Defiance County COVID-19 Pandemic Community Survey

This survey is to better understand Defiance County residents needs related to COVID-19 and assess our roles. Any information you enter in this system is confidential. It may be used by the Health Department and their partners to better understand the needs in the county.

Use of this system indicates your consent to collection, monitoring, recording, and use of the information that you provide for any lawful purpose.

We ask that ONLY adults aged 18 and older fill out this survey and that each person fills it out ONCE.

Thank you for partaking in this survey!

Question Title

* 1. What barriers have you had or are having during the COVID-19 pandemic?

Paying for food, bills, and other expenses

Childcare

Finding reliable information

Mental health needs

Internet

I do not have any barriers

Other (please specify)

Question Title

* 2. What resources do you need that you don't have access too during the COVID-19 pandemic? (example: information, food, transportation, internet)

Question Title

* 3. How satisfied are you with Defiance County Health Department's response to COVID-19 pandemic?

	Satisfied	Neither	Dissatisfied
Creating messages that are easy to understand	Creating messages that are easy to understand Satisfied	Creating messages that are easy to understand Neither	Creating messages that are easy to understand Dissatisfied
Providing accurate, timely information	Providing accurate, timely information Satisfied	Providing accurate, timely information Neither	Providing accurate, timely information Dissatisfied
Providing recommendations and guidance to the public	Providing recommendations and guidance to the public Satisfied	Providing recommendations and guidance to the public Neither	Providing recommendations and guidance to the public Dissatisfied
Providing community resources to get help	Providing community resources to get help Satisfied	Providing community resources to get help Neither	Providing community resources to get help Dissatisfied
Sharing COVID-19 data	Sharing COVID-19 data Satisfied	Sharing COVID-19 data Neither	Sharing COVID-19 data Dissatisfied
Returning messages	Returning messages Satisfied	Returning messages Neither	Returning messages Dissatisfied

Other (please specify)

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* 4. What changes do you want to see from the health department moving forward related to the COVID-19 pandemic?

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* 5. Gender (Optional)

Male

Female

Other

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* 6. Age Range (Optional)

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 7. Other comments

Thank you for your response to the survey!