Question Title

* 1. Do you reside in Christian County, Illinois?

Question Title

* 2. In what year were you born?

Question Title

* 3. What is your gender?

Question Title

* 4. What is your highest level of education?

Question Title

* 5. What was your household's income last year before taxes?

Question Title

* 6. What categories describe you? (Please check all that apply)

Question Title

* 7. What is your Christian County zip code?

Question Title

* 8. What is your disability status?

Question Title

* 9. How would you rate your health?

Question Title

* 10. How would you rate the health of Christian County?

Question Title

* 11. Why don't Christian County residents access healthcare when they need it? (select all that apply)

Question Title

* 12. Select any populations you feel are not receiving sufficient healthcare in Christian County:

Question Title

* 13. Please select any challenge you feel Chrisitian County residents face when trying to maintain a healthy lifestyle:

Question Title

* 14. Have you ever witnessed anyone in Christian County being treated negatively because of their race?

Question Title

* 15. Racism is a problem in Christian County.

Question Title

* 16. Have you or anyone in your household EVER experienced any of the following:

Question Title

* 17. What do you think is/are the biggest health problem(s) in Christian County right now?

Question Title

* 18. What is the ONE thing you would do to make the health of Christian County better?

Question Title

* 19. Please SELECT THREE most important concerns to be addressed in Christian County:

Question Title

* 20. How do you characterize the COVID-19 pandemic in Christian County?

Question Title

* 21. Do you believe you could get a COVID-19 test if you needed one?

Question Title

* 22. Are you or someone in your household an older adult or someone with an underlying health condition?

Question Title

* 23. How often do you follow social distancing, face covering and stay-at-home recommendations?

Question Title

* 24. Has anyone in your household chosen to forgo medical appointments that they needed or had already scheduled because of concerns about COVID-19?

Question Title

* 25. Have you tried healthcare via phone, e-mail or virtual visit for the first since mid-March 2020?

Question Title

* 26. Are you likely to try healthcare via phone, e-mail or virtual visit in the future?

Question Title

* 27. Are you aware of mental health resources where you could go for help or could refer a friend for a help?

Question Title

* 28. Since the pandemic, is your sleep

Question Title

* 29. Since the pandemic, are you arguing with your family 

Question Title

* 30. Since the pandemic, overall have you (check all that apply):

Question Title

* 31. Is there anything else you would like to say about the health of Christian County?

T