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Putnam County Health Department - Community Survey 2018
1.
What is the zipcode where you live?
25011
25033
25070
25082
25109
25124
25159
25168
25213
25526
25560
25569
Other (please specify)
2.
Please choose an answer for each statement below:
Strongly Disagree
Disagree
Agree
Strongly Agree
There are adequate sidewalks in Putnam County.
Strongly Disagree
Disagree
Agree
Strongly Agree
Putnam County has sufficient public transportation.
Strongly Disagree
Disagree
Agree
Strongly Agree
Putnam County is a safe place to walk and bike.
Strongly Disagree
Disagree
Agree
Strongly Agree
Putnam County has adequate health and wellness activities.
Strongly Disagree
Disagree
Agree
Strongly Agree
Putnam County has access to affordable, healthy foods.
Strongly Disagree
Disagree
Agree
Strongly Agree
Putnam County has adequate and safe access to recreation and exercise.
Strongly Disagree
Disagree
Agree
Strongly Agree
There are an adequate number of safe places for children to play/exercise in Putnam County.
Strongly Disagree
Disagree
Agree
Strongly Agree
The public education system in Putnam County adequately meets the health needs of school-age children in the County.
Strongly Disagree
Disagree
Agree
Strongly Agree
Putnam County is a good place to raise children.
Strongly Disagree
Disagree
Agree
Strongly Agree
There are support networks for individuals and families in Putnam County.
Strongly Disagree
Disagree
Agree
Strongly Agree
Neighbors know and trust one another and look out for one another in Putnam County.
Strongly Disagree
Disagree
Agree
Strongly Agree
Putnam County is a safe place to live.
Strongly Disagree
Disagree
Agree
Strongly Agree
There are jobs available in Putnam County.
Strongly Disagree
Disagree
Agree
Strongly Agree
There is sufficient, safe, and affordable housing in Putnam County.
Strongly Disagree
Disagree
Agree
Strongly Agree
I am satisfied with the quality of life in Putnam County.
Strongly Disagree
Disagree
Agree
Strongly Agree
3.
in your opinion, which three health behaviors or issues do people in Putnam County need more information about?
Eating well
Exercising / Physical Fitness
Managing Weight
Going to the doctor for yearly check-ups
Going to the dentist for yearly check-ups
Medical care while pregnant
Getting flu shots and immunizations (shots to prevent disease)
Using child safety seats in cars
Using seat belts
Driving safely (such as not texting while driving)
How to quit smoking
Parenting skills
Caring for family members with special needs or disabilities
Preventing pregnancy or sexually transmitted diseases
Substance abuse prevention (drugs and alcohol)
Substance abuse treatment and recovery resources or services
Suicide prevention
Stress or anger management
Domestic violence prevention
Crime prevention
Rape or sexual abuse prevention
Other (please specify)
4.
Please look at the list of community issues below. In your opinion, which three issues most affect quality of life in Putnam County?
Abuse/Neglect, children
Abuse/Neglect, elderly
Discrimination/Racism
Displaced Youth (i.e. number of youth in foster care)
Domestic Violence
Dropping out of School
Homelessness
Hopelessness
Lack of Community Support
Lack of or Inadequate Health Insurance Coverage
Low Income/Poverty
Pollution (air, water, land)
Rape/Sexual Assault
Substance Misuse/Abuse (i.e. Addiction)
Theft
Violent Crime
Other (please specify)
5.
Would you say that, in general, your health is
Poor
Fair
Good
Very Good
Excellent
Don't Know
6.
Have you ever been told by a doctor, nurse or other health professional that you have any of the health conditions below:
Yes
No
Don't Know
Rather Not Asnwer
Asthma
Yes
No
Don't Know
Rather Not Asnwer
Cancer
Yes
No
Don't Know
Rather Not Asnwer
Dementia or Alzheimer's
Yes
No
Don't Know
Rather Not Asnwer
Depression or Anxiety
Yes
No
Don't Know
Rather Not Asnwer
Diabetes (high blood sugars)
Yes
No
Don't Know
Rather Not Asnwer
Heart Disease
Yes
No
Don't Know
Rather Not Asnwer
High Blood Pressure
Yes
No
Don't Know
Rather Not Asnwer
High Cholesterol
Yes
No
Don't Know
Rather Not Asnwer
Osteoporosis
Yes
No
Don't Know
Rather Not Asnwer
Overweight or Obesity
Yes
No
Don't Know
Rather Not Asnwer
7.
Once you were told of the above 1 or more diagnoses have you followed up?
Yes, I have followed up
No, I have not followed up or made any changes
No, I have not followed up, BUT I have made changes
Don't know, not sure
8.
Where do you go for exercise or physical activity?
Park
Outdoors
Private Gym or Health Club
Home
I do not participate in exercise or physical activity.
Other (please specify)
9.
In the past 12 months did you have a problem getting health care you needed for yourself or a family member?
No
Yes
Don't Know
Prefer not to answer
10.
If you said "yes" to the question above, what type of health care did you have difficulty getting?
Dental Care
Eye Care
General/Family Doctor
Health Care During Pregnancy
Health Department
Hospital
Medical Clinic
Pediatrician
Pharmacy/Prescriptions
Specialist
Urgent Care
11.
Which of the problems below have prevented you from getting health care in the past year?
No health insurance
Insurance didn't cover what I needed
The deductible or co-pay was too high
The doctor would not take my insurance or Medicaid
The hospital would not take my insurance or Medicaid
The pharmacy would not take my insurance or Medicaid
The dentist would not take my insurance or Medicaid
I had not transportation to get there
I did not know where to go
I could not get an appointment
None
The wait was too long
Other (please specify)
12.
What is your gender?
Male
Female
Transgender
Do not identify as female, male, or transgender
13.
What is your race? (Please check all that apply).
White
Black or African American
American Indian or Alaska Native
Hispanic
Other (please specify)
14.
What is your marital status?
Single
Married / Unmarried partner
Separated
Divorced
Widowed
Other (please specify)
15.
What is your age range?
18 to 25 years
26 to 39 years
40 to 54 years
55 to 64 years
65 to 80 years
More than 80 years
16.
What is the highest level of education you have completed?
Less than high school graduate
High school diploma or GED
Some college, but not degree
Bachelor's degree
Graduate or Professional Degree
Other (please specify)
17.
What is your approximate household income?
Less than $10,000
$10,000 to $19,999
$20,000 to $29,999
$30,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 or more
18.
What is your current employment status?
Employed full-time
Employed part-time
Self-employed
Retired, not working
Retired, working
Armed Forces
Unemployed less than 1 year
Unemployed more than 1 year
Disabled
Student
Homemaker
Other (please specify)
19.
How many people does your income support?
20.
Do you care for an elderly adult in your household?
No
Yes
21.
Do you have personal access to the Internet at home?
Yes
No
