WEDCO-Quality of Life and Community Assessment Survey WEDCO-Quality of Life and Community Assessment Survey WEDCO Quality of Life & Community Assessment Survey-September 2020 OK Question Title * 1. What county do you represent ? Scott County Harrison County Nicholas County Other (please specify) OK Question Title * 2. What Elementary School in in your district? Do they offer free lunch or reduced lunch? OK Question Title * 3. What age group would best describe you? Under 18 18-24 25-34 35-44 45-54 55-64 65+ OK Question Title * 4. What is your sex? Male Female Decline to answer OK Question Title * 5. What is your race? White or Caucasian Black or African American Hispanic or Latino Asian or Asian American American Indian or Alaska Native Native Hawaiian or other Pacific Islander Multiracial other OK Question Title * 6. What is the highest level of school you have completed or the highest degree you have received? Less than high school degree High school degree or equivalent Some college but no degree Associate degree Bachelor degree Graduate degree OK Question Title * 7. Your employment status? Yes, Full time Yes, Part time No, Disabled No Retired No, not working Self employed Student OK Question Title * 8. What is your annual income? Under $15,000 Between $15,000 and $29,999 Between $30,000 and $49,999 Between $50,000 and $74,999 Between $75,000 and $99,999 Between $100,000 and $150,000 Over $150,000 OK Question Title * 9. How would you rate the health in your community? Very healthy Unhealthy Somewhat healthy Healthy Very Healthy OK Question Title * 10. List 5 activities you enjoy doing the most? And 5 activities you enjoy doing with family? You Enjoy You and Family Enjoy Swimming Swimming You Enjoy Swimming You and Family Enjoy Hiking Hiking You Enjoy Hiking You and Family Enjoy Going out to Eat Going out to Eat You Enjoy Going out to Eat You and Family Enjoy Taking walks Taking walks You Enjoy Taking walks You and Family Enjoy Skating Skating You Enjoy Skating You and Family Enjoy Camping Camping You Enjoy Camping You and Family Enjoy Attending Sporting Events Attending Sporting Events You Enjoy Attending Sporting Events You and Family Enjoy Traveling Traveling You Enjoy Traveling You and Family Enjoy Visiting Family Visiting Family You Enjoy Visiting Family You and Family Enjoy Going to the Park Going to the Park You Enjoy Going to the Park You and Family Enjoy Watching TV/Movies at home Watching TV/Movies at home You Enjoy Watching TV/Movies at home You and Family Enjoy Attending cookouts Attending cookouts You Enjoy Attending cookouts You and Family Enjoy Attending festivals Attending festivals You Enjoy Attending festivals You and Family Enjoy Going to parties Going to parties You Enjoy Going to parties You and Family Enjoy Going to bars Going to bars You Enjoy Going to bars You and Family Enjoy Shopping Shopping You Enjoy Shopping You and Family Enjoy Going to church events Going to church events You Enjoy Going to church events You and Family Enjoy OK Question Title * 11. What do you think are the 5 greatest Health Problems that should be addressed in your community? Aging problems, arthritis Alcohol abuse Prescription drugs Street drug usage Cancer Child abuse/neglect Dental problems Diabetes Fire-Arm related injuries HIV/AIDS, TB, Hepatitis High blood pressure Infant deaths Motor vehicle accidents/ crash injuries Overweight/Obesity Depression Mental Health problems Environmental concerns Smoking OK Question Title * 12. What do YOU think are the 5 MOST RISKY BEHAVIORS (those with the greatest negative impact on your community) Please select only 5 from the list below)? Not having health insurance Alcohol abuse/ substance abuse Being overweight Distracted driving Dropping out of school Using street drugs Poor diet/eating habits School bullying Adults not getting vaccinations to prevent disease (Hepatitis A, Flu, etc...) Children not getting vaccinations to prevent disease (Hepatitis A, Flu, etc...) Racism Smoking/ tobacco use/ E-cigarettes (Vaping, JUULS, etc) Not having access to birth control Unsafe sex practices Not using seat belts/child safety seat Unsecured firearms Hate crimes Domestic violence Firearm injuries Rape/sexual assault Homicide (murder) Other (please specify) OK Question Title * 13. This is a two part question, 1) Rate the problem for each substance in your community. 