Genesee-Orleans-Wyoming Community Health Assessment

The Genesee, Orleans and Wyoming County Health Departments and Hospitals are currently working with community partners to gather information from residents to help with public health planning for the next three to four (3-4) years.

We want to know what you think! Please take a few minutes to fill out this survey, your responses will help us identify services in our communities that are working and ones that need to be improved. We can then use this information to review existing plans and to fill gaps and address the needs going forward.

Please be assured your responses are completely anonymous.

This survey will take about 15 minutes to complete.

Thank you for your time and help with this effort.

Please only take this survey ONCE (1 time) either online or on paper.

Starred (*) questions are required.  

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* 1. What county do you live in?

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* 3. What is your age?

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* 4. What is your current gender identity?

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* 5. Which one or more of the following would you say is your race?  Select all that apply

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* 6. What is the highest grade or year of school you completed?

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* 7. What is your annual household income from all sources

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* 8. What is your current employment status?

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* 9. In regards to high-speed internet, please check the following statements that apply to your household:

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* 10. Do you have any kind of health care coverage or health insurance?

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* 11. How do you pay for your Health Care?  Check all that apply

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* 12. Where do you get most of your health information?  (Select up to three (3) choices)

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* 13. How often do you see your primary care provider (doctor)?

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* 14. In the past year, was there any time that you needed medical care but could not, or did not, get it?  If no, skip to #16.

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* 15. What were the main reasons you did not get the medical care you needed?  Please choose all that apply. (Due to a technical issue, please write in other choices that apply to your situation.)

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* 16. Have you used video conferencing / telemedicine or webcam to interact with a healthcare provider?

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* 17. Have you used video conferencing / telemedicine or webcam to interact with a behavioral health / mental health provider?

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* 18. If you have NOT used video conferencing / telemedicine to interact with a provider, please select the answer(s) that most closely describe the reason.  Check all that apply

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* 19. Which of the following would motivate you to use video conferencing / telemedicine for an interaction with a provider?  Please select all that apply:

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* 20. Has a doctor or a nurse ever told you any of the following?  Please select all that apply

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* 21. When you think about your own health or the health of your community, which of the following issues are you most concerned about?  Please select three (3).

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* 22. Would you say that your physical health is now excellent, very good, good, fair, or poor?

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* 23. Would you say your mental or emotional health - is excellent, very good, good, fair or poor?

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* 24. Do you use any of the following nicotine products?   Please select all that apply:

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* 25. How often, if ever, do you now smoke or use any nicotine products?

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* 26. Do you use e-cigarette now to quit smoking?

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* 27. How often do you participate in physical activity or exercise? (e.g. walking, tennis, jogging/running, basketball, football, soccer, swimming, gym equipment, etc.)

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* 28. Which, if any, of the following, would help you become more active?  Check all that apply

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* 29. What keeps you from eating more fruits and vegetables every day?  Select all that apply.

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* 30. During the past 7 days, how many times did you drink a bottle or glass of water?  Count tap, bottled, and unflavored sparkling water, no sweeteners added.

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* 31. What is your drink of choice on most days?  Check all that apply.

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* 32. Most days, I would consider my mood to be:

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* 33. Have you needed treatment for a mental/behavioral health condition in the past year? (e.g. depression, anxiety, bipolar disorder, psychosis, etc.)  - If No, please skip to question 35.

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* 34. If yes, what were the main reasons you did not get help for mental or behavioral health problems?  Please choose all that apply:

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* 35. If you have alcoholic drinks, how often do you have 4 or more drinks in a row

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* 36. Do you use drugs recreationally, with the intent of getting high?  Please be honest, we guarantee your anonymity.

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* 37. If you do use drugs, for purposes other than as intended, what do you use (Please be honest, we guarantee your anonymity)?  Check all that apply.

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* 38. In the past month, have you used Narcan (to reverse opioid overdose) on your family member, loved one, or friends?

Thank you for taking the time to provide us with some insight on how you see your health and the health of your community. We will be reviewing all responses and working on updating programs, seeking ways to fill gaps and enhance the services that each of our county Health Departments and Hospitals provide.

For more information about Health Department services contact:

Genesee County Health Department at 344-2580 ext. 5555 or visit their website at www.co.genesee.ny.us/departments/health/index.html. Visit Facebook at Genesee & Orleans County Health Departments and Twitter: @GoHealthNY.

Orleans County Health Department at 589-3278 or check out our website at www.orleansny.com/publichealth. Visit Facebook at Genesee & Orleans County Health Departments and Twitter: @GoHealthNY.

Wyoming County Health Department at 786-8890 or visit their website at www.wyomingco.net/health/main.html. Visit Facebook at Wyoming County Health Department or for Twitter at WyomingCountyHD.

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