Community Needs Assessment-Public Input on Health Priorities

Health Priorities

Thank you for your participation in the process of setting health priorities that will improve the health of our communities in Adams, Clay, Nuckolls and Webster Counties over the next six years. We are happy that you would share your insight/expertise/experiences with us as we complete this step of the community health improvement planning process.

You may choose to comment on some or all of the following ten health issues. This opportunity will be available through December 31st, 2018.

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* 1. For the fact sheets and information provided on Cancer, please provide your feedback/comments:

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* 2. If you are interested in participating in a strategy workgroup for Cancer, please provide your contact information:

Name

Email Address

Phone Number

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* 3. For the fact sheets and information provided on Aging, please provide your feedback/comments:

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* 4. If you are interested in participating in a strategy workgroup for Aging, please provide your contact information:

Name

Email Address

Phone Number

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* 5. For the fact sheets and information provided on Environmental (Radon/Air/Water Quality), please provide your feedback/comments:

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* 6. If you are interested in participating in a strategy workgroup for Environmental (Radon/Air/Water Quality), please provide your contact information:

Name

Email Address

Phone Number

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* 7. For the fact sheets and information provided on Domestic Violence, Sexual Assault & Child Abuse/Neglect, please provide your feedback/comments:

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* 8. If you are interested in participating in a strategy workgroup for Domestic Violence, Sexual Assault & Child Abuse/Neglect, please provide your contact information:

Name

Email Address

Phone Number

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* 9. For the fact sheets and information provided on Overweight/Obesity, please provide your feedback/comments:

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* 10. If you are interested in participating in a strategy workgroup for Overweight/Obesity, please provide your contact information:

Name

Email Address

Phone Number

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* 11. For the fact sheets and information provided on Diabetes, please provide your feedback/comments:

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* 12. If you are interested in participating in a strategy workgroup for Diabetes, please provide your contact information:

Name

Email Address

Phone Number

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* 13. For the fact sheets and information provided on Cardiovascular (Heart Disease/Stroke), please provide your feedback/comments:

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* 14. If you are interested in participating in a strategy workgroup for Cardiovascular (Heart Disease/Stroke), please provide your contact information:

Name

Email Address

Phone Number

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* 15. For the fact sheets and information provided on Injury, please provide your feedback/comments:

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* 16. If you are interested in participating in a strategy workgroup for Injury, please provide your contact information:

Name

Email Address

Phone Number

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* 17. For the fact sheets and information provided on Mental Health, please provide your feedback/comments:

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* 18. If you are interested in participating in a strategy workgroup for Mental Health, please provide your contact information:

Name

Email Address

Phone Number

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* 19. For the fact sheets and information provided on Substance Abuse - Alcohol, Tobacco and other Drugs, please provide your feedback/comments:

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* 20. If you are interested in participating in a strategy workgroup for Substance Abuse - Alcohol, Tobacco and other Drugs, please provide your contact information:

Name

Email Address

Phone Number