UC Heart Disease Prevention: Community Survey

Heart Disease is the leading cause of death in Ulster County and the nation. The Ulster County Department of Health, and its community partners, have formed a Heart Disease Prevention Team tasked with assessing resident's awareness of heart disease risk and prevention factors. We will combine the findings, along with other data and information, to help develop a Strategic Plan of Action designed to bring heart disease related fatalities down over time. Please do your part to help by taking a few moments to complete this short survey. It is 100% anonymous and it will go a long way toward helping us complete this important work - Thank you!

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1. Please select your age range, as applicable (Required.)

18-34

35-44

45-60

61 - 72

73 and older

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2. Please select your gender, as applicable (Required.)

Female

Male

Non-Binary

Prefer not to answer

Other

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3. Which of the following races/ethnicities do you identify with? (please check all that apply) (Required.)

American Indian or Alaskan Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or Northern African

Native American or Pacific Islander

White

Prefer not to answer

Other (please specify)

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4. What is the Zip Code where you live? (Required.)

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5. Do you have health insurance? (Required.)

Yes

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6. Do you have a regular primary care doctor/healthcare provider? (Required.)

Yes

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7. When was the last time that you had a Primary Care or Annual Physical Exam visit? (Required.)

Within the last year

Over one year

Never

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8. Have you ever been diagnosed with any form of heart disease? (If yes, please check all that apply) (Required.)

Coronary artery disease (blockage or narrowing of the arteries)

Arrhythmia (irregular heart beat)

Congenital heart disease (born with a heart condition)

Other (please specify)

None of the above

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9. Have you ever been diagnosed with any of the following conditions? (If yes, please check all that apply) (Required.)

Pre-Diabetes

Diabetes

Overweight/Obesity

High Blood Pressure/Hypertension

High Cholesterol

Other (please specify)

None of the above

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10. These are some of the risk factors associated with heart disease. (Please check all that may apply to you) (Required.)

Family history of heart disease

Smoking Tobacco

Smoking Cannabis

Sedentary lifestyle (little to no regular exercise or physical activity)

Regular alcohol consumption

Use of stimulant drugs not prescribed for you (ex: amphetamines, cocaine, etc. - reminder, all responses are anonymous)

Less healthy food choices (regular consumption of fried and processed foods, foods/meats high in saturated fat and/or salt content, consuming too few fruits, vegetables and whole grains, etc.)

Regular consumption of sugar sweetened beverages

Insufficient Sleep (less than 7-9 hours for adults)

Persistent stress

Other

None of the above

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11. These prevention factors are important to reducing the risk of heart disease. Please check all that are part of your regular wellness routine: (Required.)

Regular exercise/physical activity

Healthier Food Choices (fresh foods, including fruits, vegetables and whole grains, and low fat proteins (meat/fish/plant based). Plus, foods with less sugar and salt content

Substituting water or unsweetened tea and juices for sugar sweetened beverages

Managing stress (enjoyable regular exercise, time spent in nature, meditation, calm/quiet personal time, etc.)

Managing your weight

Getting regular screenings for high blood pressure, cholesterol, and blood sugar (A1C - diabetes/pre-diabetes), either during your regular, annual physical exam or at least once per year

All of the above

None of the above

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12. How knowledgeable are you about heart disease, including the important ways that you can help prevent it and reduce your risk? (Required.)

Very knowledgeable

Somewhat knowledgeable

Not at all knowledgeable

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13. Where would you be likely to go to seek information about heart health and heart disease? (please check all that apply) (Required.)

Physician/Primary Care Provider

Internet

Social Media

Family/friends

Other (please specify)

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14. If there was a free, live heart health awareness/education event presented by expert healthcare and wellness professionals, in a community setting near you, where you could learn more about preventing and managing heart disease, ask questions and get free preventative screenings, would you be interested in attending? (Required.)

Yes, as long as it fit into my schedule

No thank you

I would prefer an online version where I didn't have to attend in person

I would like the option of attending either a live event or an online event, as available

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15. If you have heart disease, how do you manage it? (please check all that apply) (Required.)

Medication, along with guidance from your doctor/healthcare provider

Healthier Diet

Professional Guidance from a Nutritionist/Registered Dietician

Regular Physical Activity/Exercise

Stress Management

I have not been diagnosed with Heart Disease

Other (please specify)

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16. Which of the following are the signs and symptoms of a heart attack? (please check all that apply) (Required.)

