How Healthy is Nassau County?

The Partnership for a Healthier Nassau needs your help to better understand the health of our community. Please fill out this survey to tell us about health services and the quality of life in Nassau County. The survey results will go into a Health Needs Assessment which will be made available to the public later this Fall.

This survey is completely voluntary. It should take 5-10 minutes to complete. Your individual answers will not be shared in the report. All individual responders will remain anonymous. If you have any questions about this survey, please contact Mary von Mohr (904) 557-9133 or mary.vonmohr@flhealth.gov.

How do you rate your overall health?

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* 1. How do you rate your overall health?

Please rate the following features by how important you feel they are to a healthy community:

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* 2. Please rate the following features by how important you feel they are to a healthy community:

  Very Important Important Neutral Somewhat Important Not Important
Access to Healthcare Services
Access to Churches/Places of Worship
Clean and Healthy Environment
Access to Educational Opportunities
Housing
Low Crime/Safe Neighborhoods
Parks and Recreation
Public Transportaion
Affordable/Quality Child Care
Quality Jobs
Please rate the following health concerns by how important you feel they are to Nassau County:

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* 3. Please rate the following health concerns by how important you feel they are to Nassau County:

  Very Important Important Neutral Somewhat Important Not Important
Abuse/Neglect (Child, Elder, Disabled, etc)
Alzheimer's/Dementia
Cancer
Dental
Diabetes
Domestic Violence/Sexual Assault
End of Life Care
Heart Disease and Stroke
High Blood Pressure
HIV-AIDS, HEP C, and Other Sexually Transmitted Diseases
Homelessness
Infant Health/Mortality
Maternal Health
Mental Health
Motor Vehicle Accidents
Obesity
Respiratory/Lung Diseases (Asthma, COPD, Emphysema, etc.)
Substance Abuse (Alcohol, Drugs, Pills, etc)
Teen Pregnancy
Tobacco Use
Underage Drinking
Unsafe Driving (DUI, Texting)
Unsafe/Unprotected Sex
How do you rate the quality of health services in Nassau County?

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* 4. How do you rate the quality of health services in Nassau County?

Please rate how difficult you find obtaining the following healthcare services in your community:

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* 5. Please rate how difficult you find obtaining the following healthcare services in your community:

  Very Difficult Difficult Neutral Easy Very Easy
Alternative Therapy (Herbals, Acupuncture, etc.)
Dental/Oral
Emergency Room Care
Family Planning/Birth Control
Lab Work/Imaging (X-Ray, MRI, Mammograms)
Mental Health Counseling
Physical/Rehabilitative Therapy
Prescriptions
Primary Care
Specialty Doctor Care
Substance Abuse Services
Vision Care
Access to Healthy Food Options
What keeps YOU from getting the healthcare you need? (Check all that apply)

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* 6. What keeps YOU from getting the healthcare you need? (Check all that apply)

Where do you get your prescription medications?  (Check all that apply)

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* 7. Where do you get your prescription medications?  (Check all that apply)

How do you dispose of leftover prescription medications?  (Check all that apply)

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* 8. How do you dispose of leftover prescription medications?  (Check all that apply)

How is your health care covered?  (Check all that apply)

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* 9. How is your health care covered?  (Check all that apply)

Where would you go if you or one of your family members were sick or needed a Medical Professionals advice about your or their health?  (Check one selection)

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* 10. Where would you go if you or one of your family members were sick or needed a Medical Professionals advice about your or their health?  (Check one selection)

Do you have trouble paying for housing, water, electric, or internet?

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* 11. Do you have trouble paying for housing, water, electric, or internet?

How much physical activity do you get each week?

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* 12. How much physical activity do you get each week?

What Zip code do you live in?

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* 13. What Zip code do you live in?

How old are you?

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* 14. How old are you?

What is your gender?

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* 15. What is your gender?

Race/Ethnicity: Which group do you most identify with? (Check one selection)

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* 16. Race/Ethnicity: Which group do you most identify with? (Check one selection)

Education: Please check the highest level completed:  (Check one selection)

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* 17. Education: Please check the highest level completed:  (Check one selection)

Employment Status: (Check the most appropriate selection)

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* 18. Employment Status: (Check the most appropriate selection)

Household Income: (Check one selection)

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* 19. Household Income: (Check one selection)

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