Question Title

* 1. Please mark all categories that apply: GENDER

Question Title

* 2. Please mark all categories that apply: RACE

Question Title

* 3. Please mark the category that applies: ETHNICITY

Question Title

* 4. Please mark the category that applies: AGE

Question Title

* 5. Please mark the category that applies: EDUCATION

Question Title

* 6. What is your zip code?

Question Title

* 7. Do you have a disability?

Question Title

* 8. How would you rate the overall health of Menard County?

Question Title

* 9. What is the ONE thing you think should be done to improve the health of Menard County?

Question Title

* 10.  Please select the top 3 most serious health issues in Menard County from the following options.

0 of 10 answered
 

T