2016 JCDPH Community Input Survey Question Title * 1. Are you familiar with the services the Health Department provides? Yes No Question Title * 2. Have you ever received any services from the Health Department? Yes No Question Title * 3. Does the Health Department provide sufficient services to meet the needs of our community? Yes No Question Title * 4. If not, what additional services should the Health Department provide? Question Title * 5. The Health Department is open Monday-Friday from 8 AM-5 PM. Are these hours of operation sufficient to meet the needs of the community? Yes No Question Title * 6. If no, please check the hours that would meet your needs. Check all that apply. 7 AM- 8 AM 5 PM- 6 PM Weekend hours Other (please specify) Question Title * 7. Does Jackson County have a problem with any of the issues below? (Rate 1-5, 1 meaning low or no problem and 5 meaning high or very much a problem) 1 2 3 4 5 Healthy food choices Healthy food choices 1 Healthy food choices 2 Healthy food choices 3 Healthy food choices 4 Healthy food choices 5 Physical inactivity Physical inactivity 1 Physical inactivity 2 Physical inactivity 3 Physical inactivity 4 Physical inactivity 5 Employment Employment 1 Employment 2 Employment 3 Employment 4 Employment 5 Mental health care Mental health care 1 Mental health care 2 Mental health care 3 Mental health care 4 Mental health care 5 Injuries Injuries 1 Injuries 2 Injuries 3 Injuries 4 Injuries 5 Recreation facilities Recreation facilities 1 Recreation facilities 2 Recreation facilities 3 Recreation facilities 4 Recreation facilities 5 Violence Violence 1 Violence 2 Violence 3 Violence 4 Violence 5 Illegal drugs Illegal drugs 1 Illegal drugs 2 Illegal drugs 3 Illegal drugs 4 Illegal drugs 5 Care for seniors Care for seniors 1 Care for seniors 2 Care for seniors 3 Care for seniors 4 Care for seniors 5 Question Title * 8. Which of the following programs would you be interested in participating in? Mark all that apply. Diabetes Cancer prevention Heart disease Stroke Cholesterol High blood pressure Cold/flu prevention Smoking cessation Parenting skills Managing chronic disease Childbirth education Weight management Walking programs Gardening Nutrition Question Title * 9. Additional comments. Done