Inyo Community Health Survey

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* 1. Community you live closest to:

93514 Bishop

93543 Big Pine

93526 Independence

93545 Lone Pine

93549 Olancha

92328 Death Valley - Furnace Creek

92328 Death Valley - Tecopa/Shoshone

93512 Mono - Hammil/Benton

93546 Mono - Mammoth

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* 2. Yearly Income:

$0-$20,000

$21,000 - 40,000

$41,000 - 60,000

$61,000 - 80,000

$81,000 -$100,000

$100,000 -$125,000

$126,000 or more

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* 3. Number of people currently residing in your home:

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* 4. Your Age Range:

birth to 12 years

13 to 18 years

19 to 26 years

27 to 45 years

46 to 59 years

60 to 79 years

80 years or more

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* 5. Gender:

Male

Female

Transgender

Other

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* 6. Your Race/Ethnicity:

American Indian

Hispanic/Latino

Caucasian

Asian or Pacific Islander

African American

Other (please specify)

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* 7. Health Insurance:

Private insurance

Medi-Cal

Medicare

County Medical Services Program (CMSP)

Uninsured

Don't know

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* 8. Health factors in the last 30 days (check all that apply):

I've experienced a health or mental health challenge that has limited my mobility in the past 30 days

I've experienced a health or mental health challenge that has limited my normal social activity in the past 30 days

I've experienced a health or mental health challenge that has limited my ability to work in the past 30 days

I've not had any health or mental health issues limit my mobility, social plans, or ability to work in the past 30 days

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* 9. Access to Care (check all that apply):

I am able to access health and mental health supports as needed in Inyo

I find it hard to access adequate medical care in Inyo

I find it hard to access adequate dental care in Inyo

I find it hard to access mental health care in Inyo

I find it hard to access support or treatment to stop drinking or drug use in Inyo

I find it hard to access community support groups in Inyo

I find it hard to access culturally appropriate service providers in Inyo

I have experienced discrimination when seeking health or mental health services in Inyo

Other frequently encountered access barrier not listed

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* 10. Someone in my immediate household has been diagnosed with the following medical condition(s):

Skin Cancer

Heart Attack/Coronary Disease

Multiple Sclerosis

Breast Cancer

High Cholesterol

Atrial Fibrillation

Colon Cancer

Pre-Diabetes

Hypertension

Lung Cancer

Diabetes

Stroke

Other Cancer

Kidney Failure

Vision loss

COPD

Cirrhosis/Liver Failure

Hearing loss

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* 11. Someone in my immediate household has been diagnosed with the following behavioral health condition(s):

Depression

Psychosis

Agoraphobia

Anxiety

Panic Disorder

Social Anxiety Disorder

Bipolar Disorder

Obsessive Compulsive Disorder

Perinatal Mood Disorder

Schizophrenia

Post Traumatic Stress Disorder

Eating Disorder or Body Dysmorphia

Suicidal Ideation

Self-Injury Disorder

Alcohol or Substance Use Disorder

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* 12. Some regular habits that I've practiced in the past 30 days to contribute to my health include:

I exercise vigorously for an hour 3 to 5 times a week, or more

I walk for 30-45 minutes daily, or more

I get 7 to 8 hours of sleep a night

I limit my sugar and salt intake

I read nutrition labels and make healthy choices

I live within a mile of a good friend or close family member

I attend a social or spiritual meeting with 5 or more friends weekly

I feel like I belong to, or fit in with, several communities within our county

I enjoy outdoor activities like gardening, hiking, biking, etc. at least 3 hours a week

I read for 30 minutes or more a day

I actively participate in cultural events on a regular basis

I limit non-work/school screen time to 2 hours or less a day (computer, cellphone, tablet, tv, etc.)

I schedule regular preventative dental care appointments every 6 months

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* 13. Some regular habits that I've practiced in the last 30 days that are harmful to my health include:

I do not exercise

I am not altering my eating habits even thought I'm overweight or obese

I spend more than 2 hours a day on non-work screen time (computer, tablet, cellphone, tv, etc.)

