Perceptions of Community Health Survey

Since 2008, our community has been working together to improve community health through the "MAPP of the Southern Kenai Peninsula". This includes learning about your health priorities in order to identify our collective health improvement strategies. Please take a few minutes to contribute your input. Thank you!

1. In what community do you live?

In what community do you live? Anchor Point area Kachemak Selo Halibut Cove Homer - city limits Homer area - outside city limits Nanwalek	Nikolaevsk Ninilchik Port Graham Razdolna Seldovia Voznesenka
Other (please specify)

2. Which category below includes your age?

Which category below includes your age? under 18

18-25

26-45

46-64

65+

3. How many people currently live in your household?

How many people currently live in your household? 1

4. What is your approximate annual household income?

What is your approximate annual household income? less than $25,000

$25,000-33,000

$33,000-42,000

$42,000-51,000

$51,000-60,000

$60,000-68,000

$68,000-76,000

$76,000-85,000

$85,000+

5. Do you have health insurance? (of any type: private, public, military, Native, Medicaid or Medicare)

Do you have health insurance? (of any type: private, public, military, Native, Medicaid or Medicare) Yes

6. What are the greatest strengths of our community?

What are the greatest strengths of our community? Good schools Good jobs & healthy economy Healthy behaviors and lifestyles Healthy environment Access to healthcare Diverse cultural / arts opportunities Religious or spiritual values Access to job training and higher education Good support for families	Public transportation Parks & recreation Cultural diversity Affordable housing Respect for varied viewpoints Diverse private/public nonprofit organizations Natural beauty People help each other Access to healthy, whole foods
Other (please specify)

7. Please indicate, in the order of importance (1 being the most important) the following factors that MOST negatively affect the health of YOU and YOUR FAMILY.

PHYSICAL HEALTH (for ex: cancer, diabetes, heart disease, high blood pressure, overweight, poor eating habits, unintentional injury)

MENTAL / EMOTIONAL HEALTH (for ex: depression, anxiety, bipolar, PTSD, SAD, suicide, eating disorders, schizophrenia)

SUBSTANCE ABUSE (for ex: alcohol, tobacco, prescription drugs, inhalants, underage drinking, parent support of kids' using, marijuana, crystal meth, etc)

INTERPERSONAL VIOLENCE (for ex: child abuse, sexual assault, family violence, date rape, bullying)

ECONOMIC COSTS (for ex: food and housing, insurance, transportation needs, loans, energy costs)

ENVIRONMENTAL HEALTH (for ex: water quality, air quality, radon, access to subsistence lifestyle, etc)

EDUCATION / costs and availability

OTHER

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8. Please indicate, in the order of importance (1 being the most important) the following factors that MOST negatively affect the health of the COMMUNITY.

PHYSICAL HEALTH (for ex: cancer, diabetes, heart disease, high blood pressure, overweight, poor eating habits, unintentional injury)

MENTAL / EMOTIONAL HEALTH (for ex: depression, anxiety, bipolar, PTSD, SAD, suicide, eating disorders, schizophrenia)

SUBSTANCE ABUSE (for ex: alcohol, tobacco, prescription drugs, inhalants, underage drinking, parent support of kids' using, marijuana, crystal meth, etc)

INTERPERSONAL VIOLENCE (for ex: child abuse, sexual assault, family violence, date rape, bullying)

ECONOMIC COSTS (for ex: food and housing, insurance, transportation needs, loans, energy costs)

ENVIRONMENTAL HEALTH (for ex: water quality, air quality, radon, access to subsistence lifestyle, etc)

EDUCATION / costs and availability

OTHER

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9. Which of the following services or activities are lacking in our community?

Which of the following services or activities are lacking in our community? Teen activities Medical specialists Housing Recreational activities Arts and culture Educational opportunities Business support Childcare Access to healthy, whole foods	Clinic services Shopping Environmental monitoring Transportation Substance abuse treatment Dental Elder care Digital connectivity None
Other (please specify)

10. What specific services or activities would you like to see provided or improved upon?

What specific services or activities would you like to see provided or improved upon?

11. What prevents you from using any services or activities that are available in our community?

What prevents you from using any services or activities that are available in our community? Schedule conflicts Age restrictions Membership restrictions Stigma Not enough time Found services elsewhere Childcare Confidentiality Transportation	Cost Awareness Distrust/Dislike agency or provider Language barrier Cultural or religious convictions Lack of anonymity Medicaid problem Harassment None
Other (please specify)

12. Which of the following community health improvement efforts are you aware of?

Which of the following community health improvement efforts are you aware of? Community gardens and increases in local food production (ex: People's Garden Project)

An online community resource guide (pop411.org)

Prevention efforts to address underage and adult substance abuse and violence (ex: Homer Prevention Project)

Improved / increases in early childhood education opportunities (ex: Best Beginnings Homer)

Other (please specify)

13. Do you have additional comments or suggestions?

Do you have additional comments or suggestions?

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