Community Hospital-Fairfax Community Health Needs Assessment 2019

1. About You

Question Title

* 1. In what zip code is your home located?

64446

64491

64482

64496

64498

64473

64437

64470

64487

64451

64428

64468

Other (please specify)

Question Title

* 2. What is your gender?

Female

Male

Question Title

* 3. How many people are in your household?

1

2

3

4

5

6

More than 6