Cresskill Community Feedback Survey Background and Objectives: The following survey questions are sourced from other national surveysthe Mayors Wellness Campaign has launched. Using the survey results, the goal is to tailor programming to aid residents in becoming healthier and more health conscious. We greatly appreciate you taking the time to share your thoughts. Question Title * 1. Do you currently live in Cresskill, New Jersey? Yes No Question Title * 2. In the following list, what do you think are the three most important factors for a “HealthyCommunity?” (Those factors which most improve the quality of life in a community.) Pleasecheck only three: Access to safe neighborhoods and public spaces Good schools Access to recreation and open space Community events Community Social Media Question Title * 3. Which of the following do you feel are the most important "health problem" in our community? Mental Health problems Drug addiction Obesity Aging Problems Other (please specify) Question Title * 4. Which of the following would you consider to be the most important "risky behavior" in our community? Alcohol abuse Drug addiction Tobacco Use or vaping Other (please specify) Question Title * 5. Which of the following events would you like to attend? Health education Health screening Physical activity Environmental support Other (please specify) Question Title * 6. How would you rate our community as a “Healthy Community?” Very healthy Healthy Somewhat healthy Unhealthy Very unhealthy Question Title * 7. How would you rate your own personal health? Very healthy Healthy Somewhat healthy Unhealthy Very unhealthy Question Title * 8. Approximately how many hours per month do you volunteer your time to communityservice? (e.g., schools, voluntary organizations, churches, hospitals, etc.) 0 1-5 hours 6-10 hours More than 10 hours Question Title * 9. What health education would you like to know more about? Please click all that apply: Nutrition Anxiety/depression Exercise/physical activity Emergency preparedness Other (please specify) Question Title * 10. In the following list, which types of physical activity do you or members of yourhousehold most commonly participate in on a weekly basis? Walking Biking Going to the gym Group classes Other (please specify) Question Title * 11. Did you take part in any of the Mayors Wellness Campaign programs administered by the Cresskill Board of Health in 2021 or 2022 (including the Cresskill 5K)? Yes No Question Title * 12. Would you be interested in learning more about suicide prevention, or taking part in "A Canvas of Hope" where residents can post messages of hope and resilience to support those that are struggling? through the Mayors Wellness Campaign? Yes No Question Title * 13. Over the past month, how many days have you felt that emotional or mental difficulties have hurt your personal relationships or work ability? None 1 - 2 Days 3 - 5 Days 6 Days or more Question Title * 14. Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all Several days More than half the days Nearly every day Feeling down or depressed Feeling down or depressed Not at all Feeling down or depressed Several days Feeling down or depressed More than half the days Feeling down or depressed Nearly every day Trouble falling asleep or staying asleep Trouble falling asleep or staying asleep Not at all Trouble falling asleep or staying asleep Several days Trouble falling asleep or staying asleep More than half the days Trouble falling asleep or staying asleep Nearly every day Feeling tired or having little energy Feeling tired or having little energy Not at all Feeling tired or having little energy Several days Feeling tired or having little energy More than half the days Feeling tired or having little energy Nearly every day Poor appetite or overeating Poor appetite or overeating Not at all Poor appetite or overeating Several days Poor appetite or overeating More than half the days Poor appetite or overeating Nearly every day Trouble concentrating Trouble concentrating Not at all Trouble concentrating Several days Trouble concentrating More than half the days Trouble concentrating Nearly every day Thoughts of harming yourself or others Thoughts of harming yourself or others Not at all Thoughts of harming yourself or others Several days Thoughts of harming yourself or others More than half the days Thoughts of harming yourself or others Nearly every day Next
