This survey is designed to gather feedback from participants who attended the Indiana Faith Community Consultation Meeting on Friday, February 21, 2025.

Question Title

* 1. Name

Question Title

* 2. House of Worship and/or Affiliation

Question Title

* 3. Email

Question Title

* 4. Phone

Question Title

* 5. What is your mailing address?

Question Title

* 6. How do you define “your” community?

Question Title

* 7. Where do people go in your community when they are in crisis or need resources?

Question Title

* 8. What are the top barriers that keep people in your community from positive health outcomes? (Check all that apply)

Question Title

* 9. I received strategies and ideas today on how to take positive action in my community with regard to Health, Education and/or General Welfare.

Question Title

* 10. I received enough information to share with other constituents within my community to increase awareness regarding improving Health, Education and/or General Welfare outcomes.

Question Title

* 11. What are the most important topics of discussion today that require follow-up?

Question Title

* 12. What do WE need to do NOW?! (Please list what you feel are the top 3 priorities in the short-term)

Question Title

* 13. "What actions are you willing to take as a result of attending this session?"

Question Title

* 14. Please provide any comments or specific feedback on ways to further enhance the health, education, general welfare or overall well-being of all residents in Indiana.

T