The purpose of this survey is to get your opinions about community health issues in Escambia County and Santa Rosa County.  The Live Well Partnership for a Healthy Community will use this information to identify health priorities and then to develop community activities to address these priorities.   Please take five to ten minutes to complete this survey.  All responses will be anonymous and no one will be able to identify responses from individual people.  

* 1. Overall, how would you rate the health of people who live in your community?

* 2. What do you think are the most important features of a "healthy community"? (In other words, what are the features that would most improve the quality of life in the community?)  Check up to 4 answers.

* 3. What do you think are the most important health issues in your County? (That is, what are the problems that have the greatest impact on overall health?) Check up to 4 answers.

* 4. Which of the following unhealthy behaviors in the community concern you the most? (That is, which behaviors have the greatest impact on health within the community?)Check up to 4 answers.

* 5. Which healthcare services are difficult to get in your County?  Check all answers that apply.

* 6. What type of health insurance do you have?

* 7. What problems do you have in getting health care for yourself or your family members?  Check all that apply.

* 8. When you or someone in your family is sick, where do you usually go for healthcare?

* 9. How hard is it for you to do the following:

  Very Hard Hard Easy Very Easy
Eat 5 fruits or vegetables each day
Be physically active every day (walking, biking, sports, etc.)
Get regular health screenings and check-ups

* 10. How would you rate your own health?

* 11. What is the zip code where you live?

* 12. Are you male of female?

* 13. What is your age?

* 14. What is your race

* 15. What is your level of education?

* 16. What is your current employment status?

* 17. What is your annual family income? 

Thank you for participating in our survey!  We will use your answers to help build more healthy communities in Escambia and Santa Rosa counties.
Want to learn more about important health issues in our area?  Visit us at
100% of survey complete.