Partnership Survey

In partnership with Hunterdon Prevention Resources and Family Success Center, the Frenchtown Presbyterian Church is assessing the challenges that residents in the greater Frenchtown community face in living happier, healthier lives.  We are conducting a survey of residents in the region to better understand challenges that individuals and families face to leading full and healthy lives – physically, socially, economically and mentally.

We will use the results of the survey to plan the development of a new Community Service & Outreach Initiative in the region.  The CS&O will be designed to offer services, programming, and networking to address the needs of residents including senior citizens, families, single individuals and children that are identified in the survey.

This survey is anonymous and only takes 10 minutes to complete.  Anonymous means that we will record no information about you that could identify you.  There will be no way to link your responses back to you. The benefits of completing the survey are that you will contribute to further knowledge and insight about health concerns and help to guide priorities for actions to improve health.

* 1. In your opinion, what are the THREE most important things that would make your community a healthier, safer, and more vibrant place to live? (1 being most important, 3 being least important)

  1. Most Important and necessary 2. Somewhat Important, but still necessary 3. Least Important, but still desirable
Greater awareness about opportunities to volunteer to help others in my community
More after school recreational programs for elementary grade children
More after school recreational programs for middle and high school children
More access to healthy, affordable food and education on how to prepare it
More social and supportive programs for senior citizens
More local educational programs to help with the stresses of day-to-day life (parenting, financial management, grief)
More free adult programs (walking clubs, healthy food cooking classes, book clubs)
A place in the community that gives information and referrals to health services and programs
Free assistance with home repair for people who cannot afford contractors

* 2. Tell us if you use this service in your community and if you think more are needed:

  I Use This in My Community The Community Needs More of This
Public spaces and parks
Public restrooms
Neighborhood watch programs
Public transportation
Special transportation services for people with disabilities and older adults.
Free shuttles to shopping and appointments
Health and wellness programs (exercise, nutrition)
Recreational sports for youth
Healthcare providers (doctors, clinics)
Behavioral (mental) health services
Dentists' offices
Addictions treatment/recovery programs
Eye doctors
A service that helps people find health services (medical, behavioral)
Emergency care centers
Community garden
A place to find out about community events
Tutoring for Middle/High School students
Free legal services
Nutrition education classes
Senior Citizen social events
Non-sports related programs for Middle/High school students

* 3. How much do you agree with these statements?

  Strongly Disagree Somewhat Disagree No Opinion/ Neutral Somewhat Agree Strongly Agree
I feel a sense of belonging in my town.
I trust local police.
Illegal drug selling is a big problem in my community.
I think the quality of housing is generally good in the area.
Housing is affordable in my town.
Utilities (electric, gas, water) are affordable.
I am hopeful about the future for my community.
If healthy living classes (nutrition, exercise, etc.) were free or low cost, I would attend more of them.
I know at least one person who cannot afford to pay their bills regularly
There are not enough non-sports programs for kids
There are not enough programs for senior citizens

* 4. Do you have any other concerns or ideas you have about community services and quality of life in your community?

* 5. Do you have at least one child attending daycare, elementary, middle or high school?

* 6. If there were more after school programs, would your child attend?

* 7. If there were more summer programs for youth, would your child attend?

* 8. How important is cost to your decision to sign children up for programs?

* 9. Do you have any other concerns or ideas you have about programs for children in your community?

* 10. In general, your health is...

* 11. Does anyone in your household have any of the following health issues? (Check all that apply.)

* 12. Was there a time in the past 12 months when you or someone in your family needed to see a medical doctor but could not because of cost?

* 13. Was there a time in the past 12 months when you or someone in your family needed to see an eye doctor but could not because of cost?

* 14. Was there a time in the past 12 months when you or someone in your family needed to see a behavioral or mental health specialist but could not because of cost?

* 15. Other than cost, there are many other reasons people delay getting needed medical care. Have you delayed getting needed medical care for any of the following reasons in the past 12 months? Select the most important reason.

* 16. How often in the past 12 months would you say you were worried or stressed about having enough money to pay for the things that you need to stay healthy, like housing and healthy food?

* 17. Which of the following describes your family’s medical insurance?

* 18. Does your family have dental insurance?

* 19. Do you go to a fitness or recreation center for physical exercise?

* 20. In a typical week, how often do you exercise (including walking for exercise)?

* 21. When you exercise, about how many minutes do you spend on average?

* 22. Are there any other concerns or ideas you have about health issues and the availability of healthcare services in your community?

* 23. What town do you live in?

* 24. Do you own or rent your primary home — or do you have some other type of living arrangement, such as living with a family member or friend?

* 25. What is your age?

* 26. What is your gender?