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Section I. Introduction

In this survey, we are trying to identify the needs and strengths of Martha's Vineyard and its residents.  Martha's Vineyard Hospital will use the survey information, along with other data we are collecting, to develop a plan to address major health issues on the island.  We will repeat this survey every three years to assess our progress in improving the quality of life on the island.  

Filling out the survey is voluntary, and your responses are anonymous. You will not be asked your name, address, or any other information that can identify you.  This survey will take about 15 minutes to complete.  At the end of this survey, there is information about how you can enter a raffle for a gift basket with $200 in gift certificates to local stores as a thank you for your time. 

Martha's Vineyard is a diverse community with a rich history and wonderful traditions.  But, like any community, the Vineyard faces many issues that affect the health of those who live here.  Together, we can make the Vineyard an even better place to live, but we need to hear from you!  Thank you for taking this survey. 

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* 1. Looking at the map, in which town do you live? (Pick only one)

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* 2. Do you live or work on the Vineyard? (Pick only one)

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* 3. If you live on the Vineyard, please tell us about your residency (Pick the one that best describes you)

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* 4. Which of these groups best represents your race? (Please check all that apply)

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* 5. Which of these groups best represents your ethnicity, ancestry, or heritage? (Please check all that apply; You may provide more detail in the space provided if you wish)

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