2017 JCDPH Community Input Survey

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* 1. Are you familiar with the services the Health Department provides?

Yes

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* 2. Have you ever received any services from the Health Department?

Yes

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* 3. Do the following Health Department services meet the needs of our community?

	Yes	No	No Opinion
Adult Health (Physical/Wellness)	Adult Health (Physical/Wellness) Yes	Adult Health (Physical/Wellness) No	Adult Health (Physical/Wellness) No Opinion
Animal Shelter/Control	Animal Shelter/Control Yes	Animal Shelter/Control No	Animal Shelter/Control No Opinion
BCCCP/Wisewoman	BCCCP/Wisewoman Yes	BCCCP/Wisewoman No	BCCCP/Wisewoman No Opinion
Care Coordination for Children	Care Coordination for Children Yes	Care Coordination for Children No	Care Coordination for Children No Opinion
Car Seats	Car Seats Yes	Car Seats No	Car Seats No Opinion
Communicable Disease	Communicable Disease Yes	Communicable Disease No	Communicable Disease No Opinion
Employee Health	Employee Health Yes	Employee Health No	Employee Health No Opinion
Environmental Health Plan Review	Environmental Health Plan Review Yes	Environmental Health Plan Review No	Environmental Health Plan Review No Opinion
Family Planning (Birth Control)	Family Planning (Birth Control) Yes	Family Planning (Birth Control) No	Family Planning (Birth Control) No Opinion
Food/Lodging Inspection	Food/Lodging Inspection Yes	Food/Lodging Inspection No	Food/Lodging Inspection No Opinion
Health Promotion and Education	Health Promotion and Education Yes	Health Promotion and Education No	Health Promotion and Education No Opinion
Immunizations	Immunizations Yes	Immunizations No	Immunizations No Opinion
School Health Assessments	School Health Assessments Yes	School Health Assessments No	School Health Assessments No Opinion
Laboratory Services	Laboratory Services Yes	Laboratory Services No	Laboratory Services No Opinion
Maternity Clinic	Maternity Clinic Yes	Maternity Clinic No	Maternity Clinic No Opinion
Nutrition Services	Nutrition Services Yes	Nutrition Services No	Nutrition Services No Opinion
Obstetric Care Management	Obstetric Care Management Yes	Obstetric Care Management No	Obstetric Care Management No Opinion
Septic System Permits	Septic System Permits Yes	Septic System Permits No	Septic System Permits No Opinion
Sexually Transmitted Diseases Clinic	Sexually Transmitted Diseases Clinic Yes	Sexually Transmitted Diseases Clinic No	Sexually Transmitted Diseases Clinic No Opinion
Sports Physicals	Sports Physicals Yes	Sports Physicals No	Sports Physicals No Opinion
Well/Water Permits	Well/Water Permits Yes	Well/Water Permits No	Well/Water Permits No Opinion
Well/Water Sampling	Well/Water Sampling Yes	Well/Water Sampling No	Well/Water Sampling No Opinion
WIC (Women, Infants, and Children)	WIC (Women, Infants, and Children) Yes	WIC (Women, Infants, and Children) No	WIC (Women, Infants, and Children) No Opinion

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* 4. Are there any additional services that the Health Department could offer to better meet the needs of our community?

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* 5. The Health Department is open Monday-Friday from 8 AM-5 PM. Are these hours of operation sufficient to meet the needs of our community?

Yes

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* 6. If no, please check the hours that would meet your needs. Check all that apply.

Early morning hours

Extended evening hours

Other (please specify)

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* 7. The Health Department acknowledges that travel is difficult in Jackson County. The main location of the Health Department is in Sylva, NC with a satellite location in Cashiers, NC. What other communities in our county do you think could benefit from a satellite location?

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* 8. Would you be in support of a mobile clinic that could travel to various communities in Jackson County, offering Health Department services?

Yes

No opinion

Question Title

* 1. Are you familiar with the services the Health Department provides?

Question Title

* 2. Have you ever received any services from the Health Department?

Question Title

* 3. Do the following Health Department services meet the needs of our community?

Question Title

* 4. Are there any additional services that the Health Department could offer to better meet the needs of our community?

Question Title

* 5. The Health Department is open Monday-Friday from 8 AM-5 PM. Are these hours of operation sufficient to meet the needs of our community?

Question Title

* 6. If no, please check the hours that would meet your needs. Check all that apply.

Question Title

* 7. The Health Department acknowledges that travel is difficult in Jackson County. The main location of the Health Department is in Sylva, NC with a satellite location in Cashiers, NC. What other communities in our county do you think could benefit from a satellite location?

Question Title

* 8. Would you be in support of a mobile clinic that could travel to various communities in Jackson County, offering Health Department services?

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* 9. Additional comments.