2) Please, check any substance that you or someone you know uses? Not a Problem Moderate/Major Problem know someone who uses this I don't know Alcohol Alcohol Not a Problem Alcohol Moderate/Major Problem Alcohol know someone who uses this Alcohol I don't know Cigarettes/Cigars Cigarettes/Cigars Not a Problem Cigarettes/Cigars Moderate/Major Problem Cigarettes/Cigars know someone who uses this Cigarettes/Cigars I don't know Smokeless Tobacco Smokeless Tobacco Not a Problem Smokeless Tobacco Moderate/Major Problem Smokeless Tobacco know someone who uses this Smokeless Tobacco I don't know E-cigarettes E-cigarettes Not a Problem E-cigarettes Moderate/Major Problem E-cigarettes know someone who uses this E-cigarettes I don't know Meth Meth Not a Problem Meth Moderate/Major Problem Meth know someone who uses this Meth I don't know Marijuana Marijuana Not a Problem Marijuana Moderate/Major Problem Marijuana know someone who uses this Marijuana I don't know Cocaine Cocaine Not a Problem Cocaine Moderate/Major Problem Cocaine know someone who uses this Cocaine I don't know Heroin Heroin Not a Problem Heroin Moderate/Major Problem Heroin know someone who uses this Heroin I don't know Injection Drug Use Injection Drug Use Not a Problem Injection Drug Use Moderate/Major Problem Injection Drug Use know someone who uses this Injection Drug Use I don't know Inhaling or Snorting Drugs Inhaling or Snorting Drugs Not a Problem Inhaling or Snorting Drugs Moderate/Major Problem Inhaling or Snorting Drugs know someone who uses this Inhaling or Snorting Drugs I don't know Prescription Drug Use Prescription Drug Use Not a Problem Prescription Drug Use Moderate/Major Problem Prescription Drug Use know someone who uses this Prescription Drug Use I don't know Other (please specify) OK Question Title * 14. Do you experience any barriers to access to healthcare? Yes No Costs- Copays/Deductibles Costs- Copays/Deductibles Yes Costs- Copays/Deductibles No No Insurance No Insurance Yes No Insurance No Lack of medical providers in the area Lack of medical providers in the area Yes Lack of medical providers in the area No Fear Fear Yes Fear No Transportation Transportation Yes Transportation No Time away from work Time away from work Yes Time away from work No Provider Trust Provider Trust Yes Provider Trust No Other (please specify) OK Question Title * 15. Select the top 3 services you feel your community needs most? Urgent Care Clinics Outpatient Physical Rehabilitation Home Health Care Affordable Health Care Services Independent/ Assisted Living Facilities Weight Loss Programs or Services Mental Health Services Daycare (day or evening) After Hours Clinics for Adults and Children Adult Day Care In-Patient Drug Rehabilitation Services Out-Patient Drug Rehabilitation Services Harm Reduction Service (Overdose prevention, disease prevention for drug users) Public Transportation Services for Homeless Affordable Housing Other (please specify) OK Question Title * 16. How would rate the safety of your community? Very Unsafe Unsafe Somewhat Safe Safe Very Safe Very Unsafe Unsafe Somewhat Safe Safe Very Safe Other (please specify) OK Question Title * 17. What are the 3 MOST SERIOUS SAFETY PROBLEMS for your community? Drunk and/or Drugged Driving Distracted and/or Unsafe Driving (speed, distractions, use of phone or texting) Unsafe Roads (traffic, hills, curves) Not enough sidewalks Firearm-related injuries Domestic Violence Drug- related Violence Gangs Homicide (murder) Unsafe Living Conditions Other (please specify) OK Question Title * 18. In the past 30 days have you ever experienced any food insecurity? Not knowing where your next meal is coming from or eating less than you normally would? Yes No OK DONE
