* 1. Do you have a primary care physician?

* 2. What do you think are the biggest health concerns affecting Delmarva?

* 3. What do you think are the reasons that prevent you or others in our area from getting the healthcare they need? Check all that apply.

* 4. Where do you get the majority of your health information?

* 5. Do you have idea or recommendations to help improve the health of the people on Delmarva or assist in access to healthcare services in our area? Please tell us.

* 6. Please tell us your age range.

* 7. Please tell us your gender.

* 8. Please tell us your ethnicity.

* 9. Please tell us the county that you live in.