Bollinger County Community Needs and Quality of Life Survey

Question Title

* 1. What is the zip code in which you live?

 63730 Advance

 63750 Gipsy

 63751 Glenallen

 63760 Leopold

 63764 Marble Hill

 63655 Marquand

 63662 Patton

 63960 Puxico

 63781 Sedgewickville

 63782 Sturdivant

 63787 Zalma

Other zip code

Question Title

* 2. Identify up to three health issues you have had in 2022.

Alcohol Misuse

Alzheimer’s Disease

Assault (Injuries)

Cancer

Injuries From a Motor Accident

Chronic Obstructive Pulmonary Disease (COPD)

COVID-19

Crohn’s Disease/Ulcerative Colitis

Diabetes

Drug Misuse

Heart Disease

High Cholesterol

HIV/AIDS

Hypertension

Infectious Diseases

Influenza/Pneumonia

Kidney Disease

Liver Disease

Lung Disease

Mental Health Disorders (e.g., depression, anxiety, schizophrenia, self-harm)

Stroke

Unintentional Injury (e.g., fall, traffic accident, poisoning, suffocation, burn, drowning, natural/environmental, machinery, pedestrian, cyclist, firearm, overexertion).

Other Issue

None of the above

3. How would you rate your quality of life in 2022 using the scale of "thumbs" from 1 (poor) to 5 (best)?

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* A. Material and Physical Well-being (material well-being and enough income, personally felt safe)

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* B. Relationships with other People (e.g., good relationships with parents, siblings, other relatives, spouse or significant other, friends; having and raising children)

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* C. Social, Community, and Civic Activities (e.g., joined activities to help others in my community; involved in local and national government)

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* D. Personal Development and Fulfillment (e.g., tried to learn new things; tried to learn more about myself; have a rewarding job where I am valued and able to contribute; ability to express myself creatively)

Bollinger County Community Needs and Quality of Life Survey

Question Title

* 1. What is the zip code in which you live?

Question Title

* 2. Identify up to three health issues you have had in 2022.

Question Title

* A. Material and Physical Well-being (material well-being and enough income, personally felt safe)

Question Title

* B. Relationships with other People (e.g., good relationships with parents, siblings, other relatives, spouse or significant other, friends; having and raising children)

Question Title

* C. Social, Community, and Civic Activities (e.g., joined activities to help others in my community; involved in local and national government)

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* D. Personal Development and Fulfillment (e.g., tried to learn new things; tried to learn more about myself; have a rewarding job where I am valued and able to contribute; ability to express myself creatively)

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* E. Recreation (e.g., spending time with others having fun; participating or watching sports, games, activities)