WEDCO Quality of Life & Community  Assessment Survey-September 2020

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* 1. What county do you represent?

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* 2. What Elementary School is in your district? Do they offer free and reduced lunches ?

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* 3. What age group would best describe you?

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* 4. What is your sex?

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* 5. What is your race?

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* 6. What is the highest level of school you have completed or the highest degree you have received?

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* 7. Your employment status?

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* 8. What is your annual income?

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* 9. How would your rate the health in your community?

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* 10. List 5 activities you enjoy doing the most ?  And 5 activities you enjoy doing with family the most??

  You enjoy You and Family enjoy 
Swimming
Hiking
Going out to eat
Going to the movies
Taking walks 
Skating
Camping
Attending Sporting events
traveling 
Visiting with family
Going to the park
Watching TV/Movies at home
Attending cookouts
Attending festivals
Going to parties
Going to bars 
Shopping 
Going to church/church events 

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* 11. What do YOU think are the 5 GREATEST HEALTH PROBLEMS that should  be addressed in your  community?

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* 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)?

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* 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
Cigarettes/Cigars
Smokeless Tobacco
E-cigarettes
Meth
Marijuana
Cocaine
Heroin
Injection Drug Use
Inhaling or Snorting Drugs
Prescription Drug Use

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* 14. Do you experience any barriers to access to healthcare?

  Yes No
Costs- Copays/Deductibles
No Insurance
Lack of medical providers in the area
Fear
Transportation
Time away from work
Provider Trust

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* 15. Select the top 3 services you feel your community needs most?

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* 16. How would rate the safety of your community?

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* 17. What are the 3 MOST SERIOUS SAFETY PROBLEMS for your community?

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* 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?

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