I am tired all the time and sleep poorly

I smoke tobacco or marijuana

I vape (use electronic cigarettes)

I use illegal substances like meth, or misuse products for huffing, dusting, etc.

I use opioids that are not prescribed to me or use them diferently than prescribed by my doctor

A friend or family member has expressed concern about my drinking or drug use

I need to drink alcohol to get started in the morning or wind down at night

I binge drink, or drink alcohol to the point where I black out or lose time

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* 14. Some positive factors that enhance my Inyo community are :

Access to parks and greenspace

Affordable public transport

Organized youth sports

Available/Affordable preschool or licensed childcare providers

Available/Affordable licensed infant and toddler care providers

Quality public education (PreK-12)

Clean air

Employment opportunities

Clean, drinkable water

College education opportunities

Affordable Housing

Other (please specify)

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* 15. Some negative, or missing, factors that I'd like to see improved for my Inyo community are:

Access to parks and greenspace

Affordable public transportation

Organized youth sports

Affordable/ Available preschool or licensed childcare providers

Available licensed infant and toddler care providers

Quality public education (PreK-12)

Clean air

Employment opportunities

Clean, drinkable water

College education opportunities

Affordable Housing

Other (please specify)

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* 16. Food Stability

Our household skips meals 1 to 3 times a month due to economic hardships

Our household skips meals 4 or more times a month due to economic hardships

Our household would skip meals, if not for access to WIC, CalFresh, congregate meals, or local food pantries

Our household must travel more than 20 miles to purchase groceries

Our household often goes a week or more w/out fresh fruits, vegetables, proteins due to distance from stores

Our household has regular access to sufficient, nutritious food

Our household visits a food distribution 3 or more times per month

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* 17. Housing

I am a dependent, and do not contribute monies to the household I reside in

I rent my residence, and pay 30% or less of our household's monthly income in rent

I rent my residence, and pay between 31-50% of our household's monthly income in rent

I rent my residence, and pay more than 50% of our household's monthly income in rent

I own my residence, and pay 30% or less of our household's monthly income as mortgage

I own my residence, and pay between 31-50% of our household's monthly income as mortgage

I own my residence, and pay more than 50% of our household's monthly income as mortgage

I own my residence outright

I reside in a nursing home or assisted living facility

I don't have a permanent residence, and I'm camping out in:

a motor vehicle any free

managed campground spaces

natural space I can find

or travel trailer

I don't have a permanent residence, and move between friends and family members

I don't have a permanent residence, and am staying at hotels or hostels day by day

Other (please specify)

Adverse Childhood Experiences (ACEs) I experienced between birth and age 18:

Please check all situations that you faced while growing up. These adversities are linked
to ongoing adult health conditions, so anonymously sharing information about your experiences
as a child helps Inyo health agencies plan relevant services and education for your community.

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* 18. Choose from the following factors

I lived with a household member who served time in jail

I lived with a household member who was depressed, mentally ill, or attempted suicide

I witnessed family members push, hit, hurt, or threaten to hurt one another physically

I was regularly sworn at, insulted, humiliated, or put down in a scary way

I was pushed, grabbed, or slapped, had things thrown at me, or was hit so hard it left marks

I lived with someone who had a problem with drinking or using drugs

I went without food, clothing, or a place to live more than once

I often felt unsupported, unloved, or unprotected

Someone touched or fondled my body in an inappropriate sexual way

I experienced prolonged bullying at school

I had a serious medical procedure or life-threatening illness

I regularly saw and heard violence in my neighborhood

I was treated badly because of race, sexual orientation, disability, or religion

I was in foster care or the juvenile justice system

My parent or guardian died

I was separated from my parent or guardian due to immigration status

My parents were divorced or separated

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* 19. Any community strengths, needs, or improvement ideas you would like to add that you weren't asked about?

THANKS FOR HELPING INFORM OUR EFFORTS FOR COMMUNITY HEALTH!
Inyo County Health & Human Services
Toiyabe Indian Health Project
Northern Inyo Healthcare District
Owens Valley Career Development Center
Southern Inyo Healthcare District
Inyo Mono Advocates for Community Action
Wild Iris