Pain or discomfort in the chest

Light-headedness nausea or vomiting

Jaw, neck or back pain

Discomfort or pain in the arm or shoulder

Shortness of breath

All of the above

None of the above

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17. The correct answer to the previous question (#15) is "All of the Above". If you recognize any of the sign and symptoms of heart attack, the best course of action is to: (Required.)

Have the person sit or lie down and stay with them to see if the symptoms go away

Call a friend or family member and see what they think

Look it up on the internet and see what's recommended

Call your doctor and wait for them to get back to you

Call 9-1-1 immediately and ask for help

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18. If you think someone is having a heart attack, and after you or someone who's there calls 9-1-1, are you trained and capable of administering Cardio Pulmonary Resuscitation (CPR), until help arrives? (Required.)

Yes

No, but I would be interested in learning and getting trained

UC Heart Disease Prevention: Community Survey

Question Title

* 1. Please select your age range, as applicable (Required.)

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* 2. Please select your gender, as applicable (Required.)

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* 3. Which of the following races/ethnicities do you identify with? (please check all that apply) (Required.)

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* 4. What is the Zip Code where you live? (Required.)

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* 5. Do you have health insurance? (Required.)

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* 6. Do you have a regular primary care doctor/healthcare provider? (Required.)

Question Title

* 7. When was the last time that you had a Primary Care or Annual Physical Exam visit? (Required.)

Question Title

* 8. Have you ever been diagnosed with any form of heart disease? (If yes, please check all that apply) (Required.)

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* 9. Have you ever been diagnosed with any of the following conditions? (If yes, please check all that apply) (Required.)

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* 10. These are some of the risk factors associated with heart disease. (Please check all that may apply to you) (Required.)

Question Title

* 11. These prevention factors are important to reducing the risk of heart disease. Please check all that are part of your regular wellness routine: (Required.)

Question Title

* 12. How knowledgeable are you about heart disease, including the important ways that you can help prevent it and reduce your risk? (Required.)

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* 13. Where would you be likely to go to seek information about heart health and heart disease? (please check all that apply) (Required.)

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* 15. If you have heart disease, how do you manage it? (please check all that apply) (Required.)

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* 16. Which of the following are the signs and symptoms of a heart attack? (please check all that apply) (Required.)

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* 17. The correct answer to the previous question (#15) is "All of the Above". If you recognize any of the sign and symptoms of heart attack, the best course of action is to: (Required.)

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* 18. If you think someone is having a heart attack, and after you or someone who's there calls 9-1-1, are you trained and capable of administering Cardio Pulmonary Resuscitation (CPR), until help arrives? (Required.)

1. Please select your age range, as applicable (Required.)

2. Please select your gender, as applicable (Required.)

3. Which of the following races/ethnicities do you identify with? (please check all that apply) (Required.)

4. What is the Zip Code where you live? (Required.)

5. Do you have health insurance? (Required.)

6. Do you have a regular primary care doctor/healthcare provider? (Required.)

7. When was the last time that you had a Primary Care or Annual Physical Exam visit? (Required.)

8. Have you ever been diagnosed with any form of heart disease? (If yes, please check all that apply) (Required.)

9. Have you ever been diagnosed with any of the following conditions? (If yes, please check all that apply) (Required.)

10. These are some of the risk factors associated with heart disease. (Please check all that may apply to you) (Required.)

11. These prevention factors are important to reducing the risk of heart disease. Please check all that are part of your regular wellness routine: (Required.)

12. How knowledgeable are you about heart disease, including the important ways that you can help prevent it and reduce your risk? (Required.)

13. Where would you be likely to go to seek information about heart health and heart disease? (please check all that apply) (Required.)

15. If you have heart disease, how do you manage it? (please check all that apply) (Required.)

16. Which of the following are the signs and symptoms of a heart attack? (please check all that apply) (Required.)

17. The correct answer to the previous question (#15) is "All of the Above". If you recognize any of the sign and symptoms of heart attack, the best course of action is to: (Required.)

18. If you think someone is having a heart attack, and after you or someone who's there calls 9-1-1, are you trained and capable of administering Cardio Pulmonary Resuscitation (CPR), until help arrives? (Required.)