PHD Community Awareness Question Title * 1. Where have you seen or heard information about Panhandle Health District? Television Website Social Media Newspaper Other (please specify) Question Title * 2. How familiar are you with the services that Panhandle Health District offers? Not at all familiar Somewhat familiar Very familiar Not at all familiar Somewhat familiar Very familiar Question Title * 3. What comes to mind when you hear Public Health? Question Title * 4. Which of the following services are you aware of Panhandle Health District offering? (check all that apply) Clinical Services Tobacco Cessation Senior Companions Home Health Care Dental Healthcare Cancer Screening Diabetes Prevention & Diabetes Management Fit and Fall Proof Classes Nurse Partners for First-Time Moms Women, Infants, and Children (WIC) Breastfeeding Support Parenting Program Food Establishment Inspections Septic System Permitting Lead Screening and Soil Remediation Childcare Inspections Water Protection Other (please specify) Question Title * 5. Are there services mentioned above that you have utilized at Panhandle Health District? Yes No If yes, (please specify) Question Title * 6. Are there services Panhandle Health District offers that you are interested in utilizing? Yes No If yes, (please specify) Question Title * 7. Do you currently have a primary care provider? Yes No Question Title * 8. Have you ever been referred to Panhandle Health District by another healthcare facility? Yes No Question Title * 9. How likely would you be to use any of our services mentioned above? Very Unlikely Somewhat Likely Very Likely Very Unlikely Somewhat Likely Very Likely Question Title * 10. Please rank the following on how frequently you use each source for healthcare information, with 1 being most frequent. 1 2 3 4 Websites 1 2 3 4 Social Media 1 2 3 4 News 1 2 3 4 Friends/Family/Coworkers Question Title * 11. If you would like to be entered into a drawing for completing this survey, please provide your email address. Done
