Regional Community Health Survey

If you live, work, go to school or spend time in Linn, Benton or Lincoln County, we want to learn what you think about health issues in your community. We are conducting a needs survey to develop local plans to improve community health based on your input.

Please share your thoughts about the health of your community. All responses are anonymous. There are no right or wrong responses. Any information you provide is useful. At the end of the survey, there are some extra questions that will help us better understand the communities we serve. This helps us provide the right services in the right places.

Thank you very much for taking this survey!

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* 1. How healthy is your community? (please choose only one answer)

Very healthy

Healthy

Sort of healthy

Unhealthy

Very unhealthy

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* 2. How healthy are you? (please choose only one answer)

Very healthy

Healthy

Sort of healthy

Unhealthy

Very unhealthy

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* 3. For each of the following issues, please mark an ‘X’ to show how much attention you think the issue should get in your community.

	Least attention	Some attention	Most attention	Don't know
Access to dental care	Access to dental care Least attention	Access to dental care Some attention	Access to dental care Most attention	Access to dental care Don't know
Access to food	Access to food Least attention	Access to food Some attention	Access to food Most attention	Access to food Don't know
Access to medical care	Access to medical care Least attention	Access to medical care Some attention	Access to medical care Most attention	Access to medical care Don't know
Access to mental health care	Access to mental health care Least attention	Access to mental health care Some attention	Access to mental health care Most attention	Access to mental health care Don't know
Access to an interpreter	Access to an interpreter Least attention	Access to an interpreter Some attention	Access to an interpreter Most attention	Access to an interpreter Don't know
Access to transportation	Access to transportation Least attention	Access to transportation Some attention	Access to transportation Most attention	Access to transportation Don't know
Barriers to health insurance	Barriers to health insurance Least attention	Barriers to health insurance Some attention	Barriers to health insurance Most attention	Barriers to health insurance Don't know
Child abuse and neglect	Child abuse and neglect Least attention	Child abuse and neglect Some attention	Child abuse and neglect Most attention	Child abuse and neglect Don't know
Childcare access and cost	Childcare access and cost Least attention	Childcare access and cost Some attention	Childcare access and cost Most attention	Childcare access and cost Don't know
Chronic diseases (such as heart disease, diabetes)	Chronic diseases (such as heart disease, diabetes) Least attention	Chronic diseases (such as heart disease, diabetes) Some attention	Chronic diseases (such as heart disease, diabetes) Most attention	Chronic diseases (such as heart disease, diabetes) Don't know
Community gathering places	Community gathering places Least attention	Community gathering places Some attention	Community gathering places Most attention	Community gathering places Don't know
Community safety and wellbeing	Community safety and wellbeing Least attention	Community safety and wellbeing Some attention	Community safety and wellbeing Most attention	Community safety and wellbeing Don't know
COVID-19	COVID-19 Least attention	COVID-19 Some attention	COVID-19 Most attention	COVID-19 Don't know
Domestic violence	Domestic violence Least attention	Domestic violence Some attention	Domestic violence Most attention	Domestic violence Don't know
Environmental issues (such as air/water quality)	Environmental issues (such as air/water quality) Least attention	Environmental issues (such as air/water quality) Some attention	Environmental issues (such as air/water quality) Most attention	Environmental issues (such as air/water quality) Don't know
Health care costs	Health care costs Least attention	Health care costs Some attention	Health care costs Most attention	Health care costs Don't know
Help navigating the healthcare system	Help navigating the healthcare system Least attention	Help navigating the healthcare system Some attention	Help navigating the healthcare system Most attention	Help navigating the healthcare system Don't know
Homelessness	Homelessness Least attention	Homelessness Some attention	Homelessness Most attention	Homelessness Don't know
Housing cost/rent and quality	Housing cost/rent and quality Least attention	Housing cost/rent and quality Some attention	Housing cost/rent and quality Most attention	Housing cost/rent and quality Don't know
K-12 education	K-12 education Least attention	K-12 education Some attention	K-12 education Most attention	K-12 education Don't know
Mental health (such as depression, anxiety)	Mental health (such as depression, anxiety) Least attention	Mental health (such as depression, anxiety) Some attention	Mental health (such as depression, anxiety) Most attention	Mental health (such as depression, anxiety) Don't know
Nutrition, exercise, and obesity	Nutrition, exercise, and obesity Least attention	Nutrition, exercise, and obesity Some attention	Nutrition, exercise, and obesity Most attention	Nutrition, exercise, and obesity Don't know
Poverty and unemployment	Poverty and unemployment Least attention	Poverty and unemployment Some attention	Poverty and unemployment Most attention	Poverty and unemployment Don't know
Support for older adults	Support for older adults Least attention	Support for older adults Some attention	Support for older adults Most attention	Support for older adults Don't know
Support for pregnancy and early childhood	Support for pregnancy and early childhood Least attention	Support for pregnancy and early childhood Some attention	Support for pregnancy and early childhood Most attention	Support for pregnancy and early childhood Don't know
Support for youth	Support for youth Least attention	Support for youth Some attention	Support for youth Most attention	Support for youth Don't know
Racism and discrimination	Racism and discrimination Least attention	Racism and discrimination Some attention	Racism and discrimination Most attention	Racism and discrimination Don't know
Substance use (such as alcohol, tobacco, drugs)	Substance use (such as alcohol, tobacco, drugs) Least attention	Substance use (such as alcohol, tobacco, drugs) Some attention	Substance use (such as alcohol, tobacco, drugs) Most attention	Substance use (such as alcohol, tobacco, drugs) Don't know
Suicide and self-harm	Suicide and self-harm Least attention	Suicide and self-harm Some attention	Suicide and self-harm Most attention	Suicide and self-harm Don't know
Walkability and cleanliness of neighborhoods	Walkability and cleanliness of neighborhoods Least attention	Walkability and cleanliness of neighborhoods Some attention	Walkability and cleanliness of neighborhoods Most attention	Walkability and cleanliness of neighborhoods Don't know

Other (please specify)

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* 4. What is your zip code?

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* 5. What county do you live in? (please choose only one)

Linn

Benton

Lincoln

Another county (please specify):

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* 6. How old are you? (please choose only one)

Under 18 years old

18 to 24 years old

25 to 44 years old

45 to 64 years old

65 to 84 years old

85 years or older

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* 7. What language do you usually speak at home? (you may choose more than one and you may give more detail if you want)

English

Spanish

Arabic

Chinese

Korean

Russian

Another language (please specify):

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* 8. What is your race or ethnicity? (you may choose more than one and you may give more detail if you want)

African American or Black

American Indian or Alaskan Native

Asian

Pacific Islander

White or Caucasian

Hispanic or Latino

Middle Eastern, North African, or Arab

Another race/ethnicity (please specify):

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* 9. What is your gender or gender identity? (you may choose more than one and you may give more detail if you want)

Male

Female

Non-binary

Another gender (please specify):

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* 10. Are you a veteran?

Yes

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* 11. Where do you get your health insurance? (you may choose more than one)

Private health insurance

Medicare

Oregon Health Plan (Medicaid)

I don’t have health insurance

I don’t know

Somewhere else (please specify):

Question Title

* 12. If you have insurance from the Oregon Health Plan (Medicaid), do you have IHN-CCO? 

Yes 

No 

I don’t know

N/A