Franklin County is part of the Pathways to a Healthy Kansas, a Blue Cross and Blue Shield of Kansas Initiative.  The purpose of this survey is to gather your perceptions about opportunities for physical activity, healthy eating, and tobacco cessation in your community.  The information gathered in this survey will inform our efforts in ensuring that community members have healthy options to choose from.  Your responses will be compiled with other responses and will never directly identify your individual response.  We are gathering some demographic information to ensure that we have gathered feedback from a broad representation of individuals in the community, but this will not be shared outside the project team.  You can choose to skip questions that you don't feel comfortable answering and you can stop at any time.  We thank you for your participation.

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* 1. In general, how would you rate the overall health of our community?

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* 2. Please rate your level of agreement with the following statements:

  Strongly Disagree Disagree Neutral Agree Strongly Agree
In general, my community has sufficient options for healthy eating.
In general, my community has sufficient opportunities for physical activity.
Cost is a barrier to eating healthier foods.

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* 3. Which of the following would make it easier for you to eat more fresh fruits and vegetables? (Check all that apply).

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* 4. Are you aware of efforts in our community to promote smoking cessation?

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* 5. Please rate your level of support for raising the minimum age for tobacco purchases from the current age (18) to 21 years of age.

 
Definitely not supportive
Not supportive
Neutral
Supportive
Very Supportive

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* 6. Please rate your level of support for policies that prohibit tobacco use (i.e. smoking and chewing tobacco) in the following settings:

  Definitely not supportive Not supportive Neutral Supportive Very Supportive
Local Parks
School grounds
Hospital grounds
Worksites

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* 7. Were you aware of the Pathways to a Healthy Kansas Initiative that is being implemented in Franklin County?

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* 8. In what way (s) are you familiar with the Pathways Initiative? (check all that apply)

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* 9. Your age?

 
Less than 25
26 - 39
40 - 54
55 - 64
65 or over

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* 10. Your level of Education?

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* 11. Where or how  did you get this survey? (Check one)

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* 12. Get involved!  Take the pledge here. or complete the information below and become a part of the "Pathways to Healthy Community" effort by  making one small change in your lifestyle!  Need ideas for change? Check out "Small Steps".

Taking the pledge through the link above will keep your survey answers anonymous.  You will also be entered in to a weekly drawing for a $50 gift card (weeks of October 15, October 22, October 29, November 5)

Either way, your information will be used only by the Franklin County Pathways team-a part of the Franklin County Health Department -  to provide you additional information and to demonstrate our community's support of this effort.

Thank you. 


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* 13. I pledge to take Small Steps to a healthier lifestyle as a part of the Pathways to a Healthy Kansas initiative.

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