Question Title

* 1. What is your gender?

Question Title

* 2. What is your age?

Question Title

* 3. What city/town do you live in?

Question Title

* 4. How would you rate your overall health?

Question Title

* 5. What issues affect your COMMUNITY'S health? Check all that apply.

Question Title

* 6. Where do you go for medical care? Check all that apply.

Question Title

* 7. Where do you look for information about health? Check all that apply.

T