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* 1. Which area of town do you live in?

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* 2. The previous Community Health Assessment (CHA) identified the following as the top health related priority areas in the county. For each area, please answer the following questions:

  Not at all important Slightly important Important Fairly important Very important
Access to healthcare
Infant mortality and maternal health
Mental Health
Addiction
Obesity and healthy lifestyle choices

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* 3. What do you think are the most important  health related issues or needs in Massillon right now?

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* 4. Do you feel there are adequate services and programs already in place in the community to address this issue? (If no: What is missing)

  Yes No
Access to healthcare
Infant mortality and maternal health
Mental health
Addiction
Obesity and healthy lifestyle choices

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* 5. What challenges do you feel people in the community face when trying to maintain a healthy lifestyle?

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* 6. In your opinion, what is being done well in Massillon City in terms of health and quality of life?

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* 7. How much do you agree or disagree with the following statements?

  Strongly Agree Agree Neither Disagree Strongly Disagree
Residents in Massillon are able to access a primary care provider when needed.
Residents in Massillon are able to access a mental healthcare provider when needed.
Transportation services for medical/mental health appointments are available for residents in Massillon when needed.
It is easy to get information about the health services that are available.
People in the community know about the health services and options that are available to them.
Massillon is a safe place to live.
Massillon is a good place to raise a family.
I feel that medical providers listen to me.

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* 8. Please leave any additional comments you would like to share in the space below:

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