This survey is being conducted on behalf of Jasper Memorial Hospital in order to better understand the health needs of the Jasper County community. Your answers are completely anonymous. We will not ask for your name or any other information which can be used to identify you. The survey will take about five minutes to complete. We value your input and appreciate your time to contribute your opinions.

You must be 18 years of age or older to complete this survey. COMPLETE THIS SURVEY ONLY FOR YOURSELF. If someone else would like to complete the survey, please have that person complete a separate survey.

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1. How would you rate the overall health of the Jasper County community?

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2. How would you rate the availability of healthcare services in your community?

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3. How aware would you say you are about the choices available to you to live a healthy lifestyle?

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