2021 Pike County Maternal and Child Health Survey

Please take a moment to complete the survey below as a request from the Pike County Health Department. You are respectfully being asked to provide your thoughts on health concerns facing residents in Pike County regarding maternal, infant, and child health. The Pike County Health Department and other community partners will use the results of this survey and other information to identify the most pressing health issues which can be addressed through community action. Remember…your opinion is important! Thank you and if you have any questions, please contact PCHD at 573-324-2111 ext 117.

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* 1. Please check the top 3 health concerns that you believe are the MOST important for: Pregnant women & women who could
become pregnant in Pike County

Lack of doctor visits before, during and after being pregnant

Tobacco Use/Being around second hand smoke

Overweight or Obese

Poor Mental Health

Drinking alcohol or drug use

Uninsured mothers

Lack of healthy/nutritious food

Lack of adequate education

Other (please specify)

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* 2. Please check the top 3 health concerns that you believe are the MOST important for: Babies (0-1 year old) in Pike County

Unsafe Sleeping Environment/practices

Co-sleeping/shared sleeping in adult bed

Being around second-hand smoke

Babies born addicted to drugs

Babies born too early or are very sick

Lack of breastfed babies

Lack of healthy/nutritious foods

Other (please specify)

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* 3. Please check the top 3 health concerns that you believe are the MOST important for: Children and teens in Pike County

Overweight/obese

Drinking alcohol and/or doing drugs

Suicide

Poor mental health

Child abuse/neglect

Lack of motor vehicle safety (distracted driving, texting & driving, drinking & driving, seat belt use, ATV)

Lack of healthy/nutritious food

Uninsured children

Lack of access to health care

Tobacco use/second hand smoke exposure

Teen pregnancy

Other (please specify)

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* 4. What do you see as the TOP STRENGTH(S) in Pike County in regards to improving the health of pregnant women, women who
could become pregnant, babies, children and teens?

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* 5. What do you see as the TOP WEAKNESSES in Pike County in regards to the health of pregnant women, women who could
become pregnant, babies, children and teens?

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* 1. Please check the top 3 health concerns that you believe are the MOST important for: Pregnant women & women who could become pregnant in Pike County

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* 2. Please check the top 3 health concerns that you believe are the MOST important for: Babies (0-1 year old) in Pike County

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* 3. Please check the top 3 health concerns that you believe are the MOST important for: Children and teens in Pike County

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* 4. What do you see as the TOP STRENGTH(S) in Pike County in regards to improving the health of pregnant women, women who could become pregnant, babies, children and teens?

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* 5. What do you see as the TOP WEAKNESSES in Pike County in regards to the health of pregnant women, women who could become pregnant, babies, children and teens?

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* 6. What strategies/ideas would you like to share to address the health and socioeconomic needs of the maternal and child population in our county?

* 1. Please check the top 3 health concerns that you believe are the MOST important for: Pregnant women & women who could
become pregnant in Pike County

* 4. What do you see as the TOP STRENGTH(S) in Pike County in regards to improving the health of pregnant women, women who
could become pregnant, babies, children and teens?

* 5. What do you see as the TOP WEAKNESSES in Pike County in regards to the health of pregnant women, women who could
become pregnant, babies, children and teens?