Saline County Food Survey

Saline County is part of Pathways to a Healthy Kansas, a Blue Cross and Blue Shield of Kansas initiative. The initiative is being managed by Live Well Saline County, a community coalition with representation from many agencies in Saline County. The purpose of this survey is to gather your perceptions about opportunities for healthy eating in our community. The information gathered in this survey will inform our efforts in ensuring that community members have healthy options to choose from. The survey should take about 5 minutes to complete. If you have any questions about the survey you can contact Daniel Craig, Live Well Saline County Chair, at dacraig@srhc.com.

Your responses to this survey will be compiled with other responses and will never directly identify your individual response. We are gathering some demographic information to ensure that we have heard from a broad representation of individuals in the community. You can choose to skip questions that you don't feel comfortable answering and you can stop at any time. Surveys need to be completed and turned in by March 12th. We thank you for your participation!

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* 1. How frequently do you shop for food?

One time per month or less

2-3 times per month

Weekly

2-5 times per week

Daily

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* 2. Which of the following best describes your role when it comes to buying groceries for your household?

Primary decision maker for purchases

Share responsibility for making purchases

Provide input, but decision are made by other family members

Not involved in making purchasing decisions

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* 3. Including yourself, how many people are in your household?

One

Two

Three

Four

More than four

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* 4. Where do you purchase the majority of your food?

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* 5. How do you usually travel to shop for food?

Walk

Bike

Public transit (bus)

My Car

Someone else's car

Other (please specify)

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* 6. What are the key challenges you have when purchasing food?

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* 7. What are one or two things that would make it easier for you to access food?

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* 8. What is your Age?

25 or younger

26-39

40-54

55-64

65 or older

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* 9. What is your gender identity?

Male

Female

Non-binary

Prefer not to say

Other (please specify)

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* 10. Are you of Hispanic, Latinx, or Spanish origin?

Yes

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* 11. Which of the following best describes you?

White

Black/African American

American Indian/Alaska Native

Hawaiian/Pacific Islander

Asian

Other (please specify)

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* 12. What is the highest level of education you have completed?

Less than a high school diploma

High school diploma or GED

Some college/Associate's degree

Bachelor's degree or higher

Other (please specify)

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* 13. What is your annual household income (before taxes)?

Less than $10,000

$10,000-$14,999

$15,000-$24,999

$25,000-$34,999

$35,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000-$149,999

$150,000-$199,999

$200,000 or more