Every five years in Iowa, local boards of health lead a community-wide discussion about their community’s health needs and decide what can be done about them. The following survey questions are based on six factors important for the health and well-being of everyone in your community. Please take a few minutes to complete this survey and help the board determine what is needed in your county and to set an order for action by indicating the level of importance of these service needs.

Please complete the survey only once.

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* 1. Promoting Healthy Living: includes such health services as the prevention and treatment of addictive behaviors (tobacco, alcohol, other drugs, gambling) and chronic disease (mental health, heart disease and stroke, cancer, asthma, diabetes, arthritis, etc.); elderly wellness; family planning; infant, child & family health; nutrition; oral health; physical activity; and pregnancy & birth.

How important are these services? (Check one.)

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* 2. If you answered very important or important, which services should be considered a priority for attention? (Check all that apply.)

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* 3. Of the services you chose, please list the 3 that you believe are the most important for your community.

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* 4. For the first service that you chose, do you believe that your community....

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* 5. For the second service that you chose, do you believe that your community....

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* 6. For the third service that you chose, do you believe that your community....

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* 7. Preventing Injuries: Includes such services as brain injury prevention, disability, Emergency Medical Services, intentional injuries (violent & abusive behavior, suicide), occupational health & safety, and unintentional injuries (motor vehicle crashes, falls, poisoning, drowning, etc.).

How important are these services? (Check one.)

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* 8. If you answered very important or important, which services should be considered a priority for attention? (Check all that apply.)

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* 9. Of the services you chose, please list the 3 that you believe are the most important.

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* 10. For the first service that you chose, do you believe that your community....

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* 11. For the second service that you chose, do you believe that your community....

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* 12. For the third service that you chose, do you believe that your community....

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* 13. Preventing Epidemics: Includes such services as child and adult immunizations/vaccinations and surveillance and control of infectious diseases including: HIV/AIDS, influenza, sexually transmitted diseases, tuberculosis (TB) and other reportable diseases.

How important are these services?         (Check one.)

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* 14. If you answered very important or important, which services should be considered a priority for attention? (Check all that apply.)

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* 15. Of the services you chose, please list the 3 that you believe are the most important for your community.

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* 16. For the first service that you chose, do you believe that your community....

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* 17. For the second service that you chose, do you believe that your community....

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* 18. For the third service that you chose, do you believe that your community....

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* 19. Protecting against Environmental Hazards: Includes such concerns as drinking water protection, food safety, food waste, hazardous materials, hazardous waste, healthy homes, lead poisoning, nuisances such as noise and litter, onsite wastewater systems, radon, radiological health, soil erosion, and vector (disease-carrying animals and insects) control.
 
How important are these services? (Check one.)

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* 20. If you answered very important or important, which services should be considered a priority for attention? (Check all that apply.)

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* 21. Of the services you chose, please list the 3 that you believe are the most important for your community.

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* 22. For the first service that you chose, do you believe that your community....

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* 23. For the second service that you chose, do you believe that your community....

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* 24. For the third service that you chose, do you believe that your community....

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* 25. Prepare for, Respond to & Recover from Public Health Emergencies: Includes such concerns as communication networks, emergency planning, emergency response, individual preparedness, recovery planning, risk communication (communication before, during, and after a crisis), and surge capacity (the capacity to continue normal duties during emergencies).

How important are these services? (Check one.)

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* 26. If you answered very important or important, which services should be considered a priority for attention? (Check all that apply.)

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* 27. Of the services you chose, please list the 3 that you believe are the most important for your community.

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* 28. For the first service that you chose, do you believe that your community....

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* 29. For the second service that you chose, do you believe that your community....

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* 30. For the third service that you chose, do you believe that your community....

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* 31. Strengthen the Health Infrastructure (the framework to support being healthy): includes topics such as access to quality health services, community engagement, evaluation, food security, food systems, food and nutrition assistance (SNAP, WIC), health facilities, health insurance, medical care, organizational capacity, planning, quality improvement, social determinants (e.g., education & poverty levels), transportation, and workforce (e.g., primary care, dental, mental health, public health).workforce development, and an equal opportunity to live a long, healthy life regardless of income, education, or ethnic background.

How important are these services? (Check one.)

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* 32. If you answered very important or important, which services should be considered a priority for attention? (Check all that apply.)

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* 33. Of the services you chose, please list the 3 that you believe are the most important for your community.

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* 34. For the first service that you chose, do you believe that your community....

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* 35. For the second service that you chose, do you believe that your community....

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* 36. For the third service that you chose, do you believe that your community....

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* 37. What would a healthier county look like?

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* 38. What do you see as barriers to prevent your county from becoming healthier?

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* 39. My zip code is:

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* 40. My gender is:

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* 41. My age is:

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* 42. My yearly income is:

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* 43. What type of health insurance coverage do you have? (choose all that apply)

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* 44. My race/ethnitcity is: (select all that apply)

0 of 44 answered
 

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