Christian County Question Title * 1. Do you reside in Christian County, Illinois? Yes No Question Title * 2. In what year were you born? Question Title * 3. What is your gender? Male Female Prefer not to answer Other (please specify) Question Title * 4. What is your highest level of education? Less than high school Some high school High school diploma or equivalent Trade or technical school beyond high school Some college Four-year college degree More than four-year degree Question Title * 5. What was your household's income last year before taxes? Less than $20,000 $20,000 - $40,000 $40,001 - $60,000 $60,001 - $80,000 $80,001 - $100,000 More than $100,000 Retired Prefer not to answer Question Title * 6. What categories describe you? (Please check all that apply) American Indian or Alaska Native (Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc.) Government, Nome Eskimo Community, etc.) Asian (Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc.) Black or African-American (Jamaican, Haitian, Nigerian, Ethiopian, Somalian, etc.) Hispanic, Latino or Spanish origin (Mexican, Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc. Native Hawaiian or other Pacific Islander (Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc.) White (German, Irish, English, Italian, Polish, French, Lebanese, Egyptian, Iranian, Slavic, Cajun, etc.) Other (please specify) Question Title * 7. What is your Christian County zip code? Question Title * 8. What is your disability status? Do not have a disability Have a disability Prefer not to say Question Title * 9. How would you rate your health? Very healthy Healthy Somewhat healthy Not very healthy Question Title * 10. How would you rate the health of Christian County? Very healthy Healthy Somewhat healthy Not very healthy Question Title * 11. Why don't Christian County residents access healthcare when they need it? (select all that apply) Lack of health insurance coverage Lack of transportation Language/cultural barriers Availability of providers/appointments Lack of child care Lack of access to a dentist Inability to pay out-of-pocket expenses Inability to pay for prescriptions Basic needs not met (food/shelter) Time limitations Lack of trust Lack of access to mental health providers Lack of access to physicians/providers Lack of individual concern for one's health OR health is not a priority OR health is not valued None of the above Question Title * 12. Select any populations you feel are not receiving sufficient healthcare in Christian County: Underinsured/uninsured Black/African-American Seniors/Aging/Elderly Individuals with mental health challenges Low-income Hispanic/Latino Individuals with disabilities Homeless Immigrant/Refugees Children/Youth LGBTQ community Asian Young adults Please explain if there is a particular TYPE of healthcare that is not meeting the needs of specific populations: None of the above Question Title * 13. Please select any challenge you feel Chrisitian County residents face when trying to maintain a healthy lifestyle: Lack of Recreation Opportunities Affordable Housing Access to Healthy Foods Lack of Motivation/Lack of Care Time/Convenience Lack of Education or Knowledge Safety/Crime Cultural Barriers None of the above Question Title * 14. Have you ever witnessed anyone in Christian County being treated negatively because of their race? Never Sometimes Frequently Question Title * 15. Racism is a problem in Christian County. Strongly disagree Disagree Unsure Agree Strongly agree Question Title * 16. Have you or anyone in your household EVER experienced any of the following: Physical Abuse (push, grab, slap, throw something at you, kicked, threatened with a weapon, bruised) Emotional Abuse (swear at, insult, put you down, humiliate, act in a way you were afraid) Sexual Abuse Physical Neglect (not enough to eat, had to wear dirty clothes, parents too drunk or too high to take care of you) Emotional Neglect (often feel that no one in your family loves you, family does not support one another) Mental Illness in the Household Mother Treated Violently Parents Divorced or Separated Substance Use in the Household (alcoholism, street drug use) Household Member Incarcerated None of the above 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: Colorectal Cancer Obesity Diabetes Drugs/Alcohol/Smoking Youth mental health Adult mental health Lung Disease Accidental Deaths Heart Disease/Stroke Vaping/Tobacco Suicide Question Title * 20. How do you characterize the COVID-19 pandemic in Christian County? Not a problem Minor problem Somewhat a problem Major problem Question Title * 21. Do you believe you could get a COVID-19 test if you needed one? Yes No Question Title * 22. Are you or someone in your household an older adult or someone with an underlying health condition? Yes No Question Title * 23. How often do you follow social distancing, face covering and stay-at-home recommendations? Always Sometimes Never 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? Yes No Question Title * 25. Have you tried healthcare via phone, e-mail or virtual visit for the first since mid-March 2020? Yes No Question Title * 26. Are you likely to try healthcare via phone, e-mail or virtual visit in the future? Yes No Question Title * 27. Are you aware of mental health resources where you could go for help or could refer a friend for a help? Yes No Question Title * 28. Since the pandemic, is your sleep Better About the same Worse Question Title * 29. Since the pandemic, are you arguing with your family Less Same More Question Title * 30. Since the pandemic, overall have you (check all that apply): Exercised Less Exercised More Eaten less healthy foods than usual Eaten more healthy foods than usual Smoked/Vaped more Quit or lessened tobacco use Drank more alcohol Quit or lessened alcohol use Set personal goals Completed home projects No changes Question Title * 31. Is there anything else you would like to say about the health of Christian County? Done