In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 1. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

When you envision a strong, vibrant, healthy community, what are the most important features to you? (Choose up to 3)

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* 2. When you envision a strong, vibrant, healthy community, what are the most important features to you? (Choose up to 3)

When you think about the challenges in the community where you live, what are you most concerned about? (Choose up to 3)

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* 3. When you think about the challenges in the community where you live, what are you most concerned about? (Choose up to 3)

Which of the following lifestyle factors have the largest impact on overall community health in Lancaster County? (Choose up to 3)

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* 4. Which of the following lifestyle factors have the largest impact on overall community health in Lancaster County? (Choose up to 3)

What keeps people in your community from seeking medical treatment? (Choose up to 3)

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* 5. What keeps people in your community from seeking medical treatment? (Choose up to 3)

Have you every delayed getting care, or decided not to, because of high out of pocket costs?

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* 6. Have you every delayed getting care, or decided not to, because of high out of pocket costs?

Where is the first place you seek medical care?

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* 7. Where is the first place you seek medical care?

What is your main form of transportation?

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* 8. What is your main form of transportation?

How safe from crime do you think your neighborhood/community is?

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* 9. How safe from crime do you think your neighborhood/community is?

If you don't feel safe, why don't you feel safe? (Check all that apply)

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* 10. If you don't feel safe, why don't you feel safe? (Check all that apply)

Have you ever been told by a doctor/healthcare professional that you may have mental health concerns?

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* 11. Have you ever been told by a doctor/healthcare professional that you may have mental health concerns?

In the past 12 months, have you ever needed, but not received, services or treatment for mental health?

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* 12. In the past 12 months, have you ever needed, but not received, services or treatment for mental health?

If answered YES to the previous question, why did you not receive the services/treatment you needed? (Check all that apply)

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* 13. If answered YES to the previous question, why did you not receive the services/treatment you needed? (Check all that apply)

What gender do you describe yourself as?

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* 14. What gender do you describe yourself as?

Transgender is an umbrella term that refers to people whose gender identity, expression or behavior is different from those typically associated with their assigned sex at birth. Other identities considered to fall under this umbrella can include non-binary, gender fluid, and genderqueer – as well as many more.

Do you identify as transgender?

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* 15. Transgender is an umbrella term that refers to people whose gender identity, expression or behavior is different from those typically associated with their assigned sex at birth. Other identities considered to fall under this umbrella can include non-binary, gender fluid, and genderqueer – as well as many more.

Do you identify as transgender?

What sexual orientation do you describe yourself as?

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* 16. What sexual orientation do you describe yourself as?

What is your race or origin? (Check all that apply)

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* 17. What is your race or origin? (Check all that apply)

What is your highest level of education?

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* 18. What is your highest level of education?

What is your annual household income?

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* 19. What is your annual household income?

Do you have any other comments?

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* 20. Do you have any other comments?

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