Healthy Living Programs in Libraries

* 1. What is the name of your library?

* 2. Community Type

* 3. Population of Library Service Area

* 4. Has your library ever hosted exhibits or programs on health?

* 5. If you answered "Yes" to the question above, please list the titles and briefly describe the health exhibits or programs you have hosted:

* 6. Would a bi-lingual (English/Spanish) exhibit/program be useful to your community?

* 7. How interested is your library in hosting health exhibits or programs? (1 = Not at all interested, 5 = Very interested)

  1 2 3 4 5
Level of Interest

* 8. What types of health exhibits or programs would your library be most interested in hosting?
(1 = Not at all interested, 5 = Very Interested

  1 2 3 4 5
Health Classes (like Zumba, Yoga, etc)
Interactive Exhibits
Panel Exhibits (pictures and text)
Health Fair
Health Screenings
Adult Lectures
Children's story hours
Hands-on workshops
Teacher workshops

* 9. What health topics or issues would be most relevant for an exhibit or program at your library?
(1 = Not at all Relevant, 5 = Most Relevant)

  1 2 3 4 5
The Affordable Care Act
Access to health care
Child Health
Health Insurance
Health Literacy
Heart Health
Maternal/reproductive health
Respiratory Diseases
Substance Abuse

* 10. Please briefly describe the type of health exhibit and/or program that you would most like to host at your library:

* 11. Please briefly describe the types of health-related books or educational resources that your patrons most frequently check out or request:

* 12. Has your library had programs presented by an Area Health Education Center?

* 13. Would a series of programs on Chronic Disease Management be well attended at your library?

* 14. Is there any other information about health-related programming you'd like to share with us?