Southeastern Illinois Community Health Plan Survey

Southeastern Illinois Community Health Survey

The Southeastern Illinois Community Health Coalition (SICHC) and Egyptian Health Department (EHD) would like your assistance in developing our 2016 Community Health Plan. Please answer the following questions using your knowledge as a community member or collaborating partner. The results of this survey, along with health data and SICHC member input, will be used to formulate a five-year plan to address the main health problems within our communities. Thank you for your assistance! If you have any questions about this survey or would like more information about the process please contact Jamie Byrd at (618) 273-3326 ext. 2155.

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* 1. What county do you reside?

Gallatin

Saline

White

Other (please specify county you work in)

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* 2. Which of the following best describes your organization, group or institution?

Academic institution/school

Healthcare Organization (Hospital, FQHC, Rural Health Center)

Community group/coalition/Non-Profit

Public agency (Federal, State or Local)

Faith-based organization

Private sector business

I am a community member/resident/unaffiliated with an organization

Other (please specify)

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* 3. In your opinion what are the top five health problems in our communities? A "health problem" is a situation or condition of people that is considered undesirable, is likely to exist in the future, and is measured in death, disease or disability.

Access to Medical Care

Arthritis

Cancer

Cardiovascular Disease & Stroke

Chronic Obstructive Pulmonary Disease (COPD)

Diabetes

Environmental Health (Air, Water, Sewage)

Food Safety

Housing Conditions or Built Environment

Immunizations and Infectious Diseases

Mental Health and Mental Disorders

Nutrition

Obesity (including Childhood)

Oral/Dental Health

Sexually Transmitted Diseases

Substance Abuse

Suicide

Tobacco Use

Unintentional Injury

Vision

Other (please specify)

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* 4. What would you describe as the leading three risk factors or conditions that impact the health issues you identified above? Choose all that apply

Air Quality (Mold, Secondhand Smoke, etc.)

Access to Healthy Foods

Health Education and Health Literacy (Lack of Health Education in School Curriculum)

Social Determinants (Education, Unemployment, Family and Social Support)

Health Behaviors (Diet and Lack of Physical Activity)

Health Behaviors (Alcohol, Tobacco and Substance Use)

History of Traumatic Events

Chronic Disease Prevention and Management

High Risk Sexual Behavior

Palliative (or Comfort) Care Needs

Pain Management Issues

Transportation

Other (please specify)

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* 1. What county do you reside?

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* 2. Which of the following best describes your organization, group or institution?

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* 3. In your opinion what are the top five health problems in our communities? A "health problem" is a situation or condition of people that is considered undesirable, is likely to exist in the future, and is measured in death, disease or disability.

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* 4. What would you describe as the leading three risk factors or conditions that impact the health issues you identified above? Choose all that apply

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* 5. In your opinion, what are the main barriers to a healthy community