Skip to content

Lyme Disease Survey 2018

Lyme Disease Survey

The Eau Claire City/County Health Department is working with adjunct faculty from the University of Wisconsin Milwaukee to measure the public’s understanding of Lyme disease (adults 18+) The survey is about five minutes long, is completely voluntary, and all responses are confidential. Information gathered in this survey will be used to plan future outreach on Lyme disease. Risks in taking this survey are no greater than risks encountered in everyday life. By completing the survey, you are consenting to taking the survey.

If you have any questions about this survey please contact Marisa Stanley at marisa.stanley@co.eau-claire.wi.us

 

Thank you!!

What is your age?
To which gender do you most identify?
Highest level of education completed:
Where do you live?
The chance for tick bites is higher when the temperature is above 40° F.
People can get Lyme disease from tick bites only in the summer.
Using insect repellent does not protect against tick bites.
Putting clothing in the dryer for at least 10 minutes (or longer if clothes are wet) will kill any remaining ticks.
People can get Lyme disease after a tick bite.
A deer/bear tick has a higher chance of giving someone Lyme disease than a dog/wood tick.
What are the early signs and symptoms of Lyme disease? Check all that apply.
When participating in outdoor activities in the yard, I...
Frequently
Often
Sometimes
Seldom
Never
Not Applicable
wear light-colored clothing
use insect/tick repellent on skin and/or clothing
check my body for ticks afterwards
When participating in outdoor activities in the woods or brushy areas, I...
Frequently
Often
Sometimes
Seldom
Never
Not Applicable
wear light-colored clothing
use insect/tick repellent on skin and/or clothing
wear long pants
tuck my pants into my socks
check my body for ticks afterwards
I have used the following as insect/tick repellent (check all that apply)
If you have pets, do you use insect/tick repellents on them? (this includes any type of product that is designed to repel insects/ticks)
On average, I spend the following number of hours in my own yard or another yard each week during the...
1-10 hours
11-20 hours
21-30 hours
30+ hours
Not applicable
Spring
Summer
Fall
Do you work outdoors?
What activities do you like to do outdoors?
Have you ever had a tick bite (tick is attached to skin)?
Have you ever had Lyme disease?
Current Progress,
0 of 25 answered