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Healthy! Capital Counties CHNA Survey
Thank you for taking the time to fill out this survey! Your feedback and comments are greatly appreciated!
1.
What county do you live in?
Clinton County
Eaton County
Ingham County
Other (please specify)
2.
What county do you work in? (Please choose all that apply.)
Clinton County
Eaton County
Ingham County
Other (please specify)
3.
In what ways have you participated in the 2015 Healthy! Capital Counties community health needs assessment process? (Please choose all that apply.)
Completed a survey
Participated in a focus group
Participated in choosing the health priorities
Other (please specify)
4.
If you have participated in the 2015 Healthy! Capital Counties community health needs assessment process, what was your role? (Please choose all that apply.)
Community member
Representative for a local organization or group of people
Local leader / Governmental representative
Researcher / technical professional
Other (please specify)
5.
Please enter any comments or feedback about the 2015 Healthy! Capital Counties Community Health Profile & Health Needs Assessment below:
6.
If you would like to speak with local health department staff regarding the 2015 Healthy! Capital Counties Community Health Profile & Health Needs Assessment, or community health improvement processes in general, please list your name and contact information (phone, email, etc.):
