Thank you for your interest in participating in this Riley/Pottawatomie County Community Health Needs Assessment survey sponsored by Via Christi Hospital in Manhattan and Wamego Health Center. Some of the questions will ask you about your personal behaviors as well as opinions on your community. Your individual responses will remain anonymous and will be grouped with other residents who have also volunteered to take this survey. Your opinions are important to us and we appreciate and thank you for your time and dedication in helping us to improve the quality of life in our communities. The survey will take approximately 15 minutes to complete.

HEALTH INFORMATION

* 1. How do you get most of your health-related information? (Check all that apply)

PERSONAL HEALTH

* 2. How would you describe your overall health?

* 3. Has a health professional ever diagnosed you with one of the following? Check all that apply.

* 4. Do you have health insurance?

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