Chenango County Community Survey

Thank you for your willingness to participate in this interview. Your feedback is very important and will help Chenango County guide future planning and decision making. We want to know about your experiences so that Chenango County’s health programs can work better for you and others in the future. Your participation will be kept completely confidential. We will not release your name or any other personal identifying information at any point. All information we gather will be aggregated and quotes will be anonymized.

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* 1. What is your age?

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* 2. What is your gender?

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* 3. Which race/ethnicity best describes you? (Please choose only one.)

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* 5. Which of the following categories best describes your employment status?

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* 6. What is your 5-digit zipcode?

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* 7. How many people currently live in your household?

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* 8. What is your total household income?

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* 9. What type of health insurance do you have?

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* 10. Are you a resident of Chenango County?

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* 11. Please share your opinions about the quality of life in Chenango County

  Strongly Disagree Disagree Agree Strongly Agree
I am satisfied with the health care that I receive in Chenango County. (Consider health care options, access, cost, availability, and quality)
Chenango County is a good place to raise children. (Consider availability and quality of schools, day care, after school programs, and recreation)
Chenango County is a good place to grow old. (Consider elder-friendly housing, access/transportation to medical services, elder day care, social support for the elderly living alone, and meals on wheels)
There is plenty of economic opportunity in Chenango County. (Consider availability and quality of jobs, job training/higher education opportunities, and affordable housing)
Chenango County is a safe place to live. (Consider safety at home, in the workplace, in schools, at playgrounds, parks, and shopping centers; walkable environment)
There are networks of support for individuals and families during times of stress and need in Chenango County. (Examples include neighbors, support groups, faith community outreach, agencies, organizations, and providers)

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* 12. In thinking about having a healthy community to live and work, which of the following are concerns for you or you think are a problem in Chenango County?

  Not a concern/ Problem Minor Concern/Problem Major Concern/Problem Don't Know/Unsure
The Quality of the Environment
Access to Mental Health Services
General Healthcare Services
Affordable Housing Options
Parks and Outdoor Places to Exercise and Play
The Availability of Public Transportation
The Availability of Affordable Fresh Foods
The Amount of Violence in my Neighborhood

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* 13. In your opinion, how important are these health issues to you?

  Not Important Somewhat Important Very Important Don't Know/ Not Sure
Obesity
Chronic diseases (such as cancer, stroke, heart disease, and diabetes)
Sexually transmitted infections and HIV/AIDS
Substance Use
Anxiety or Depression
Suicide
Healthy Mothers and Babies
Active Healthy Lifestyles
Reduce Tobacco Use

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* 14. In general, how would you rate your overall physical health?

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* 15. In general, how would you rate your overall mental or emotional health?

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* 16. In the past year, have you used medical, dental, or mental healthcare services in Chenango County?

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* 17. In the past year, have you needed medical, dental, or mental healthcare services but you were not able to receive the care you needed?

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* 18. If you needed or used medical, dental, or mental healthcare services in the past year, which of the following was/were a problem? [Check all that apply]

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* 19. In your opinion, how adequate are the health services available in our community?

   Less than Adequate Adequate More than Adequate Don't Know, Not Sure
Counseling and Mental Health
Substance Use Services
Dental Care Services
Care for Infants and Children
Care for Veterans
Services for those with disabilities
Primary Care Services
Specialty Care Services
Hospitals
Eye Care Services
Cancer Services
Family Planning
Nutrition Counseling Services

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

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* 21. In 2020, we saw the beginning of the COVID-19 Pandemic. What type of challenges did you face during this time? 

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* 22. Please explain any positive or negative influences from the COVID-19 pandemic in following area:

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* 23. What did our county do well at in regard to how COVID-19 was handled locally?

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* 24. What could our county have done better in regard to how COVID-19 was handled locally?

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* 25. Do you feel the county had access to adequate resources for COVID-19 testing?

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* 26. Do you feel the county had access to adequate resources for Vaccination?

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* 27. Do you feel the county had access to adequate resources for COVID-19 Supports?

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* 28. What is your COVID-19 Vaccination Status?

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* 29. If additional doses of the COVID-19 vaccine are advised, will you receive it?

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