Mountain Lakes Community Health Survey Question Title * 1. What is your gender? Male Female OK Question Title * 2. What category below includes your age? Under 18 18-29 30-39 40-49 50-59 60-69 70+ OK Question Title * 3. Do you have children currently living in your home (at least most of the time) within any of the following age ranges? (check all that apply) < than 1 year old 2 to 6 years old 7 to 12 years old 13 - 17 years old 18 years or older I do not have children living in my home OK Question Title * 4. How would you describe your general health? Excellent Very Good Good Fair Poor OK Question Title * 5. Where do you get most of your health information Doctor/General Practitioner or specialist Doctor/Chiropractor or Naturopathic Nurse Practitioner/Physician's Assistant Pharmacist Acupuncture, Herbology Specialist Family/Friends Internet Nutritionist/Dietician Social Media TV OK Question Title * 6. Would you like to learn more about any of these health issues (check all that apply)? Blood Pressure Cancer Cholesterol Dementia Diabetes Disability Drug/Alcohol Abuse Eating Disorders Gastrointestinal Issues Heart Disease Lead Contamination Nutrition Mental Health/Anxiety/Depression Sleep Issues OK Question Title * 7. How would you like to be informed on these issues (check all that apply)? Health Fairs ML website Social Media (ML Facebook group) Workshops on specific health issues The Borough does not need to offer informational sessions on health issues OK Question Title * 8. Would you like to receive educational information on potential sources of lead within your home, and how to determine if you have elevated levels? Yes, very interested Somewhat interested Not interested OK Question Title * 9. How satisfied are you with your own nutrition-information and the nutrition information your children receive from school? Very Satisfied Very Satisfied Very Satisfied Very Satisfied Very Satisfied Very Satisfied Satisfied Satisfied Satisfied Satisfied Satisfied Satisfied Dissatisfied Dissatisfied Dissatisfied Dissatisfied Dissatisfied Dissatisfied Very Dissatified Very Dissatified Very Dissatified Very Dissatified Very Dissatified Very Dissatified OK Question Title * 10. Would it be useful to have more information regarding opioid overuse? Yes No OK Question Title * 11. Would you be interested in Narcan training? Yes No OK Question Title * 12. What can the Mountain Lakes Health Commission do to better serve the community? OK DONE