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Laclede County
Community Themes and Strengths Survey
Please take a moment to complete this survey. Your responses will help the Health Department better understand community health issues that concern you. Your opinion is very important!
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1.
How would you rate your community as a healthy place to live?
(Required.)
Very unhealthy
Unhealthy
Somewhat healthy
Healthy
Very healthy
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2.
What do you think are the
three
most important factors that define a "Healthy Community"? (Please choose just three.)
(Required.)
Access to health care
Access to healthy foods / grocery stores
Affordable safe housing
Arts and cultural events
Community involvement
Clean environment (air, water, streets)
Good jobs / healthy economy
Healthy behaviors and lifestyles
Low child abuse and neglect rates
Low crime / safe neighborhoods
Low disease and death rates
Parks / recreation opportunities
Quality education / good schools
Religious or spiritual values
Safe sidewalks
Strong family support
Acceptance and inclusion of diversity
Other (please specify)
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3.
What do you think are the
three
most important "health problems" in our community that have the greatest impact on overall community health? (Please choose just three.)
(Required.)
Aging issues (arthritis, hearing/vision loss, nursing home care)
Alcohol and drug abuse
Cell phone overuse
Child abuse / neglect
Chronic disease management (cancer, heart, lungs, diabetes, high blood pressure)
Drug growing or manufacturing
Gun-related injuries
Homelessness
Human trafficking
Hunger
Infectious Diseases (hepatitis, TB, etc.)
Lack of access to health care
Lack of health insurance / uninsured
Mental health issues
Motor vehicle crashes
Murder
Physical inactivity (lack of exercise)
Poor diet
Racism / Intolerance
Rape / sexual assault
Seat belt, car seat, and helmet use
Sexually Transmitted Diseases (HIV, STD)
Smoking, vaping, and tobacco use
Unsafe roads or sidewalks
Violence (domestic, school, road rage)
Other (please specify)
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4.
How would you rate our community as a safe place to live? (Choose one.)
(Required.)
Very unsafe
Unsafe
Somewhat safe
Safe
Very safe
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5.
How would you rate our community as a good place to raise children? (consider school quality, child care, after-school programs, parks, things to do, etc.)
(Required.)
Very bad
Bad
Somewhat good
Good
Very good
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6.
How would you rate our community as a good place to grow old? (consider senior housing, transportation to medical services, churches, shopping, nursing homes, and senior day care.)
(Required.)
Very bad
Bad
Somewhat good
Good
Very good
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7.
How would you rate your own personal health? (Choose one.)
(Required.)
Very unhealthy
Unhealthy
Somewhat healthy
Healthy
Very healthy
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8.
Where do you most often go to get healthcare? (Choose one)
(Required.)
Doctors office
Health Department
Hospital outpatient
Hospital Emergency Room
Urgent Care
Community Health Clinic
Out of the county
Other (please specify)
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9.
What are the barriers you face trying to access health care? (Choose all that apply.)
(Required.)
I don't face any barriers
Too much paperwork
Cost
Fear or distrust of health care system
No transportation to health care provider
No doctors available
Doctor does not accept Medicare/Medicaid
Doctor does not speak my language
Do not have health insurance
Can not take off work
Do not have child care
Other (please specify)
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10.
How do you most often pay for healthcare?
(Required.)
Self-pay (cash)
Self-pay (credit card)
Private health insurance
Medicaid
Medicare
Medicare Supplemental Insurance
Veterans Administration
Other (please specify)
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11.
Are you or anyone in your immediate family living with any of the following chronic illnesses? (Choose all that apply.)
(Required.)
Not living with any chronic illnesses
Alcohol or drug dependency
Arthritis
Cancer
Dementia / Alzheimer's
Diabetes
Heart Disease
Lyme's Disease
Lung Disease / Asthma / COPD
Hearing or vision loss
Hepatitis
High blood pressure
HIV / AIDS
Mental illness
Tuberculosis (TB)
Other (please specify)
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12.
Within the past year, did you or anyone in your family need mental health care services?
(Required.)
Yes
No
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13.
Are you currently employed? (Choose one.)
(Required.)
Not employed
Self-employed
Employed Part-time
Employed Full-time
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14.
If you are not working, what is the main reason?
(Required.)
I am currently employed
Cannot find work
Do not have childcare
Do not have transportation to work
Do not meet job requirements (education, certification, license)
Ill or disables
Need training
Retired
Taking care of family member
Wage is too low
Other (please specify)
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15.
Do you think there are enough jobs in our community for youth?
(Required.)
Yes
No
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16.
Do you think there are enough jobs in our community for adults?
(Required.)
Yes
No
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17.
What is your housing situation? (Choose one.)
(Required.)
Rent
Own my home
Live with others (family or friend)
Homeless
Subsidized housing
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18.
Are you satisfied with your housing situation?
(Required.)
Yes
No
19.
If you answered "no", why are you not satisfied? (Select all that apply.)
I am satisfied
Too small/crowded
Too run down
Too expensive
Too far from town/services
Unsafe neighborhood
Landlord is not responsive/cooperative
Problems with neighbors
Would prefer to own my home
Other (please specify)
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20.
Where do you go most often for recreation in our community? (Choose up to three responses.)
(Required.)
Church
Health club / gym / fitness center
Library park
Live theater / dance performance / concert
Movie theater social club / service club
Place for yoga, tai-chi, etc.
River / lake / woods
Senior center
Sports field / golf course
Swimming pool
Other (please specify)
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21.
Where do you get information about news, health issues, and resources? (Choose all that apply.)
(Required.)
Church
Community Organizations
Facebook
Family and friends
Newspaper
Radio
School
TV
Twitter
Internet
Work
Other social media channels or other sources (please specify)
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22.
How many hours per month do you volunteer for community events or activities (at school, hospital, clinic, voluntary organization, church, or other places)? (Choose one.)
(Required.)
None
1-5 hours
6-10 hours
More than 10 hours