Broome County Health Department Community Survey

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If you are a resident of Broome County, we would appreciate your input and value your opinion. We are working on identifying ways to make Broome County healthier. Please take this 15 minute survey to help us learn more about you and what issues are important to you and your community. This survey is anonymous. At the end of the survey there is an option to enter to win a gift card. Thank you for your time and feedback.

Question Title

* 1. Do you live in Broome County?

Yes

No, but I work in Broome County

No, I do not live or work in Broome County

Question Title

* 2. Please select your gender identity

Male

Female

Non-binary

Prefer not to say

Other (please specify)

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* 3. Please select your age group

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 4. Which racial/ethnic group(s) do you identify with? Check all that apply

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Other (please specify)

Question Title

* 5. Please select your highest level of education

Less than high school

High school diploma/GED

Some college

Trade/Certification

Associates degree

Bachelor's degree

Master's degree or higher

Question Title

* 6. Please select an option for employment in the past 12 months

Worked full time, year round

Worked part-time, or part-year

Unemployed

Student

Stay-at-home parent/caregiver

Disability

Retired

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* 7. Please select all types of health insurances that may apply to you

Employer-based

Medicare

Medicaid

Direct-purchase (ex. NYS Marketplace)

Military

None

Other (please specify)

Question Title

* 8. Please select your estimated Household Income

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

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* 9. Do you have a primary healthcare provider?

Yes

No

Other (please specify)

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* 10. Please select the five (5) biggest health problems you believe our community is currently facing

Accidents or injuries at work

Addiction to alcohol or other drugs (substance use disorder)

Air pollution

Alzheimer's disease, dementia, or memory loss

Asthma or breathing problems

Babies born prematurely

Cancer

Death among babies and children

Dental health

Developmental delays in children

Diabetes

Diseases spread by insects (Lyme disease, West Nile virus)

Heart disease and stroke

HIV/AIDs

Infectious disease (COVID-19, flu, hepatitis, Tuberculosis, etc.)

Injury or falls in seniors

Lead poisoning in children or households

Maternal mortality (death among new mothers)

Mental health issues

Overweight and obesity in adults

Overweight and obesity in children

Postpartum depression (depression in mothers after a baby is born)

Pre-mature death (deaths before age 65)

Secondhand smoke

Sexually transmitted infections (chlamydia, gonorrhea, etc.)

Suicide

Teenage pregnancy

Unsafe drinking water

Gun Violence

Neighborhood Violence

Safe or sufficient housing

Food Insecurity

Other (please specify)

Question Title

* 11. Which changes would you like to see in Broome County to make it a healthier place to live? Please select your top three (3)

Increase access to mental health services

Improve walkability and bikability

Reduce crime and improve neighbor safety

Increase and improve general healthcare services

Reduce environmental pollution

Affordable housing options

Animal control

Decrease littering/illegal dumping

Water quality

Better job opportunities

Higher education opportunities

Arts and cultural events

Community spaces (libraries, community centers, etc.)

Family and social support

Good and safe schools

Affordable day care

Parks and outdoor places to exercise and play

Positive race/ethnic relations

Public transportation

Religious or spiritual values

Increased access to affordable healthy food

Other (please specify)

Question Title

* 12. What keeps you from making healthier choices for both your physical and mental health such as quitting smoking, exercising more, eating healthier, etc.?

Time

Motivation

Cost

Support

Knowledge

All of the above

Other (please specify)

33% of survey complete.