Carter County Themes and Strengths Community Themes and Strengths Assessment Questionnaire Question Title * 1. Are you a resident of Carter County? Yes No Question Title * 2. Do you work in Carter County? Yes No Question Title * 3. Which zipcode do you live in? 73401 73402 73403 73435 73436 73437 73438 73443 73444 73458 73463 73481 73487 73488 Other (please specify) Question Title * 4. Which sector best describes your employment? City Government County Government State Government Healthcare Mental Health Agriculture Private Business Energy/Oil Student Charitable Organization Other (please specify) Question Title * 5. What is your age? Under 18 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older Question Title * 6. What is your gender? Female Male Question Title * 7. What do you think are the 2-3 most important characteristics of a healthy community? 1. 2. 3. Question Title * 8. Is this community a good place to raise children? (Consider school quality, day care, afterschool programs and activities, recreation opportunities, etc.) Excellent Very Good Good Fair Poor Question Title * 9. Is Carter County a safe place to live? Very Safe Somewhat Safe Neither Safe nor Unsafe Somewhat Unsafe Very Unsafe Question Title * 10. Do neighbors in your community know and trust one another? Very Much Somewhat Neutral Not Really Not At All Question Title * 11. What is it that makes you the most proud of our community? Question Title * 12. Do you feel that all individuals and groups have an opportunity to contribute to and participate in Carter County's Quality of Life? Very Much So Somewhat Neutral Not Really Not At All Question Title * 13. Do you think that all Carter County Residents perceive that they - individually and collectively - can make the community a better place to live? Definitely Somewhat Maybe Not Really Not At All Question Title * 14. Are you satisfied with the current health care system in Carter County? Yes No Question Title * 15. What do you believe are the 2-3 most important issues that must be addressed to improve the health and quality of life in our community? 1. 2. 3. Question Title * 16. What do you believe is holding our community back from doing what needs to be done to improve the health and quality of life in our community? Question Title * 17. Do you feel that the Local Public Health System has adequate resources available to address health problems in Carter County? Yes No Please give any specific examples you can think of. Question Title * 18. Does the Local Public Health System do a good job of identifying at-risk populations who may experience barriers to receiving personal health services? Yes No Please describe any specific examples you can think of. Question Title * 19. Are you a caregiver for an adult? Yes No Question Title * 20. Do you feel there are adequate Adult Day Care services available in Carter County? Yes No Would you list any Adult Day Care Services you are aware of? Question Title * 21. What do you feel is needed to improve the availability or quality of Adult Day Care Services in Carter County? Next