Community Health Questions

Hello and thank you on behalf of Amador County Public Health for participating in this important survey!

Your input is valuable in helping us better understand the needs of our community. Please take a few moments to answer the following questions. Rest assured that your responses are completely anonymous.

These questions do not contain information that can identify you. The answers will be added together and reported as a group count.

Thank you for your time and contribution to this effort!

Let's get started.

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* 1. In the following list, which five qualities do you think most improve the community?

Check the top five factors:

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* 2. In the following list, which five health problems do you think have the greatest impact on overall community health?

Check the top five problems:

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* 3. In the following list, which five behaviors do you think have the greatest impact on health?

Check the top five behaviors:

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* 4. Which, if any, chronic diseases are you or your immediate family experiencing?

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* 5. Which, if any, types of assistance do you or family members need?

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* 6. What are the addiction issues in the community?

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* 7. What are community barriers to healthcare?

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* 8. Which healthcare facilities and resources are available locally?

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* 9. How would rate your own personal health?

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* 10. How would you rate the health of our community as a whole?

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* 11. How connected do you feel to the people and activities in your community?

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* 12. What are some of the positive ways our community supports good health?

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