Chautauqua County Health Survey

We need YOUR help!
You know a lot about where you live. You make a difference in the health and well-being of your Chautauqua County community! Please help us understand what matters most to you.
Please take a few minutes to fill out this confidential survey. Personally, identifiable information is not required, and responses cannot be tied back to you. The Chautauqua County Department of Health and Human Services and local hospitals will use this information to find out what health issues are important to you and how to make your community a healthier place to live.
Joint Community Health Improvement Plan represents: Brooks – TLC Hospital System – UPMC Chautauqua – Westfield Memorial Hospital – Chautauqua County Department of Health and Human Services 

***** Complete this survey before March 15, 2019, and you can be entered into a drawing for a chance to win one of five $40 Tops Friendly Markets gift cards. *****

Surveys are available in paper form or online, in English and Spanish. 

If you have questions about the survey, would like a paper survey or help completing the survey, please call Shelly at 716-753-4699.

Upon completion of the online survey, you will be directed to a separate page to input your contact information for a chance to win a gift card.

Thank you for taking time to complete the Chautauqua County Community Health Survey.

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* 1. Do you live in Chautauqua County?

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* 2. What is your ZIP code?

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* 3. Do you work in Chautauqua County?

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* 4. What is the ZIP code where you work?