2020 Community Health Assessment Feedback Survey

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* 1. What is your gender?

Male

Female

Non-binary

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* 2. Please Select Your Age

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 3. Are you Amish or Plain Community?

Yes

No

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* 4. What is your occupation?

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* 5. In your opinion, what are the greatest health needs facing Holmes County?

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* 6. How can Holmes County improve those concerns?

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* 7. Did any of the Community Health Assessment findings surprise you? If so, please explain.

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* 8. Is there any information that you would like to know more about?

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* 9. Other feedback