SW MN Quality of Life Community Health Survey

Southwest Health and Human Services in partnership with Avera Marshall is partnering to conduct this Quality of LIfe Community Health Survey. Please give us your honest opinions about the community you live in. All of your individual responses will be kept anonymous. The survey results will be used to look at overall health trends in Lincoln, Lyon, Murray, Pipestone, Redwood, and Rock Counties. Any questions about this survey should be directed to Michelle Salfer, 507-637-6084, michelle.salfer@swmhhs.com or Krista Kopperud, 307-836-6144, krista.kopperud@swmhhs.com.   Thank you!

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* 1. Zip code where you live:

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* 2. Are you:

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* 3. County you live in:

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* 4. Your age group:

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* 5. Which of the following best describes you? (Mark ALL that apply)

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* 6. What is the highest level of education you have completed? (Please mark only ONE)

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* 7. What is your employment status? (Please mark only ONE)

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* 8. Are you disabled?

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* 9. Are you happy with the quality of life in your community?

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* 10. Is your community a welcoming community?

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* 11. Is your community a good place to raise children?

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* 12. Is your community a good place to grow old?

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* 13. Do you feel there are jobs available in your community where the pay meets your monthly bills?

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* 14. Is your community a safe place to live?

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* 15. If NO, what are the most likely causes? (Mark ALL that apply)

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* 16. Are you happy with the health care system in your community?

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* 17. If you have not used the health care system in your community, why?

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* 18. How healthy would you say your community is?

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* 19. What do you think are the three MOST important factors for a "healthy community"? (Please mark only THREE)

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* 20. What do you think are the three MOST important "health problems" in your community? (Please mark only THREE)

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* 21. Is there something in your community you are more concerned about today than you were 3 years ago?

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* 22. What is preventing you from living a healthier life?

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* 23. Do you have any additional comments about the health of your community?

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* 24. Your total household income per year:

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* 25. Do you live:

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