September 2018

Thank you for taking time to review the draft 2018 Quad Cities and Muscatine Community Health Assessment report!  We value your input.  Please share your thoughts with us by taking this short survey; it should take you no more than 5 minutes to complete.  Please note that there are no wrong answers to these questions; your responses are your opinion.

We will gather all the results and use them to inform the Community Health Assessment Steering Committee about any changes needed for the assessment.

Thank you from the 2018 Community Health Assessment partners:
Community Health Care, Inc.; Genesis Health System; Muscatine County Board of Health; Quad City Health Initiative; Rock Island County Health Department; Scott County Health Department; and UnityPoint Health - Trinity
How did you hear about or find the 2018 Community Health Assessment report?

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* 1. How did you hear about or find the 2018 Community Health Assessment report?

Which is your county of residence?

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* 2. Which is your county of residence?

Please provide your level of agreement with the following statements.

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* 3. Please provide your level of agreement with the following statements.

  Strongly Agree Agree Neutral Disagree Strongly Disagree
The assessment report helped me understand the overall health and quality of life for people in my community.
The assessment helped me understand health disparities, or areas where the health of one population group is different than the health of another population group.
The assessment helped me understand health inequities, or preventable health disparities caused by access to different resources.
The assessment helped me recognize existing programs, services, and/or policies that support health.
What information surprised you or stood out after reading the 2018 Community Health Assessment report?

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* 4. What information surprised you or stood out after reading the 2018 Community Health Assessment report?

If you felt anything was missing, please tell us:

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* 5. If you felt anything was missing, please tell us:

Please describe how you might use the 2018 Community Health Assessment report:

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* 6. Please describe how you might use the 2018 Community Health Assessment report:

Please share any additional suggestions or feedback you have:

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* 7. Please share any additional suggestions or feedback you have:

Please leave your name and contact information if you would like a community partner to contact you in response to the comments/questions you provided.

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* 8. Please leave your name and contact information if you would like a community partner to contact you in response to the comments/questions you provided.

Please leave your name and contact information if you would like to take a more active role in the next assessment.

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* 9. Please leave your name and contact information if you would like to take a more active role in the next assessment.

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