For taking this survey, you can enter to win a $100 visa gift card at the end of the survey.  There will be five $100 visa gift cards up for grabs.

This survey is for anyone who lives in Fillmore, Gage, Jefferson, Saline and Thayer Counties. If you are a student or living here only for a short time, we want to hear from you too.  We want to know what you think the most important local health issues are in our county.

Most people need about 20 minutes to answers all the questions on this survey. If you exit the survey before you answer all the questions, you will not be able to go back and finish later.  So please make sure you have time to complete the entire survey when you start it.

Your answers will be kept private.  Remember to enter your contact information at the end of the survey to be entered into a drawing for a $100 visa gift card.  Your answers will not be linked to you.