Community/Agency Demographic Information

To ensure we continue to exceed the needs of our community, the Florida Department of Health in Seminole County has launched a Community Health Survey. This assessment will help us to:
  •  Identify current and future health care needs in Seminole County;
  • Increase community awareness of the mobile health unit;
  • Determine where and when to provide mobile health unit services; and
  • Improve and strengthen our programs and services.
The Community Health Survey should take approximately 10 minutes. If you have any questions, contact Sarah Wright, Executive Community Health Nursing Director, at 407-665-3206 or Sarah.Wright@flhealth.gov.


 

Question Title

* 1. Is there a need for mobile health unit services in your community? If your answer is NO, there is no need to complete the survey.

Question Title

* 2. What type of service you are seeking?

Question Title

* 3. What is your agency's name?

Question Title

* 4. What city is your agency located in Seminole County?

Question Title

* 5. Do you have a space large enough to park the mobile health unit?

Question Title

* 6. How many people visit your facility on a daily basis?

Question Title

* 7. Which day of the week is best for the mobile health unit to provide services?

Question Title

* 8. Which time is preferred to provide mobile health unit services?

Question Title

* 9. What type of property is the agency located on?

Question Title

* 10. If your agency is parked on private property, please list the landlords' name and contact.

Question Title

* 11. Are there restaurants, markets, and grocery stores with healthy and affordable food choices near your agency?

Question Title

* 12. What is the annual household income for your customers?

Question Title

* 13. What is the average level of education for your customers?

Question Title

* 14. Which of the following categories best describes your customers' employment status?

Question Title

* 15. Where do your customers live?

Question Title

* 16. List the name and contact information for the person responsible for coordination of mobile health unit services at your agency? Note: Please include name, job title, primary and secondary phone number, and email.

Thank you for completing the survey. The Florida Department of Health in Seminole County works to protect, promote and improve the health of all people through integrated state, county and community efforts.

T