St. Lucie County Wellbeing Survey

1. Instructions

Thank you for taking the time to complete this Community Wellbeing Survey for St. Lucie County. The purpose of this survey is to gather your thoughts about the health and quality of life in our community. Your feedback will be used to develop a plan to improve St. Lucie County's public health system and the health of residents like you. This survey is for St. Lucie County residents.

Please read the questions carefully and answer to the best of your ability. Please keep in mind that your answers are confidential and cannot be linked to you in any way. This survey takes about 15 minutes to complete.

If you have already completed this survey, we thank you for your participation; you do not need to complete it a second time.

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* 1. In which ZIP CODE do you live?

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* 2. What is your AGE?

18-24

25-34

35-44

45-54

55-64

65+

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* 3. Are you of HISPANIC or LATINO/LATINA origin or descent?

Yes, Hispanic or Latino/Latina

No, not Hispanic or Latino/Latina

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* 4. Which RACE best describes you? Please choose only one answer.

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

More than one Race

Prefer not to answer

Other (please specify)

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* 5. What is your GENDER?

Male

Female

Transgender Male to Female

Transgender Female to Male

Transgender but do not identify as either male or female

Prefer not to answer

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* 6. Which of the following best describes your SEXUAL ORIENTATION?

Heterosexual (Straight)

Gay or Lesbian

Bisexual

Prefer not to answer

Other (please specify)

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* 7. Which LANGUAGE do you MAINLY speak at home?

Arabic

Chinese

English

French

German

Haitian Creole

Portuguese

Russian

Spanish

Vietnamese

Other (please specify)

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* 8. What is the HIGHEST LEVEL of SCHOOL that you have completed?

Less than high school

Some high school, but no diploma

High school diploma (or GED)

Some college, but no degree

2-year college degree

4-year college degree

Graduate-level degree or higher

Prefer not to answer

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* 9. How much TOTAL COMBINED INCOME did all members of your household earn last year?

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

Prefer not to answer

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* 10. Including yourself, how many people currently LIVE in your household?

6 or more

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* 11. How many people in your household are UNDER 18 years of age?

None

6 or more

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* 12. How many people in your household are 65 YEARS of age or older? (Include yourself if you are 65 or older)

None

6 or more

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* 13. Which of the following best describes your current relationship status?

Married

Widowed

Divorced

Separated

In a domestic partnership or civil union

Single, but living with a significant other

Single, never married

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* 14. Which of the following best describes your current status?

Working full-time (30 or more hours per week)

Working part-time (29 hours or less per week)

Not employed

Looking after family or home

Student

Retired

Disabled, not able to work

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* 15. What kind of TRANSPORTATION do you normally use to go places?

I drive my own car

Someone drives me

I take the bus

I walk

I ride a bicycle

I take a taxi cab

I ride a motorcycle or scooter

Other (please specify)

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* 16. How long does it take you to commute to work (or school) regardless of the mode of transportation?

No commute (I work from home)

15 minutes

30 minutes

45 minutes

More than an hour

N/A

St. Lucie County Wellbeing Survey

1. Instructions

Question Title

* 1. In which ZIP CODE do you live?

Question Title

* 2. What is your AGE?

Question Title

* 3. Are you of HISPANIC or LATINO/LATINA origin or descent?

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* 4. Which RACE best describes you? Please choose only one answer.

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* 5. What is your GENDER?

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* 6. Which of the following best describes your SEXUAL ORIENTATION?

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* 7. Which LANGUAGE do you MAINLY speak at home?

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* 8. What is the HIGHEST LEVEL of SCHOOL that you have completed?

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* 9. ﻿How much TOTAL COMBINED INCOME did all members of your household earn last year?

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* 10. Including yourself, how many people currently LIVE in your household?﻿

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* 11. ﻿How many people in your household are UNDER 18 years of age?

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* 12. ﻿How many people in your household are 65 YEARS of age or older? (Include yourself if you are 65 or older)

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* 13. ﻿Which of the following best describes your current relationship status?

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* 14. Which of the following best describes your current status?

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* 15. What kind of TRANSPORTATION do you normally use to go places?

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* 16. How long does it take you to commute to work (or school) regardless of the mode of transportation?

* 9. How much TOTAL COMBINED INCOME did all members of your household earn last year?

* 10. Including yourself, how many people currently LIVE in your household?

* 11. How many people in your household are UNDER 18 years of age?

* 12. How many people in your household are 65 YEARS of age or older? (Include yourself if you are 65 or older)

* 13. Which of the following best describes your current relationship status?