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2025 Indiana Faith Community Meeting Exit Survey
This survey is designed to gather feedback from participants who attended the Indiana Faith Community Consultation Meeting on Friday, February 21, 2025.
1.
Name
2.
House of Worship and/or Affiliation
3.
Email
4.
Phone
5.
What is your mailing address?
6.
How do you define “your” community?
7.
Where do people go in your community when they are in crisis or need resources?
8.
What are the top barriers that keep people in your community from positive health outcomes? (Check all that apply)
Family resources (recreation and social support)
Education and training
Employment and job security
Transportation
Food security
Housing and essential needs
Environmental safety
Early childhood development
Social isolation
Structural barriers
Access to affordable health services of decent quality
Other (please specify)
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.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
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.
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
11.
What are the most important topics of discussion today that require follow-up?
12.
What do WE need to do NOW?! (Please list what you feel are the top 3 priorities in the short-term)
Priority #1
Priority #2
Priority #3
13.
"What actions are you willing to take as a result of attending this session?"
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.