Grant County Community Health and Wellness Needs Assessment Survey 2018

Purpose:
To obtain current data that identifies gaps and needs that impact the quality of life for the citizens of Grant County. This data will be used by multiple Grant County stakeholders to set priorities and obtain funding to support identified community needs. 

Confidentiality:
Please do not write your name on the survey to keep all answers confidential. Some of the questions may ask you for information that you feel is sensitive or does not apply to you. Data from the survey will be reported only as averages—not as individual answers.  If you do not wish to turn in your survey at a designated location, you may drop it off or mail it to the Health Council office directly, address is below.

Instructions:
You must be a resident of Grant County, NM to complete this survey. Please answer the questions on the following pages honestly and to the best of your ability. Check only one box per question unless the instructions indicate otherwise. The more completed surveys we receive, the better we will be able to interpret the health and wellness needs of the county and apply for state, federal, other funds to support projects addressing identified needs.


Questions? If you have questions or comments about the survey, please call Cari Lemon at The Grant County Community Health Council office at 575-388-1198 or send an email to:  clemon@grantcountynm.com.                                  
Street Address: 214 N. Black St., Silver City, NM 88061 

Thank you for your valuable time!

What is your age?

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* 1. What is your age?

What is your gender?

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* 2. What is your gender?

What is the highest level of education you have completed? (Select one)

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* 3. What is the highest level of education you have completed? (Select one)

Are you currently enrolled in WNMU?

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* 4. Are you currently enrolled in WNMU?

How do you identify yourself?  (Select all that apply)

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* 5. How do you identify yourself?  (Select all that apply)

What is the annual income of your household?

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* 7. What is the annual income of your household?

How many people are living on this income? (Select one)

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* 8. How many people are living on this income? (Select one)

How many under 18?

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* 9. How many under 18?

How many over 18?

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* 10. How many over 18?

Are you a veteran?

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* 11. Are you a veteran?

Is your spouse a veteran?

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* 12. Is your spouse a veteran?

Do you own or rent your home?

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* 13. Do you own or rent your home?

Is your home or rental in need of major repairs, for your comfort or safety?

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* 14. Is your home or rental in need of major repairs, for your comfort or safety?

Where do you get your local news? (Select all that apply)

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* 15. Where do you get your local news? (Select all that apply)

Are you familiar with the Grant County Community Health Council and its activities? (Community Resource Directories, Red Hot Children’s Fiesta, Health Fairs, Community Calendar, etc.)

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* 16. Are you familiar with the Grant County Community Health Council and its activities? (Community Resource Directories, Red Hot Children’s Fiesta, Health Fairs, Community Calendar, etc.)

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17% of survey complete.

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