Champaign County Community Health Survey

We appreciate your feedback!

Please take a few minutes, 5-7 minutes, to complete the survey. The purpose of the survey is to get your opinion about the health of Champaign County. Your input is important and will be used to develop plans to improve the quality of life in our community. If you would like to see how your input is used, please check the Champaign-Urbana Public Health District website (www.c-uphd.org) on the IPLAN site later this fall.

If you would like to share this survey with your friends, or would prefer to do it later, please use the link (https://www.surveymonkey.com/r/IPLAN17)

All information provided will be kept CONFIDENTIAL.

Please answer all questions.

Question Title

* 1. Neighborhood Traffic and Roads (Please tell us about YOUR neighborhood)

	Excellent	Good	Needs Improvement	Poor	N/A
Road Maintenance / Repair	Road Maintenance / Repair Excellent	Road Maintenance / Repair Good	Road Maintenance / Repair Needs Improvement	Road Maintenance / Repair Poor	Road Maintenance / Repair N/A
Access to Public Transportation	Access to Public Transportation Excellent	Access to Public Transportation Good	Access to Public Transportation Needs Improvement	Access to Public Transportation Poor	Access to Public Transportation N/A
Access to Sidewalks	Access to Sidewalks Excellent	Access to Sidewalks Good	Access to Sidewalks Needs Improvement	Access to Sidewalks Poor	Access to Sidewalks N/A
Street Lights	Street Lights Excellent	Street Lights Good	Street Lights Needs Improvement	Street Lights Poor	Street Lights N/A
Wheelchair Accessibility	Wheelchair Accessibility Excellent	Wheelchair Accessibility Good	Wheelchair Accessibility Needs Improvement	Wheelchair Accessibility Poor	Wheelchair Accessibility N/A
Pedestrian Crosswalks	Pedestrian Crosswalks Excellent	Pedestrian Crosswalks Good	Pedestrian Crosswalks Needs Improvement	Pedestrian Crosswalks Poor	Pedestrian Crosswalks N/A
Bike Paths	Bike Paths Excellent	Bike Paths Good	Bike Paths Needs Improvement	Bike Paths Poor	Bike Paths N/A

Other (please specify)

Question Title

* 2. Neighborhood Safety Concerns (Please tell us about YOUR neighborhood)

	Not Concerned	Somewhat Concerned	Concerned	Very Concerned	N/A
Traffic Speeds	Traffic Speeds Not Concerned	Traffic Speeds Somewhat Concerned	Traffic Speeds Concerned	Traffic Speeds Very Concerned	Traffic Speeds N/A
Lack of Crime Patrols / Block Watches	Lack of Crime Patrols / Block Watches Not Concerned	Lack of Crime Patrols / Block Watches Somewhat Concerned	Lack of Crime Patrols / Block Watches Concerned	Lack of Crime Patrols / Block Watches Very Concerned	Lack of Crime Patrols / Block Watches N/A
Gang Activity	Gang Activity Not Concerned	Gang Activity Somewhat Concerned	Gang Activity Concerned	Gang Activity Very Concerned	Gang Activity N/A
Crime Rates	Crime Rates Not Concerned	Crime Rates Somewhat Concerned	Crime Rates Concerned	Crime Rates Very Concerned	Crime Rates N/A

Other (please specify)