Christian County IPLAN 2026 Survey

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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?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 3. What is your sex?

Male

Female

Prefer not to say

Other (please specify)

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* 4. What is your race or ethnicity?

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or other Pacific Islander

White

Prefer not to answer

Other (please specify)

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

10+

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* 6. What is your total household income?

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

Between $150,000 and $200,000

Between $200,000 and $300,000

$300,000 or more

Prefer not to answer

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

Less than a high school diploma or equivalent

High school diploma or equivalent

Some college, no degree

Associates

Bachelors

Graduate School-Masters

Graduate School-PhD

Professional Certificate

Trade School-Apprenticeship

Other (please specify)

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

Plan through your spouse

Plan through your employment

Plan purchased by yourself

Medicare

Medicaid

VA (Veterans Affairs)

Not covered by health insurance currently

Other (please specify)

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* 9. Do you have a primary medical provider?

Yes

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

1-3 months

4-6 months

7-9 months

10-12 months

More than a year ago

More than two years ago

More than three years ago

Other (please specify)

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

1-3 months

4-6 months

7-9 months

10-12 months

More than a year ago

More than two years ago

More than three years ago

Other (please specify)

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

1-3 months

4-6 months

7-9 months

10-12 months

More than a year ago

More than two years ago

More than three years ago

N/A

Other (please specify)

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

None

Individual therapy or conseling services

Group therapy or counseling services

Psychiatric services

Inpatient services

Tele-health or app related to mental health services

Mental Health Case Management

SEL (Social Emotional Learning) services

Other (please specify)

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

Yes

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

Very easy

Easy

Neither easy nor difficult

Difficult

Very difficult

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* 16. Are you a person living with a disability?

Yes

Prefer not to answer

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

Accessible home

Transportation

Employment opportunities

Recreation

Healthcare

ADA compliant facilities

Other (please specify)

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

Affordability

Adequate insurance

Lack of providers

Transporation

Dependent care options

None

Other (please specify)

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

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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)

Public

Private

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

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

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

Yes

Unsure/ I don't know

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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?

Yes

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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.