2019 Union County Community Health Assessment Survey For Teens (13 - 17)

Over the next six months, Union County Human Services, in collaboration with Novant Health and Atrium Health, will work together to develop the 2019 Community Health Assessment (CHA). The goal of CHA is to identify factors that affect the health of the population and determine the availability of resources within the county to address these factors. We need your input to help us identify health issues and concerns facing Union County teens today, so we can help address them. Your voice and opinion matter to us.

Please take about 10-15 minutes to complete the survey. The survey is anonymous. Your answers will not be connected to you in any way.

Thank you for the gift of your time and for sharing your experiences and points of view.

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* 1. What is your Zip Code?

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* 2. In which Union County Town or Municipality do you reside?

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* 3. What is your Age?

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* 4. What is your Gender?

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* 5. Using the categories below, what do you consider yourself?

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* 6. What type of health insurance do people in your home have?

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* 7. Overall, how would you rate your physical health?

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* 8. Overall, how would you rate your mental health?

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* 9. Listed below are health concerns. Please check three that MOST concern you regarding your own health.

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* 10. Listed below are mental health concerns. Please check three that MOST concern you.

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* 11. Listed below are safety concerns. Please check three that MOST concern you.

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* 12. If you have any safety concerns, who would you most likely report them to:

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* 13. Listed below are safety hazards related to driving. Please check ALL that apply to you.

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* 14. Listed below are behaviors that keep people from being healthy. Please check the three that you feel keep teens in Union County from being healthy.

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* 15. Approximately how much time do you spend daily on social media? (i.e. Instagram, Twitter, Snap Chatting, Texting)

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* 16. How much screen time do you spend daily? (TV, video games, computer, cell phone)

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* 17. How do you view your weight?

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* 18. Do you feel your current weight is impacting your health status?

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* 19. Do you have a medical home (doctor you see on a regular basis)?

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* 20. Was there a time that you needed to see a doctor during the last 12 months but did not?

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* 21. If yes, what was the main reason(s) that you did not see a doctor? (Check ALL that apply)

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* 22. Have you ever felt that you needed mental health services and did not get them?

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* 23. If yes, why did you not go for mental health services? ( Check ALL that apply)

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* 24. Do you see a dentist on a regular basis?

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* 25. Was there a time during the last 12 months when you needed to see a dentist but did not?

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* 26. If yes, what was the main reason that you did not see a dentist?

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* 27. Where do you go MOST OFTEN when you are sick and need medical care? Choose ONLY one.

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* 28. Have you needed a prescription medication and did not get it?

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* 29. If yes, why did you not get your medicine?

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* 30. Check ALL preventative health services you had during the past 12 months:

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* 31. If you did not receive any preventative services, please indicate why. Check ALL that apply.

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* 32. How do you normally get to your healthcare appointments?

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* 33. How many days a week do you normally get 30 minutes of exercise?

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* 34. Outside of exercising at school, are you physically active?

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* 35. Are there enough opportunities for physical activity near your home?

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* 36. How many servings of fruits and vegetables do you normally eat per day?

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* 37. Do you buy your lunch at school?

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* 38. If yes, what do you eat most often?

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* 39. Is this your ONLY meal of the day?

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* 40. If you do not buy your lunch, why do you not buy lunch?

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* 41. Where do the majority of your meals outside of school come from?

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* 42. After school gets out each day, or during the summer how do you spend your time? Check ALL that apply:

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* 43. Please check if you do the following:

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* 44. If you checked any of the above, do you believe this impacts your health?

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* 45. Do you have any other concerns about the health of teens in Union County?

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