Thank you for taking the time to provide input. Your opinion is important to better the health of our communities. There will be a prize drawing for 2, $25 gift certificates of Ashland Chamber Dollars for those that provide contact information.

* 1. In which zip code is your home located:

* 2. Please choose your age category:

* 4. What could be done to improve the health of residents in your county?

* 5. What is preventing your county from achieving optimal health for the people who live here?

* 6. Do you have any other comments?

* 7. If you would like to be entered in for the prize drawing please provide us with your name and mailing address. This will remain anonymous from your responses in this survey and will only be used to mail the gift card if you win.