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1. What ZIP code is your home located in Christian County? (enter 5-digit ZIP Code)

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2. What is your age range?

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3. What is your sex?

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4. What is your race or ethnicity?

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5. How many people currently live in your household? (Including yourself)

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6. What is your total household income?

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7. What level(s) of education have you obtained? (Check all that apply)

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8. Which of the following is your MAIN source of health insurance coverage for yourself?

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9. Do you have a primary medical provider?

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10. How long has it been since you had a routine checkup with your primary medical provider?

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11. How long has it been since you had a routine checkup with your dentist?

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12. How long has it been since you had a routine checkup with your optometrist?

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13. What types of mental health related services have you used in the last five years? (Select all that apply)

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14. Have you experienced homelessness in the last five years?

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15. If you answered "yes" to the previous question, how difficult was it to access supportive services?

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16. Are you a person living with a disability?

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17. If you answered "yes" to the previous question, what services are lacking to enable different aspects of your life?

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18. What are the barriers for you to access better healthcare? (Select all that apply)

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19. What health or social services are you lacking?

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20. The following is a list of top reported health issues within the United States. Please rank them as to how you feel is the most prevalent in Christian County.

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21. For each of the areas listed below, please rate how well you think Christian County is doing.

  Poor Needs Improvement Adequate Good Excellent
Drug treatment services
Opportunities for youth
Funding for schools
Funding for After School Programs
Employment opportunities
Services for low income families
Mental health services
Affordable childcare
Affordable housing
Ability to pay for food
Family support and social services
Senior services/Adult care
Access to health care
Prenatal health care
Access to pediatric care

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22. What barriers or issues have you encountered that might be causing lack of access to care?

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23. Do you have public or private water supply in your home? (Municipal or Private Well)

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24. How satisfied are you with your home water supply?

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25. Is your home environmentally sound and free of hazards? (Lead, asbestos, mold, vermin, pests, etc.)

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26. If you answered "no" in the previous question, what are the main hazards in your home?

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27. Are you satisfied with the quality of life in Christian County?

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28. Why did you answer "yes" or "no" to the previous question?

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29. In your opinion, what are the three most common health problems or concerns with your town or community in Christian County?

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30. Please provide any suggestions or areas for improvement that could be the focus for enhancing the quality of life for individuals in Christian County.

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