2019-2020 Columbus County (NC) Community Health Assessment Survey

If you are NOT a resident of Columbus County, NC and AT LEAST 18 years old, please do NOT complete this survey!

This is an anonymous survey. This survey is being conducted by the Columbus County Health Department.  Survey responses will be used to understand the health concerns of Columbus County residents.  The responses provided will be used to determine what actions can be taken to improve health in Columbus County, NC. 

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* 1. In your opinion, what do most people die from in your community? (Choose only one)

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* 2. In your opinion, what is the biggest health issue of concern in your community?  (Choose only one)

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* 3. In your opinion, what do you think is the main reason that keeps people in your community from seeking medical treatment? (Choose only one)

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* 4. Which factor do you feel most affects the quality of the health care you or people in your community receive? (Choose only one)

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* 5. In your opinion, do you feel people in your community lack the funds for any of the following: (Choose all that apply)

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* 6. How do you rate your own health? (Choose only one)

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* 7. What does your community need to improve the health of your family, friends, and neighbors? (Choose all that apply)

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* 8. What health screenings or education/information services are needed in your community? (Choose all that apply)

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* 9. Where do you and your family get most of your health information? (Choose all that apply)

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* 10. The Columbus County Health Department’s operating hours are 8:00 am – 5:00 pm, Monday – Friday. Are these operating hours beneficial to meet the health needs of Columbus County?

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* 11. What would be your main way of getting information from authorities in a large-scale disaster or emergency? (Choose only one)

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* 12. If public authorities announced a mandatory evacuation from your neighborhood or community due to a large-scale disaster or emergency, would you evacuate? (Choose only one)

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* 13. What would be the main reason you might not evacuate if asked to do so? (Choose only one)

For Statistical Purposes Only, Please Complete the Following:

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* 14. I am:

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* 15. My age is:

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* 16. What is your zip code?

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* 17. My race is:

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* 18. Are you of Hispanic or Latino origin?

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* 19. Do you currently have Health Insurance?

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* 20. Do you work in Columbus County?

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* 21. When seeking care, what hospital do you visit first? (Choose only one)

The Columbus County Health Department thanks you for your participation!

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