:
9. What is your age:
10. ZIP code or Town where you live:
11. ZIP code or Town where you work:
12. What race do you consider yourself?
13. Are you Hispanic or Latino
14. What is your highest level of education?
15. Do you currently have health insurance?
16. Do you have a smart phone?
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