The Gravenstein Health Action Chapter is a partnership of local leaders, organizations, and individuals dedicated to improving health and well-being and reducing disparities in the areas of Sebastopol, Graton, Occidental/Freestone, and Bodega/Bodega Bay.  The Chapter is connected to the countywide Health Action effort that focuses on three impact areas: a long and healthy life, educational attainment, and a comfortable standard of living.  Recently, Health Action has reaffirmed its priorities.  The Gravenstein Health Action Chapter is seeking community input to determine which priorities we take on locally and what strategies we employ to affect change.
 
Everyone who completes the survey will be entered into a raffle for a chance to win one of three $50 gift certificates.

Only one survey entry per person.  The survey will close and raffle prizes will be drawn on November 14, 2017.

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* 1. To be eligible for this survey, you must be over 12 years old and live in the areas of Sebastopol, Graton, Occidental/Freestone, or Bodega/Bodega Bay.  Where do you live?

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* 2. Please rank these priorities in order of importance to our Gravenstein area

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* 3. Of your top priorities, are there any strategies you feel that the Gravenstein Health Action Chapter should take on first?

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* 4. The Gravenstein Health Action Chapter is planning a series of community meetings to create an action plan to address the community's top priorities.  Please indicate your interest in the following:

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* 5. What is your age?

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* 6. What is your gender?

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* 7. What is your race/ethnicity?

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* 8. What is the primary language spoken in your household?

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* 9. What is your work status?

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* 10. What is your household's annual income?

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* 11. What is your highest level of education completed?

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* 12. How did you hear about this survey?

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* 13. To be entered into and notified about the raffle, please enter your email or phone number here.  Your contact information will not be shared with any group beyond the Gravenstein Health Action Chapter.

Thank you for your time!  Once we have a clearer idea about the top priority issues, the Gravenstein Health Action Chapter will be coming back to the community for suggestions about possible solutions.  The group will hold Community-wide Planning Meetings and then form Action Teams to implement selected health and well-being improvement strategies.

To learn more about the Gravenstein Health Action Chapter, contact Alanna Brogan or go to www.sonomahealthaction.org/chapters.

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