JC Blair Community Health Needs Assessment Key Informant Survey

Thank you to our valued community partners for taking the time to respond to the JC Blair Key Informant Survey. Your input is vital to helping us identify the needs within the communities we serve as part of our Community Health Needs Assessment. The survey should take you no more than 10 minutes to complete. We ask that you please take a few minutes to complete this survey by March 15, 2019.

Thank you in advance for your participation!

Question Title

* 1. Please select your primary community affiliation:

Nonprofit/Social Service

For Profit/Business

Government

Question Title

* 2. Please provide additional information on the type of community affiliation (Please Check All That Apply):

Healthcare/Public Health

Education/Youth Services

Transportation

Housing

Mental/Behavioral Health

Faith-Based Organization

Cultural Organization

Community Organization

Retail

Manufacturing

Professional Services (i.e. banking and financial services, insurance, law, accounting, real estate, etc.)

Criminal Justice

Agriculture

Utilities

Other (Please Specify)